Male, 63 year old, 1.80m, 85kg, caucasian - how can I get rid of '2nd chin'? (Photo)

Question

...means turning the horizontal line of my chin and the line of my neck more in 90º? Male, 63 year old, 1,80m, 85kg, caucasian. Doing sports (gimm, bike, running, etc) like 2 times a day.

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

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"

Connie Hiers, MD, FACS · Answer

You would probably get good results with liposuction and Renuvion to help tighten the skin with radiofrequency and plasma energy through small incisions and little downtime.

Camille Cash, MD · Answer

I encourage you to begin by visiting a board certified plastic surgeon near you to discuss your desired results.  From your photo it appears you would have the best result from a surgical neck lift.  However if you are not considering surgical options you may find improvement with AccuTite/FaceTite which is minimally invasive using RF technology to tighten skin.  Liposuction of the area can be combined with this procedure.  Many patients elect to add Morpheus8 treatments to optimize results.

Male, 63 year old, 1.80m, 85kg, caucasian - how can I get rid of '2nd chin'? (Photo)

Answers (4)

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