Is 25 Really Too Young for a Neck Lift?

I'm 25 years old and have always had a weak profile. I had assumed a chin implant/ neck lipo would do the trick, but after meeting w/ a surgeon, I now realize that my chin is only slightly recessed and that there's really not fat in my neckline -it's mostly muscle. The surgeon ruled out a neck lift because my age, but admitted that a chin implant wouldn't create dramatic results for my profile. Do I really have to wait until I'm 40 to do something about my neckline?

Doctor Answers 12

Neck lift options

Thank you for your question for sharing your concerns. Based on your age, I would recommend non-surgical approaches. I am finding that the combination of Kybella or Coolsculpting Mini to reduce the sub mental fullness and an energy device to tighten the skin are among the best non-surgical combinations to help your neck concerns.
Kybella is an injection procedure that dissolves the fat an may require between 2-4 treatments spaced 4-6 weeks apart. There is some swelling and bruising potential, with the greatest amount with the first treatment.
The Coolsculpting mini procedure cools the fatty tissue under the submental area and also reduces the fatty tissue under the chin.

As far as energy devices, I would recommend Ulthera if you are looking for something with no downtime, or Profound if you could tolerate some downtime. Ulthera is an ultrasound based energy that heats the underlying tissue and stimulates collagen in response. Profound is a radio frequency microneedling device that allows for the creation of Elastin, collagen and hyaluronic acid and hence restores some of the lost elasticity in the neck. It has more visible downtime with the possibility of some swelling and bruising that diminishes in about a weeks time.

Houston Plastic Surgeon
4.8 out of 5 stars 35 reviews

Chin Implant to Enhance Facial Profile

Without a photo it is difficult to determine an appropriate approach for helping you at your young age. Usually small chins or “weak” chins are traits that are genetic and run in families. There may also be developmental problems that did not allow for proper chin formation. At my practice in New York, chin implants can also be considered when a patient has excess skin or fat in the neck. For these patients, liposuction along with the implant may be a good idea to rejuvenate their face. I do recommend getting a second opinion by a specialist to help determine if a chin implant would be beneficial to you.

Amiya Prasad, MD
New York Oculoplastic Surgeon
4.3 out of 5 stars 70 reviews

Neck lift at 25?

It is very difficult to answer your question without seeing your pictures – you should consider posting images showing your areas of concern

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Neck lift Candidate?

Thank you for the question.

Without pictures or direct examination it is now possible to give you good advice. Consultation with several well experienced  board-certified plastic surgeons will be helpful.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,486 reviews

Weak jawline and whether neck lift or chin implant will help

First you should get multiple opinions on this first. You can send me photos to fully answer your questions as well.  But a chin implant could improve your profile and neck line to a degree.  Some people are just born with neck laxity in the under chin area.  LIposuction could help you but you may still need a neck lift.  25 is young for this procedure. But I have had patients that I've done neck lifts at the age of 40 and above that told me they never had a defined neck as they had after a neck lift procedure that I've done for them. 

Philip Young, MD
Bellevue Facial Plastic Surgeon
4.2 out of 5 stars 84 reviews

Neck lift and age of patient

It is important to look at what is causing the problem in the jaw line definition irrespective of the age of the patient.  A chin implant will certainly give more augmentation and chin projection when there is a recession and retrusion to the lower jaw line.  In the neck itself there is fat located both above and below the platysmal muscle which must be addressed.  Men tend to have thicker skin in the neck, which does not give as much jaw line definition as woman from the neck lift procedure.  A platysmaplasty will also give more of a jaw line definition once any subplatysmal fat has been removed.  

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Is 25 Really Too Young for a Neck Lift?

 I think you should sent photos of your face front and on profile for review and/or get a second opinion.  There's an aesthetic reason that your face and profile appear weak.  At 25 years old, you absolutely do not have loose neck muscles...that's absurd.  Please get another evaluation before having anything done.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Too Young for Neck Lift

Hi CrnberySocr,

20's is generally too young for facelift surgery, including minilift. Poor skeletal structure may be present rather than aging. Better options to improve appearance of the jawline and neck may include liposuction and chin implants. Other aesthetic options to improve one's appearance at this age include such treatments as skin care, laser, light peels, or tretinoin.

Some younger patients might benefit from tightening the neck muscles, without removing any skin. This muscle tightening is commonly performed with neck liposuction via small incision under the chin.

Only after a comprehensive evaluation by a plastic surgeon can he/she help determine appropriate options for you. Best of luck.

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 85 reviews

Neck lifts may be appropriate even for young women

The shape and elegance of the neck depend upon the shape and construction of the alternating layers of fat and muscle beneath the skin. In some people, those fat and muscle layers are built in such a way that the neck appears diagonal, with little definition. Although their neck hasn't actually "fallen", In these patients, a necklift done from under the chin can make a dramatic improvement. I have done several necklifts in young women with very gratifying results.

Laxmeesh Mike Nayak, MD
Saint Louis Facial Plastic Surgeon
5.0 out of 5 stars 198 reviews

Can I have a neck lift at 25 years old?

Without physical exam, it is impossible to make a diagnosis, and thus not wise to offer advice. What you mean by a "weak" profile is unclear. Muscle is not likely involved at age 25, unless your digastrics are hypertrophic (overdeveloped). If so, and they bother you, young age isn't a contraindication to fix the problem. In my experience, open neck plasty with clearing sub and supra-platysmal fat can make a remarkable difference for young patients with a full neck and obtuse cervico-mental angle, trimming the neck significantly. The younger and sooner you have the procedure done, the longer you benefit from the result, and thus, the more valuable the procedure. Your surgeon should desire for you the greatest value.

Steve Laverson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 46 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.