Would a neck lift under local anesthetic give a good result on the jaw line without a facelift?

Thank you for your question. You’re asking if a neck lift under local anesthesia would give a significant result without a facelift done at the same time.
I can help you understand these procedures, and what roles they have in helping people improve their jawline. A little background: I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon. I’ve been in practice in Manhattan and Long Island for over 20 years. Face and neck lifting have been a very big part of my practice, and there have been many variations and evolutions. One of the things you can get as many answers as you could possibly want is by asking groups of doctors who perform this surgery about the best way to do it. I’ll share with you some basic principles to help you understand how I think through when a patient wants a neck lift.
Very often, when people catch themselves on a side view, on a 3-way mirror, or have a photo taken, they notice extra skin on their neck, so what they often do is some kind of mirror lifting. They lift the face, lift the neck or push back and they will say to me, “Doc, can you just get rid of this for me?” I try to help them understand first are the basic principles of facial aging.
Facial aging is two significant things: volume loss which is loss of bone, muscle, fat, and soft tissues; and sagging and descent. There’s sagging and descent of the skin as well as the underlying muscular structure referred to as the SMAS or superficial musculo aponeurotic system, and the platysma so tissue also has to be addressed.
To differentiate a neck lift from a facelift, an isolated neck lift typically involves a combination of an incision in front of the earlobe to behind the ear, and to whatever level the extension of the incision has to be in order to create a flap that pulls the neck back, as well as an incision under the chin to address either the platysmal muscle, do liposuction, do a platysmaplasty, or to do some kind of under the chin neck definition - these are isolated neck lifts.
In my experience, one very important variable is to understand how much of the sagging of the skin is caused by the face descending namely at the jawline is how much is due to loose tissue that’s best addressed by directing the skin back and upward. Generally  I would say to maximize the jawline and improve the angle of the neck, the same individual has a degree of facial descent which means they would benefit from some type of facelift procedure. The facelift which elevates things more vertically really takes the majority of the amount of skin, then the neck lift at the area behind will finish the rest.
One other major component of this is volume loss. You have to also understand that even though things can be re-draped and tightened, you still need volume to make up for loss to maximize definitions such as in the cheekbone area, the jawline, and the chin. Sometimes that is best handled by placement of a chin implant or placement of fillers after the surgery.
Facelifts can be done under local anesthesia, which is one of the things I’ve always advocated since the very beginning - you can do full face and neck lift surgery with local anesthesia. In our practice, we typically do it with LITE™ sedation. We do it in our facilities certified by the Joint Commission so we get the benefits of hospital level care in terms of protocol process, sterility, etc., and at the same time the convenience of an office. My point is you should get a good understanding of what component of the jawline improves when you lift upwards, and don’t lift to aggressively, just slightly, and how much works from lifting back. Generally, I tend to recommend to my patients you do a combination of a face and neck lift, or often just a facelift alone. Speak to your doctor if you have chosen one, or if you are evaluating your options, learn about what choices they would recommend and be prepared to get a lot of different opinions. I hope that was helpful, I wish you the best of luck, and thank you for your question.

It's difficult to suggest online and without photos. The best neck #lift surgeon will evaluate both your anatomical features and aesthetic goals to determine which neck lift procedure best suits your individual needs. Factors which are considered during your consultation to determine if you are a #candidate for #rejuvenating the neck include: 
•Visibility and amount of excess fat below the chin and along the neckline.•The presence of banding down the front of the #neck.•The amount of #excess skin and condition of your skin.•Chin Deficiency.•Presence of Prominent Digastric Muscles (a.k.a. submandibular gland fullness).
During the examination the chin will be evaluated along with the neck and jawline.  A weak #chin means there is not adequate 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.
If you are not a candidate at the time of your #consultation, your board certified plastic surgeon can recommend non-surgical alternatives to address your concern. Consulting with a board-certified plastic surgeon who specializes in #neck lift procedures is important to ensure you are receiving the best advice, care, and surgical experience possible. 

Without an exam your question cannot be answered.  You will need to see an Oral/Maxillofacial surgeon to see if othognathic surgery, genioplasty or using an implant is best for your specific case. It should be noted that patients with severely weak jaws or abnormally functioning jaws may be better treated with other facial surgery (orthognathic surgery), although a chin augmentation may be an option at a later time. These patients should seek the advice of a plastic surgeon to determine which course is right for them. Here is some information to help you make this decision: Candidates for Chin Augmentation - Patients whose chin profiles are weak but have normally functioning jaws are candidates for Chin Augmentation. Many of these candidates have used injectable fillers in the past to strengthen the protrusion of their chins, but are looking for a permanent solution. If you are one of these patients, then you are a likely candidate for chin augmentation
#weakchin #chinimplant