How can I solve my neck / double chin problem? (Photos)

"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"

Thank you for your question. If you feel your skin hasn’t been as responsive to liposuction as you’d like, you may consider the more long-term benefits of a neck lift. Unlike a facelift, neck lifts target the neck skin directly to provide a tightening, jaw-defining elevation. If you are interested in a less invasive procedure, a non-surgical skin tightening treatment such as Profound RF® can improve the elasticity of your neck skin. This nonsurgical option increases collagen production using RF energy for results that develop over time and look very natural. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your specific needs and help you choose the best option.

Based on your photos, it doesn't seem that you have enough skin looseness to warrant a standard necklift, especially since that would leave visible scars behind your ears. Therefore, I suggest liposuction of the front of your neck through a short horizontal incision under the chin, possible removal of any deep fat behind the platysma muscles under the chin, and tightening of the platysma muscles under the chin, all through the same incision. The only other option, I can think of (if needed) is to place a long suspension suture through the same incision, running just under the jaw, along both sides of the neck, tightening the muscles slightly backward toward where each suture is tied in the groove behind each ear.