What would be the best procedure for my neck and lower face.To help with sagging, jowls, etc? (photos)

Question

Is there a non invasive procedure that could guarantee results? I just turned 43 and very insecure with these areas!!

Jason Emer, MD · Answer

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime.
Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

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

Paul Flashner, MD · Answer

I would recommend Profound RF for your lower face and neck. This device uses microneedling with radiofrequency which allows your skin to produce an anabolic wound healing response. This means that over the next 3-6 months you will rebuild up to 5x your own collagen, elastin and hyaluronic acid. It is a minimally invasive treatment that will give you about a week of bruising and swelling. In my opinion this is the best non surgical option for you.

Rian A. Maercks, MD · Answer

Hello, and thank you for your question!
I believe that you would be a great candidate for a procedure that I call Aesthetic Facial Balancing. A large part of my practice is using this procedure.  What this means is evaluating a patients face and bringing the features into harmony by making adjustments with either hyaluronic acid or fat.  The most important component of a fillers treatment is the practitioner administering it. I take filler and balance all features in your face from top to bottom to make them work together to 'unlock' your beauty. This procedure is not just a filler intervention augmenting the cheeks and lips, but as in overall, non surgical way to shape the face in a different way to create natural appearing results. 
Alternatively, noninvasive skin tightening would be another route for you to consider. I would urge you to find a responsible and knowledgable plastic surgeon and not focus on brand names as this is the least important part of your decision.  As far as longevity- the six week results of your intervention are as permanent as anything in your body can be.  You will continue to age depending on your genetics and environmental factors.
The problem with noninvasive skin tightening is that everyone wants it and everyone wants to believe it works.  The result is practitioners of all sorts capitalizing on this demand.  The truth about skin tightening interventions is that almost "all of them work", yet none of them actually give long term results.  What I mean by this is that there are many ways to convert energy into heat inside or below the skin causing contraction.  The problem is that to deliver clinically effective results the tissue needs to reach at a minimum 43 C which is uncomfortable and can be scary for the patient and the practitioner.  This often results in ineffective treatment and wasted time and money.  I have developed extensive experience with noninvasive technologies, not because I'm a fan but because my patients demand it.  After using several "best in class" technologies to deliver definitive results, my patients were relatively pleased but I was underwhelmed.  This is why I started using  a treatment that we call Maercks Multimodal Therapy(MMT) in my practice.  All this is is an intelligently designed multitechnology treatment customized for the individual patient.  I use multiple diffferent frequencies and administration systems for radiofrequency delivery, three different ultrasound frequencies, infrared pulsed light, two different laser systems in concert to deliver immediate significant results that are hard to argue with and continue improving for weeks.  I think the only way to get real results is to combine technologies under the direction of a plastic surgeon that understands the capabilities and limitations of noninvasive skin tightening.  No one technology really delivers anything significant.  Also realize that even my MMT results that I am very proud of do not remotely compare to what I can achieve with surgery and the cost can approach or exceed that of surgery depending on location and individual patient findings.
I hope this helps!
Wishing you beautiful results,Dr. Rian Maercks M.D.

Jeff Rapaport, MD · Answer

In my opinion, the answer is simple. If you have involvement of the platysma muscle, a facelift is the only procedure that will adequately treat the neck. If you have loose skin, a minimally invasive or non-invasive procedure can produce nice Improvement.  However, it is not as reproducible as a facelift done by an experienced plastic surgeon.Jeff Rapaport MD FAADBoard Certified DermatologistRealself All-star

Michael A. Zadeh, MD, FACS · Answer

Nothing in life is guaranteed, and I would consider it a red flag if anyone guaranteed you results with non-invasive treatments. You would need at least a micro-invasive, non-surgical treatment to address your areas of concern. Of these, the best in my opinion are ThermiTight and FaceTite. Both should give you some level of improvement if performed in experienced hands. Realistic expectations are a must. If you are looking for dramatic results then surgery would be your best option. Make sure you see an experienced physician for an in-person consultation and evaluation to determine if non-surgical options are appropriate for you. Hope this helps answer your question.

Michael Kulick, MD, DDS · Answer

I do not think you would be happy with anything other than a facelift. You can look at the link and then pictures of people in your age group. 
Michael Kulick MD

Robert W. Sheffield, MD · Answer

You are a perfect candidate for tightening treatments like FaceTite; this can improve the saggy skin and jowls, partial results can be seen immediately and continue improving for six months, and downtime lasts a week. Profound RF is a treatment that combines radiofrequency, and microneedling with good results boosts collagen and elastin production, and improves pigmentation. The tightening results cannot be seen immediately, but collagen production will last for around six months. Also, lifting with threads will allow you to treat both areas in just one session with short downtime and excellent results. Many factors need to be taken into consideration to choose the right treatment for you.

Charlotte Woodward, MBChB, MRCGP · Answer

Thank
you for your question. I would recommend you consider a Silhouette Soft thread
lift which is non-surgical and offers immediate results, with minimal downtime
and can be carried out in under an hour.  After local anaesthetic is applied, ten Silhouette
Soft threads are inserted under the skin around your mid face, neck and jowls,
when tightened they lift areas of sagging skin, giving natural looking, instant
lift and definition. Even better, the results of the treatment actually improve
in the months’ post treatment, as the threads stimulate the body to create
collagen, improving skin quality as well as the skin lift.

Hayat Jawadi, MD · Answer

Tempsure is a great device for tightening the skin on the face and neck and help you regenerate new collagen to help the area stay looking young.

What would be the best procedure for my neck and lower face.To help with sagging, jowls, etc? (photos)

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