I am 43 years old and have inherited this horrible neck, would CoolSculpting be the solution? (Photos)

Question

What are my best options for fixing this loose skin and double chin? Would CoolSculpting make the skin worse? I really don’t want surgery unless there are no other options. Thank you in advance.

Janet Allenby, DO · Answer

Hello,Thank you for your question. Based on what can be seen it appears that you may have a couple options. CoolSculpting can help reduce the fat under the chin, but it does not specifically fix the loose skin. You may need to treat with a combination of treatments. Ulthera and Thermi can help tighten the skin and contour the area under the chin. Please consult with a local physician in person to determine the best course of action. Good luck!

Hung William Song, MD · Answer

I like to use Coolsculpting to debulk the fat and then fine tune with Kybella. You don't really have a lot of fat under your chin so you can just skip the Coolsculpting and just go straight to Kybella. Even one round may do the trick. The cost will be significantly less and you will probably get a better result.

Ron Shelton, MD · Answer

Sundamage causes inelasticity and when there is not much fat, and the neck flexes (head bends down) the skin folds on itself. This is not improved with CoolSculpting nor even completely with a surgical neck lift. Some fat reduction is in order in the pocket of excess fat under the chin and this can be done with CoolSculpting (coomini) but the rest of the neck's inelasticity won't be addressed. Possibly Ultherapy, or Infini microneedling, or minimally invasive ThermiTight can help tighten the skin but non of those will create the same amount of tightening that a neck lift will accomplish.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

William Groff, DO · Answer

A sagging neck is one of the most difficult issues to treat because the skin is so thin and doesn’t really attach to the underlying platysmal muscles. In your case, I’d recommend the next best thing to a surgical neck lift, which is ThermiTight. ThermiTight — particularly when combined with chin liposuction to remove your double chin (a process we call ThermiSculpture) — does a great job of tightening minimally sagging skin and creating a stronger looking jawline with radiofrequency energy delivered by a skin probe. Be sure to consult a board-certified dermatologist who’s an expert at contouring the neck and jaw with ThermiSculpture.

Paul Flashner, MD · Answer

Hello,Based on your photos, it seems as though a skin tightening treatment may be a better option for you. Coolsculpt is great for minimizing areas of fat. It looks like your concern is more so the skin laxity. There are non invasive and minimally invasive skin tightening treatments that would better address your concern, such as Ultherapy or Profound. I suggest consulting with your local service provider to set up a treatment plan that will best fit your needs. Good luck.

Tina B. West, MD · Answer

Thanks for reaching out!Pictures always help but it is difficult to give you a definite answer without a proper assessment.  Good news is you do have options such as CoolSculpting, Ultherapy and even Kybella.  CoolSculpting and Kybella will target the fat cells. Ultherapy will help define the jawline and tighten skin under the neck region.  Hope this helps!Best!

Michael A. Zadeh, MD, FACS · Answer

Hello and thank you for your question and pictures. It appears that your issue is mostly loose skin and very minimal fat. I don't think CoolSculpting is the best option for you. I would recommend a treatment which can tighten skin and reduce fat at the same time, such as ThermiTight. Our patients are very pleased with the results after a single treatment. Make sure you see an experienced physician provider for an in-person consultation and evaluation.

Nicholas Husni, MD, PhD, FACS · Answer

Thanks for your question and pictures.  Judging from the pictures it appears that you have a small amount of fat right under the chin.  This could be addressed either by cool sculpting or Kybella.  Below the fat, it looks like your skin may be a tiny bit loose.  Neither of these treatments are going to address the lower part of your neck.  There are some laser and other treatments that can tighten the skin a little bit, a facelift/neck lift is the definitive way to treat this area.  When you're going for your consultation make sure you see a board certified plastic surgeon to make sure you're seeing somebody properly trained and all the available tools.  Best of luck to you.

Robert G. Aycock, MD, FACS · Answer

It does not look like you have enough volume under the chin for CoolSculpting. There are non-surgical skin tightening treatments (Skintyte, Ultherapy, Thermage) that can improved the skin laxity in your neck. It would be best to have a consultation with a board certified plastic surgeon that has both non-surgical and surgical options that can allow you to decide which route is better for you.

SpaVie Medical and Laser Aesthetics - Plymouth, MN · Answer

Hi, I think you would be a great candidate for Kybella. Kybella is an injection that dissolves fat. You do not have a lot of submental fullness, therefore I think Kybella will be a better option. I also recommend you look into a procedure called Profound RF. Profound RF is a procedure that uses radio frequency and needles to stimulate the growth of collagen. Increasing the amount of collagen in the face and neck, will improve skin texture and increase tightening. Profound is a great option for you.

I am 43 years old and have inherited this horrible neck, would CoolSculpting be the solution? (Photos)

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