What Can I Do About my Double Chin and Neck Lines?

Question

Hi I am 30 years old and I have had these lines on my neck and double chin since i was a child. What if anything can be done to correct this. Thank you so much. It's really making me miserable.

Daniel Levy, MD · Answer

A Smartlipo procedure would improve your “double-chin” contour and add an overall skin tightening effect. I would consider adding a Deep and Active FX treatment to improve the horizontal creases and refine your overall skin texture.

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"

Jed H. Horowitz, MD, FACS · Answer

It's best to begin by consulting with a surgeon in-person to discuss your options. Depending on the level of laxity, the effects of a neck lift will certainly outlast the effects of non-surgical treatments. Non-surgical procedures can only temporary resolve the issue and require few to several attempts or treatment appointments. The presence of banding down the front of the #neck, and, amount of excess skin and condition of your skin are among some factors which determine if you are a #candidate for #rejuvenating the neck.
During your initial examination, your chin will be evaluated along with the neck and jawline. A weak #chin implies a lack of chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall #balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. For individuals with signs of #aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.Liposuction under the chin is also another option your doctor can discuss.If you are not a candidate at the time of your #consultation, your board certified plastic surgeon can recommend alternatives to address your concern. Consulting with a board-certified plastic surgeon who specializes in #neck lift procedures is important to ensure you are receiving the best advice, care, and surgical experience possible.

Vivek Bansal, MD · Answer

There are many options for this so an evaluation by a Board Certified Plastic Surgeon will give you a list of options from surgery to fillers. Thank you for your questions.

Otto Joseph Placik, MD · Answer

Neck and chin fat can be treated using liposuction and in this particular instance, I have found laser lipolysis to be beneficial. Neck lines are a harder problem to fix and may benefit from numerous interventions including cervicoplasty (neck lift) with a staged resurfacing procedure.

Matthew Bridges, MD, FACS · Answer

It's difficult to tell from the picture, but you seem to have some fullness in the lower neck.  Is it possible your thyroid is enlarged?  Worth checking...

Darryl J. Blinski, MD · Answer

Thanks for the photo. Not many choices, If you want minimal surgery than consider fillers or regenerating fillers, like Selphyl. Fat grafts could help the lines. As for fat chin I recommend Smart Lipo.

Edgar Franklin Fincher, MD, PhD · Answer

The picture is a bit dark, but it does appear that you have some heaviness under your chin.  This is usually from fat and can be removed by liposuction.  Liposuction is minimally invasive and has a relatively quick healing time.  There are no sutures and it can be done under local anesthesia.  Liposuction will help shape the chin and neck by removing fat and contouring under the chin and along the underside of your jawline.  The skin contracts over a period of 2-3 months providing more sculpting.

	The horizontal lines you refer to can be difficult to improve upon.  The liposuction will help minimally.  After the liposuction heals, you might consider some laser resurfacing to reduce the lines.  Active FX CO2 is a good option but it might require 2 treatments. Pelleve, radiofrequency tightening, is another option for  a no-downtime procedure to help provide some modest improvement and can be paired with botox or fillers for additional improvement.

Brooke R. Seckel, MD, FACS (retired) · Answer

Chin or neck Liposuction can achieve good correction of a double chin.

	However if your neck lines are horizontal, that is they run across the neck, they are very difficult to treat because they are caused by the contraction of the underlying Platsyma Muscle.

	Laser resurfacing of the neck can be VERY dangerous. I certainly would not attempt a Laser Resurfacing of the neck at the same time as Liposuction of the Neck. The interference with blood supply to the skin by combining these procedures could cause severe healing problems and very significant scars.

	DeepFX and Active FX are CO2 lasers, even though they are fractiuonal. Serious scarring has been reported and shown at professional meetings following the use of fractional CO2 laser treatments of the neck.

	If laser resurfacing of your neck were to be considered I would only use a Fractional Erbium 2940 Laser on neck skin, and only as a separate procedure from the Neck Liposuction.

	Because of the neck muscle function I would expect the lines to come backl in time

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