To fix the double chin, do you think an implant would be needed? Lipo vs neck lift? (Photo)

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

"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"

Hello, thank you for your question. Based on your photos it seems like you can benefit from a neck lift. I recommend you to schedule a consultation with a board certified plastic surgeon.

 Yes, the side profile photographs demonstrate a recessive chin profile, therefore a chin implant would be helpful  to augment your mandible forward which gives better structural support for the soft tissues in the neck.  A lower face and neck lift is going to be required at age 55.  This accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing the fatty deposits above and below the platysma muscle in your neck along with a platysma plasty.  Study your prospective surgeon's before and after facelift/ chin implant photo gallery and make sure that it is extensive with natural results.

My recommendation is that you have multiple in person consultations with experienced board-certified plastic surgeons whose practices have focused on facial aesthetic surgery in your area.Most likely the best outcome would be a facelift/necklift with chin implant. Most plastic surgeons will do fat removal during a facelift procedure either with direct excision or Liposuction.I don’t think Liposuction alone is going to give you a great result.Best, Mats Hagstrom MD