When walking my face and neck jiggle slightly. Is this from loose skin? I am mid twenties. (photos)

​A combination of non-surgical options like Kybella, PDO NovaThreads, Ultherapy and Thermage would do well in combination for skin tightening for the neck. VASER Liposuction (with ThermiRF, Renuvion and InMode FaceTite) is a great alternative for contouring and tightening the chin and neck and can be combined with a neck lift at the same time, if you're a candidate. I suggest getting a formal evaluation with a cosmetic dermatologist to develop a long-term treatment plan that works for you. Best, Dr. Emer.​

Thank you for your question, jessie camilla, and I am glad to hear that you have been monitoring this throughout your life, and I suggest you continue doing so by using a journal. Kybella is a great treatment for neck fat. It is the first and only FDA-approved injectable to address submental fullness due to submental fat, also known as double chin. Please consult with a board certified facial plastic surgeon with experience in administering Kybella and other injectables. I received Kybella injectables and am very happy with my results.

Thank you for your question for sharing your pictures. Based on your age and photos, I would recommend non-surgical approaches. I am finding that the combination of Kybella or Coolsculpting Mini to reduce the sub mental fullness and an energy device to tighten the skin are among the best non-surgical combinations to help your neck concerns.Kybella is an injection procedure that dissolves the fat an may require between 2-4 treatments spaced 4-6 weeks apart. There is some swelling and bruising potential, with the greatest amount with the first treatment.The Coolsculpting mini procedure cools the fatty tissue under the submental area and also reduces the fatty tissue under the chin.As far as energy devices, I would recommend Ulthera if you are looking for something with no downtime, or Profound if you could tolerate some downtime. Ulthera is an ultrasound based energy that heats the underlying tissue and stimulates collagen in response. Profound is a radio frequency microneedling device that allows for the creation of Elastin, collagen and hyaluronic acid and hence restores some of the lost elasticity in the neck. It has more visible downtime with the possibility of some swelling and bruising that diminishes in about a weeks time.

Please seek an in person consultation, you may be a candidate for simple liposuction of the area. Liposuction of the cervical facial area is usually done in one hour under local IV sedation. In my practice in the San Francisco Bay Area I have come to the conclusion that the happiest patients are those that have realistic expectation on what a procedure will and won’t do for them. Good luck! Dean Vistnes,M.D.Vistnes Plastic Surgery#realself #drdeanvistnes #liposuction #cervicalfacial

It is hard to tell from your photos.  If you feel your chin is a little weak, a small chin implant may help. This could be combined with some mild liposuction. These procedures would be done under local anesthesia with about one week to recover.  Unfortunately looseness does increase with age.