Can a thick neck be changed? If so, how? (Photo)

Thank you for your question, Mintaka, and the three pictures. Kybella has had great results for our patients in slimming their neck. It is the only injectable approved by the FDA to contour and improve submental fullness due to submental fat. Please consult with a board certified facial plastic surgeon with plenty of experience in injectables and in Kybella to ensure you maximize your results.Best wishes,

Thank you for your question for sharing your pictures. Based on your photos, I would recommend non-surgical approaches. I am finding that the combination of Kybella or Coolsculpting Mini to reduce the sub mental fullness and an energy device to tighten the skin are among the best non-surgical combinations to help your neck concerns.Kybella is an injection procedure that dissolves the fat an may require between 2-4 treatments spaced 4-6 weeks apart. There is some swelling and bruising potential, with the greatest amount with the first treatment.The Coolsculpting mini procedure cools the fatty tissue under the submental area and also reduces the fatty tissue under the chin.As far as energy devices, I would recommend Ulthera if you are looking for something with no downtime, or Profound if you could tolerate some downtime. Ulthera is an ultrasound based energy that heats the underlying tissue and stimulates collagen in response. Profound is a radio frequency microneedling device that allows for the creation of Elastin, collagen and hyaluronic acid and hence restores some of the lost elasticity in the neck. It has more visible downtime with the possibility of some swelling and bruising that diminishes in about a weeks time.

You look to have a good contour and I am not entirely sure that surgery would be in your best interest. It is difficult to  comment without an examination and you should consult with a PS with experience in both surgical and non surgical treatments.

Dear Mintaka,At this point you appear young and have good skin tone.  I would recommend perhaps ulthera to contour and tighten the skin if there is some mild laxity.   If you have a in person consultation and it is noted that there is some fullness under your chin then kybella may be best for you.  It is an injection which has been prove to work in patients with submental fullness.  Good luck!Dr Narasimhan