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Neck esthetic problems have different causes and possible solutions as follows:
- Excess neck fat with minimal or no skin nor muscle laxity. Usually in young people with poor response to diet or exercise. This can be treated with a simple neck liposuction.
- In middle age people, neck muscles begin to separate and hang, creating "bands", then the indicated procedure is a platysmaplasty (sewing bands together so pulling up neck tissues).
- In older people, in addition to the previous alterations, the skin may hang more that we'd like creating the "turkey waddle" look. If this is the case we need to do a formal cervicoplasty which is a more complex procedure that involves cuts around the ear, then performing neck and lower face lift with excess skin trimming.