Is iGuide Neck Lift a Good Idea?

I’ve seen some videos about it... probably a bad idea for any procedure. Haha! Do doctors recommend it as an effective way to get rid of chin fat? The results look very good but I still have some doubts about the suture matrix part, which is done under local anesthesia. Is the risk of nerve and muscle damage high for this type of surgery?

Tags:chin fat damage anesthesia

Thank you for the question and an examination is really needed to give an intelligent answer what might be the best approach for you.  So see some experts in your area

Dr Corbin

Dr. Frederic Corbin has 1 Necklift before & after:

Necklift before image performed by Dr. Frederic CorbinNecklift after image performed by Dr. Frederic Corbin

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The iGuide is a variation of neck lift procedure that can be performed with only mild sedation and local anesthesia. It is essentially a lighter version of a neck lift, and usually takes an hour to perform  and allows patients to return to work and everyday life within a day or two.

The iGuide neck lift weaves a suture that is similar in structure to a shoelace from jaw bone to jaw bone. The suture is then cinched to lift and tighten the subdermis and underlying muscle before being fixed in place and concealed beneath the chin. A lighted fiber optic guide is used to assist in the laying of the suture. The result is a more contoured neckline and jawline, and smoother neck skin.


There is less bruising, swelling and down time than the traditional neck lift. However, the results are also less dramatic and do not last as long. For patients with early signs of neck sagging or lax skin around the jawline, the iGuide may be a suitable first procedure.

For those who have more significant signs of aging, the iGuide procedure is not a suitable replacement for a full face or neck lift. It does not deliver the same results and doesn’t last as long. However, some patients find the iGuide does give better results than neck liposuction alone.

Because the iGuide is a less invasive procedure than a traditional neck lift, there is less risk posed to the neck muscles and nerves. If you are interested in the lGuide procedure schedule a consultation to talk to a board-certified plastic surgeon -- he or she will be able to discuss any risks with you in greater detail so you are fully informed before you commit to the surgery. An experienced plastic surgeon will also be able to give you advice on possible alternatives that may represent a better option.

Like most things in life, you get what you pay for.  I have seen quick fixes like this over the years and they just don't last.

I have no experience with iGuide.   It seems to be a "quick fix."  I know that it has been around for several years.  I believe that I am familiar with most new and revolutionary things in my specialty.  I certainly don't know all but I do know that if anything is that good, I would be doing it.   AS for improvement of the neck line, there are many different ways to improve the contour depending on the extent of the deformity.   A visit with a quality plastic surgeon will allow him/her to examine you and give you their recommendations.   Remember, you always get what you pay for.

I am unfamiliar with this procedure but please be wary and seek a consultation from a board certified plastic surgeon to find out the best option for you.

Thanks for your inquiry,

This falls into a category of techniques that have come and gone over the past 20 years or so. Thread lifts using permanent sutures and then absorbable variations all failed to deliver long lasting and overall satisfactory results. All of these techniques do have the potential for localized "spitting out" of the product, irregularity, infection, unsatisfactory correction, and poor longevity.

The IGuide is essentially an evolution of these techniques. There really is no substitute for a well-performed face/neck lift in achieving the best and safest outcomes. When performed by a very experienced surgeon there is very rapid recovery and minimal bruising or swelling.

Costs for IGuide options are also quite frankly very high. A correctly performed facelift is generally not that much more expensive.

It seems that some variant on this theme seems to come and go every few years and ultimately presents more of a marketing opportunity than a real advancement in results.