Will nonsurgical treatments correct skin laxity after chin liposuction or should I consider a neck lift? (photos)

This is a common problem after neck liposuction, even though you are fairly young. You could definitely try microneedling with RF (Secret, Morpheus, Virtue RF, etc) but the cost is pretty significant and results likely not great. I would expect maybe 40-50% improvement. Ultimately you will want to do a neck lift and platysma band suturing to get the best result. Hope that helps you!

I highly recommend against energy based devices in the neck because of the scarring that can occur from the skin to the muscles. You have a result of this previous procedure. I would immediately stop seeing a dermatologist for this problem and seek a board-certified plastic surgeon (American Board of Plastic Surgery). You have a complication as result of poor liposuction and excessive energy delivery to the neck skin. Essentially, this is a combination of scarring of excess skin that was not properly address, over aggressive subcutaneous fat removal, and platysmal banding. You can see the edges of the platysma muscle which appear as the vertical lines from the chin. A revision would be challenging and needs to be done by an expert plastic surgeon (American Board of Plastic Surgery certified). This surgeon needs to have experience in revisionary facelift/necklift surgery. I would recommend another necklift that would permit addressing the bands, releasing the tethered scarred skin, and then contouring with any additional maneuvers that might be required to help smoothen the neck in the area.

It is always a difficult decision to pursue surgery following a failure of a nonivasive or minimally invasive procedure. You will likely need a full neck lift to correct the skin given its location. While this is not a wrong answer, it would certainly be quite a jump in terms of invasiveness. It would depend on the cost of a neck lift in your area in terms of deciding whether to pursue a full neck lift, but I would shy away from a mini neck lift as to truly fix the problem you are describing and showing you will need a full neck lift.

Thank you for your question and for sharing your photographs. The residual laxity following volume reduction is relatively difficult to control. A neck lift intervention is more likely to give you the type of change that you seem to be looking for.

In the profile photo, there is some visibility of the left submandibular gland, which would not be corrected by non-surgical techniques. Although your primary aim seems to be to create a smoother contour, a neck lift also offers the opportunity to produce a more defined appearance for the jawline and a slimmer appearance for the neck.

A consultation with a surgeon who offers a deep plane neck lift will allow you to decide comparatively what outcome you would rather achieve. This consultation will help you understand what the treatment entails, the associated scars, and whether it is the right choice for you at this point in time.

The nonsurgical treatments are not going to help with your issue. From the limited photographs, it appears that you have significant skin laxity after the fat removal in your neck, which deflated the balloon in your neck resulting in excess skin present. You're going to need a neck lift with some degree of skin tightening with incisions in front/ behind your ears.

Given your young age, desire for something more minimal, and an issue confined to the upper neck, I think you should look into MyEllevate. I have personally performed this and had very nice results. Your neck looks like an ideal candidate. Patients with significant jowling or lower neck concerns need ancillary procedures or approaches.

Based on your post of photos, I recommend a mini necklace with muscle supplication fee from $5000. This gives you the best answer to correcting your issues. Best virtual consult with.