Is CoolSculpting safe to treat my neck roll? I've always had a thick neck. (Photos)

ThermiTight combined with liposuction can make a phenomenal difference on your neck. Liposuction removes excess fat and ThermiTight tightens the skin. CoolMini is great for removing fat from under the chin, but it wouldn’t be my first choice to treat a neck roll. Consulting with a board-certified dermatologist will allow you to settle on a combination therapy that works best for you.

Coolsculpting is good for removing fat under the chin, but a combination approach with other treatments is needed to get the most improvement with non-invasive options. I recommend Coolsculpting along with Kybella, thermage, ultherapy, exilis. VASER liposuction in combination with ThermiRF is the best alternative for contouring the chin, if you're a candidate. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Dear NikkiDT:Your pictures show a significant fullness of the lower neck extending to the sternocleidomastoid muscles laterally and inferiority to the clavicle and a lesser degree of fullness of the submental, mid neck and submandibular areas, associated with some laxity.If I were seeing someone with your anatomy, I would evaluate the entire neck region for an enlarged thyroid and less likely enlarged submandibular glands or adenopathy (lymph nodes). If these issues were excluded, ThermiTight radiofrequency treatment using a tiny cannula under the skin be tailored to reduce fat while tightening the skin of all of these areas. You would have a single treatment and begin to see results within two weeks, possibly 4, and the complete response would be achieved by 6 months. CoolSculpting cannot be performed on the lower neck. Kybella is a possibility although the lower neck is “off-label” and you would not to be able to treat the fat adjacent to the sternocleidomastoid muscles.I hope this gives you some helpful ideas!Dr. Clark