Female, age 40, looking for best solution to remove neck fat, jowls, and the dreaded turkey wattle. What are my options? (Photo)

Hello and thanks for your questions and photo.  You definitely have several great options to rejuvenate you lower face and neck.  You look to potentially be a great candidate for a lower face and neck lift (a consultation exam would be required to be certain).  You are not too young for this procedure. You should be a great candidate as you have laxity, sagging and loss of volume and elasticity of your lower face and neck skin.  The most frequent comment I hear from my face/neck lift patients after their procedure is that they only wish that they hadn't waited so long and had done their procedure sooner. This would also be a perfect time to add volume with a fat transfer to give you a completely rejuvenated result.  Another option, which has less down time, and can be quite effective is a FaceTite radiofrequency treatment along with contour liposuction of the under-chin area to tighten the skin and remove excess volume - the result is not as dramatic or long lasting, but will also give you a noticeable improvement with less down-time and cost.I would encourage you to schedule a consultation with a board certified plastic surgeon in order to discuss your facial rejuvenation treatment options.Best wishes!Daniel Brown, MD, FACSBoard Certified, American Board of Plastic SurgeryMember, American Society of Aesthetic Plastic SurgeonsMember American Society of  Plastic SurgeonsCastle Connolly Top DocReal Self Top 500

The natural aging process and genetics both play a role when it comes to jowl formation and neck laxity. Thankfully, there are several minimally invasive procedures that can address both of these issues. Profound laser boosts collagen production in the lower face and neck, whereas Kybella helps to permanently dissolve fat under the chin. In addition, you can replace lost volume with Voluma in the midface region, which creates instant cheekbones.