Dr. Dean Kane Q&A –I would like to get rid of the flab under my chin. Is there a procedure that addresses this without having a lower facelift at the same time?

Dear Facelift options patient:

Various options for facelifting and skin texture improvements are available according to the skin laxity and areas of lift or tightening you wish or need. Both surgical and minimally invasive / non-surgical options are listed below.

Surgical lifts would be likened to pulling the bedspread and or top-sheet of your bed up to the head-board and removing the excess material.

Minimally invasive procedures such as fillers provide volume such as adjusting a pillow under the bedspread. Botox and Dysport act by pulling the top-sheet which drags the bedspread upwardly. If the bedspread (or skin) continues to fall to the foot of the bed despite fillers, Botox or Dysport you will need to consider a facelift.

Non-invasive options such as laser and light therapies, skin tightening products and technologies perform their tightening and smoothening of the skin similar to sending your bedspread to the dry cleaners. A more refreshed, even colored, glowing smoother and tighter spread covers the surface of the bed.

If you can pinch more than an inch of skin along your jawline toward your earlobe, there is NO non-surgical or minimally-invasive technique which will shrink the skin excess. Please consider a procedure with appropriate skin redraping and skin excess excision.

We can consider: a traditional face and neck lift, short scar face and / or neck lift.

The recent resurgence of the S-Lift (created in the early 1900’s), also called by other names as the  Quick-Lift, Lifestyle-Lift, Swift-Lift, Soft-Lift, MACS-Lift and others; are a single modification of the S-lift targeted to elevate sagging lower cheeks jowls and lateral upper neck. The shorter scar, limited undermining and second layer lift achieve the “quicker” procedure but not necessarily the quicker recovery or the improvement you desire.

Facelift alone will probably not provide adequate skin tightening of the neck skin excess. Neck lift may or may not be all you need.

As you see, it is imperative that you seek a proper consultation by a well experienced Board Certified Plastic Surgeon or Facial ENT for your concerns.

I wish you the best!


Dean Kane, MD, FACS

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