Dear Johnjana,
Your face looks excellent after your fractional ablative laser skin resurfacing.
You have an excellent jawline and no fat on your neck, so you are very fortunate.
There is no question that a neck lift, with well hidden scars behind the ear would give you an excellent result, and the best result.
However, I understand your reluctance to have surgery and there are non-surgical neck and facial rejuvenation options available to you-the results will just not be as good.
There are 2 components to what I see in your neck.
First, the little cords or bands are caused by the platysma muscle bands beneath the neck skin. Tiny amounts of Botox can reduce the contraction of the platysma muscle and lessen the appearanc of these bands. Injections will have to be repeated every 6-8 months.
The second component is a small amount of loose skin. New skin tightening techjnologies like the LuxIR Deep, Thermage, Titan, and Refirme can tigthten neck skin about 20-30%.
You will need 4 skin tightening treatments scheduled 4 weeks apart, and you will not see your final results until 6 months aqfter your last treatment.
If you only do skin tightening and not Botox, the cords or bands will still show.
I use the LuxIR Deep made by Palomar and have had very good results.
However, the MOST IMPOTANT thing is the person who uses the machine, not the machine per se. You need to do your homework and find a doctor who is experienced at skin tightening. It is OK if a nurse or medical aesthetician does your treatment-just make sure they have a lot of experience. The higher energies used by the operator, the better the skin tightening. The LuxIR Deep has excellent skin cooling which allows more aggresssive treatments.
Laser liposuction of a double chin also tightens skin, but since you do not have fat, I would not us the laser lipo fiber on you.
A surgical neck lift will offer you the best, longest lasting result
See before and after pictures of the surgical neck lift below( April photo # 1)
