Saggy Skin Under Chin Sometimes? (photo)

The earliest sign of facial aging is saggy skin under someone's chin. This will continue to get worse over time as a natural part of aging. Save your money and when you feel the skin is too much for you to accept then it will be time to have a facelift. Other treatments just waste your money and produce very little change.

"These are all natural parts of the aging process. What we can do is try preventative treatments or get a neck lift / face lift earlier in the aging process. There are numerous non-surgical options available, and some can be used in combination to get best outcomes, but you would need a consultation with an expert.

Some options for skin tightening include:

- Thermage radiofrequency to heat the skin, tighten it over time, and prevent the aging process
- Ultherapy high-intensity ultrasound to contract the muscle, tighten the face and neck, and prevent the aging process
- PDO NovaThreads or InstaLift threads for immediate lifting without surgery and long-term collagen production
- Sculptra injections for collagen production to areas of the face and neck with crepey skin or early sagging
- BTL Exilis Ultra, Venus Legacy, and Thermi250 for monthly collagen stimulation with facials
- ThermiRF, Renuvion (J Plasma), or Inmode BodyTite for internal heating and tightening with or without surgery
- Fillers (or facial implants) to contour the jawline and chin to improve the appearance of the neck
- Face lift / neck lift with fat grafting and fillers if you need a significant improvement​

​I would suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​​​"

It's difficult to suggest based on the photos provided. Therefore, it's best to begin by consulting with a surgeon in-person. During your initial examination, your chin will be evaluated along with the neck and jawline. A weak #chin implies a lack of chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall #balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. For individuals with signs of #aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.
You should begin by consulting with a board certified plastic surgeon who will evaluate both your anatomical features and aesthetic goals. She or he will suggest which procedure best suits your needs. In some cases there may be more than one option to choose from. If you are not a candidate at the time of your #consultation, your board certified plastic surgeon can recommend alternatives to address your concern. Consulting with a board-certified plastic surgeon who specializes in #neck lift procedures is important to ensure you are receiving the best advice, care, and surgical experience possible.

      These changes are subtle, and I would save your money until you would see more improvement from intervention.

 

 

Kenneth Hughes, MD Los Angeles, CA

The photos show a fullness in the jowls and along the jawline as well as looseness under the chin in the neck area. You are a great candidate now for the lower face/neck lifting procedures which can be done under local and with less complications/risks than a big lift later down the line. Expect to pay $8500 on special and you will be happy with the tight jawline and neck. Sincerely,David Hansen,MD

is evident in your photos.  Ultherapy can work... if it is effective.  Make sure whomever provides it to you has a policy for those situations where results are not what was anticipated as Ulthera is not effective in all comers.  Facelifts can be considered but my patient population wants to see 'wow' results and your results will be more subtle so I would suggest waiting on surgery unless you are completely okay with subtle results.

 The sagging of the skin of the neck is just the natural aging process that occurs. Some patients do tend to  create loose skin of the neck sooner than other patients. It's best to wait until there is more excess skin that  needs tightened, and then consideration for either a mini lift or lower face neck lift at that time

I appreciate you sharing your questions and pictures.  The ideal candidates for a facelift/necklift/lower facelift have considerable fullness under their chin, muscle bands in the neck, and loose skin throughout.  Although I see many young patients in their mid 40s to early 50s that could get benefit from this intervention, I feel that with your present neckline and skin laxity this would be "a long run for a short slide." 

As for the morass of non-surgical treatment options that you have been offered or seen  advertised in print/television, I would use caution. In my experience with focused ultrasound (e.g. Ultherapy), the ideal patient is usually younger (30s-40s) with good skin elasticity and a primary concern with excess fat/fullness under the chin.  Treating excess skin is a limitation with this device.  That said, most patients get a subjective improvement although the clinical results are often difficult to appreciate. Similarly, several other procedures using non-invasive technologies produce underwhelming results when it comes to clinically significant skin tightening and removal of banding under the chin.  These include one of the many reincarnations of radiofrequency ablation (e.g. Thermage), infrared light, laser therapy, and medical skin care options. If you chose one of these options, try to keep your expectations low. Other non-invasive treatments like botox and fillers work remarkably well, but have little role in this area.

In time, a surgical option may be your best bet to rid yourself of the skin laxity and a little submental fat. That said, I think you have a natural, healthy neckline at this time and you should consider revisiting this idea in 5-10years if you still have a concern. I hope this helps. Take care.