Neck Lift v. Lower Face Lift v. Chin Lipo - I'm confused! (Photo)

Hello Masie,Your decision really depends on your expectations. You can have a RF treatment like FaceTight and may be happy. Does this provide the same lasting result as a surgical neck lift...time will tell. Liposuction is an option but a great deal on the efficacy of this treatment depends upon your skin elasticity and expectations. Hope this helps.Sincerely, Dr K 

The only way to know for sure which treatment plan will be best to achieve your goals is to be evaluated by someone who is not limited in their approach to treating the neck, surgically and non surgically.  It does become confusing when you get different recommendations from different doctors, but it is not a surprise. Every physician has their own philosophy and approach.  It may help to consider that aging comes in different patterns and is unique to each patient.  Treatment recommendations will vary from surgical to  nonsurgical, such as radio frequency, laser, ultrasound, and injectables.  One thing to understand is that if the neck muscles (platysma) are loose, the only treatment that will effectively tighten the neck will be a surgical neck lift. Nonsurgical treatments focus on tightening skin. If the lower face is contributing to the looseness of the neck, then it is worth considering combining a neck lift with a lower facelift. In the right patient, nice results can be achieved with liposuction combined with laser or radio frequency skin tightening. 

It's hard to suggest without knowing what your goals are. Perhaps this will provide you more helpful info to base your decision upon.  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 if you are a #candidate for #rejuvenating the neck. During an in-person 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.
However, you may also benefit from Lite-lift™. Lite-lift™ is an affordable, quick, and effective innovative facelift developed by board-certified plastic surgeons Dr. Larry Nichter and myself. The goal is to provide a less invasive natural looking option for both men and women desiring to refresh their appearance with less downtime and risks. The LiteLift® is a “real” facelift, which does address the underlying muscle, tissue and overlying skin.
This is a modified facelift that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.
A facelift can be customized to adrdress the lower face to include your chin and neck area. Liposuction is oftern applied to the neck if necessary. You should begin by consulting  with a board certified plastic surgeon who will evaluate both your anatomical features and aesthetic goals. She or he will suggest which procedure best suits your needs. In some cases there may be more than one option to choose from.

Photos are unclear and non-standard, however you seem to have a massively oversized chin, to begin with this deserves correction with a three-dimensional (height, width and depth) reduction osseous geniplasty.
Better images are requiered to provide overal assessment of your case.
Feel free to request any additional information from me.

Thanks for sharing. In general current neck rejuvenation treatments include:
Surgical Neck lift* with a Lower Facelift would be the gold standard and gets the best resultsSurgical Neck lift* would be the next best procedureNeck liposuction and/or laser lipolysis if only fat removal is required, typically in a younger patient. A platysmaplasty can be added for further muscle tighteningUltherapy is an FDA approved non invasive tightening using ultrasound technologyKybella is a new FDA approved injection that melts fat under the chinBotox to the platysma bands to decrease their show*It is important the a Neck lift involves some liposuction and importantly a platysmaplasty which is a procedure that tightens the underlying loose neck muscles. 
You are at an age where you may fit into either option 1,2, or possibly 3 as you have described.  It is likely that you may need some type of surgical neck lifting to tighten the platysma muscle and remove loose skin. I would have to see you in person to make definitive plan of action. Talk to several board certified surgeons experienced in face and neck rejuvenation to discuss your options.

It sounds as if a combination of procedures is the best solution. You might consider a facelift with attention to the neck which incorporates liposuction as well.

Dear MaisieMay,A liposuction would remove some of the fat from the neck, and you have to let the skin shrink back over your new neck because the skin loses elasticity over timeA lower facelift also includes lifting the neck and involves removing fat and skin which can give you a nice resultA necklift may not remove as much skin, but would help tighten the neck a little bitI think a facelift would look the nicest because you can lift the lower cheeks, sculpt the jawline and tighten the neck all in one surgery.  It would also help re-distribute the skin more nicely than a necklift aloneBest,Dr. Nima

The terms neck lift, lower facelift, facelift and submental liposuction are not uniform, so find out what each doctor means by the terms.  The problem areas can be fat, the deep muscle, the deep angle that the face makes with the neck, and skin looseness.Much of our practice consists of facelift procedures in younger patients.If incisions can be hidden and not produce a pull artifact, it is possible to correct problems in younger patients.Nick liposuction, a lower facelift and a neck lift are all part of a facelift in our practice.The high SMAS is the most overlooked region of the face and is essential to getting a natural result.   It also makes the face prettier to restore upper facial volume.So do things right, and never look back.

It is critical that the punishment fit the crime.  If you hold still, someone will do your facelift whether you need one or not.  The neck lift and a lower face lift are very similar clinically.  The reason is to do a neck lift, the same incisions along the side of the face are necessary and invariably a lower facelift is performed with the "neck lift."  It is certainly not reasonable to do all this work and not do at least a little something for the face.  Similarly, it is rare that one should have just a facelift without also having the neck addressed.  To my thinking, if the neck does not need to be done, then a facelift does not really need to be done.  There are many ways to accomplish the improved face without a facelift if the neck does not need to be done.  The indication for the neck lift are central midline muscle cords.  When you have fullness like you do, yes it is possible to a focal lower face/neck liposuction which is a very comfortable minimally invasive procedure with very fast recovery.  I should also point out that Kybella is a treatment that melts the neck fat under the chin and this does not even require a surgical procedure.  It is a simple office service.  The bad news is it is not a particularly effective treatment, causes swelling, and takes about 6 months and multiple treatments to achieve what can be accomplished with a neck liposuction and a few days of healing.  Finally you did not mention a midline platysmaplasty.  That is like a neck liposuction with but with about a one inch incision under the chin which is used to trim and tailor any neck cords.  Looks for a surgeon who makes sense to you and an office that treats you with respect and does not insult your intelligence.  The office should have an accredited operating room for any of the services proposed.

Depending on skin laxity, you may be a candidate for a neck lift which can be combined with hi definition liposuction, at the same time. I find that VASER liposuction with ThermiRF are best for contouring the chin in those who are candidates but Kybella can be used as an alternative with or without thermage/ultherapy/exilis or coolsculpting. There are variable risks and if you wanted to go with a non-invasive option first, you can build from there. I recommend getting a formal evaluation with an expert and trusting their recommendations. Best, Dr. Emer