Treatment options for loose neck skin and weak jawline/profile on thin(ish) 33y/o woman- Surgery too extreme? (Photo)
Doctor Answers 9
Kybella is a good option
Kybella is a non-surgical option for removing both large and small deposits of fat under the chin. Patients generally receive between two to six treatments of Kybella, depending on the amount of submental fat they have and their individual treatment goals. Treatments take about 20 minutes, and there is little to no downtime. I would look into this treatment as to avoid unnecessary surgery. Good luck! Certainly other less invasive options are available. A minimally invasive neck liposuction may do the trick given the young elasticity of your skin. A visit with a board certified Plastic Surgeon would be able to recommend appropriate treatment plans.
Neck lift at 33?
- I agree with your self-assessment that lasers and most non-surgical treatment are pointless.
- You are thin and your platysma (neck muscle under the skin) is loose.
- I suggest you try Botox injections into the platysma lines - this is an inexpensive office option.
- If it is unsatisfactory, then a neck lift is your neck step.
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Surgery too extreme?
I believe what you're looking for is to increase the sculpting (the sleekness) of your neck. Your neck skin looks like it has nice elasticity, it just happens to be shrink-wrapping some anatomy that is distracting to you. What I notice most is platysmal banding (those cords of neck muscle that are standing out when you turn your head to the side). That is a straightforward fix: Botox temporarily weakens the natural tone of these muscles and causes them to relax and "lay down" even when your turn your neck.
If you have a small deposit of fat in the submentum (behind your chin) than Kybella is an injectable recently FDA-approved to permanently eliminate fat deposits in the neck. There is some evidence that it tightens the neck skin as well. Most patients seeking Kybella have large deposits of submental fat -- you do not. But it works on small fat deposits too. I have attached a video for more info. Surgical liposuction of the neck can achieve the same result, and the addition of a laser treatment of the undersurface of the neck skin during lipo can tighten the neck skin as well. If you were considering surgery (like liposuction) than you may wish to consider platysmaplasty as well -- a surgical procedure where the bands in the neck are more definitively improved/removed.
I feel that traditional necklift would be unnecessarily aggressive for you -- you are young and your neck skin will redrape whatever is underneath of it, and in my opinion if your platysmal bands and submental fat were eliminated (with injectables or relatively minor surgery), you would get the results you're looking for without expensive and unnecessary surgery.
Best wishes! Harry V. Wright MD, Sarasota, Florida
Vanderbilt-trained Facial Plastic Surgeon
Neck lift, Botox
Skin tightening is good option when minimal excess tissue is present
Loose Neck Skin in 33 Year Old Lady
Treatment options for loose neck skin and weak jawline/profile on thin(ish) 33y/o woman
Hope this helps.