Is a Lower Face Lift the Only Way to Take Care of Sagging Skin Under the Chin and Jaw?

Hello, I'm a female in my 20's but the skin under my chin and jaw sags. I was wondering if a lower face lift is the only way to correct this? I was thinking about getting fat liposuctioned because I thought that would decrease double chin and tighten the skin but then I heard this can cause the skin to sag even more. Any information would be appreciated. Thanks for your time :-)

Doctor Answers 13

Fat and Skin under the neck

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The treatment of neck fat and excess skin will depend on several factors;

1- skin elasticity - if skin elasticity is good- then liposuction may be all that is needed.

2- Platysmal bands - if the bands are evident - not likely in a 20 year old- then tightening of the muscles is necessary.

3- Pre- and sub-platysmal fat. the fat between the skin and platysma can be liposuctioned, but the fat between the platysma and the deeper structures needs to be surgically removed.

My ideal algorithm is;

1- Liposuction for young healthy skin with sub cutaneous fat only.

2-Submental platysmaplasty/corset platysmaplasty for modest skin, fat above and below the muscle and platysmal bands.

3- Extended necklift (incision behind the ear and under the chin) for excess skin, fat and muscle tightening.

No need for a lower facelift if work is only being performed on the neck!

New York Plastic Surgeon
4.8 out of 5 stars 34 reviews

Is a Lower Face Lift the Only Way to Take Care of Sagging Skin Under the Chin and Jaw?

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Sagging skin under the chin and jaw is a very common concern for many patients. Often this can be caused by Submental fat, a recessed chin or lack of prominent jaw line. First you must identify if the cause of your concern is due to skin laxity or if you have submental fat under the chin area. Submental fat can be treated with liposuction as well as Kybella, which is a nonsurgical treatment option. If your concern is being caused by a recessed chin, often this can be treated with a chin implant to extend the length of the chin giving patients a more elegant profile and jawline. Most likely, because of your age, liposuction or Kybella will work great for you. Consulting with a surgeon in your area will help you identify your concerns and develop a treatment plan best suited for your needs.

Richard A. Zoumalan, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 29 reviews

Sagging neckline in 20-30 year olds

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Most sagging in this age group is in the vast majority of cases not due to redundant or loose skin but rather from excess submental fat which often runs in families and sensitive to weight gain. Simple liposuction will take care of this. A board certified plastic surgeon can tell you if this is the case.

Loose skin under the jaw in a woman in her 20's

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Your question states you have loose skin under your jaw. This is relatively unlikely in your 20's - often loose muscle, excess fat, or other issues are the cause. In most people in their 20's, the jawline and neckline can be improved by reworking the fat (liposuction) or muscle (platysmaplasty) or both, with no "loose skin" cut out at all. A competent facial plastic surgeon can explain to you why a youtthful, tight neckline actually needs *more* (!) skin than a "loose" neckline.


In any case - there is hope! 

Laxmeesh Mike Nayak, MD
Saint Louis Facial Plastic Surgeon
5.0 out of 5 stars 230 reviews

Loose skin under chin

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What you may perceive as loose skin might be excess fat under the chin. If that is the case, Vaser liposuction could help remove the excess fat and provide limited tightening to the skin.

A consultation with a plastic surgeon can help answer more questions for you.


Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 reviews

Sagging Skin in the 20's

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Generally speaking, Facelift is not indicated for someone in their 20's.  I suggest that you consult with a reputable Facial Plastic Surgeon in your area to discuss your concerns.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.9 out of 5 stars 104 reviews

Loose skin at 20....

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It is very rare to see someone at their 20's with a lot of sagging skin. Most of the times the fullness is caused by adipose (fat) tissue under the skin and the skin is able to retract and shrink after liposuction is done. To be sure if liposuction or a lift is indicated please seek the advise of your local facial plastic surgeon.

Gustavo A. Diaz, MD
Charlotte Facial Plastic Surgeon

Lower Face Lift for Sagging Skin in Neck

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Yes, generally a lower face lift is the appropriate procedure to reduce the sagging skin and tissue of the neck and beneath the jaw. However, facial plastic surgery for sagging skin is usually reserved for older individuals seeking cosmetic enhancement. Younger patients who want improvement in their neck or jawline may do better with neck liposuction alone, and/or chin surgery. Jaw surgery on the chin with a silicone implant can improve the appearance of the neck. Only after a comprehensive evaluation by a plastic surgeon can he/she help determine appropriate options for you. Best of luck.

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 89 reviews

Tightening the skin in a 20 year old

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Loose skin is very unusual in a 20 year old and it is more likely that you are being excessive critical of yourself. There are no reliable and consistent methods to tighthen skin non-surgically. Radiofrequency or ultrasound or laser may provide minor and temporary tightening but I would not generally advise these interventions in an inidvidual of your age.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Sagging skin

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it is unusual for a 20 years old to have saggy skin, but it is possible.

You need to see a plastic surgeon have an examination and decide what it is that is bothering you. it could be fat and all you need is liposuction

Samir Shureih, MD
Baltimore Plastic Surgeon

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.