Neck banding: skin or muscle laxity? Weight gain? Facelift failure? Late 40s, BMI 18.5.

You’d do best with a mini lift to get rid of your jowls and tighten up your lower face plus a neck lift with platysmaplasty to tighten the neck muscles, tighten the skin and trim away the excess. These procedures will give you a natural-looking rejuvenation that can last for up to 8 years or more. I hope this helps.

Faceorbody  Thank you for your questions and pictures.  An in person consultation is paramount to your successful treatment.  The band that you note is the platysma muscle.  Your friends who have higher BMI may or may not show this yet as their facial body fat can help to camouflage this muscle. You have several choices that only through a comprehensive consultation will become clear:Ylift J plazty Lazer liftQuickliftICLED pltysmaplastyThermage or UltherapyCombination of the above

Skin and muscle laxity may become more evident after weight loss. Depending on the degree of laxity, surgical options may include a mini lift or neck lift. Patients with fat under chin may consider liposuction as well. For those who aren't ready for surgery, some patients have used Botox and Dysport to temporarily improve the neck and jawline.Best,Dr. Chaboki

A thorough examination of the neck is required to make a determination about excess skin and platysma muscle banding. Both issues are probably contributing to the issues noted in the photographs. A lower face and neck lift can accomplish tightening the platysma muscle, removing any fatty deposits in the neck, and tightening loose facial and neck skin. For many examples, please see the link and the video below