50 in Chicago! Need to tighten beginning of turkey neck. Need to define jawline (slight double chin) that never was.

Small double chin. Decent elasticity. Kybella, CoolSculpt, Trusculpt, lipo? What is the best procedure? I've been reading about Ulthera &Thermage & getting very mixed reviews. Need something with proven results performed by a Chicago Plastic Surgeon. I realize that dermatologists, PA's, certified estheticians, & nurses are well trained and often do procedures more than surgeons but it's for my preference.

Doctor Answers 14

Treatments for the neck

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Thank you for your question LexiR. Kybella is the first and thus-far only FDA-approved non-surgical injectable treatment for the double chin. It is difficult to make an assessment without photographs. But all of the treatments you mentioned may help depending on the individual and her specific concerns.

Please consult with a doctor for specific recommendations. Good luck!

Neck Tightening Kybella

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Kybella can result in 10-15% reduction of fat similar to Coolshape. Younger patients usually don't need skin tightening after fat reduction as the skin shrinks enough on its own.
Liposuction typically reduces 50% of fat in one session. RF treatments like Velashape and Thermitight plus Deoxycholic Acid the active ingredient of Kybella can result in somewhat more than 15% reduction in the amount of double chin fat with three to five sessions. Most non-invasive treatments are not proven to be safe nor FDA approved for treatment of the jawline/jowls. 
Radiofrequency treatments like Thermage produce quite temporary results requiring periodic repeat treatments.  Ultherapy usually does not work.
The most dramatic results in the neck are achieved with a laser/liposuction with Precision tx or Smartlipo; results noticeable at ten days.
Patients should do the math (all these treatments cost nearly the same) and go for what is in their best interest and most reliable. No treatments are guaranteed; legitimate physicians should not promise results. Each option has the possiblity of side effects.
Please use this information when consulting in person with an experienced Board Certified Plastic Surgeon. They will be most capable of advising what is best for you.

Luis A. Cenedese, MD, FACS
New York Plastic Surgeon

Neck rejuvenation and best procedures NYC

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I have found that a combination of Botox, Thermage, and Kybella injections can beautifully re-contour the neck and get rid of your "turkey neck".  It is best to consult a board certified dermatologist who is an expert in these cosmetic procedures for a consultation.  Best, Dr. Green

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Kybella and other neck rejuvenation options

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Thanks for sharing. Current neck rejuvenation treatments:
  1. Surgical Neck lift* with a lower facelift would be the gold standard and get you the best results
  2. Surgical Neck lift* would be the next best procedure
  3. Neck liposuction and or laser lipolysis if only fat removal is required, typically in a younger patient
  4. Ultherapy is an FDA approved non invasive tightening using ultrasound technology
  5. Kybella is a new FDA approved injection that melts fat under the chin
  6. Botox to platysma muscle bands to decrease their activity
*It is important the a Neck lift involves some liposuction and importantly a platysmaplasty which is a procedure that tightens the underlying loose neck muscles.

Talk to several board certified surgeons experienced in face and neck lifting.  Without photos, recommendations can not be made specifically for you but based on your age range I would say a surgical procedure would likely give you higher satisfaction. 

Raymond E. Lee, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 95 reviews

Cosmetic procedures to improve the "double chin"

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The two procedures I recommend most for patients who desire a more svelte jawline are CoolSculpting mini or Kybella.  In order to determine which procedure would benefit you most, an in-person consultation would be required.  I recommend you find a Cosmetic Dermatologist in your area to discuss all the options and determine which would be best for you.

Jill C. Fichtel, MD
Columbus Dermatologic Surgeon
5.0 out of 5 stars 16 reviews


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Thank you for your question, LexiR. Kybella is the best injectible option for the jawline because it is the only FDA-approved out of the bunch and continues to defeat the bunch in all clinical studies. Please consult with a board certified facial plastic surgeon and make sure that your board certified facial plastic surgeon has experience performing it in Chicago.

Best wishes,

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 123 reviews

Double Chin Treatment / Laxity-- SmartLipo/VASER/ThermiRF, Botox, Venus Legacy, Kybella, CoolMini

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I find that VASER / Thermi combination does best for this area. I suggest posting pictures so we can give you a good idea of what is best.  Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 202 reviews


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Thank you for your question. Unfortunately there are no pictures. 

a trampoline lift would give you the best result. Another name for this is the no scar neck lift. This procedure involves suctioning the submental neck and then via needle punctures a suture is weaved below the skin and above the muscle defining your jawline. 

The second best treatment would be liposuction. 

The advantages to both of these procedures includes defining the jawline. 

Kybella is is used to treat the CENTRAL submental fat. It doesn't treat along the jawline. 

Seek out a body contouring expert for options under the chin

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Now that there are many new options for non-invasive body contouring, it is more important than ever to see an experienced body contouring expert.  These injections should not be one by aestheticians and nurses or even most physicians.  As far as which is best, it is difficult to say with a picture or a live consultation.  In general, Kybella works best in patients with a small amount of fat and a small amount of laxity.  Coolsculpting works best in patients with slightly more fat and less laxity.   In patients with more laxity or more fat, surgical options such as neck lifts or liposuction may be needed.

Kyle Coleman, MD
New Orleans Dermatologic Surgeon
5.0 out of 5 stars 11 reviews

Kybella or coolsclupting

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Thanks for the question.  hard to answer this without examining you or seeing some photos.  Typically, if you have a lot of extra fat in the neck, cool sculpting may be the way to go to start.  Kybella can also work but is better for smaller pockets of fat.  If you have lots of loose skin then a neck lift may be your only option. 

Good Luck

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