One of the most common and bothersome aging face issues that both men and women develop is one of the unfortunate hereditary signs of facial aging. This is developing a sagging neck or ill-defined neck and jawline. Sometimes people call this a “waddle” under the chin, or even refer to it as a “turkey neck”. It is often hereditary. If your mom or dad were faced with this similar challenge, chances are good that you might well develop this, either early or later, too. Surgical procedures we utilize to fix these problems are a combination of work under the chin (called a submentoplasty) or under-the-chin plastic surgical procedure which may or may not involve tightening of the skin from behind the ear. This is called a neck lift.
A neck lift tightens and repositions the tissues after liposuction is performed and tightens the underlying neck muscle. Liposuction removes the excess fat. The outcome of a true neck lift is a tighter neck and jawline and a refreshed or more youthful appearance that can take years of aging off your face. This, however, does not improve laxity to the cheek and jowl area. Sometimes the problem is only in the submental (or under the chin) area and a combination of liposuction, muscle tightening and a little bit of skin trimming can be just enough to give an improved appearance but often this does not solve the significant laxity to the skin.
As mentioned previously, the neck lift itself is actually one of the components we perform during a facelift procedure. A facelift always involves a neck lift. Sometimes a minimum face procedure is a cheek lift only that improves the neck but does not directly involve the neck. Most people need both the cheek, jawline and neck lift at the same time, which is a lower facelift. A neck lift does remove fat, tightens the neck muscles and repositions the skin of the neck and jawline, giving a much more defined and beautiful look to the neckline. A sharper neckline is generally a more youthful neckline or, at least, the sharpness of the neckline that you were born with and that your underlying anatomy allows. A neck lift can be performed on its own but this is less common than when it is done in conjunction with a cheek lift, better known as a lower facelift.
During the consultation, Dr. Perkins can determine with you whether or not a neck lift only can achieve your desired results. He uses computer imaging to show you what the results of a neck lift can likely give you. And, you can see your expected result prior to having surgery. This is extremely helpful in determining the extent of surgery required to give you your neckline back and take care of the waddle of skin or looseness of skin and fat under the chin.