Beverly Hills Laser Treatment doctors
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Brent Moelleken, MD
Beverly Hills Plastic Surgeon
120 S Spalding Dr Suite 110, Beverly Hills |
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4 answers |
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Edgar Franklin Fincher, MD, PhD
Beverly Hills Dermatologic Surgeon
421 N. Rodeo Dr 2nd Floor Terrace Level, Beverly Hills |
2 answers | |
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David Alessi, MD
Beverly Hills Facial Plastic Surgeon
8670 Wilshire Boulevard. Suite 200, Beverly Hills |
1 answer | |
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Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
416 N Bedford Dr Suite 200, Beverly Hills |
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1 answer |
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David Hansen, MD
Beverly Hills Dermatologic Surgeon
9201 W Sunset Blvd Ste. 612, Beverly Hills |
1 answer |
Recent Answers
I am 45 and would like to improve the appearance of my neck. As you can see in the pictures, my jaw line isn't too bad but the neck itself is looking a little 'stringy' and wrinkly. Would lasers help improve things for me or should I go straight for a neck lift? Thank you
Hi,
After reviewing your photos, I feel that the procedure that will give you the best and longest-lasting results will be surgical. While lasers can help slightly with the skin component, they are not going to affect the muscle that definitely needs to be addressed in your case. I think a neck lift will serve your current concerns. A neck lift generally involves tightening the platysma, the muscle that is causing the vertical bands on your neck. It can also address some excess skin of the neck. The downside with doing a neck lift alone is that inevitably patients desire a lower facelift a few years later becuase their jowls have started to form, and their face looks older than their necks!
If you are not ready for surgery yet, the only noninvasive technology I would consider for tightening the tissues of the neck would be Ultherapy. In my practice, we have seen promising results with Ulthera in patients with mild to moderate tissue laxity, such as in your case. Ulthera, unlike lasers, also achieves some muscle tightening. However, it is not a substitute for surgery and the results do not last as long as surgical results. One option would be try Ultherapy now so that it "buys you a couple of years" and then if you notice some jowls over the next few years, you can proceed with a facelift to address your neck and jowls at the same time.
Hope this helps!
Dr.Sunder
I am 45 and would like to improve the appearance of my neck. As you can see in the pictures, my jaw line isn't too bad but the neck itself is looking a little 'stringy' and wrinkly. Would lasers help improve things for me or should I go straight for a neck lift? Thank you
Your pictures show, IMHO, signs of Jowls as well as excess skin of the neck. In these cases, the best and least invasive solutions are to think of each as an isolated area.
- The neck could be treated using a formal Neck Lift which is quite extensive surgery (3 1/2 hours), with incisions that go from 3 inches inside the posterior scalp across the entire neck into the same place on the opposite scalp. This is combined with an incision under the chin. If you want a completely smooth neck without signs of anterior bands, this is the only procedure that can give you that result. Lasers or RF treatments will tighten the skin a few mm's but not 2 inches, which the amount of excess skin showing in the photos. If you would be happy with ~ 80% of the skin removed from the neck this skin can be removed through an incision under the chin alone. This has the advantage of being far less invasive with a rapid recovery.
- The jowls can be reduced using a minimum incision Face Lift with a rapid recovery
Hope this helps.
