Dr. said I'm too young for a neck lift at 42 but I hate the way my neck looks, even after I had SmartLipo 8 months ago (Photo)

Question

Dr who did the SmartLipo 8 mos ago recommended Tempsure Envi. I did Tempsure 30 days ago w/ no improvement. 2nd opinion Dr suggested Morpheus 8. I don't want to spend thousands more on minimally invasive treatments. I want this fixed! I realize the necklace lines are just who I am but I feel they are greatly emphasized by what is either remaining fat or skin sagging. I also have these "jowls" that make me look like I'm older/heavier/mad. I want a defined neckline. Would real surgery help me?

Brian K. Machida, MD, FACS · Answer

Only a neck lift will solve your concerns.  You need a more defined jawline, liposuction, and defined neck which only a necklift can do.  However, your horizontal lines may not be helped much if that's your concern.  Its best to have a personal consultation.

Jason Emer, MD · Answer

"Injecting soft fillers like Belotero in this area can reduce lines, wrinkles and folds as well as improve skin texture with long-term collagen production. Fillers are being used more frequently to contour and lift rather than solely line fill. Of course, fillers are best used in combination with lasers and microneedling with PRP to get the optimal outcome.

I suggest getting a formal evaluation with a cosmetic dermatologist to create an individualized treatment plan that works for you. Best, Dr. Emer"

I suggest getting a formal evaluation with a cosmetic dermatologist to create an individualized treatment plan that works for you. Best, Dr. Emer"

Kian Karimi, MD, FACS · Answer

I believe you would be a great candidate for a lower face and neck lift, and your 40s is a wonderful age to consider getting one. Aging is a part of life and by addressing these concerns now you will be able to continue to age gracefully without having to go through an intense series of treatments later in life. While 40 may seem young, I have plenty of patients in that age range that come in to consult for a face lift because it allows for you to look refreshed without anyone having to notice an immensely drastic change in your appearance. A lower face and neck lift would address the sagging around your neck and jowls and allow for a youthful rejuvenated look without looking too “done.”

I would also suggest to address your underdeveloped chin, which is drawing more attention to the sagging around your jowls and neck. While addressing your underdeveloped chin is not necessary, I believe creating more chin projection would really bring out the features around your jaw and neck and would create a well balanced look within your face.

If the necklace lines are something that bother you, the appearance of them can also be softened either during surgery or later down the line with a treatment that I like to perform which involves injecting diluted hyaluronic acid filler directly into the necklace lines. The injections are very targeted which helps to fill the hollow spacing without creating any bulkiness to the area. Going forward, I would recommend you to complete multiple in office consultations with board certified plastic surgeons to discuss your ideal outcome. This way, they can assess your goals in person and determine the best treatment for you.

Best of luck!
Kian Karimi MD, FACS

Alejandro J. Quiroz, MD · Answer

Thank you for your pictures.   For the pictures you send, seems to me that you need the lower face and also a chin implant to help to support your lower face.  Consult with a Board Certified Plastic and Reconstructive  surgeon for advise

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. I think that you are young and would probably be a good candidate for a minimally invasive procedure such as FaceTite/Morpheus8/MyEllevate......but that being said, it sounds like you are over less invasive options, so I think if you are ready for a necklift procedure, then you should consider seeing a board certified plastic surgeon to discuss one. I would also strongly encourage considering a chin implant with either a surgical or minimally invasive option.

Hope this helps!

Dallas Buchanan, MD, FACS
Owner & Plastic Surgeon
VIVIFY plastic surgery

Hope this helps!

Dallas Buchanan, MD, FACS 
Owner & Plastic Surgeon 
VIVIFY plastic surgery

Richard G. Schwartz, MD · Answer

Your photos shows a small (recessive) chin, which blends into your neck, with the neck angle blunted by fat and probably a low hyoid bone.  The lower jowl bulges in your lower cheeks crossing the jawline camouflage a defined jawline.  I think a lower cheek and necklift would allow surgical removal of fat in the neck and lower jowls, along with tightening of neck muscles.  I would also recommend a chin implant to add better balance to the lower face.  Possibly some microfat grafting to your horizontal lines.  All of this would create a more defined jawline, a sharper neck angle, and a more pleasing, youthful look.

Scott Trimas, MD · Answer

From your pictures, it appears you have both persistent fat and some excess skin. I agree that the best option for you would be a neck lift. You are not too young for the procedure. In fact, it is unlikely any additional noninvasive procedures will result in any further improvement. I would recommend consultation with a board certified facial plastic surgeon in your area.

Zoran Potparic, MD · Answer

Based on these photos, you seem to be a candidate for neck lift and chin augmentation. Only on the basis of in person consultation, an experienced plastic surgeon could decide whether neck or lower face/neck lift is better solution. Horizontal neck lines are part of the problem; injection of fat nano grafts or filler may improve this condition to a certain degree. Good luck.

Matthew Bridges, MD, FACS · Answer

I think you would be a good candidate for a neck/lower face lift.  You might consider a chin implant as well.  I don't think 42 is too young if it bothers you.

Thomas Trevisani, MD · Answer

Based on limited photos- you appear to be a good candidate for neck lift with muscle tightening, lipo, and possible small chin implant. I suggest that you seek an experienced Board Certified PS

Dr. said I'm too young for a neck lift at 42 but I hate the way my neck looks, even after I had SmartLipo 8 months ago (Photo)

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