Is Fraxel the best way to go for saggy skin under chin, neck and mouth? (photos)

Question

Hi! At 47 I've started to notice that my skin is getting more and more saggy under my chin and my neck got annoying creepy skin... What is the best option for me if I don't want surgery? I've been thinking Fraxel dual, would that make it any better? I've also noticed that the skin is a bit saggy around my mouth, would fraxel be good for that area too? Thanks!

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Shahin Fazilat, MD, FACS · Answer

Based on your photos, I would not recommend Fraxel.  Depending on how much sub mental fullness it there, I would recommend Kybella treatments followed by ThermiSmoothe for tightening.  It is best to schedule an in office consultation with a Board Certified Plastic Surgeon who has experience in all the above.   Best of luck to you!

Monika Soni, MD · Answer

Thank you for your question! Fraxel would not be efficient for lax skin. I would suggest you to look into combination of Ultherapy and Sculptra or Syneron Profound Tightening Device. Both treatments can deliver great results. If you have some fat in the area, you may do think tightening treatment in combination with Kybella or Coolsculpting. These are all nonsugical procedures that do wonders on under-chin and neck area. Best of luck!

Hardik Soni, MD · Answer

Fraxel would not be efficient for lax skin. I would suggest you to look into combination of Ultherapy and Sculptra or Syneron Profound Tightening Device. Both treatments can deliver great results. If you have some fat in the area, you may do think tightening treatment in combination with Kybella or Coolsculpting. These are all nonsurgical procedures that do wonders on under-chin and neck area. Good luck!

Michele S. Green, MD · Answer

The best combination if your case would be a combination of Thermage for skin tightening and producing new collagen in the lower face, Fraxel for the fine lines, and Kybella to reduce the submental fat under the chin.  Please consult a board certified dermatologist who is an expert at these procedures for the best cosmetic result.  Best, Dr. Green

Shaun Patel, MD · Answer

Honestly, I recommend a formal consultation with an experienced aesthetic physician as this area has many treatment options. Fraxel is great for sun damage and also works well for fine lines, textural issues, and scars. That being said, I don't consider it a skin tightening procedure. Nonsurgical skin tightening usually required the use of ultrasound or radio frequency devices such as Ultherapy, Thermage, and Infini. Kybella is great for treating the fat beneath the skin and also offers some skin tightening while fillers can be used to address horizontal neck lines (necklace lines) and Botox can be used to address platysma bands.

Sophia V. Mai, MD · Answer

Hi there and thank you for your question. Based on the pictures you posted above, Fraxel would not be the ideal treatment to treat saggy skin under your skin and neck (although it may help with minimizing the appearance of your facial pores and improve your skin texture). To give your lower face better contour, you can treat the submental fullness with Kybella and follow up with a tightening device like ThermiRF or Ulthera of the neck if needed. You may also opt for a slightly more invasive treatment like ThermiTight which can both tighten and reduce mild fullness in this area.

Is Fraxel the best way to go for saggy skin under chin, neck and mouth? (photos)

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