51, Saggy neck and chin - what procedure would improve this? (Photos)

Question

I'm 51 and have deep wrinkles on my neck. Sagging chin and neck. Can you please guide me in the right direction. Do I need lower face lift? Neck lift? Ultherapy? Morpheous 8?

Gary M. Horndeski, MD · Answer

I recommend a traditional facelift.  This will also lift the neck and help the nasolabial folds and marionette deformity.

Best Wishes,

Gary Horndeski, M.D.

Nelson Lee Novick, MD · Answer

A new injection technique where droplets of Botox are injected in a targeted fashion along the upper and lower jawline and upper neckline, rather than in the usual "Nefertiti" approach, can work well for better defining the jawline and tightening the submental region. If necessary, HA filler can be additionally used to define and straighten the jawline. 
A robust HA contouring filler can be further used to define and straighten the jawline if still needed.
Microdroplet Botox can also be used to diminish the "horizontal necklace lines," and a low viscosity malleable HA filler can further improve these lines, if necessary. 
Be cautious in evaluating the use of so many of the expensive "bells and whistles" laser, RF, and ultrasound gizmos out there, since the hard science to back up their use lags well behind the heavy marketing hype and social media buzz to hawk them. So many of these devices are "here-today-gone-tomorrow" and just turn into yesterday's "next big thing" to come along.
Carefully evaluate surgery, too, since, besides the expense and the risks for post-op complications and possible scarring, the promise of permanent results often does not bear out. While the surgery is indeed permanent, with aging, there are changes to underlying bone, muscle and fat that necessitate additional cosmetic intervention--making the overall surgical benefits over time to be not so permanent. 
You would be wise to consult with an experienced, board certified cosmetic dermatologist injection expert. Hope this helps and best of luck.

Darryl J. Blinski, MD · Answer

Based on nicely post to photos recommendation for in virtual consultation is best. I think I would offer a hybrid net or web mini face neck lift with combination of Endo lays and post surgery XERP external treatment. Fee $10,000-$20,000. Best of virtual consult with.

51, Saggy neck and chin - what procedure would improve this? (Photos)

Answers (3)

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