Do I need a neck lift at 38? (Photo)

Hello
Thank you for providing some photos with your question. Based on your photos and the history you have provided, you may some options to help you but I do not believe this would be neck lift at the moment. Consulting with a surgeon in-person to discuss your options would be the best. 
You may consider a small chin implant. For some young people like you, a chin implant alone is usually all that is needed to improve the appearance of the neck. Liposuction of the double chin at the same time will improve your neck contour as well. An endoscopic mid face lifting will also help you to improve the volume loss at your midface cheek area. I would recommend a consultation with a plastic surgeon who is board certified by the American Board of Plastic Surgery in your area.
Best luck

You are absolutely correct in noting that your lack of profile is genetic in nature.  Many individuals like yourself have a forward leaning airway (windpipe) very often accompanied by an undersized chin. These two structures ultimately determine your potential profile, and why even at an earlier age (and probably less weight) it was still not sharp.  Certainly in your case you would probably benefit (pending examination) from liposuction under your chin, as well as consideration of a small implant to help both your profile and sides of the chin (particularly an "extended anatomic implant"). This type of implant can mask the prejowling that your are experiencing for a few years.  If there is significant laxity to the muscles and skin of the neck and jawline, you actually may be a candidate for a lower facelift and necklift.  This, of course, would be at the discretion of your surgeon.  Hope this helps.  Best, Doc L.

mrose1979 . Thank you for the pictures and questions.  An in person consultation is necessary to determine your best course of action.  Microneedling is a terrific procedure to improve skin tone but on its own will not address your other concerns.  Luckily, at 38 you have multiple options, both non-surgical and surgical.  these may include:Y lift or other fillersBody fat transferJ PlaztyQuickliftFaceliftVenus VivaVampire FaceliftBellafillOr a combination of these treatments.  In the right hands your results should be great.  Good Luck #DRB

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Hello and thank you for your question and photos!
Bases on your photos and the history you have provided, you would do well with liposuction of the chin and neck. You may consider a small chin implant. We have some very exciting new technologies for non-invasive tightening of the neck. Renuvion Powered by J-Plasma (Cool Helium Plasma) along with liposuction can produce dramatic improvement in skin laxity and fat reduction.  This technology has produced beautiful results for correction of a double chin or turkey neck without the surgical incisions around the ears required for a traditional neck lift.  Ultherapy and other non invasive treatments for fat reduction A (Coolsculpting, Kybella) would also be an option. Adding an injectable filler to the cheeks is a nice way to add back  some of the volume you have lost and create a nice contour and highlight the cheek area. Microneedling will benefit the overall quality of your skin. I would recommend a consultation with a Plastic Surgeon who is well versed in all aspects of facial rejuvenation and is board certified by the American Board of Plastic Surgery in your area.
Wishing you the best of luck!
Andrew Lyos, MD, FACS

A small cheek implant with sub mental de-fatting and neck muscles plication seems to be the procedure I would suggest. Christian Drehsen, MD

It's best to begin by consulting with a surgeon in-person to discuss your options. The presence of banding down the front of the #neck, and, amount of excess skin and condition of your skin are among some factors which determine what treatments will best rejuvenate your neck. Neck lifts are designed to remove only deep grooves and #wrinkles, not fine ones. Smoothing out every tiny line in your face would leave you with an eerie, unnatural, and undesirable result. The goal should be to make your neck lift look as natural as possible, simply turning back the clock a few years.  #Liposuction is often used during the neck lift if necessary.During your initial examination, your chin will be evaluated along with the neck and jawline. A weak #chin implies a lack of chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall #balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. For individuals with signs of #aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.
If you are not a candidate at the time of your #consultation, your board certified plastic surgeon can recommend alternatives to address your concern. Consulting with a board-certified plastic surgeon who specializes in #neck lift procedures is important to ensure you are receiving the best advice, care, and surgical experience possible.

HI.  If on examination, you have excess fat deposits under the chin skin, then options for removal include liposuction, kybella injections and coolsculpting.  If your skin is loose, then a surgical lift is indicated.  A chin implant will provide added projection, height (your width seems ok) and can be done at the time of the lift or liposuction. Restoration of cheek volume can be accomplished with a facelift, injections of Juvederm Voluma or Fat.  You will get maximum contouring and longevity with a face & neck lift & implant.  Microneedling will improve your skin but will not produce the same or better results of any of the above procedures.  Have an in-person consultation with an ABPS certified Plastic surgeon that you are comfortable with and confident in.  Best wishes,

Thank you for your question and pictures.  You would be an amazing candidate for neck liposuction to remove any fat under the chin area, this could be combined with a local anaesthetist necklift which will remove any excess skin.  This would help achieve a contoured L shaped neck and remove any jowls, giving a nice sharp jawline.  
In terms of scar tissue, it wouldn't cause a problem or affect the overall results. It would just cause the surgery to last slightly longer.
Most of my patients want a facelift however do not want the downtime associated.  The Concept Facelift is the procedure I perform, which combines the latest surgical techniques with the use of local anaesthetic to dramatically reduce the risks associated with traditional facelifts, while significantly reducing the bruising and downtime of your recovery, from months to a matter of days. 
If you have lax facial skin, lost volume and feel that you have jowls and wrinkles on your cheeks and you look tired when you're not then the concept facelift can help improve your appearance. With concept facelift you will look natural and fresh just like the way you feel inside. There are no bandages, drains and hospital stay but with lasting results of traditional facelift techniques it fits with today's age.
What are the benefits of a local anaesthetic facelift?
Minimally invasive as it is a short scar facelift, although has the same effects as the Traditional Facelift as the SMAS muscle is tightened along with the skin.There is minimal bruising and swelling, especially when compared to traditional faceliftsAs the procedure is performed under local anaesthetic, you can go straight home following the procedureFull recovery in a matter of days rather than monthsSignificantly less risk than Facelifts performed under general anaestheticFresh, youthful and long lasting resultsPlease make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.  All The Best  Tw

Thanks for sharing. I feel you are a good candidate for a neck lift which involves: chin lipo and platymaplasty and  skin excision.  There is a small incision under the chin and behind the ears and along the posterior hairline.  You will have the most satisfaction with this procedure achieving your desired results.  I feel the microneedling is going to help your complexion but not tighten to any significance.