What are the most effective procedures or treatments for sagging neck and jowls?

Tags: woman age 45-54 sagging jowls

What are the most effective procedures or treatments for sagging neck and jowls?


user1307687

F, 55, Pennsylvania

With aging, the skin and soft tissues on the face and neck may begin to sag. A facelift can restore facial tissues to their natural position for a rejuvenated look. The facial muscles are surgically tightened, the skin is redraped, and excess skin is removed. Many patients choose to pair this with a neck lift, which can remove this extra skin and re-drape the remaining neck tissue in a natural manner.  This could be combined with fat grafting or the use of dermal fillers to help re-volumize key areas of the face if need be.  Alternatively, you can try to lift the tissues with dermal fillers alone.  I would seek out the consultation of a board certified facial plastic surgeon or plastic surgeon to discuss the goals of your treatment and establish a treatment plan based on realistic expectations.  Good luck moving forward!


http://www.plasticsurgerynola.com/face/lift-new-orleans

Dr. Parker Velargo has 2 Brow lift, Lip augmentation, Necklift, Cheek lift before & afters:

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There are a variety of non-invasive and surgical options that can improve the appearance of sagging neck skin, sometimes known as turkey neck, and droopy jowls. For younger patients who only need a mild lift in their neck or jowl area, non-surgical treatments can offer a short-term correction, temporarily tightening the neck and jawline, and helping to smooth out the skin.

Some of the more popular options to promote skin tightening include ultherapy which bypasses the epidermis and uses ultrasound to gently lift skin under the chin and on the neck at a deeper level, ThermiTight which delivers radiofrequency energy to the skin via a small electrode inserted under the skin laying down new collagen, dermal fillers such as Voluma which treat horizontal neck bands and reduce the appearance of early jowls, and neuromodulators such as Botox and Dysport injected into strategic areas along the jawline and platysmal bands of the neck to redefine the jaw and relax the neck muscles. This last procedure is referred to as the Nefertiti Lift, with the neuromodulators encouraging lengthening and upward movement of the skin. For younger patients in their 20s or 30s or those with minimal signs of aging around the neck and jowls, one or a combination of the above procedures could effectively correct early signs of aging around the neck and jowls.

However, if neck sagging is already significant, injectables and non-surgical treatments will be insufficient to bring about lasting change. The gold standard treatment is either a neck lift or a facelift. The surgical approach focuses on the natural lift vectors beneath the skin and elevates the underlying support tissue. The general rule is that if there is significant excess skin, surgery is the only option that will provide long-lasting, beautiful results.

Neck lifts correct neck skin laxity by removing loose skin, tightening the underlying muscles, and lifting the soft tissue back into place. The incisions used to perform neck lift surgery can be concealed behind the ear, beneath the chin, and within the hair.  A neck lift will offer some improvement to sagging jowls, but the improvement may be modest. To correct both sagging jowls and neck skin, a high SMAS facelift and neck lift can offer impressive facial rejuvenation. Fat grafting can also be performed to restore lost soft tissue volume.

Dear user 1307687:

Many options for enhancing the appearance of a “Double Chin” and / or “Turkey neck” under the jawline and neck are available. These include:

Surgical procedures:
     a.    “mini” lipo-contouring
     b.    Facial lipo-contouring (of the lower cheeks, jowl, jawline, double chin and neck) and neck suspension
     c.    Facial lipo-contouring and neck muscle lift (platysmaplasty) with or without neck suspension
     d.    Direct excision, ie. surgical incision with visual removal of the fat

      e.   Facelift elevation with SMASplasty in-continuity across the neck

Non-Surgical procedure:
     a.    Fat freezing using the CoolSculpting Cool-Mini applicator for under the chin and small fat bulges. “Cool-Mini” is the newest applicator in the line-up of CoolSculpting options specifically created for smaller areas such as the fat under the chin. It may also be used for non-surgical fat reduction in other small areas, such as the upper inner thigh, upper breast / armpit fat and equally smaller fat bulges

And, now, Minimally Invasive procedures

     a. ThermiTIGHT, a radio-frequency needle sized probe placed under the skin with local anesthetic to directly contract the skin using a very sophisticated controlled thermal unit for an immediate and 1-2 year progressive enhancement

     b. Sculptra, a injectible medication which stimulates skin fibroblasts to produce the structural molecules for skin firming, thickening and resistance to creasing.

     c. Silhouette InstaLift, a non-surgical dissolvable suture made of Sculptra to: lift, compress and stimulate tightening of the skin and fibro-fatty tissues of the neck, jowl, cheek, temple and brow.


While the alternatives are expanding for results in neck enhancement (as with other procedures) you should expect a far smaller improvement with non-surgical and minimally invasive options as you would from surgical procedures.

When improvement of the muscle bands and loose skin become an issue, these minimally invasive and non-surgical options will not provide adequate tightening and lift. For these enhancements, a platysmaplasty, neck suspension and / or redraping and removal of excess skin are surgically necessary.

https://drdeankane.com/?s=neck+lift

In all cases, please consult with a well experienced and talented Board Certified Plastic Surgeon for your best evaluation and recommendations. I hope this is helpful. Good luck with your journey!

