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.
May 18, 2023
Answer: Options 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
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May 18, 2023
Answer: Options 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
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May 17, 2023
Answer: Neck Sagging/Fat - VASERlipo, FaceTite/AccuTite, Morpheus8/Fractora, Neck Lift/Platysmaplasty; Kybella, Thermage, Ultherapy "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"
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May 17, 2023
Answer: Neck Sagging/Fat - VASERlipo, FaceTite/AccuTite, Morpheus8/Fractora, Neck Lift/Platysmaplasty; Kybella, Thermage, Ultherapy "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"
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