Loose chin skin after Coolsculpting, no results with Ultherapy. Will any treatments help or is surgery my only option? (Photo)

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

Hello,
Thank your for sharing your concern and picture.
Loose skin and puckering after CoolSculpting can occur, especially when fat is reduced but skin elasticity is limited, which is more common with age. Ultherapy can help stimulate collagen and tighten skin, but visible results often take 3 to 6 months or longer, so some improvement may still occur over time. Non-surgical treatments like collagen supplements and red light therapy have limited impact on significant skin laxity. If you’ve waited over a year without noticeable tightening, surgical options such as a neck lift or lower facelift might provide the most reliable and lasting improvement for skin tightening and contour smoothing.

You would do best by spending the money to get quantum/morpheus on the neck under local and really fix the neck up. Cost is roughly $5000 and so worth it. Coolsculpting has always been a disaster.