What procedures are available for "older" people with double chins and neck fat?

Question

I am in my 60's and have hated my chin/neck my entire life! What can be done for the aging face with this problem of the short lower jaw, fat neck and double chin?? Also, of course, gravity has taken its toll and I now have jowls and my lips are turned downwards . What can be done for my down-turned smile and jowls?

Michael I. Echavez, MD · Answer

Of course, everyone is different, so photos of you or an exam would be needed to give you the best advice.  In general, if someone in their 60's has fullness under the chin and jowls, the usual treatment would be liposuction under the chin and a facelift.  The facelift can also possibly help with the down-turned lips.

Jason Emer, MD · Answer

"For a double chin, InMode FaceTite with VASERlipo would give you the best result.

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production

See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals. Best, Dr. Emer"

Vincent N. Zubowicz, MD · Answer

By the age is 60 even with surplus fat in the subcutaneous area of the neck better aesthetic results are obtained by operation such as a facelift that not only remove surplus fat but repositions the remaining fat in an aesthetically more favorable position. Excess skin is removed and The platysma muscles are Resuspended.

Lane Smith, MD · Answer

Thank you for your questions.  Without photos it is difficult to truly make an assessment but there are options to be considered such as submental liposuction with a necklift and/or facelift.  The best advice is to schedule a consultation with a board certified plastic surgeon to discuss your concerns and questions regarding the overall desired look you wish to achieve.Best regards,Dr. Lane F. Smith, MDPlastic SurgeonLas Vegas, NV

Stephen Prendiville, MD · Answer

The series of concerns you describe combined with a short lower jaw would be best addressed with a facelift or potentially a facelift/ chin implant combination.  Although minimally invasive options like Ultherapy can be pursued, you are likely to be underwhelmed with the results. It's best to see a few Facial Plastic Surgeons in consultation and choose based on what makes sense to you and the quality of work/ demeanor of the Surgeon.

Michael H. Gold, MD · Answer

Thanks for your
question. You need to have a consultation with a board-certified dermatologist
or plastic surgeon to learn all of your treatment options. This may be
something that needs to be handled surgically or perhaps through some of the
newer non-invasive procedures such as Ultherapy (ultrasound) or even some of the
more advanced radiofrequency devices. Liposuction or laser liposuction may also
be a consideration. And a new drug, now called ATX-101, will also soon be
approved that might have some benefit in reducing the double chin in some. A
thorough examination is needed here.

William Portuese, MD · Answer

The goal of  a lower face and neck lift is to remove fatty deposits above and below the platysma muscle in the neck, performing platysma-plasty after the fat removal, tighten  the neck muscles in 3 locations,  lift up the jowls and  the SMAS, and tighten up loose facial and neck skin. For many before and after lower face neck lift  examples, please see the link below

Stephen Weber MD, FACS · Answer

For people in their 60s minimally invasive options are most often ineffective. For sagging in the lower face, jawline, neck a lower face and necklift is the gold standard procedure to lift, tighten and rejuvenate. If you have a "short jaw" or small chin this can often be combined with chin augmentation to further enhance the neckline and facial profile. Please seek a consultation with a facial surgery expert for specific advice. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

What procedures are available for "older" people with double chins and neck fat?

Answers (8)

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