Middle of neck looks like double chin when I am yelling, crying or laughing. Can this be fixed?

Question

When i am crying or laughing or yelling i have this ugly part in the middle of my neck which goes forward creating a diagonal line with my chin. Is it a short muscle ? Can it be fixed ?

Jason Emer, MD · Answer

"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"

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. I suggest that you move forward and consult with a board certified facial plastic surgeon to determine your candidacy for a necklift. The laser-assisted weekend necklift can improve your neck and owl regions in less time than a full necklift and with a smoother recovery.
Best wishes,

Jed H. Horowitz, MD, FACS · Answer

It's difficult to assess online without photos to view. The presence of banding down the front of the #neck, and, amount of excess skin and condition of your skin are among some factors which determine if you are a #candidate for neck #rejuvenation.
During an in-person examination, your chin will be evaluated along with the neck and jawline. A weak #chin implies a lack of chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall #balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. For individuals with signs of #aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results. For individuals with signs of #aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.Begin with an consultation with a board certified plastic surgeon who will evaluate both your anatomical features and aesthetic goals. She or he can then suggest which procedure best suits your needs. In some cases there may be more than one option to choose from and and if you are not a candidate at the time of your #consultation, the surgeon can recommend alternatives to address your concern.

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Thank you for your questions, without an examination or seeing pictures its hard to suggest whether this can be fixed.  All The Best

Charles Nduka, MD · Answer

It is hard to advise without any photo. It would be best to schedule an appointment with a board certified plastic surgeon of your choice for an in-person examination.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures including chin augmentation, liposuction, facelifts and neck lifts.  Non smiling photos of your face from the front and side would help with the evaluation.  You can also include a photo of you laughing to show the area under your chin. When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  
 Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  
 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  Hope this helps.

Middle of neck looks like double chin when I am yelling, crying or laughing. Can this be fixed?

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