I'm 62. In the last year or so, I have been experiencing horrendous jowling crepiness and excess skin hanging on my neck (Photo)
Doctor Answers 6
Jowl Concern at Age 62
Depending on the level of laxity, the effects of a neck lift will certainly outlast the effects of non-surgical treatments. 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.
You should work 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.
Non surgical neck lift
Your case would ideally be treated with a good face and neck lift with platysmaplasty. Results in good hands would be great. The only other option with results that could be pretty good but not certain would be a laser liposuction of skin and jowls to try to tighten your neck and jowl areas. This last procedure if performed correctly can enhance the jaw line and smooth and tighten the neck in about 70%of the cases I have performed. Still the facelift is your best option.
When to move from non surgical to surgical
Hi and thanks for your question and pictures. It seems that you have reached the point where non surgical intervention has accomplished what it can. If you desire further improvement, I think you are a good candidate for a neck and face lift. Do your research and seek out a board certified plastic surgeon who does a large number of these procedures and you will be in good hands. Best of luck.
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What to Do When Non Surgical Techniques Aren't Doing the Job
- botox in chin and DAO muscles, to elevate the corner of the mouth and reduce chin wrinkles
- Filler in mid and lower face, such as radiasse, restylane lyft of voluma in cheecks, back of jaw, along the mandible and the jowls and chin, as well as in the marionette lines to lift and elevate the face and jowels
- A more aggressive laser or radiofrequency treatment to neck and lower face such as thermi tight, infini (aggressive setting) or exillis ultra
- Finally, the new silhouette lift, the non-surgical procedure using sutures made with sculptra placed under the skin and a anchored by bidirectional cones, can create immediate, significant lift in mid face, jowls and neck.
Neck Skin and Platysmal Bands -- VASER Hi Def Liposuction/ThermiRF, Venus Legacy/Thermage/Ultherapy, Botox/Dysport
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