Chin sagging/turkey's neck - what could be causing this? (photo)

I agree with you; it does appear that you have fullness below your chin in the submental region. Whether it is fat or fat + loose skin is difficult to say based on the photo alone, particularly because the angle is a not standard. As a board certified plastic surgeon, I commonly hear patients say that they feel they’ve suddenly aged overnight! Fortunately, yours is a solvable issue. It is possible that you would benefit from only liposuction of the submental region, but a physical exam would be necessary to be sure. I recommend consulting in person with a board certified plastic surgeon to discuss your goals and expectations and see what treatment plan would be right for you.

A combination approach would give the most improvement. Nonsurgical options such as Kybella, PDO NovaThreads, and Ultherapy do well in combination for skin tightening, but the results are mild compared to surgical options.

I would recommend a VASER Hi-Definition Liposuction with ThermiRF, Renuvion (J Plasma) and InMode BodyTite to contour and tighten the chin and neck. A neck lift can be performed at the same time, if you're a good candidate. I suggest seeing a board-certified cosmetic dermatologist to develop a personalized treatment plan that works for you. Best, Dr. Emer.​

Thank you for your photo and question. The fullness is either excess skin, redundant and sagging muscles, or extra fat in front or behind the muscle. Unfortunately, this is common as we all age and typically put on a little weight throughout the years. An in-person exam would be able to determine what structures are contributing to the fullness and sagging and once identified a treatment plan could be formulated. This could range from kybella injections, non invasive body contouring (cool sculpting, EM sculpt, vanquish etc), liposuction, liposuction with energy (J-plasma and or Vaser), or surgical necklifts and +/- chin augmentation. I'd recommend picking a few board certified plastic surgeons in your area for an evaluation to know what options there are to improve the area.

Good Luck
Dr. L

The photograph is rather limited, but it does appear that you have a recessive chin and fat deposits in the neck located both above and below the platysma muscle. A neck lift procedure can accomplish removal of that fat above and below the platysma muscle in addition to the platysma plasty to significantly improve the jawline profile

The curse of aging can be relentless.

People who have a small mandible compared to their maxilla typically are prone to develop premature Jowls and a double chin.

We typically make assessments based on standard pictures and exaggerating your concern does not help us make an assessment.

Look at how plastic surgeons take before and after facial pictures. Profile and pictures are more important than frontal.

Treatment options could include Liposuction, and chin implant, and neck lift or a combination.

Best,

Mats Hagstrom MD