43 years old and tired of chicken neck. What is the best procedure for lower chin area with loose skin? (Photos)

One non-surgical option to help improve loose skin under the chin would be Ultherapy.  This is an office treatment that uses ultrasound waves to create heat, which leads to lifting and tightening.  Ultherapy normally would not produce results as dramatic as surgery would, but it could still lead to improvement.  

Hello and thank-you for your photos and question.
We have some very exciting new technologies for non-invasive tightening of the Neck. Renuvion powered by J-Plasma (Cool Helium Plasma) can produce dramatic improvement in skin laxity. This technology has produced beautiful results for correction of a double chin and turkey neck without the surgical incisions around the ears required for a traditional neck lift or lower face lift.  Ultherapy of your face and neck is a non-surgical option you may consider. I would recommend an in person consultation with a Board-Certified Plastic Surgeon well versed in all aspects of facial rejuvenation.
Best, Andrew Lyos MD FACS

It's best to begin by consulting with a surgeon in-person to discuss your options. 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 what treatments will best rejuvenate your neck. Neck lifts are designed to remove only deep grooves and #wrinkles, not fine ones. Smoothing out every tiny line in your face would leave you with an eerie, unnatural, and undesirable result. The goal should be to make your neck lift look as natural as possible, simply turning back the clock a few years.  #Liposuction is often used during the neck lift if necessary.During your initial 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.
If you are not a candidate at the time of your #consultation, your board certified plastic surgeon can recommend alternatives to address your concern. Consulting with a board-certified plastic surgeon who specializes in #neck lift procedures is important to ensure you are receiving the best advice, care, and surgical experience possible.

Loose skin in the jawline and under chin area respond to a lower face/neck lift under local very well and look so natural. Sometimes it is better to get it done right than to waste a lot of money on worthless things such as kybella, ultherapy, thermage etc....

There are a number of nonsurgical procedures that can help give neck skin more tone and lift. However, if the skin is lax and thin – as appears to be the case in the photos you provided – a necklift will probably give you the most satisfying results. Although it is a surgical procedure, it is less invasive than a facelift and requires fewer stitches. The results can be quite dramatic and will last up to 10 years, even as your skin continues to age.

Non surgical alternatives like VASER/ Thermi, Venus Legacy or Thermage/Ultherapy will give improvement.  I suggest laser treatments and fillers or fat to give you the lost volume you need as well. A lower face and neck lift may give best results. Please see an expert. Best, Dr. Emer.

Thanks for sharing. From the photos a neck lift with or without a lower facelift would get you the most optimal results. A non invasive energy tightening device will likely lead to disappointing results. Consult with several experienced surgeons. 

Thank you for your question and photos.  While a full exam would be necessary to give you a firm answer, based on your photos, it seems that you would likely be disappointed with any treatment other than a face/neck lift.  You are correct that Kybella is not likely to give you improvement (it may actually make things worse in your case).  All the best!

Unfortunately, at face/necklift is your best solution. I don't believe that a noninvasive treatment will solve your problem.

Excess neck and lower face skin--treatment. Unfortunately there is no "minimally invasive " treatment for this. Only a lower face/neck lift done by an experienced face lift surgeon will do the job. 

Hello!Given that you have loose skin and minimal neck fat, you're the perfect candidate for a neck lift, and if it's done right, the result should be excellent!  My "open" technique, which I would recommend for you, involves an incision behind the ear and along the hairline.  If you wear your hair down then the scar is invisible to others, and even if you wear your hair up the scar should be unnoticeable to the casual observer. While some surgeons might recommend placing the scar horizontally in the hair-bearing scalp behind your ears, the resulting problem is an irregular zig-zag hairline that is a tell-tale sign of surgery (and therefore, I don't recommend that approach).  Although the scar placed in the hairline means that it's visible, if the surgeon closes the incision very precisely then it is much more well hidden and least noticeable than any other scar placement.  The key to a long-lasting result is to place an array of permanent sutures in the muscle layer on either side of your neck and then anchoring these sutures to the strong tissues behind your ears (called the "mastoid fascia"). Permanent sutures are needed for a permanent result (with the soft sutures I use, there's no risk of sutures eroding through the skin as you may have heard about the "Thread Lift"). I place the array of 5-7 sutures from under the jawline to just above the collar bones to create a "suspension bridge" that lifts the muscle layer, restores the angled neck line, and the loose skin lifts and tightens as a result.  I don't recommend a "skin-only" lift which might look good for the first 6 months but then it will loosen again and your result will disappear.  For my patients, the result is immediate, recovery is about 10-14 days, pain is mild (temporary tightness is common but not very bothersome), and surgery is done under light general anesthesia delivered by a board certified anesthesiologist. Neck lift is a very safe surgery when done by a skilled surgeon in the right environment. All the best in your search!- Dr. Rad