What do you recommend for my saggy double chin and huge breasts! (Photo)

Question

I need to lose about 40 lbs but my chin will get worse. Breast reduction; double chin; saggy eyes, 54 years old.

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

John Mesa, MD · Answer

Patients with significant excess of neck skin associated with big jowls and loose neck muscle usually benefit from a neck lift. The reason is that there is no other non-surgical modality that can rejuvenate the neck at the neck lift surgical procedure.In my practice I routinely perform neck lifts wide awake under local anesthesia.

Kenneth Hughes, MD · Answer

Typical procedures for these two concerns are a face lift and breast reduction.  Consult with a board certified plastic surgeon via Skype or in person to verify that these procedures would help you reach your goals.

Tanveer Janjua, MD · Answer

The best solution is indeed a facelift.  It'll pull back the jowls and also the extra skin under the chin.  The eventual result is much better than any other procedures.Upper and lower eyelid blepharoplasty was opened up the eyes.A breast reduction will certainly help you if that is a concern.

William Portuese, MD · Answer

From the one limited photograph, there are significant facial changes of aging which is going to require a lower face and neck lift procedure. This accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing the residual fatty deposits in the neck which also includes a platysma-plasty. Best to lose the 40 pounds first, and then undergo the surgical procedure

Mats Hagstrom, MD (license on probation) · Answer

The correct procedures are a facelift and rest reduction.there are numerous nuances, variables and things that can be discussed but to answer your question that’s it.Most big breasted women who are symptomatic can get breast Reductions covered by medical insurance.Best, Mats Hagstrom MD