Options to correct a sagging, wrinkling 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!!

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13 answers to “Options to correct a sagging,...”

A: An excellent fix for your neck

Richard P. Rand, MD

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... more

A: Neck aging, double chin

Brent Moelleken, MD

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... more

A: Mini-neck lift is an option

Peter Malouf, DO

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)... more

A: Options for Neck Lift or neck rejuvenation

Michael Law, MD

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... more

A: Neck lift

David Shafer, MD

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... more

A: Facelift will resolve neck laxity

Peter E. Johnson, MD

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... more

A: Several options for double chin, some better than others

Philip S. Schoenfeld, MD

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... more

A: It depends on your goals.

Manish H. Shah, MD

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... more

A: Depends on your anatomy, but usually yes

Alexander M. Guba, MD

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... more

A: It sounds like you need a facelift and liposuction

Toby G. Mayer, MD

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... more

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