While neck lift with liposuction is a highly individualized procedure, it generally refers to excess fat removal combined with platysma muscle repair. However, older patients (i.e., 60 years and above) may need additional contouring in the form of lower facelift, which basically lifts up the skin.
It is important to note that the success of any facial plastic surgery boils down to meticulous physical or anatomical examination. The idea is to determine the underlying cause/s of the problem to come up with the best solution.
Dr. Tarick Smiley, a renowned Orange County plastic surgery expert, has explained the basic components of neck rejuvenation surgery.
- Liposuction-alone surgery
This is only reserved for patients with good skin elasticity, meaning it can snap back without any problem after removing the excess fat responsible for the appearance of “double chin” or excessive fullness of the neck. Hence, the vast majority of patients are relatively young (late thirties and forties).
It involves a small round incision beneath the chin, precisely made at the natural skin crease for optimal scar concealment.
- Neck lift with liposuction
Some patients have a poorly defined neck contour due to excess fat and loose platysma, which is a muscle that extends from under the chin all the way down to the neck and collarbone.
This approach starts with the creation of small incision beneath the chin to remove the excess fat. Then, the same opening is used to access the splayed muscle so it can be tightened in the midline with the use of internal sutures.
- Neck lift with liposuction and lower facelift
Basically, a lower facelift elevates the sagging skin (and remove any excess) that contributes to the appearance of jowl. In doing so, the patient can expect a tighter and more defined neck and jawline, and possibly improvement in the corners of their mouth.
As a more extensive approach, this favors older patients who typically require more correction. This may also serve well massive weight loss patients who are left with redundant skin, which not just affects their body but also their face and neck.