Loose skin and fat on chin, neck, jaw. How can this be treated? (Photo)

Question

I’ve been told that my double chin and neck rolls are all loose skin, but I don’t have enough for a neck lift. I lost 50 pounds and have 50 more to go, so I know this will only look worse. I’m not sure how much fat, how much is skin but was told nothing will help. Looking for a second opinion as I can’t stand looking at myself with these rolls, jowls and huge chin.

Derek Fletcher, MD · Answer

A deep plane face and neck lift may be a good strategy for you.  An in person examination is necessary to determine the most best option for you.

Zoran Potparic, MD · Answer

Based on these photos, it looks like face and neck lift may be a good procedure for you. Hoever, only on the basis of in person consultation, a baord certified plastic surgeon, expert in facial rejuvenation, can give you a more detailed answer and plan of care. Hope this helps. Good luck.

Bianca Knoll, MD · Answer

thank you for posting your question. First, congratulations to your weight loss. Your pictures show loose skin, and some remaining volume of the neck.The jawline is not pronounced. Each of us has deep and superficial fat compartments of the neck. As you will continue to loose weight expect them to contiunue to loose volume resulting in excess skin. During a neck lift work will be done to sculpt the deep fat compartments and sometimes even the more superficial ones. Redundant skin is either removed or redistributed. Neck lifts require often more work than some think, but they are usually really worth it. The neck can make a big difference of appearance and perception. Best of luck and continued success with your weight loss.

Jacob Tower, MD · Answer

Hello, hope you are well. In my opinion, there is plenty of room for improvement for the soft tissue redundancy of the lower face and neck that you display. For the best possible result, my first recommendation is to wait until your weight has stabilized at your target before proceeding with surgery. There appears to be 'enough' skin laxity to warrant a neck lift now, but you will maximize your outcome by shedding subcutaneous adiposity prior to surgical contouring. In the long run, the result will be better. In the meantime, if you are motivated for an intermediate result that will improve your skin tightness and provide a more sculpted appearance around the jawline, you could consider FaceTite and Morpheus treatments. These are minimally invasive radiofrequency based energy treatments that cause a reduction of subcutaneous fat and skin contraction without surgery and general anesthesia. Good luck!
Cheers,Dr. Tower

Jason Emer, MD · Answer

"For a double chin, InMode FaceTite with VASERlipo would give you the best result.

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production

See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals. Best, Dr. Emer"

William Portuese, MD · Answer

Congratulations on your first 50 pounds of weight loss. You need to lose the additional 50 pounds before contemplating any type of lower face and neck lift procedure. Your BMI should be less than 32 for optimal results. You have significant fat deposits in the neck located both above and below the platysma muscle. The goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, remove diet resistant fat deposits in the neck, and lift the jowls.

Loose skin and fat on chin, neck, jaw. How can this be treated? (Photo)

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