So when do I need a neck lift versus just liposuction or deep neck contouring? In this case it is all about the skin. Skin laxity is a fundamental neck concern and can lead to aesthetic issues with aging of the neck and making everything look older. If you have a large amount of skin laxity OR your neck elasticity is poor you probably need a neck lift.
Skin laxity occurs as we get older. You don’t see preschoolers, high schoolers or even college students with neck laxity. They may have fuller necks but no lax skin. As they get older, the skin everywhere, including the neck, will become more lax. Clinically, untreated necks become lax at age 40 and up. Treating lax skin often involves tightening skin or removing it. Tightening skin is very difficult since you can only shrink skin so much over time.
So what happens to the elasticity in our skin? We lose elasticity. Elasticity is what happens to a rubber band that is over stretched, it loses its ability to stretch back. Again, most of the time this is going to occur at age 40 and up. If you remove too much fat, you might be trading off a fuller fatter neck for a thinner lax neck. So how do you treat inelastic skin? Most of the time this will require tightening and /or removing it.
So if your skin laxity or your elasticity is good, you are probably a good candidate for deep neck contouring. If your skin laxity or elasticity is poor, you probably need to address the skin in some format at the same time.