Question: My cheeks seem to travel right down into my neck. I have lost the definition of a jawline. What type of surgery would you recommend for this problem, a facelift or a necklift?
Answer: Well first of all most facelifts that are performed actually do also treat the neck and can be considered a necklift but there are certain forms of necklifts that do not treat the face. If you have significant jowling I would recommend a form of facelift, whether that be a minilift in the office setting or an extended SMAS deep plane facelift, or other more sophisticated technique that would be performed in an operating room setting. If you are relatively young and only have laxity under the neck then a true necklift might be a solution for you. This is performed through an incision under the chin and the excess muscle and fat deep to the muscle can be resected. The muscle can then be put back together in a rather sophisticated way to give a very nice improvement in the neckline. Ultimately, a consultation would be appropriate so that your specific anatomy can be appreciated and a customized treatment plan can then be created.