Monica Boen, MD

If you would prefer to go the nonsurgical route, I would likely suggest a ThermiTight treatment. This procedure uses radiofrequency energy delivered via tiny probes to heat the underlying tissue. The process constricts the tissue and boosts collagen levels to create a smoother, firmer surface to the skin. The treatment might also improve the skin quality. However, you may need to combine ThermiTight with a skin rejuvenation procedure like RF microneedling to get the best possible result. An experienced, board-certified dermatologist should be able to create a personalized treatment plan based on an in-person assessment and discussion of your concerns and goals.

CoolSculpting is a good choice for patients that have enough fat to pinch. As we say, if you can squeeze it, we can freeze it. If there is not enough fat for CoolSculpting, liposuction is another option. This treatment uses micro-cannulas to remove the fat. It is performed with local anesthesia and does require a few days of downtime. Another option for you might be the new CoolTone device. This procedure uses electromagnetic muscle stimulation to tone the muscles and sculpt the midsection. While it is not a fat reduction treatment, it might give you the nice “negative stomach” you want. I encourage you to schedule an in-person assessment with a board-certified physician who has been extensively trained in body contouring procedures. With a treatment plan tailored to your exact needs and goals, you should see a very good result.

Thank you for your question. Botox is frequently used to treat chin dimpling quickly and safely. The injectable treatment targets the muscles in the lower face to produce a smoother chin contour. This treatment does require precision and expertise in facial anatomy to perform it well. Choose an experienced, board-certified dermatologist to ensure the best possible results.

Anytime you reduce fat in a treatment area, you can have a skin laxity issue, particularly as you get older. You don’t mention your age or include photos so it is difficult to make a recommendation. However, I can tell you that we often follow up our fat reduction treatments (CoolSculpting and liposuction) with a nonsurgical skin tightening treatment using the ThermiTight device. This procedure delivers radiofrequency energy deep into the tissue using tiny probes. The RF energy heats the tissue to boost collagen production. As collagen levels rise, the skin becomes firmer and smoother from the inside out. These treatments should only be performed by an experienced, board-certified physician with expertise in body contouring to ensure the best possible result.

You are very young to consider a surgical procedure, and your lines are relatively mild. These can easily be treated with a combination of Botox to draw the corners of the mouth up and filler to minimize the lines. Make sure you work with an experienced, board-certified dermatologist with extensive experience and training in injectable treatments to ensure the best possible result.