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This wonderful patient of mine had a neck lift 2 months ago. She came in seeking better contouring of her neck and jawline. She initially sought consultation for neck liposuction. However, careful evaluation and discussions with the patient allowed us to choose a more appropriate course of treatment- a neck lift! Sometimes patients may not understand their own anatomy, which is why I enjoy mapping out their conditions and treatment options from an anatomical perspective.
Liposuction will only address the layer of fat that sits beneath the skin above the muscle. If you look at her before photos, you will see she does not actually have a “fatty” neck. Instead, she has a sagging in her muscles that are causing an obtuse angle (red arrows). By tightening those muscles up, and bringing them higher up, it improves the contour of the neck. A great adjuvant surgery would be a lower face lift to also enhance the jawline contour. However, she decided to go with the neck lift, and still had a fantastic result!