Sincerely,

Dean Kane, MD, FACS

DrDeanKane.com

410.602.3322

[email protected] 

Dr. Dean Kane has 3 Facelift, Necklift before & afters:

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The gold standard to treating sagging neck and jowls is facelift surgery.  A good facelift surgeon can take years off of your appearance while maintaining a natural appearance and minimal visibility of incisions.

Dr. Mark M. Beaty has 1 Necklift before & after:

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The most effective treatment is still a facelift. It's best to go for a personal consultation.

In general, while there are minimally and noninvasive approaches for neck enhancement (see one of my colleagues' answers listing several), most patients are best served with a lower face/neck lift (really the same thing and a matter of semantics - the incisions to lift a neck and take care of sagging skin there are the same as those used to lift the lower and mid face to large extent). This helps treat fat excess, muscle laxity, and extra skin. Skin tightening lasers/RF devices, suspension sutures/materials, etc. in my mind are far inferior to surgical lifting to get truly remarkable results that are worth the $ spent. I don't offer as many laser devices as some plastic surgeons because I believe many of them to be overhyped and marketed vs. the real results they achieve in most hands.

 

In almost every case where a patient is remotely a candidate for a procedure in the neck/jowl area for loose, sagging skin, a lower face/neck lift is far superior to any non- or minimally invasive technology, in my opinion.

-- Dr. Sayed


Dear user 1307687:

Your best and most long lasting option is a face and neck lift. 

There are many options for enhancing the appearance of a “Double Chin” and / or “Turkey neck” under the jawline and neck available. These include:

1.    Surgical procedures:


       a. “mini” lipo-contouring
       b.  Facial lipo-contouring (of the lower cheeks, jowl, jawline, double chin and neck) and neck suspension
       c. Facial lipo-contouring and neck muscle lift (platysmaplasty) with or without neck suspension
       d. Direct excision, ie. surgical incision with visual removal of the fat

2.    Non-Surgical procedure:
      Fat freezing using the CoolSculpting Cool-Mini applicator for under the chin and small fat bulges. “Cool-Mini” is the newest applicator in the line-up of CoolSculpting options specifically created for smaller areas such as the fat under the chin. 


3.    And, now, Minimally Invasive procedures:

       a. ThermiTIGHT, a radio-frequency needle sized probe placed under the skin with local anesthetic to directly contract the skin using a very sophisticated controlled thermal unit for an immediate and 1-2 year progressive enhancement

        b. Sculptra, a injectible medication which stimulates skin fibroblasts to produce the structural molecules for skin firming, thickening and resistance to creasing. 

        c. Silhouette InstaLift, a non-surgical dissolvable suture made of Sculptra to: lift, compress and stimulate tightening of the skin and fibro-fatty tissues of the neck, jowl, cheek, temple and brow. 


While the alternatives are expanding for results in neck enhancement (as with other procedures) you should expect a far smaller improvement with non-surgical and minimally invasive options as you would from surgical procedures. 


When improvement of the muscle bands and loose skin become an issue, these minimally invasive and non-surgical options will not provide adequate tightening and lift. For these enhancements, a platysmaplasty, neck suspension and / or redraping and removal of excess skin are surgically necessary. Your best and most long lasting option is a face and neck lift. 

With ALL options, consult with a well experienced, Board Certified Plastic Surgeon for your best evaluation and results. All the best!

https://drdeankane.com/?s=face+neck+lift 

Dr. Dean Kane has 3 Facelift, Necklift before & afters:

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The best procedure for this area of concern would be a facelift.  Be sure that you see a board certified surgeon.

Dr. Arthur Shektman has 3 Facelift, Necklift before & afters:

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  1. Facelift with attention to the neck is still the most effective treatment for the neck.

Open Lipectomy and platysmoplasy

Once there is sagging skin, most of the non-surgical procedures won't be effective. The surgical procedure that is specifically for this problem is a facelift which is a misnomer for it is really a neck and face lift. I do several variations of this including a mini facelift which I do totally under a local anesthetic with a smaller recovery time. 

I would recommend a standard facelift procedure to correct those areas. Although the name, facelift, implies a surgery that includes the forehead to the neck, it really address the lower portion of the face. No other procedure or treatment has been able to rejuvenate better than a facelift nor give the longevity of a facelift.

A facelift

Smartlipo Laser Liposuction under local anesthesia is a great option. The heat generated by the laser melts the fat which we suction away. The heat also causes the skin to retract over the next several weeks. The goal is to markedly reduce double chins and jowls while producing a stronger profile.

Some of the most popular procedures for sagging neck and jowls are surgical neck lift as well as minimally invasive procedures that are non-surgical such as Kybella, CoolSculpting and RF Skin Tightening. A plastic surgery office which offers these alternatives will help select the most appropriate for your needs. A consultation is recommended to find out what is best for you.

Facelift! Creams, lasers, and injections don't work. The drawbacks are the need for incisions but if planned well, these heal almost imperceptibly.

Lower face and neck lift.

Lower face and neck lifts, Lifestyle lifts, mini neck lifts, in office lifts and Look Natural Lifts are perfect for sagging neck and jowls.

Mild sagging can be improved or camouflaged using injectable fillers and/or directional sutures (threadlifts). The duration depends on the products used but think in terms of about two years. In general, jowls and sagging neck skin are best treated with a face lift.

I have a great video on this subject. Please view https://www.youtube.com/watch?v=tv9y_pmcpYE Dr. C