What is the best nonsurgical option for lower face, chin and neck laxity at 39? (photos)

Question

I have some laxity concerns due to aging and weight loss. (39 yrs.) #1 complaint is the skin laxity under my chin/neck. #2 complaint is the early signs of "jowling" and many "parentheses" (see pic.) I have conflicting recommendations so far. 1 doc: "micro needling with RF (w Prp?) OR PDO threads would be my best bet" ? 2nd doc: "Ultherapy is my best bet, NO to pdo bc risk of scar tissue, complicating future facelift + pdo lifted skin has nowhere to go so I can end up w weird creases" ?

Jonathan Kulbersh, MD · Answer

Thank you for providing photos along with your question. Based on these images, you may benefit from a combination of treatments. If you prefer the non-surgical route, dermal fillers can help restore lost volume and instantly lift your skin. Profound RF uses radiofrequency energy to produce new collagen, improving mild to moderate skin laxity in the neck and jawline. Lasers may also be used to heat the skin and encourage collagen production for skin tightening. A PDO thread lift can also give you a non-surgical facelift. To determine the best treatment or combination of treatments, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon who can assess your skin quality and facial profile, customize the best treatment plan for you, and ensure the best possible outcome.

Nima Shemirani, MD · Answer

Hi @SouthernBelle82! I recommend Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting.

Marc Polacco, MD · Answer

Thank you for your question. There are a variety of treatments available, all of which have various pros and cons. Microneedling is a good way to improve skin texture and stimulate collagen. It takes multiple treatments but requires nearly no downtime. I also like Radiesse for adding volume, and as it absorbs, it also stimulates collagen. I have never seen effective, long-lasting results with PDO threads. I hope this helps, and all the best.
-Dr. P

Jason Emer, MD · Answer

A combination approach would give the most improvement. Nonsurgical options such as Kybella, PDO NovaThreads, and Ultherapy do well in combination for skin tightening, but the results are mild compared to surgical options.

I would recommend a VASER Hi-Definition Liposuction with ThermiRF, Renuvion (J Plasma) and InMode BodyTite to contour and tighten the chin and neck. A neck lift can be performed at the same time, if you're a good candidate. I suggest seeing a board-certified cosmetic dermatologist to develop a personalized treatment plan that works for you. Best, Dr. Emer.​

Nelson Lee Novick, MD · Answer

In experienced hands, appropriately selected HA fillers can lift cheeks and thereby not only create a more ideal, feminine oval (heart-shaped) face, but secondarily improve smile lines and even to some extent incipient marionette lines. A less robust, more resilient HA filler fanned through the skin at right angles to the parallel (parenthesis) laugh lines in the lower face can improve these. A robust HA filler can help to better define the jawline and secondarily improve the laxity in the submental and upper neck regions, which then can additionally be treated with HA skin boosters for further neck tightening. Microneedling is best reserved for treating very superficial, surface texture and color problems. So, this is unlikely to be of any value. PRP, much like ultrasound tightening treatments, still has far more marketing hype to support its use in aesthetics than any hard science. Threads, which I gave up performing years ago, neither last as long as promised and have an unusually high rate of complications, such as infection, the development of divets and puckering and even spitting out of the threads. Hope this helps in your decision making. Make sure to consult with a board certified cosmetic dermatologist and best of luck.

Michael I. Echavez, MD · Answer

I would not say that there is one best non-surgical method to improve skin laxity of the lower face and neck.  Micro needling with RF, PDO threads and Ultherapy can all potentially produce some improvement.  One other possible treatment would be Face/NeckTite.  This treatment uses RF to deliver heat under the surface of the skin to produce tightening.  Sometimes this can be combined with RF micro needling at the same time to give even more improvement.

Camille Cash, MD · Answer

I encourage you to explore FaceTite.  This non surgical procedure is done in the office.  It uses RF technology to tighten skin up to 40%.  Results can be enhanced with Morpheus8 treatments.  See my website link below for more information about these procedures.

Darryl J. Blinski, MD · Answer

Neither option more then very very temporary "fix". You need surgical intervention as in a full open neck lift with SMAS or mini Neck Lift with SMAS. Fees either $12,000 vs $6,000. Seek virtual or in person with boarded PS.

Leonard Grossman, MD · Answer

There really are no non-invasive procedures that could positively affect the outcome of skin tightening in your neck after significant weight loss. However there are less invasive procedures such as Renuvion or J-plasma which can create a significant improvement. Renuvion works by shrinking the connective tissue between the skin and muscle, effectively pulling the skin closer to the underlying tissues creating a shrink wrap like effect. I hope this helps and good luck from New York City Plastic Surgery

Jaime L. Sepulveda, MD - Account Suspended · Answer

RF microneedling x 3 + PRP (Double spin). No fillers. No PDO. Autologous nanofat transfer may be considered for best results. Autologous nanofat will require harvesting through an ultra-low volume liposuction. Skin looks very healthy and well cared which is a major advantage for you.

What is the best nonsurgical option for lower face, chin and neck laxity at 39? (photos)

Answers (10)

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