Lower face / jawline skin laxity? (Photo)

Question

Hello , I’m a bit worried with my lower face and jawline / neck chin area . I’ve noticed there’s sono laxity , flaccid skin I guess and I wonder what’s the best treatment ? As I don’t want to do a facelift just yet . I’m 30y old This is only bad when I’m laying down if I’m standing this is not visible at all the laxity is not noticeable. I’d like to to know what procedures/ lasers are best to target this issue ? I feel very conscious about it

Ali Sajjadian, MD, FACS · Answer

Hello,
Based on your pictures, you have lower face ptosis and sagging and extra skin in upper neck / jawline area. Face lift gives the best result but the best non surgical option in this case is Profound RF. It tightens the skin and lifts this areas.

Best regards,
Dr Ali Sajjadian

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

Arif Eroglu, MD · Answer

Hello; there is fat and loose skin on the neck area. After removing the fat from the neck and submental area; the looseness will increase much further. It definitely, needs to be added for skin tightening treatment as well. It is possible to give advise for two treatments. First one is Necktite. With Bipolar Radiofrequency, tissues are heated to 65-70 °C and then collagen production is adapted; tightening would be achieved. However, my favorite one is Renuvion J Plasma. By Renuvion J Plasma, tissues are safely heated to 80-85 °C. This temperature, is the degree at; which collagen production is most optimally stimulated. Afterwards, severe tightening of related skin occurs.

Vaishali B. Doolabh, MD, FACS · Answer

Hi Generous 615261, the skin laxity can be improved on the surface with radiofrequency microneedling (Sylfirm X, Scarlett, Agnes--these are the only 3 devices that aren't painful), and/or fractional laser resurfacing treatments (like Palomar 1540 nm) you will need more than one-usually a series of 3 about 6 weeks apart. For more improvement, the Renuvion radiofrequency subdermal plasma coagulation can be done by introducing the handpiece under the skin.  Ask for topical exosome treatments with your resurfacing so that you can shorten recovery (redness, swelling), repair the skin and encourage more collagen/elastin regrowth. Best wishes, Dr. Doolabh

Brady Harris, MD · Answer

To begin with, everyone has skin folds when laying down due to the effects of gravity on the surface. To create a sharper jawline, liposuction with Renuvion would be recommended.

Rodney A. Green, MD · Answer

The problem is not only laxity of your skin, but also extra fatty tissue under the skin. To correct the fatty tissue especially if this is visible sitting up, submental lipectomy or a neck lift would be needed. If you are concerned about tightening the skin and restoring collagen and elasticity the Morpheus8 is the best way to go.

Anna Chacon, MD, FAAD · Answer

There are several non-surgical treatments available that can help tighten the skin and improve its texture. Here are a few options:
1. **Ultherapy**: This is a non-invasive treatment that uses ultrasound energy to stimulate the production of collagen, which helps to lift and tighten the skin. It's often used for the face, neck, and chest.
2. **Thermage**: This treatment uses radiofrequency technology to heat the deeper layers of the skin, which stimulates collagen production. It can be used on many areas of the body, including the face and neck.
3. **Fraxel Laser**: This laser treatment works by creating tiny "microthermal" zones deep into the skin which stimulates the body's natural production of new collagen.
4. **Microneedling with Radiofrequency (RF)**: Microneedling creates tiny punctures in the skin, which triggers the body's wound healing process and stimulates collagen production. When combined with radiofrequency, the heat further stimulates collagen production, leading to skin tightening and a reduction in the appearance of wrinkles.
5. **Dermal Fillers**: Dermal fillers such as Juvederm or Restylane can be used to add volume to the skin, reducing the appearance of sagging or laxity.
It's important to note that results from these treatments can vary, and multiple sessions may be needed to achieve the desired results. It's also key to have a consultation with a board-certified dermatologist or plastic surgeon who can assess your skin and help you choose the best treatment for your specific needs.
Lastly, maintaining a good skincare routine that includes a retinoid product and sunscreen, having a healthy lifestyle (balanced diet, regular exercise, adequate sleep), and avoiding smoking can also help to maintain your skin's health and slow down the aging process.

Lisa Vuich, MD · Answer

Thanks for your question. I would suggest you look at a procedure called EmbraceRF. EmbraceRF is a combination of two treatments- FaceTite plus Morpheus8- delivered to the entire jawline plus neck. It would be your most potent "single procedure" non-surgical approach.
If you need a "no downtime" option, consider Sofwave which delivers heat through microfocused ultrasound, stimulating new collagen and elastin in the skin. Sofwave does not go as deep and the EmbraceRF treatment, so it cannot tighten the deeper fibroseptal network, but if your laxity is mild you might be satisfied with its result as well and it's a nice one for prevention as well.
I hope that helps!

Camille Cash, MD · Answer

One option to consider is FaceTite.  This minimally invasive procedure uses RF technology to tighten the skin.  No general anesthesia is required.  Results can be enhanced with Morpheus8 treatments to improve overall skin tone and texture.  We also recommend using medical grade skin care products and wearing sunscreen every day.