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

Hi Helen60109, Thank you for your question regarding defining your jawline with just a neck lift under local anesthetic. A neck lift as its name implies, will define your neck. Typically, a neck lift will tighten the neck muscles (platysmaplasty), remove neck fat above and sometimes below the neck muscles, and tighten the neck skin. The result of a neck lift is usually a nice, tight neck, often with a 90° angle. However, a neck lift will not define your jawline, whether it's performed under local anesthetic or general anesthesia. The neck lift only really defines the neck. The best way to define your jawline is with a lower facelift. During the facelift, an incision is made around the ear and the lower face is pulled upward and backward. The lower facelift helps to best define the jawline. Sometimes neck liposuction is also needed. The lower facelift and neck lift procedures are often combined. The lower facelift and neck lift procedures take approximately 3 to 4 hours to complete. The recovery is about one to 2 weeks. If you have any questions regarding a neck lift, neck liposuction, or a lower facelift, please contact my office. Sincerely, Dr. Katzen.

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

Thank you for your question.
Neck rejuvenation or neck lift surgery is one of the most popular cosmetic surgery procedures. For those who have excess fat under the chin but still have good muscle tone and skin, liposuction of the neck will be sufficient. If the skin has lost elasticity, removal of excess skin (Neck Lift Surgery) to tighten and tone the neck will also be required.
Tightening of the platysma muscle (also known as platysmaplasty) will require a small incision under the chin away from direct view to gain access to the front edge of the muscles on the neck; they are sutured together with permanent stitches. The muscles of the neck are the foundations and building blocks of the neck and are fundamental to achieving a tight and toned result.  Neck Lift can also be combined with neck liposuction for patients wanting a contoured and smooth neck who have fat underneath the chin.  
Neck surgery can be performed under local anaesthetic and does not require any drains or bulky bandages. As a walk in walk out procedure, you can now have the neck you once had and one that you've wanted.  You can opt to have under general anaesthetic if this is your preference, however it means a longer recovery and high expense, due to paying hospital and anaesthetist fee.
Please make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.  All The Best 

Typically a neck lift only improves the neck and throat area. It may make your jawline look a bit sleeker, but will not resolve jowls. I give my patients the option of having the procedure done with only local anesthesia. A Mini Lift (lower face, jawline and neck) can also be performed under local anesthesia. Each procedure I do is based on the patient's anatomy and needs, so what exactly a Mini Lift or neck lift will entail must be determined in person. I hope this helps.

In patients candidates a neck lift can be performed under local anesthesia and can give a good result in the jaw line without a facelift type of scar. These patients candidates usually have most of the aging changes in the neck and have mild to moderate mid face and lower face aging.In my practice, I routinely perform neck lifts under loca anesthesia. At the same I tight the jaw line through the same neck lift incisions if the patient doesn't have significant redundant skin in the lower face. Liposuction is very often performed at the same time to make the jowls less prominent and enhance the jaw line. 

To really make a big improvement in the jawline/jowls, then you need a lower face/neck lift which can be done easily under local with a little iv sedation for good results.

A jowl lift is usually addressed at the same time as a neck lift. Assessment of the entire face is usually done before operating on the face. The nasolabial folds, the jowls and neck are all usually addressed by a Z lift face lift or neck lift. Good luck...

Many surgeons who do this actually lack an accredited operating room.  So they are always looking for ways to cut corners and provide less anesthesia.  Is it possible to do a neck lift under local anesthesia? Absolutely but you will be much more comfortable with intravenous sedation to augment the local anesthesia.  Using that combination, you can have a full neck and face lift under that level of anesthesia without having an endotracheal intubation.  Some neck lifts are smaller than other neck lifts.  So like everything else, the devil is in the details.

Hello and thank you for your question.  The best advice you can
receive is from an in-person consultation.  This is difficult to answer without pictures.  Generally speaking, I always advise patients to stay away from "necklifts" when someone is using local anesthesia only.  These procedures are often less expensive, but have disappointing results which do not last long. If you are an appropriate candidate for a necklift and/or facelift, this can be done using sedation or general anesthesia (with a board-certified MD anesthesiologist) with minimal scarring and can
result in a natural look, not over-done look, with rejuvenation of your
face.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results. The most important aspect
is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon