There are two different classes of patients seeking necklift surgery.
The first group consists of younger patients who have always had a fullness under their jawline. Their problem is more of an anatomical nature where the muscles that form the floor of the mouth are oriented obliquely downward rather than parallel to the jawline. This, in turn, is related to the position of the hyoid bone to which they attach.. Instead of being high and posterior under the angle of the jawbone, it is forward and low. Also, in some instances, fat may be present to further exaggerate the deformity.
The second class of patients are older and usually in their 40’s, 50’s or 60’s. With these patients we see excessive skin laxity coupled with fatty deposits. Lifestyle coupled with aging and genetics play the prominent roles here.
In both instances, a necklift can have a positive impact on the overall appearance of the face.