My son is getting married in October. How do I get rid of this waddle? (photos)
Doctor Answers 10
Nonsurgical Neck Reduction
Non-Surgical Neck Lift
Surgery is likely a better option for you
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Non Surgical Neck lift
Your non-surgical options are dictated by your specific needs which may include any of the below measures:
1)improving banding: Botox
2)improving under the chin fullness: Liposuction with oral sedation
3)improving skin looseness: VIORA REACTION radiofrequency
A consultation would allow a doctor to customize your treatment plan.
Getting rid of the waddle
If you absolutely don't want surgery, you can try different combinations of nonsurgical procedures, but much of the improvement will depend upon your body's ability to generate new collagen. And likely the combination of procedures would get to be quite expensive - and without a promise of gaining the results you want.
Viewing the face and neck as a whole, if you were to only get rid of the fat accumulation, then you would have considerable loose skin. Kybella has shown a tightening effect along with fat dissolving, but the number of treatments and product could add up very quickly. (Kybella is only used under the neck and you also display significant jowling.)
See a board certified plastic surgeon for the best advice.
I usually start by melting the fat in the anterior neck are (Kybella is very helpful) and tightening the skin of the face and lateral neck with Ultherapy.
This is followed by a second treatment of Ulthera right over the neck area about 2 weeks later.
Non surgical results are not perfect and don't last as long as surgery. But they are generally a lot less expensive and require less downtime.
Congrats and good luck.
Best Neck Improvement Options
- Amount of excess fat typically found beneath the chin, and in the upper neck. This requires liposuction with small cannulas or direct removal especially if the fat is beneath the platysma muscle. The use of Kybella injection may be appropriate for fat in the submental area without significant redundant skin.
- Presence of Significant (Platysmal) Banding – this requires bringing the muscles together in the upper/mid neck to a more youthful position and occasionally their release. This procedure is called a platysmaplasty or platysma plication. Mild banding can be treated non- surgically with Botox or Dysport but this requires injections 3-4 times a year for maintenance.
- Amount of excess/redundant skin (cutis laxa) and condition of your skin. In advanced stages this is called a Turkey Waddle or Gobble deformity. For example, younger age, darker skin colors and no large weight loss history most likely means there will be better elasticity and therefore better post-surgical contraction. In milder cases if not too much fat is present there will be enough skin shrinkage with just lipo alone. Mild to minimal skin tightening using non-surgical means like the Sciton Laser SkinTyte procedure, Ultherapy ThermiTight (RF) or Thermage could also be considered. My personal preference for non-surgical skin tightening of the neck is the Sciton Laser BBL SkinTyte® procedure as there is no down time, more comfortable procdure, is effective and is a more targeted treatment. For redundant upper and mid excess neck skin: I prefer the LiteLift® (lower facelift ) procedure or MACS for skin re-draping for mild to moderate excess skin management as there are minimal scars and the skin is lifted vertically allowing for minimal hidden scars resulting in a natural appearance “non pulled” appearance. However: for moderate to severe skin redundancy , a neck lift or traditional lower facelift (e.g.Lite Lift®, MACS and others) is needed with or without lipo for best results. For advanced Turkey Waddle correction wither a traditional facelift or posterior neck lift often with a platysmaplasty is required with more extensive scars that extend at the hairline behind your ears. The advantage of a facelift procedure rather than a posterior neck lift is that your lower jawline (e.g. jowls and marionette lines) are also improved at the same time.
- Chin deficiency. If you have a weak chin then you will not have adequate chin support to your neckline skin which affects your entire neck line. Sometimes especially in younger individuals this is all that is required and this can be done in the office under local anesthesia. There are a number of different sizes and shapes and your plastic surgeon will pick the optimal one for you.
- Presence of prominent Digastric Muscles or Submandibular gland fullness from laxity or enlargement. Although not a major concern for most patients, if present then partial resection is usually the best solution.
How to treat waddle?
Double Chin Treatment / Laxity-- SmartLipo/VASER/ThermiRF, Botox, Venus Legacy, Kybella, CoolMini
Nonsurgical Neck Tightening
Minimally invasive surgical options include traditional #liposuction and Smart Lipo. The advantage of #SmartLipo is there are three lasers that tighten the skin surface while the liposuction removed the fat.
Finally, there is a surgical neck lift. This option is most effective when combined with a lower or mid #facelift.
Please consult an experienced plastic surgeon or cosmetic dermatologist to evaluate you for the ideal treatment for you.
Best of luck,
Suneel Chilukuri, M.D.
#necklift, #rhytidectomy, #nonsurgical, #aging, #antiaging, #Allergan, #Galderma, #Merz, #dermatology, #plasticsurgery, #Houston, #RefreshDermatology
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.