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Help! Losing weight has left me with an unsightly, saggy neck

I’M in my 60s and have lost weight — with a resulting unsightly pouch of slack skin under my chin. What are my options? Massages and creams haven’t worked.

A: Don’t hate me, but truly improving lax skin is expensive, and to make matters worse, most doctors advise a combination of treatments — one to tighten, one to densify skin — to really make a difference. So don’t shoot the messenger.

the option suggested by aesthetic surgeon Miss Sherina Balaratnam (stethics.co.uk) is a series of sessions of fractional radiofrequency ( RF) microneedling (brand names include EndyMed Intensif and Intracel).

the technology introduces collagen-stimulating heat to the deep skin layer via a handpiece studded with small needles.

the punctures these cause have their own cell-boosting power, making for a double whammy of tightening skinregeneration, the results of which will be visible after three months. Expect two days of swelling, pinpoints bleeding and crusting afterwards. the treatments themselves — Balaratnam recommended three, spaced 4-6 weeks apart (£1,950 for all three) — are bearable thanks to numbing cream.

on top of this, she would use strategically placed filler (costing £450 per syringe) to support slackening skin.

If done properly (ask your doctor for their before-andafter patient photos and study them) this can lift jowls and even the chin area without you ending up looking pugnacious.

Ingeborg van LotrIngen is beauty director at Cosmopolitan. email questions to inge@dailymail.co.uk.