Flap of loose skin under my chin. What can I do about it that won't leave a scar on my neck? (photo)

There are great tech options for firming loose skin, but they can only go so far.See a plastic surgeon, as most any non surgical treatment simply can't promise what you'd like to achieve. A good surgeon can offer options and nearly invisible scar placement.As much as we'd all like to find the non surgical procedure that duplicates surgery, as yet it doesn't exist - though some treatments make remarkable improvements.Do some investigation into a board certified plastic surgeon who has sufficient experience with surgical procedures for men.

Dear Anon,
You are a candidate for MyEllevate. This is a non-incision suture-suspension neck lift that uses a suture to pull the loose skin up into the cervicomental angle. It also cuts the medial border of the platysma where bands may be visible. The skin is treated with laser under the dermis to help induce contraction that goes on over the next six months. While there may still be a bit of laxity left under your chin, the webbed appearance that goes from the chin down to the thyroid cartilage should be largely corrected. You can see a lot of images of this by searching for "MyEllevate before and afters". There are animations that show how the procedure is done.
MyEllevate is a non-incision suture-suspension neck lift. It is usually accompanied with Precision laser skin tightening, and if there is a component of excess fat, then, in addition, liposuction is done.
The procedure is not the equivalent of a surgical face and neck lift, but can give improvement of the cervicomental angle more than can sometimes be obtained with liposuction with or without laser skin tightening alone.
Greater and lesser degrees of neck laxity will influence how much improvement is obtained.
The main criterion for a good outcome is how much skin laxity there is, and this is often associated with aging.
So, patients who have less laxity to begin with look tighter and have a better neck angle and appearance, than patients who are getting jowls and have more laxity.
The procedure is done with local anesthesia in the office operating room. After surgery, there is an anterior neck dressing held in place by a Velcro head wrap.
This wrap is left on for three days. Also, a cervical collar is worn during that time, as a reminder to keep the chin up, and worn for another week whenever there may be a tendency to look down, as in reading and eating.
A feeling of tightness usually lasts about two weeks. Progressive skin tightening and smoothing of the skin occurs over the next several weeks, with skin tightening continuing for six months.

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thank you for your question, you are an excellent candidate for Necklift with that being said you will have very small incisions behind the ear lobe that are very thin and hidden behind the ear lobes. The only way to get ride of that loose sagging skin is by removing it. You will still have a natural look but the jowls and neck will be smoother and tighter. I hope that was helpful,Dr Pryor

There are non invasive options for improvement to the neck, which include:
botox, dysport or xeomin and/or fillers to help platysmal bandsthermage radiofrequencyultherapy high intensity ultrasoundPDO nova threads or instalift for liftingsculptra injections for collagen productionbtl exilis ultra, venus legacy, and thermi250 for constant collagen stimulationJ plasma or thermiRF internal tighteningI recommend getting a formal evaluation with an expert. Best, Dr. Emer

An exam is needed to know for sure but you will likely have the best outcome from a surgical neck lift. Depending on the degree of laxity you may have improvement with FaceTite which is a minimally invasive procedure to tighten skin. It does not require general anesthesia. See a board certified plastic surgeon near you to learn more.

Surgical removal would be most direct way to remove the loose skin. Non surgical option include laser/J plasma lipo to tighten the skin. Suture threads to pull and tighten the skin. All these options would improve your jaw line definition.

Surgery is always an option to remove any excess skin, or tighten skin laxity. In our Del Mar, CA practice we offer non-invasive, no downtime options to address this type of problem. 
ThermiRF, or Thermitight as it is also known, is a procedure that uses a thin Radio frequency probe to deposit heat just below the surface of the skin. This heat causes the connective tissue bands to shrink, and stimulates the production of new collagen. This will lead to skin tightening and improvement in the contour of your neck and jawline. 
Ultherapy is another skin tightening procedure we offer. Ultherapy uses focus ultrasound to tighten your connective tissue and stimulate new collagen to form. 
Both procedures work well, however neither is an instant gratification treatment.  Upon consultation and evaluation for your particular skin condition and the type / amount of laxity you have we can recommend a treatment plan that will give you the improvements you are looking for. The results take anywhere for 3-4 weeks to begin to show and continue for a period of 5-6 months. Both procedures are also no downtime. 

You are an excellent candidate for a small surgery called a cervical z-plasty. It does leave a barely noticeable scar under your chin which is very difficult to see when it has fully healed. The other surgical option would be for you to have your neck lifted in which case there are scars around your earlobes and behind your ears. Unfortunately with the amount of excess skin that you have, there are no effective non-surgical or minimally invasive techniques that will solve your problem.

Dear Arizona,Loose neck skin to this extent is best treated with a neck lift.Nonsurgical Treatments like Vaser, Jplasma, and noninvasive Treatments will be disappointing in comparison.Comparable pricing.Best. Dr Brecht