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Options to Correct a Sagging, Wrinkling Double Chin?

asked 3 years ago by MAAS in Tempe, AZ
Latest answer by Usha Rajagopal, MD
Question viewed 5,454 times
Tags: chin, double chin

Is there anything I can do to firm-up or eliminate a sagging, wrinkling double chin that has developed this past year. I've always had a small double chin (from dad), however in the past year, my body is changing - fat is shifting to tummy area, upper arms are puckering and sagging, but most obvious to me is this hideous double chin that jiggles when I talk. I try to eat right and stay active, but am at a loss. I am a 59 yr old female, 5'6", weight:140, walk 3- 5 miles 3 days/wk, do yoga 1-3 days/wk, vigorously clean house and do yard work regularly, do daily water aroebics in the summer, however I do have a desk job during the day. Please, please can you HELP me or direct me to a good resource!!

18 answers to Options to Correct a Sagging, Wrinkling Double Chin?

Neck aging, double chin

There are usually two components two "fixing" the neck: tightening the neck muscles, and tightening the skin that leads to the neck. Typically that calls for a neck lift and a facelift. Anything short of that, including mini-lifts, will yield suboptimal results. Modern facelifts also add volume to deficient areas, redistribute tissues so that the jowls are lightened but the cheek area is strengthened. When consulting for these procedures, the patient should also consider the balance... more

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

Options for Neck Lift or neck rejuvenation

Neck Lift (Cervicoplasty / Platysmaplasty) Though it is not technically part of the face, a neck with loose, sagging skin can age the face dramatically. A neck lift is a standard part of most facelift surgeries, as the neck skin is mobilized in continuity with the lower face. Immediately under the skin of the neck is the platysma muscle, which you can easily see in a mirror when you clench your teeth and tighten your jaw. In youth, this paired muscle meets in the midline below... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

Depends on your anatomy, but usually yes

All the components of your face and neck need to be evaluated prior to giving you a standard type of recommendation. If the jaw bone is too small, this needs to be addressed in one of several ways. If there is too much fatty tissue, this can be suctioned. If there is too much skin, this can be resected in a number of ways. If all of these problems co-exist, usually a single sitting can be used to address all of them.

Alexander M. Guba, MD
Baltimore Plastic Surgeon

Probably need a neck lift

At 59 years old with sun exposure from yard work and a family history of "double chin", as well as recent changes suggestive of the aging process, I would suspect that the only solution that would give you significant and long-lasting results is a neck lift. All other modalities can be additive and complementary, but non-comprehensive. Visit a couple of experienced, board-certified plastic surgeons who can customize a solution for you.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Options for fixing a sagging / double chin

Patients over the age of 50 complaining of a sagging/ double chin are most likely a candidate for a lower face lift. Where liposuction of the chin would work well for younger patients with good skin elasticity, the same procedure would cause more sagging in the area for older people. There is also the option of laser liposuction, which can tighten the skin while removing fat at the same time. A consultation with a plastic surgeon to determine the appropriate procedure would be best. ... more

Usha Rajagopal, MD
San Francisco Plastic Surgeon

www.sfcosmeticsurgery.com

Saggin chin skin

If the skin under your chin feels very loose, liposuction is not the answer. Usually some sort of a neck lift is best.

Steven Wallach, MD
Manhattan Plastic Surgeon

Correcting the sagging chin with liposuction

Liposuction is a safe, popular, and effective way to contour the body. Although it is possible to treat the skin around your chin and neck with liposuction, the most important factor for a successful result is the quality of the skin in this area. If you have a great deal of looseness already, liposuction may make this appearance worse. For this reason, it is essential that you work with a board-certified plastic surgeon who is experienced in liposuction, neck lift, and facial... more

B. Pat Pazmino, MD
Miami Plastic Surgeon

Options in Correcting Sagging, Wrinkling Double Chin

The pattern you describe has much more to do with aging and skin excess than with excess fat. In stock trading, stocks usually (forget 2008) earn more but are also riskier than boring municipal bonds. But the two are not at all equivalent even under the best of circumstances. Similarly, in surgery, every procedure has its own benefits and trade offs and procedures differ in their effectiveness. When you have a SLIGHT neck skin laxity, some modalities , such as the Sciton BBL- SkinTyte... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Liposuction no good for sagging double chin.

