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39 Year Old - Always Had a Double Chin but Was Starting to Sag with Age - Santa Monica, CA

I know I will need a chin/neck lift. I've always...

I know I will need a chin/neck lift. I've always had a double chin, even though I've always been slender. In my profile, there's essentially a straight line from my chin to neck and I have no defined jawbone because of a recessed chin. I was prompted to investigate options after I was interviewed for a news program and saw myself on tv. I was horrified - I thought my whole chin/neck area just looked like an elephant's foot. I researched options and saw two doctors. Both said I was too young for a whole neck lift and one doctor recommended Ultherapy. I was desperate to do SOMETHING very soon. So I tried Ultherapy. And yes, the procedure hurts like heck, I had tears streaming down my face. But I was prepared and just grimaced my way through. I had my jawline, neck, and chin area done. I went back 3 weeks later where my doctor did some 'touch-ups' close to my chin. I believe I had a very high frequency and I had the maximum amount of laser points allowed. It's now been 6 months and I'm not happy with the results. It doesn't look bad, I just can't see any real difference. So I don't think I would do it again and I'm not sure I would recommend it. I wish I just saved my money so I can get the chin lipo that I need. I also don't blame my doctor at all. He was very clear that the results would not be dramatic - and in fact, I don't think I was expecting a miracle. I just don't see any difference.
Los Angeles Plastic Surgeon

Even though I'm not happy with the Ultherapy results, I really adore Dr. Karamanoukian. He was great! No high pressure 'sells', very personable, very down to earth. I plan to go back to him for the chin lipo. I would HIGHLY recommend him - he's just awesome.

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
4 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
5 out of 5 stars Wait times
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Comments (3)

You have confirmed what others have told me. One friend had it with no results so ended up with a lower face neck facelift and looks great. If this is something that is affecting your life very dramatically, I would consider seeking the advice of several more board certified plastic surgeons with excellent reputations to see if they agree about you being too young.
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Thank you for sharing your treatment experience with the community.  I am sorry to hear that the results were not what you expected.  But you gave this a good shot and tried.   

Let us know what your next steps may be.   
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Ultherapy ... the results are not consistent, why in the world do doctors continue to offer this. What is a doctor's responsibility after recommending a procedure, collecting the fee and then you are one of the (I think) 35% that shows no benefit?
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