How to Firm Skin Under the Chin: Your Comprehensive Guide

The quest for a more youthful appearance often leads us to focus on one of the most challenging areas of our body to tone and rejuvenate: the skin under the chin. Commonly referred to as a "double chin" or "turkey neck," this area can show signs of aging, weight loss, or genetic predisposition in the form of loose skin or excess fat. In this article, we'll explore the most effective strategies for skin tightening and enhancing the jawline, from collagen production to cutting-edge treatments like Ultherapy.

Understanding the Causes of Sagging Skin Under the Chin

Aging and Skin Elasticity

As we age, our skin loses elasticity due to decreased production of collagen and elastin, leading to sagging neck skin and the development of jowls. This natural decline in skin firmness is a common concern for many seeking a more youthful appearance.

Weight Fluctuations and Skin

Significant weight loss can leave you with excess skin in the neck area. While losing weight is an achievement, it can sometimes result in loose skin that diminishes the impact of your hard work.

Genetic Factors

Genetics play a crucial role in determining skin structure. Some people might be more prone to developing a double chin or loose skin in the neck area due to their genetic makeup.

Professional Treatments at Med Spas

Professional treatments at medical spas offer a variety of options for those seeking to firm up the skin under the neck. These treatments range from non-surgical to minimally invasive procedures, each with its unique benefits and considerations.

Non-surgical treatments include:

  • Laser Treatments: Laser treatments are a non-surgical option for skin tightening. These treatments use energy-based therapy to improve the firmness and smoothness of the skin, particularly by boosting collagen production. Laser treatments can cause collagen to constrict, effectively tightening loose or sagging skin and reducing signs of aging.
  • Ultherapy: Ultherapy is a non-invasive treatment that uses ultrasound technology to stimulate the production of collagen and elastin, resulting in natural-looking skin tightening results. It is the only FDA-cleared, non-invasive procedure that lifts the neck, chin, and brow, and improves lines and wrinkles on the upper chest3.
  • Kybella: This non-invasive treatment involves injections that target and eliminate excess fat cells in the neck, reducing the appearance of a double chin. While Kybella itself cannot tighten highly lax skin, it can have some skin tightening results when there is not an issue of extreme skin laxity.
  • Botox: Botox works by relaxing the muscles that cause the skin to fold, effectively reducing horizontal neck bands and tightening sagging skin around the neck. It's a safe and effective treatment option that can provide long-lasting results for mild neck sagging.
  • Microneedling: Microneedling is a minimally invasive procedure that uses tiny needles to create microscopic injuries on the skin, stimulating collagen production and encouraging new skin growth. This treatment can effectively reduce the prominence of fine lines, improve the evenness of skin tone, and offer skin tightening.
  • RF Microneedling: This treatment combines radiofrequency (RF), or heat, and microneedling to stimulate collagen production. It can lead to improvements in the texture of the neck skin, addressing fine lines and sagging skin. RF Microneedling is suitable for patients of all skin types and colors.

It's important to consult with a professional to determine the most suitable treatment based on individual skin conditions and desired results.

Surgical Alternatives

For more pronounced results, surgical procedures like a neck lift or facelift can be considered. These treatments provide substantial rejuvenation but involve longer recovery periods.

A Neck Lift is a surgery that enhances the appearance of the jawline and neck by tightening muscles and removing excess skin and fat. Post-surgery, most patients experience pain, swelling, and bruising for about two weeks, with the new neck contours becoming visible as swelling subsides.

A Facelift improves aging signs in the face and neck. It involves lifting the skin, tightening tissues and muscles, and sculpting or removing fat. While it doesn't correct sun damage, it can be combined with other cosmetic procedures for enhanced results.

These surgeries carry potential risks, including nerve injury and infection, so a detailed consultation with a plastic surgeon is essential.

Home Remedies and Lifestyle Changes for a Firmer Neck

There are several home remedies and lifestyle changes that can help improve the appearance of a sagging neck.

Effective Skincare Routines

Incorporating skincare products with retinol and other collagen-boosting ingredients can help maintain skin firmness. Regular use of creams specifically designed for the neck area can also be beneficial. Topical antioxidants, sunscreen, and hyaluronic acid are also recommended for neck care.

Exercises for Firming Neck Skin

Facial and neck exercises can strengthen neck muscles and improve the appearance of a sagging neck. These exercises, when performed regularly, can complement professional treatments. They stimulate the production of collagen and elastin, which not only tone your skin and improve your blood circulation but can also provide for more youthful-looking skin.

Diet and Nutrition

A balanced diet rich in antioxidants and vitamins can support skin health and aid in maintaining elasticity. Foods rich in beta-carotene, such as cantaloupe, carrots, mangoes, and leafy greens like kale, are particularly beneficial for skin health.

Remember, these remedies and lifestyle changes can be effective but results may vary from person to person. Always consult with a professional for personalized advice.

When to Consult a Professional

Seeking advice from a professional provider can provide clarity on the best course of action for your specific situation. They can advise on everything from topical treatments to more advanced procedures.


Firming the skin under the chin requires a combination of treatments and lifestyle changes. Whether you opt for skincare routines, facial exercises, or professional treatments like Ultherapy and RF microneedling, the key is consistency and choosing the right approach for your skin type and condition.


Can Diet and Lifestyle Changes Alone Firm the Skin Under the Chin?

While diet and lifestyle changes can contribute to healthier skin and may improve its appearance, they are often not sufficient to significantly firm the skin under the chin, especially in cases of pronounced sagging or excess skin. A balanced diet rich in antioxidants and regular facial or neck exercises can support skin health and may provide some degree of improvement. However, for more noticeable results, professional treatments are typically recommended.

Are There Any Risks Associated with Non-Surgical Skin Tightening Treatments?

Non-surgical skin tightening treatments, such as laser treatments, Ultherapy, and RF microneedling, are generally considered safe when performed by a qualified and experienced professional. However, as with any medical procedure, there are potential risks and side effects, including redness, swelling, and discomfort at the treatment site. It's important to discuss these risks with your provider before undergoing any treatment. The provider can also assess your individual skin condition and medical history to determine the most appropriate and safe treatment for you.

How Long Do the Results of Professional Skin Tightening Treatments Last?

The longevity of results from professional skin tightening treatments can vary depending on the type of treatment and the individual's skin condition and lifestyle. For example, results from treatments like Ultherapy or RF microneedling can last for several months to a year, and sometimes longer. It's important to note that these treatments may require maintenance sessions to sustain the results. Additionally, factors such as continued aging, sun exposure, and changes in weight can affect the duration of the results. A consultation with a dermatologist or aesthetic professional can provide more personalized information based on your specific needs and goals.