Q: Dr. Eppley, I have ‘ve lost about 80lbs from a good diet and exercise program. I really feel great, but my neck has not been the beneficiary of this weight loss. I have too much skin on my neck and it really sags and hangs. My husband really looks young for his age (61), looks more like 51. But my neck looks the reverse, it looks 71 and I am 51! I think I need some type of extreme necklift. I have read of something called a ‘bariatric facelift’ but I am not sure what that means other than it is for people who have lost a lot of weight.
A: Congratulations on your weight loss! Dealing with the neck after this weight is a lot easier than you having to lose that weight. As the weight loss removed the fat from the neck, deflated the balloon so to speak, the excess skin of the jowls and neck was left behind and now hangs. The so-called bariatric facelift is nothing more than a typical neck-jowlift that removes a lot of the loose skin by moving it up and back around the ears, where it can be removed by well-placed and inconspicuos incisions around the ears. This is a very effective and successful procedure and many of these so called bariatric facelifts can produce some of the most dramatic before and after results.
Dr. Barry Eppley