42, female and I'm noticing that my skin under my chin is getting looser. What can I do to fix my neck? (photo)

Hello, and thank you for providing images along with your question. For your chin, you have several options, some of which are non-surgical. Chin augmentation and jaw contouring using dermal fillers are common procedures. Dermal fillers can restore lost volume in the lower face, contour the jawline to create a sharper profile, strengthen the chin, balance an asymmetrical jawline, and reduce the appearance of jowls. You may also explore PDO threads, as well as laser and energy devices to help tighten and lift the skin.

For more invasive procedures that produce more dramatic and longer-lasting results, you may consider a mini facelift or a neck lift to rejuvenate your lower face and neck –these may be your best choices for treating signs of aging, such as slight jowl formation and mild to moderate skin laxity. To best determine the appropriate procedures for you, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can do a proper assessment of your skin, determine the ideal treatment or combination of treatments for you, and ensure the best possible results.

Just based on the photos, your neck issue appears to be a combination of skin texture, lack of fat, and excess skin. As a board certified plastic surgeon, I often hear concerns like yours when I consult with my neck-and facelift patients. There are minimally invasive approaches to deal with the skin texture such as microneedling with radiofrequency, which can be performed in a treatment room, as it is not a surgical procedure and there is little to no downtime. To address the excess of skin, a neck lift would be helpful. This is a surgical procedure that removes the excess skin and resuspends the remaining tissue, giving you a smoother neck and sharper jawline. I hide the incisions behind the ear so that no telltale signs of surgery show, and the downtime would only be about 1 week. I recommend you consult in person with a board certified plastic surgeon to discuss your goals and expectations and to determine which treatments or surgeries would be right for you.

Thank you for your question and for providing a photo. A lower face and neck lift would be a great option to consider since it would provide optimal results relative to non-surgical treatment options. A lower face and neck lift would address the excess sagging skin around your neck and allow for your wonderful bone structure to be visible. Given your age, a lower face and neck lift will allow for you to achieve the best version of yourself while still being at an age for optimal healing. The best part is that you will be able to enjoy this refreshed look for many years to come as we typically expect the results to last 8-10 years. Going forward, I would recommend you to complete multiple in office consultations with board certified facial plastic surgeons to discuss your ideal aesthetic goals. This way, they can better assess your face and create an ideal treatment plan for you. Best of luck, Kian Karimi MD, FACS