Sagging skin under my chin - What are my options? (photos)

Question

I have recently lost around 50lbs however now I am dealing with sagging skin under my chin. I've always looked younger than my age however now being a month shy of being 40, I feel I look much older with this dreaded Turkey Neck and it is ruining my self confidence. It makes me regret losing the weight when I should be happy. Looking to see what my options are to correct this. I've heard some procedures can be done with a local anesthetic but being awake literally terrifies me.

Randal Haworth, MD, FACS · Answer

Based on your photo, you could benefit from an elastic lift, which is less invasive than a facelift (you can get it under local).

Best of luck !

Bora Ok, MD · Answer

Hello from Istanbul, Türkiye! A combined neck lift and lower facelift would offer significant improvement and can provide long-term results that you’ll be satisfied with. Opting for both procedures together is particularly effective as an isolated neck lift would probably lead to a sagging jowl area. Hope this helps!

Gianfranco Frojo, MD · Answer

I would recommend seeing a surgeon certified by the American Board of Plastic Surgery (ideally with 6 years of integrated plastic surgery residency training and ALSO a 1 year aesthetic fellowship accredited by the Aesthetic Society).  You need a facelift/necklift in my professional opinion. This can be best formalized with a digital or in-person consultation for a full evaluation.

Andrew Miller, MD · Answer

When the skin of the neck is sagging, especially from weight loss, the best procedure is to have a necklift done. Your jawline appears ok, so you don't need a bigger facelift. A necklift will tighten the deeper structures in the neck while lifting and removing excess neck skin at the same time. Be sure to see a facial specialist for consultation.

Jacob Tower, MD · Answer

Hello, hope you are well. Thank you for submitting your photos and questions! These photos show not only skin redundancy, but platysmal banding as well. The platysma is a thin muscle in the neck that commonly becomes more visible with aging or weight loss. This can only be corrected with a surgical neck lift that involves making an incision under the chin. (There is no minimally invasive option to treat platysma bands). Based on what can be seen in these photos, combining the platysmaplasty/neck lift with a lower facelift to remove extra skin would lead to the best outcome. 
Best,Dr. Tower

Zoran Potparic, MD · Answer

There is no doubts that only surgical correction would work. Your options are between anterior vs extended posterior neck lift. Only on the basis of in person consultation, a board certified plastic surgeon, an expert in neck lift, would be able to decide which option will better address your condition. Good luck.

Tanveer Janjua, MD · Answer

You have several options in order of least invasive to most invasive.
1. Sofwave for tightening
2. Thermitight for tightening
3. Lower Face and Necklift. This is the best option.

Lower facelift and necklift
It is important to understand that the incisions used for achieving a good result in a necklift also give a nice lift to the lower face and jowls. The purpose of a necklift is to pull the extra skin side ways behind the ears and remove it. It is also sometimes combined with Neck Liposuction and Platysmaplasty.  
The incision starts in the hair tuft in front of the ear and then curves in front of the ear hidden in natural curves of the ear, then next to the earlobe it goes behind the ear in the hidden groove and finally is taken over to the hairline of the neck.
The skin is then lifted to expose the underlying platysma muscle. It is then pulled back and tethered to the bone behind the ear. At this point the jowl area is also pulled back with stitches under the skin in deeper tissues. These maneuvers lead to excess skin on the sides which is then trimmed and stitched back in place.

Regards Dr. J

Connie Hiers, MD, FACS · Answer

You might first try noninvasive micro-needling with radiofrequency to tighten your neck and face. If needed, you can also do minimally invasive radiofreqnccny treatments like Renuvion with 3 tiny incisions.

Thomas Spalla, MD · Answer

I think you'd be a great candidate to consider laser tightening of the skin along with MyEllevate - a minimally invasive permanent suture device to tighten this region. Check that out online and consult with a local provider.

William Portuese, MD · Answer

Congratulations on your significant weight loss. Due to the deflation of your neck tissues from the weight loss, there is now loose and inelastic skin along with platysma muscle bands present. A lower face and neck lift is going to be required to tighten loose facial and neck skin, tighten loose facial and neck muscles, which also includes a platysma plasty to significantly improve your jawline.

Sagging skin under my chin - What are my options? (photos)

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