What are my options for my gobble wobble neck/chin? (photos)

The neck can get sagging skin for many reasons including a lot of sun exposure, weight gains or loss, pregnancy etc.  Aging of the neck is very common before aging of the face.  It's one of the things that can be very frustrating to patients of all ages especially the turkey neck in patient’s with a family history. The face and neck keep changing as you age. Some of the changes are at the skin level, some at the deeper levels like the fat, retaining ligaments or muscles. There are several nonsurgical and surgical options to treat each of these different areas. Some can be done together and it really depends how much improvement you want to see as well as what part really bothers you. If there is significant sagging, surgery is usually the preferred procedure but can still be combined with injections and laser treatments before or after surgery.  A simple way to think about it - think of surgery as addressing any excess skin and laxity as well as removing fat.  Think of laser as tightening the skin levels. Injections like Kybella can nonsurgically help diminish the fat and offer improvement and there are all sorts of laser procedures that can tighten different layers as well.Most of these procedures can be done safely in the office and the results are very satisfying. An in-office private consultation and examination with a board-certified plastic surgeon would be the best way to fully see and address your specific concerns and determine the right treatment plan.I hope this helps answer your question.  If it does, please take a moment to up vote this answer on the “respond” button on the top right.  

I see and hear your concern.  In the long run, surgery in the form of a neck lift is the treatment option that will provide the most value to you (in terms of good result, long-term effect, financial cost, and time spent).  You can certainly try nonsurgical options first.  However the nonsurgical options do not provide much value in this area, and the time/cost tends to add up over time.  Hope this helps!

based on these photos you seem to be a good candidate for neck lift. Only on the basis of in person evaluation one can decide whether neck of lower face/neck lift would be a better option for you. Good luck.

You would do very well with a little neck tuck under local and it is so easy to undergo. it is called a platysmaplasy.

With significant neck sagging you would need a necklift / facelift with muscle tightening (platysmaplasty). At the same time, lasers treatments (Fraxel, CO2, Erbium) or microneedling RF (Fractora, Intensif) can be performed to improve crepey skin or wrinkles. You need a formal consultation, as the neck can be treated with a combination approach:
- Microneedling and laser treatments for texture
- Botox, Dysport or Xeomin to help the Platysmal bands
- Intensif or Fractora RF microneedling for crepey skin and lifting
- Injectable fillers like Belotero, Restylane Silk, and/or Juvederm Volbella to improve lines and folds
- Renuvion, ThermiRF, and/or InMode FaceTite for internal tightening
- Ultherapy and Thermage for external tightening
- regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
- PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production
See an expert for a full evaluation and treatment plan based on your individual situation and goals. Best, Dr. Emer

Hello and thank you for your question. Based on your photograph, you may benefit from a neck lift.  If good technique is used, this can be done with minimal scarring and can result in a natural look, not over-done look, with rejuvenation of your neck.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. Best wishes and good luck.

Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon
 

Thank you for sharing your excellent question.  Based on your pictures alone it appears that a neck lift would be your best, longest-lasting treatment option.  This would help repair and tighten the muscles of the neck while removing excess skin to leave a tighter/toned appearance.  Hope this helps.

Thank you for your question. There do exist nonsurgical options that help address the fat of the submental (neck area) including coolsculpting and kybella injections, and the results can be quite decent. In order to tighten the muscle (the bands you see in certain angles) as well as the skin, a surgical neck lift or potentially platysmaplasty with liposuction only of the neck would be your best option but would have to be based on an in office exam by a plastic surgeon. Best of luck to you!

Good question and pictures!!  What would be the best result and most appropriate procedure would depend a history, examination, and discussion about desired outcome.  You have central skin laxity in your neck and I feel the best house and be with a neck lift. I feel nonsurgical options would not be of any benefit.  Naturally appearing results can be obtained with surgery and I think you’d be a good candidate.
Robert Schutz, M.D., FACS
Rapid City, South Dakota

Your photographs demonstrate significant laxity of the anterior neck skin. The best procedure for long term improvement in this area is a neck lift which is usually combined with tightening of the lower face and jaw line. Although this is surgical it gives the best and longest lasting results and is worth the week or two of downtime. Consulting with a surgeon experienced in these techniques would be the best way to learn more about this procedure.