Is A Deep Necklift The Right Procedure For Improving My Cerviocomental Angle?

Q: Dr. Eppley, I wanted to inquire about deep neck lift procedure.  Here are the photos of the loose platysma/neck muscles Heres a desired result. 95-105° cervicomental angle Current cervicomental angle  is roughly 130-135°

A:Thank you for your inquiry and sending your pictures. First and foremost you are approaching your neck concerns from an incomplete concept. You first have to go back and make the diagnosis of why does your neck look like it does for an otherwise young person who has yet to develop any significant aging tissue laxity. Your case is a classic example of a lack of bony support (weak roof) for the underlying neck tissues. When you have a short chin and weaker jawline by definition you not going to have a sharp cervicomental angle in most people (imsupported neck tissues). Thus looking at soft tissue procedures alone will not create your desired end result as that is not the sole source of the problem. While you can do various neck procedures you will not achieve that sharp cervicomental angle and it will probably end up being about 50% to 60% of what you want. The only way to achieve that end result is by either chin or  total jawline augmentation combined with lesser neck procedures like a submentoplasty. If you look carefully at your ideal result notice the chin projection and jawline shape on that model patient is quite different than yours.

In short the two effective procedures for the best cervicomental angle improvement are: 1) a sliding genioplasty with a submentoplasty or 2) a custom jawline implant (which may negate the need for any neck work at all is that has a powerful necklifting effect n and of itself)

While there is nothing wrong with neck procedures alone you just have to realize that your expected result is not going to occur.

Dr. Barry Eppley

Plastic Surgeon