The fat underneath the skin of the neck was removed, and the skin was repositioned up and back.  If a patient is only 30 to 40 years old, I can sometimes perform only a liposuction under the chin, without the face lift.  However, if the skin has lost some of its elasticity, removing only the excess fat won't help, because the skin won't "shrink-wrap" to the neck after the fat removal; it will hang loosely, and the appearance might be worse than if nothing had been done.

The combination of removing the fat and repositioning the skin is our best bet in patients older than about 45 years of age.