What procedures, either surgical or non-surgical, can tighten loose / extra skin around chin area? (photo)

I've met with 2 surgeons; one suggested lipo of submental fat to help define the area. Another suggested that it's skin laxity from weight loss and aging, that can only be corrected with a face lift, which he said he wouldn't perform at this stage. My fear is that after getting lipo, there will still be excess skin there preventing a defined look. Would love to hear more about specific treatments for cases like this because it seems odd that only a face lift would work.

Doctor Answers 12

Skin Tightening Solutions with VASER, ThermiRF, ultrasound

A combination approach would be best. I recommend a formal consultation for VASER liposuction. I find that VASER liposuction in combination with ThermiRF are best for contouring the chin in those who are candidates but Kybella can be used as an alternative with or without thermage/ultherapy/exilis. See an expert. Best. Dr. Emer

Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 190 reviews

Neck Rejuvenation

Thank you for your question and pictures.  You would be a good candidate for a local anaesthetic facelift and necklift.  

Most of my patient want a facelift however do not want the downtime associated.  The Concept Facelift and Necklift is the procedure I perform, which combines the latest surgical techniques with the use of local anaesthetic to dramatically reduce the risks associated with traditional facelifts, while significantly reducing the bruising and downtime of your recovery, from months to a matter of days.  I would recommend combining a Neck lift with tightening of the platysma muscle (also known as platysmaplasty) will require a small incision under the chin away from direct view to gain access to the front edge of the muscles on the neck; they are sutured together with permanent stitches. The muscles of the neck are the foundations and building blocks of the neck and are fundamental to achieving a tight and toned result.

Age is not a factor for this kind of surgery. If you have lax facial skin, lost volume and feel that you have jowls and wrinkles on your cheeks and you look tired when you're not then the concept facelift can help improve your appearance. With concept facelift you will look natural and fresh just like the way you feel inside. There are no bandages, drains and hospital stay but with lasting results of traditional facelift techniques it fits with today's age.

What are the benefits of a local anaesthetic facelift?

  • Minimally invasive as it is a short scar facelift
  • There is minimal bruising and swelling, especially when compared to traditional facelifts
  • As the procedure is performed under local anaesthetic, you can go straight home following the procedure
  • Full recovery in a matter of days rather than months
  • Significantly less risk than Facelifts performed under general anaesthetic
  • Fresh, youthful and long lasting results

Please make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.  All The Best 

Neck Lift

Thank you for your question. Always consult with your board certified facial plastic surgeon. Liposculpture can remove excess fat while laser resurfacing can leverage rejuvenation technology to keep your neck area looking youthful. Kybella is a great non-surgical option as well.

Best wishes,

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 116 reviews

Consider Kybella

Kybella is a non-surgical option for your neck. It is an injection that has been recently approved by the FDA to help improve the appearance of fullness associated with the submental (neck) fat in adults.

During a Kybella treatment, the neck is first cleaned and numbed with topical lidocaine. A pattern is drawn on the neck and the product is injected into the fat pad - dissolving the fat. The body then absorbs the fat over several weeks.

There is swelling, bruising, and some numbness in the area during this time. The injections are usually done once a month and it usually takes 2 to 4 treatments to reach full effect depending on the severity of the fat.

Ideal patients, like you, are young, have fullness of their anterior neck, and have good quality skin. See the link below.

Effective surgical alternatives for submental fat removal include liposuction and direct excision.

A detailed examination will help delineate the best option. Consultation with a surgeon certified by the American Board of Plastic Surgery would be the next best step.

David Tauber, MD
Albany Plastic Surgeon
4.8 out of 5 stars 29 reviews

What procedures, either surgical or non-surgical, can tighten loose / extra skin around chin area?

 Hi, I have performed many Chin Augmentations using chin implants for over 30 years.  From the photos, your chin appears to be weak which can be confirmed with a non smiling profile photo of your face.  A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. 

 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty.  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  The excess skin and fat (if any) can be removed using the same incision used for placement of the chin implant.

Hope this helps.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews


Hi thanks to share your concern.If you had maintained a stable weight for the past 6 months you can opt for neck liposuction of the submental area followed by radiofrequency devices to tighten your skin.however do seek an in person consultation with a board certified plastic surgeon and decide the treatment .

Karthik Ram, MRCS, DNB
India Plastic Surgeon
4.9 out of 5 stars 50 reviews

Solutions to fullness under/around the chin

Thanks for your question and your photos! I see some "double chin" in your first photo. The 2nd photo, for me, demonstrates only a modest amount of laxity. Certainly, an in-person consultation could sort all that out better.  That being said, for the neck that I see, in someone as young as you appear to be, I would say a facelift is perhaps too much, too soon.  Precision Smart Lipo uses dual-direction lasers to melt fat and tighten dermis with suction liposculpting to remove the fullness. The 3 tiny incisions are are only 1/8" long and should vanish into your skin creases. Down time and cost is less than half of that for a facelift.

David Hartman, MD, FACS
Canton Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Neck Skin

Thank you for posting photos, they are very helpful. By your question it seems as though you have no more fullness and now are just concerned with the excess skin? If you still have fullness you could try Kybella injections which will melt the fat, then do a non-invasive procedure to lift and tighten. Infini is a great device that I have seen work really well in that area. Neck lipo is always a great option as well. Hope this helps.

Alan B. Brackup, MD, FACS
Philadelphia Oculoplastic Surgeon
5.0 out of 5 stars 31 reviews

Liposuction of the Neck (submental)

Thank you for your question. Based on your photos, it appears that you have a small pocket of fat under your chin.  You would definitely benefit from liposuction and should see a nice retraction and tightening of skin in that area post-procedure. I have performed this procedure numerous times on patients with similar concerns, and the tissue retraction that occurs post-liposuction (especially someone your age) is quite significant. I would not recommend a neck lift that this juncture.  If you still have a little loose skin after liposuction, radio-frequency is an excellent non-surgical option to further tighten the area. 

Please feel free to contact my office for more information, including before and after photos of patients who had similar concerns.


Ariel Ostad MD PC 

Ariel Ostad, MD
New York Dermatologic Surgeon
4.3 out of 5 stars 17 reviews

Neck tightening

Hello and thank you for your question.  The best advice you can receive is from an in-person consultation.  I do a lot of procedures to help tighten the neck.  The best procedure for you really depends on the elasticity of her skin.   Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 125 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.