Is this neck skin laxity or do I have fat to lose? Would Vaser lipo help? Does a surgical neck lift only last 5 yrs? (Photo)
Doctor Answers 6
Is this neck skin laxity or do I have fat to lose?
Following the beauty principles outlined in my book on face and body beauty, women look the most feminine, youthful and attractive with heart shaped faces. Heart shaped faces have cheeks that are full and round in the front. Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.
A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin. Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective.
"Jowls” are sagging facial tissues and an indication for some form of a SMAS facelift. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last). The excess skin is then removed and the facelift incisions closed.
My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
- very small incisions
- minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
- can be performed in 90 minutes or less, with or without general anesthesia
- no incisions within the hair = no hair loss
- excess fat can be removed
- excess skin removed
- cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
- most patients fly back home to parts all over the world in as little as 3 days post-op
Hope this helps.
Dean Vistnes, M.D.
Vistnes Plastic Surgery
San Francisco Bay Area
#realself #necklift #drdeanvistnes
Is this neck skin laxity or do I have fat to lose? Would Vaser lipo help? Does a surgical neck lift only last 5 yrs?
Thanks for your question.
What you are seeing is probably a combination of skin and muscle laxity. I highly doubt that if you exercise 2-5 hours daily that there is any excess fat in your face.
VASER lipo might help a bit, but not as much as it would in combination with a platysmaplasty (muscle tightening), or proper neck lift.
In your situation, I've found that SmartLipo (laser lipolysis) is also very helpful at improving the nature of loose skin and muscle.
Neck lifts will last for varying amounts of time depending of a multitude of factors including sun exposure, age, smoking, weight-loss, etc.
You might consider noninvasive therapies such as RF skin tightening or Ultherapy to tighten the skin, but have realistic expectations and be patient with regards to the time it might take to get the outcome desired.
With your history of UC it is probable that you have been exposed to steroids over the years, and as such it is important to know that steroids have a negative effect on skin aging and elasticity.
I hope this helps point you in a direction that makes sense.