47 y/o concerned about sagging and skin laxity. Do I need both Myellevate and Renuvion to see results? (photos)

Question

Hello, I was looking into myellevate but I was quoted myellevate with renuvion. I have skin laxity under the chin and a bit of jowl. I have had Botox for bruxism for years and with my age, 47, and botox skin is sagging under the chin and a bit in the jowl. Could you please tell me what you think? Are both procedures necessary? It’s so little that everyone I show says they aren’t really seeing the issue but it’s sagging.

Jason Emer, MD · Answer

"A combination approach would give the most improvement. Nonsurgical options such as Kybella, PDO NovaThreads, and Ultherapy do well in combination for skin tightening, but the results are mild compared to surgical options.

I would recommend a VASER Hi-Definition Liposuction with ThermiRF, Renuvion (J Plasma) and InMode BodyTite to contour and tighten the chin and neck. A neck lift can be performed at the same time, if you're a good candidate. I suggest seeing a board-certified cosmetic dermatologist to develop a personalized treatment plan that works for you. Best, Dr. Emer.​"

Bryan G. Forley, MD · Answer

MyEllevate is designed to create better definition of the jawline with the use of a specially designed light guided suture rod that enables precise placement of a permanent U shaped suture support system through tiny skin punctures. The procedure also enables long term treatment of the platysma muscle bands that frequently contribute to aging changes in the neck. Excess fat can be removed using a finesse approach with tiny cannulas at the time of the procedure. MyEllevate does not tighten skin which is why it is frequently combined with an energy device such as Renuvion or FaceTite. In cases of more significant skin laxity or excess, the MyEllevate Plus procedure allows for direct skin excision via a skin tuck behind the ears.

Lexie Wang, MD · Answer

Hi! It depends on why you were recommended to get both. It's possible that your provider does not feel you will get enough of a change from myellevate alone. I do think that you have a bit more skin laxity than a typical non-surgical procedure can treat, but I admit I am not an expert with myellevate. Good luck!

Darryl J. Blinski, MD · Answer

Based on the posted phots I recommend combination of My Elevate neck suture with mini neck lift, NO Renuvion. Fee $8,000. Best to virtual consult with.....

Mats Hagstrom, MD (license on probation) · Answer

When speaking of Renuvion, since you were talking about the face and neck, do you need to specifically indicate if you are referring to the subdermal treatment or dermal skin ablative treatment. The device can be used as two very different types of treatments on the face and neck. For most neck work, the device is used after liposuction under the skin. My first hand experience was pretty dismal having purchased the device and used it for a year. I literally saw no skin tightening, and I cannot in good faith recommended to my patients. As a skin ablative device on the face it is similar to a CO2 laser treatment. They are radically different treatment options using the same device.
I don’t know much about Myellevate other than the treatment was invented by Gregg Mueller, MD. I know Dr. Mueller personally, and he is a highly talented at the goal provider so at least in the hands of talented providers that the treatment may actually be quite legitimate though I’m inherently opposed to the idea of it thread lifts. 
For your age, I think your face and neck are holding up extremely well, and there is something to be said about excepting life and age with grace and dignity, though for some people cosmetic surgical intervention can be highly rewarding. 
My best advice is to stay away from Renuvion as a sub, dermal skin tightening treatment. It will not deliver what you’re hoping for and it’s more likely to end up leaving you with problems and issues you were not anticipating.
Lastly, there is a treatment that is more commonly done on bearded men, which is a direct skin, excision under the chin, which can give it just enough of a result towards the potential scar. Discard, tense to not be visible, because of the location in the face tends to be very forgiving, especially on fair skinned individuals. Different providers have different versions of how to do this but it’s generally called a cervicoplasty though that term can be interpreted in many different ways. 
My best final recommendation to you is to not focus so much on the treatment option but instead focus your efforts on finding the best provider. In the hands of the best plastic surgeon, you will get the best treatment. Someone who’s mastered the art of facial aesthetics can recommend treatments that are time proven, and will deliver consistent quality results that can be backed up by hundreds of before and after pictures. The right provider will also tell you when you shouldn’t have surgery or procedures to avoid.
Good luck,
Mats Hagstrom MD

47 y/o concerned about sagging and skin laxity. Do I need both Myellevate and Renuvion to see results? (photos)

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