Making the Decision

The approach to improving the neck contour varies depending upon the patient's age, skin and desired result. Patients with a Significant amount of loose facial skin and neck muscles may require a full lower neck lift procedure (see Rhytidectomy). In this procedure, skin is lifted, and re-draped and the excess removed. For a neck lift, incisions are typically made behind the ears where they are hidden from view. For men, all incisions are aligned to accommodate natural beard lines.

This is often combined with sub-mental liposuction for removal of excess fatty deposits. When neck muscles have banded. your surgeon may recommend Platysmaplasty surgery. The surgeon makes incisions under your chin and/or behind your ears to access the platysma (neck muscle) and manipulate it accordingly.
Patients who are a bit younger with good skin tone who are more concerned with fatty deposits may benefit from sub-mental liposuction. When skin still has good elasticity, it simply conforms to the neck's new shape without removal of skin. Those requiring more projection or an improved jaw-line contour would benefit from a chin implant (see Mentoplasty), or a pre-jowl implant to re-contour the jaw line. These implants, combined with any or all of the above
mentioned procedures simply enhance the results by adding or taking away for the most aesthetically pleasing shape. It may be necessary to combine some or all of these procedures for best results.

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