What is the best option for my double chin and jowls? (Photos)

Dear Hopeful5,
Kybella typically takes 3 to 5 treatments to work. This is why I've stopped carrying Kybella in my office. I recommend neck liposuction more often then any injectable procedure for the neck now. It provides superior results gives me more control over the area than any injectable. It also costs about the same as what you paid for your first kybella session. The liposuction can be done under local while awake in the office and recovery is about the same as kybella.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hi @Hopeful5! I highly recommend Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting.

Hi,
your double chin is in some part related to drooping and sagging of the lower part of your face so the best option for you is first working on lifting and tightening of these areas by RF devices (like FaceTite) and then starting Kybella sessions.
Best regards,
Dr. Sajjadian

Unfortunately some of the minimally invasive techniques only provide excellent results with younger age patients and less skin laxity. Based on your photos I would recommend some posterior jawline liposuction and platsymaplasty, and/or platysmaplasty and a neck lift. There is a device called J plasma that can tighten the skin when done in conjunction with liposuction. However, the degree of tightening is still limited.

you likely need a nearly neck/facelift. but facetite, morpheus, threads can all be done for improvement.

if you want a dramatic change necklift/facelift, Implants and fillers will give you that. noninvasive will improve the area and facetite, threads, morpheus, and fillers can be used.  start at home dermarolling to tighten you skin, see emeragecismetics.com where we do free skincare consults daily and recommend MTS roller with anteageMD ampules daily (see dermarolling package).

With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite for internal tightening
7. ultherapy and thermage for external tightening
8. regular Venus legacy, exilis ultra, or inmode forma treatments with facials to maintain tightness
9. PDO novathreads or silhouette instalift cone threads for lifting and long-term collagen production
see an expert for a full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer

Hello. Kybella and FaceTite can help. For maintenance, you can also try skin tightening with lasers (radiofrequency and infrared). Most important thing is to follow a healthy lifestyle which should include a good diet and regular exercise.

I would recommend Kybella or CoolSculpting. Both are minimally invasive and will get rid of the fat under your chin. You can also get a PDO thread lift after to tighten up the area.

Thank you for your question! I would actually start with doing coolsculpting to your submental area. CoolSculping has minimal to no downtime post procedure and CoolSculpting will help permanently destroy the fat cells AND tighten the skin. Kybella can take several rounds of treatments and does have very significant swelling after the procedure. Kybella also will not tighten the skin either. Hope this helps!

For the area under the chin and around the neck, I would recommend liposuction to remove the extra fat. If you are not willing to undergo a necklift to address the extra skin, I would also add Renuvion J plasma skin tightening to your procedure. This is similar to Facetite in that it superheats the connective tissue to cause your skin to contract. Hope this helps!

Johnson C. Lee, MD
Board-Certified Plastic Surgeon

At age 50, you will have significant skin laxity issues in addition to the fat deposits in the neck located above and below the platysma muscle. A lower face and neck lift is going to be required to tighten loose facial and next skin, lift the jowls, tighten loose facial and neck muscles, and remove the fat deposits above and below the platysma muscle which also includes a platysma plasty to improve the jawline. Noninvasive procedures will be a waste of time and money.