What is the best procedure to tighten my face, neck and jaw line? (photos)

Question

I'm 36. I live in London. I suffer from ms. Since I started taking all kind of supplements and quit smoking, I've gained weight and significantly on the neck and face. Please advise for a procedure less Invasive and with best results.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

Thank you for your question. As we age the skin sags there is nothing you can do that but try preventative treatments or get a neck/facelift earlier in the aging process. There are numerous options and some can be used in combination to get best outcomes but you need a consultation with an expert.
Options include for skin tightening :
1. thermage radio frequency to heat skin and tighten it over time and prevent the aging process2. ultherapy high intensity ultrasound to contract muscle and tighten the face and neck and prevent the aging process3. PDO nova threads or instalift threads for immediate lifting without surgery and long term collagen production4. sculptra injections for collagen production to areas of the face and neck with crepe skin or early sagging5. btl exilis ultra, venus legacy, and thermi250 for constant collagen stimulation monthly with facialsfacelift/necklift with fat grafting/fillers if you need a big improvement5. ThermiRF or J plasma or Inmode bodytite internal heating and tightening to long term internal heating and tightening with or without surgery6. Platysmaplasty to tighten the muscles of the neck long term and create contour7. Facial implants or fillers to contour the jawline and chin to improve the appearance of the neckBest,
Dr. Emer

Sam Speron, MD, FACS · Answer

There are various combinations from a mini facelift, mid facelift, andneck lift that can address different areas. There are never anyguarantees of course with any procedure whether it is surgical ornonsurgical in nature.Surgery is not for everyone. In today's dayand age, there are many nonsurgical options to consider althoughsurgery usually gets the most improvement.I would recommend that you see a board-certified plastic surgeon inyour area that is a member of both ASPS & ASAPS and performs a lot offacelifts but also offers all the nonsurgical options such asinjectables and laser treatments. Go over your concerns with them andmake sure above all, you walk out of there with several options and anidea of the pros and cons to each of them as well as realisticexpectations.I hope this helps and wish you all the best in your surgery and event.If it does, please take a moment to up vote this answer on the“respond” button on the top right.

Elizabeth Hernandez Cardona, MD · Answer

Great question and thank you for providing photos. I would recommend FaceTite which is a minimally invasive procedure that uses radio frequency to melt fat and tighten skin simultaneously. This procedure can be done on the lower face and neck area which will improve the appearance of your jawline. There is little down time, most patients schedule their procedure on a Thursday or Friday and can go back to work by Monday.

Kimberly L. Evans, MD · Answer

We use the BTL Exilis Ultra is a non-invasive radio-frequency and ultrasound device designed to focus varying depths of heat for skin tightening, wrinkle reduction and collagen formation. This treatment is ideal for tightening the skin in the face, neck and body .

Kristie (Kris) Gast, MD · Answer

I'm sorry to hear about your chronic illness...it can just make everything harder.  My favorite treatment for the issues of the mid face and upper neck are ThermiSmooth and Silhoutte Instalift.  ThermiSmooth is energy generated by radio-frequency.  For the patient this just means heat.  It can be used any where on the body to reduce fat and tighten skin.  When used on the face and neck area it will make the skin thicker (healthier) smoothing out fine lines.  The Silhoutte Instalift is a minimally invasive placement of a strand.  The strands dissolve over time all the while stimulating your body to make collagen.  It does require a local anesthetic much like you get at the dentist.  I've personally done the ThermiSmooth on my face and other parts!  I hope this helps you in your search.

What is the best procedure to tighten my face, neck and jaw line? (photos)

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