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

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

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! 

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!  

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!  

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