Best procedure to tighten under chin sag? (Photo)

Hello, hope you are well! Thanks for posting your information and photo. The best option to tighten the "under chin sag" is a minimally invasive procedure called NeckTite. This is radiofrequency energy applied to the fat and connective tissue under the skin followed by precision liposuction to reduce the fullness and tighten the soft tissue envelope. I perform this under local anesthesia and the downtime/recovery is minimal. Good luck!

Best,
Dr. Tower

Getting lipo under local with the micro canulas and Morpheus and FacetiteRF will do wonders for a great looking jawline and neck for roughly $4750 on special. You are back to work in 1-2 days and look amazing right away.

To tighten that skin a chin implant is helpful because it will give more support to the neck skin. If not a chin implant, you could get filler in there (e.g. Radiesse) which will strengthen the chin and give you a better jawline.
If you want to only address that area the best choice will be necktite. This will be a combination of precision liposuction and radiofrequency energy delivered under the skin to melt fat and tighten the tissues. All of these things are office procedures and you'd be able to drive yourself home in about 1 hour.

From the one very limited photograph, you have fat deposits located both above and below the platysma muscle in your neck, which is the result of your recessive chin profile. Strongly consider placement of a chin implant to augment your chin forward for better structural support for the soft tissues in your neck, and to improve your jawline. Liposuction alone could only accomplish removal of the fat deposits above the muscle. A surgical neck lift can address removal of both compartments of fat surgically which includes a platysma plasty which can significantly improve your jawline. Both a neck lift and a chin implant can be performed through one small access incision about an inch long underneath your chin. No skin removal is needed at age 28.