Should I have Ultherapy on my chin and neck before or after CoolSculpting under the chin? (photos)

Hello, I would recommend having either coolsculpting or kybella first to dissolve the fat cells, and to treat the lax tissue in conjunction with submental fat.  Then post treatment protocol time after either of those choices Ulthera would be a great option to treat the loose lax skin under the chin and on the neck area. 

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thanks for your question and photos. For the fat reduction, you could choose between CoolSculpting and Kybella. Both of these treatments offer non-surgical destruction of fat cells to improve the contour under the chin and add definition to the jawline. It is possible you will see an optimal outcome from one of these procedures alone. If skin laxity is still a problem, that would be the time to follow up with an Ultherapy or ThermiTight treatment to put the finishing touches on your facial contouring. Make sure you are working with a board-certified cosmetic dermatologist to ensure you procedures are as safe and successful as possible. 

At VIVAA, we would recommend destroying the fat first and then following up with Ultherapy about 2 months after Coolsculpting. Coolmini provides some skin retraction adding Ultherapy will provide more tightening. Good Luck!

Kybella is good for dissolving the submental fat under the chin area while contouring the jawline and making the chin more defined, but a combination approach is needed to get the most improvement with non-invasive options. I recommend a combination approach with Thermage, Ultherapy, Exilis, and/or Coolsculpting.
VASER Neck Liposuction in combination with ThermiRF, Renuvion, and InMode FaceTite is the best alternative for contouring the chin. I recommend getting a formal evaluation with a cosmetic dermatologist to develop a treatment plan that works for you. Best, Dr. Emer