Hi. Liposuction is not going to help the condition you are describing. It sounds mostly like loose skin. You need a neck lift or even a face and neck lift.

George J. Beraka, MD
Manhattan Plastic Surgeon

An excellent fix for your neck

At your age of 59, describing what you have, the proper fix would be a cheek and neck lift or facelift. Artfully done by a Board Certified Plastic Surgeon, you will get a great and lasting result that will fix the problem extremely well. You will look natural and not operated upon. Please check my photos of this on RealSelf and my web site. There is no other treatment that compares to this. Just be sure you go to the right doctor who can show you many photos of results of their own and... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Mini-neck lift is an option

Althought I have not seen your anatomy, a great option for this problem is what we call a "mini-necklift." It is performed under local anesthesia in less than an hour and an incision less than one inch long. First, using tumescent anesthesia the jowls, jawline, and submental (under chin) areas are liposculpted with micro canulas. Second, the platysma muscle is tightened to further improve the angle under the chin. This approach is considered "minimally invasive," and... more

Peter Malouf, DO
Dallas Dermatologist

Neck lift

Mass, From the description that you are giving, it sounds like a neck lift is the best option. However, if you provide a picture, we may be able to give you more specific advice. With neck lift, you will have a small incision around your earlobe and behind your ear. Sometimes, you may also need a small incision under your chin. With this method, we can tighten up your underlying muscles and your overlying skin. Good luck with your surgery.

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Facelift will resolve neck laxity

Given the fact that you are 59 and very active and in good health at an ideal weight, facelift should be perfect for you. Full facelift will correct the neck and jowl that develops to greater or lessor degrees with facial aging. The fat in the neck can be removed directly and the neck muscles tightened. The lax skin can be removed, and the result should be substantial, safe, and very lasting. Facelift in its many forms will help flatten your "aging curve" and help you look your... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Several options for double chin, some better than others

The neck is one of the more complex areas to deal with in terms of aging. Several factors contribute to facial aging involving the neck. Skin laxity, excess fat, and weakening of the muscles and supporting structures of the neck are three of the more common reasons. A small chin that you may have had your entire life may also contribute to the sagging in your neck that you are now seeing. Diet and exercise are essential, but, only helpful to a point. A thorough evaluation of your neck and... more

Philip S. Schoenfeld, MD
Chevy Chase Facial Plastic Surgeon

It depends on your goals.

Neck rejuvenation is a specialty unto itself. When I counsel patients about improving the neck area I make sure that they understand that the neck has several layers that need to be individually addressed to optimal improvement. The first and, in my opinion, the most important layer, is the skin. Taking care of your skin will make the best statement about you in the end. To this end, I usually recommend healthy water intake, sunscreen with an SPF>30, and medical grade skin care... more

Manish H. Shah, MD
Denver Plastic Surgeon

It sounds like you need a facelift and liposuction

Excess fat is removed under the chin with liposuction, but you will probably require a facelift to remove the excess skin that will remain. Your surgeon can tell you if a chin implant would be of benefit as well. Unfortunately, with age and gravity, everything is headed south. Exercise can help tone muscles but won't correct the sagging skin.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Few options

It is not an easy problem to fix, few answers might help: 1-If you always had a small chin; a chin implant with suspension of chin soft tissues might help if it is a soft tissue ptosis problem (sagging of your tissues only). 2-If this is a fatty deposit regular lipo or laser lipo could help to make the fat melt down and the skin to tighten. 3-A lot of times this is not an isolated problem but has other elements of facial aging as well as part of it. If this is a case a more comprehensive... more

Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon

The skin tone or elasticity is the key here!

There are several things that will produce the defect that you don't like: fat thickness, skin elasticity, and muscle tone beneath the two. Liposuction may be helpful if your muscles are good, and the skin has enough elasticity to shrink down to the smaller size If you have vertical wrinkles in the skin of your neck in around the area of the adam's apple, this is a contraindication to liposuction alone. Ultrasound assisted lipo may help however. Beyond that, consider a neck lift which will... more