63, trans woman, unexpected skin excess on chin post-facelift. What can be done? (Photos)

Ultherapy is a non-invasive procedure that lifts the neck, chin and brow, and improves lines and wrinkles on the upper chest. As we age, collagen breaks down, resulting in loss of skin strength and elasticity. For tissue tightening, Ultherapy is ideal for the lower face and neck and we often combine it with CO2 laser or Morpheus8 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.

Best,
Dr. Karamanoukian
Realself100 Surgeon

It's important to note that each individual's healing process and tissue response can vary after surgery. Although a facelift aims to address sagging skin and wrinkles, there can be instances where new skin laxity or folds develop postoperatively.

In your case, the development of skin excess specifically on the chin itself, rather than under the chin, could be influenced by multiple factors. It's possible that the previous aggressive electrolysis hair removal, along with the natural aging process, may have contributed to the development of skin excess in that area.

To address this concern, I recommend consulting with your plastic surgeon or a board-certified facial plastic surgeon. They will evaluate your specific situation, examine the extent of the skin excess, and discuss potential solutions based on your unique anatomy and goals.

Possible options for addressing skin excess on the chin may include non-surgical treatments such as dermal fillers or injectables to restore volume and minimize the appearance of folds or revision surgery for a more comprehensive and definitive solution.

I hope this helps,
best of luck !