Facial skin tightening in 20s? (Photo)

Question

I have always been self-conscious about the lack of definition of my jawline. More recently it has taken on a saggy appearance which I think makes me look aged (only in 20s!). I tried coolmini submental but am unsatisfied with the results. I believe it could be because my issue has to do more with laxity than fat. I heard good things about Ultherapy but am wondering if it’s too early for this treatment. If so, are there other non- or minimally invasive treatments that would give good results?

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy 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. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime.  Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Johnny Chung, MD, FACS · Answer

Thank you for your question. Coolsculpt and Ultherapy treat the condition from an external approach. Therefore the results are typically not as significant compared with a slightly more invasive procedure. I would recommend consulting with a board-certified plastic surgeon in your area for a consultation. I also recommend either Precision Lipo (Smartlipo) or FaceTite with Morpheus 8 (Inmode) to the neck and jaw line. Best of luck with your procedure.

William Portuese, MD · Answer

The Limited one photograph demonstrates a recessive chin profile for which a chin implant can significantly improve. The fatty deposits in the neck can be removed with  liposuction. If the fatty deposits in the neck are underneath the platysma muscle, then a surgical neck lift with a platysma-plasty will be required. This must be sorted out at the time of the examination and in-person consultation.

Facial skin tightening in 20s? (Photo)

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