Will A Submentoplasty Get Rid Of A Sagging Neck Band?

Q: Dr. Eppley, I am a 55 year-old make and I am interested in reducing the sagging underneath my chin (upper neck area – below the jaw)

A: Thank you for sending your pictures. You have the classic beginning of a  neck sag with a central band of tissue running down the center of the neck between the chin and close to the sternal notch. Of all the tissues in the neck that can sag, this type of neck band is largely skin. This is a what I call a ‘tweener’ neck contouring problem. Meaning if was more severe you would absolutely need a lower facelift/necklift and if it was less severe perhaps liposuction alone may be adequate.

While it is important to point out that a lower facelift/necklift is the definitive treatment for your neck problem, I will make the assumption that you may not be committed to going quite that ‘far’ just yet. A direct necklift would also be tremendously effective but you are too young to do well with a central vertical neck scar in place of the central neck band.

Thus this leaves the submentoplasty procedure as the most viable option. One trough a small incision under the chin it is a three level central neck contouring procedure consisting of a combined liposuction above the platysma muscle, direct removal of subplatysmal fat and plastyma muscle plication or corseting…all done with the neck reshaping intent of improving the cervicomental angle.

Dr. Barry Eppley

Indianapolis, Indiana