What non-invasive procedures are available for sagging jowls, double chin and crepey neck? (Photo)

Ultherapy or focused ultrasound tightening of the skin of the face and lower neck is one of the most commonly used non surgical treatments for lower facial tightening.  It does not achieve the results of a faceclift but can help your current situation.  There are also other radiofrequency based treatments that may help.

FaceTite is a great tool to address skin laxity of the face and neck when you're not quite ready for a face and neck lift. This minimally invasive procedure uses RF technology to tighten skin. The procedure is performed in the office with no general anesthesia required. Results can be enhanced by adding Morpheus8 treatments. I've included a video I hope you find helpful.

You may eventually be a candidate for a facelift but there are excellent non-surgical options available.
Patients with moderate skin laxity of the lower face and neck are ideal candidates for the Endolift Laser which is FDA approved and used throughout Europe. The Endolift Laser targets pockets of fat in the jowl, face and neck. It stimulates collagen so the skin looks significantly better and tighter. The benefits are that the Endolift Laser is placed through tiny pin holes so there are no scars and the healing is rapid. This is an outpatient procedure with minimal discomfort during or after the procedure. The Endolift Laser is amazing in the hands of well trained individuals who understand how to avoid complications and know the optimal manner in which to target lax tissues. I brought it to the Connecticut area to offer my patients an alternative to a surgical facelift. When used in combination with PDO Threads and possibility facial fillers, the results are ideal and the downtime is minimal. You may also benefit from selective facial fillers: Radiesse, RHA or Restylane to contour your jawline and cheeks. This will support lax skin and muscle of the lower face. The combination of the Endolift Laser, PDO Thread Lift and selective Facial Fillers is the choice for patients who wish rapid recovery, have moderate laxity of facial and neck skin and wish a natural and rejuvenated appearance. Botox will not assist sagging skin but when appropriate can diminish prominent neck bands or muscles.

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hi there! Thank you for the question and pictur
A good option here is hyaluronic acid based dermal fillers which are great when addressing facial contours, volume loss and aesthetic proportions. Providing correct placement of product and an expert injector, this won’t cause puffiness, as by addressing the underlying cause i.e. the regions of the face effected by volume loss over time, weight is taken away from the heavy more saggy parts. Dermal filler can also help with a more chiselled jawline. 
Make sure you consult an expert aesthetic practitioner for face to face consultation. 
I hope this helps and good luck!

I stress to my NYC patients that a facelift is typically going to produce the best improvement in lower face lifting for sagging skin and its longevity is greater than the average non surgical treatment. However, there are so many patients that are not ready for surgery or want to avoid it. Once they understand that possibly, without guarantee despite them being good candidates for the procedure based on my examination, they might get a good improvement, we often have to consider a combination of botox to lift the corners of the mouth by relaxing the downward pull by some muscle groups, Ultherapy or ThermiSmooth tightening, and possibly volumizing by fillers in areas that have lost structural support near the upper cheeks. Minimally invasive procedures that do create some downtime but don't involve cutting, include ThermiTight and suture lifting with InstaLift. Many energy-based treatments involve one's body's healing response to develop more collagen and the tightening procedure continues for at least six months to 18 months after the procedure and some results can last more than two years as we continue to fight the aging effects on our face.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.