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.

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. 

Thank you for your question.If you are looking soley for a non-surgical solution, 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.

Hello, and thank you for this question. Although, I cannot see your entire face I do have several potential options for you. We have found that Ultherapy can provide some nonsurgical tightening. In addition to that through a minimally invasive option such as Vaser liposuction we can contour some of the neck and lower jowl area. In addition to that, injectable fillers, skin care and laser resurfacing may be helpful for both volume and skin textural issues. Also, an evaluation from a well-trained aesthetician would be in order. Certainly at a formal consultation all of this can be discussed and a detailed physical examination carried out. 

I can only see the photo that you have posted, but I'm imaging in a profile you may have a slightly weak or retrusive chin.  Obviously, a proper physical exam would be necessary in order to give you other solutions.  I recommend seeking out a Board-Certified plastic surgeon who will accurately examine you and formulate a plan tailored to your needs and wishes. Good luck!

We have found Ulthera, a high intensity focused ultrasound treatment, to be effective in non surgically tightening the soft tissues of the face and neck. This may be done alone or in addition to laser skin treatments. Find a board certified plastic surgeon or dermatologist in your area for an evaluation and to discuss potential treatment options.

Thank you for your question.A series of treatments with Exilis Elite followed by strategic use of fillers might be helpful.



To be sure, see two or more licensed
and board-certified providers in your area for a complete evaluation to make
sure you are a good candidate and that it is safe for you to have these
treatments.



I hope this helps.