Loose skin under chin 10 years after mentoplasty. What can be done to fix this? Microneedling, Morpheus 8?

Question

12 years ago I had a mentoplasty where a 1/2” of my chin was removed to correct elongation from severe prematurity. I was supposed to have burring but woke up with a mentoplasty. I still have 2 screws in the bottom of my chin. I didn’t notice much issue with excess skin until 1-2 years ago & am 33 now. My weight hasn’t changed from 110 lbs at 5’4” so it’s not fat. What can be done to fix this? I was wondering about micro-needling or the Morpheus 8? Can anything be done for this that is not surgery?

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Joel B. Beck, MD, FACS · Answer

Unfortunately, even surgery isn't a permanent result. I try to express to my patients the importance of continuing with proper skin care at home and in-office procedures to maintain results of surgery and prolong the health of our skin. We can't stop the aging of our skin, but we can continue to use serums that will help stimulate collagen and elastin and receive in-office treatments like microneedling and radio frequency microneedling that will help us age gracefully. Series of 3-6 treatments spaced 4 weeks apart will improve the overall texture and tone of your skin. Consistency is the key to healthy, youthful skin.

We take it a step further and use AnteAge Skin Brightener with our microneedling treatments to minimize discoloration and brighten skin.

Dmitriy Schwarzburg, MD · Answer

Microneedling is a new and innovative procedure that works by allowing your skin to regenerate itself for a new and replenished appearance. Your situation would have to be assessed in person. Please contact a qualified provider or a board-certified physician with extensive experience in these procedures.

Loose skin under chin 10 years after mentoplasty. What can be done to fix this? Microneedling, Morpheus 8?

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Loose skin under chin 10 years after mentoplasty. What can be done to fix this? Microneedling, Morpheus 8?

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Everything you need to know about Microneedling

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