Neck Firming Options

I have sagging neck skin ("turkey neck"). What are my surgical and non-surgical options to firm sagging nec skin?

Doctor Answers 54

Necklift, Jowls, Facelift Options

If a person’s neck does not appear youthful, the face – no matter how limited the aging changes are – will often not be perceived as youthful either, unless the aging neck is concealed.
Even in the absence of other signs of facial aging, a poorly-defined or sagging neck can add years to a patients overall facial appearance. When performed expertly and with great attention to detail, a necklift surgery can dramatically restore a natural and youthful neck profile, with no outward evidence that surgery has been performed. The adjective that immediately comes to mind when I review ‘before and after’ images of my necklift patients is elegant – for restoring a youthful neck contour truly makes the patient appear not just younger but also refined and elegant.
Necklift surgery can consist of a variety of surgical techniques that are carefully selected to meet each individual patient’s particular needs. It is therefore important to select a qualified physician with a great deal of experience in numerous necklift procedures. In younger patients with good skin tone, submandibular liposuction alone may produce a dramatic improvement. For some patients with good skin tone but poor definition at the angle of the neck, I add a suture-suspension necklift to sharpen the angle between the jawline and neck. This procedure is minimally invasive and has a very quick recovery. It will not, however, improve the situation if a true excess of skin is present.
Patients with more advanced aging changes in the neck generally require tightening of their neck skin as well. The neck is the one area in facial rejuvenation where a tighter and more toned surgical result looks natural and aesthetically ideal (as opposed to the face where ‘tight’ and ‘tighter’ just looks like surgery). Neck skin removal is accomplished through incisions around the ears which can be extended a short distance into the scalp if necessary. If the incisions are created and closed correctly and without undue tension, a very natural looking result can be obtained with no obvious signs that a necklift has been performed. A great deal of experience and expertise is required to avoid distortion of the ear and surrounding skin.

Raleigh-Durham Plastic Surgeon
4.5 out of 5 stars 48 reviews

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Neck Lift and Sagging Skin: Surgical Treatments to Repair Neck Skin

Excessive sagging of the neck skin is usually a result of a variety of factors including:

  • Quality of skin
  • Skin redundancy
  • Laxity of the platysma muscle

Surgery, including a neck lift would improve the amount of skin redundancy and the laxity of the platysma neck muscles by sewing them along the midline. This can usually be accomplished through a small incision under the chin and two small counterincisions in back of the ear.

Alternative treatments that address the skin will generally not recreate the neck line or improve the laxity of the platysma muscle.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 57 reviews

Neck Lift Procedures

To get the best results with Neck Lift, the following is needed;

  1. Bringing the edges of the Platysma muscles together if indicated.
  2. Doing some degree of Liposuction to sculpt the area
  3. Re-draping the skin to help contour the entire neck
  4. placing a chin implant only if indicated.

Please consult a Board certified plastic surgeon with training in head and neck surgery for best results.

Hope this helped.

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 157 reviews

Neck firming fixes

Thanks for your question. As we get older a number of factors can change the contour of the neck and jaw line. These include weight gain (and loss!), weakening of the supporting structures and loss of skin elasticity. This can cause the the "turkey neck" type description you mention. The things to consider when looking to correction include: • Amount of fat • Quality of skin • Skin laxity • Position of the platysma muscle A neck lift and platsymaplasty can be performed with or without submental liposuction to address all of the above problems. Beware of marketing efforts that claim remarkable results without surgery. Generally in the case of excess skin or poor quality skin (skin without adequate elasticity) you will need more than laser or RF tightening. Be sure to find a board certified plastic surgeon. I hope this helps.

Neck Firming Options

Generally speaking, a loose, saggy neck will require some type of a surgical neck lift to firm up and smooth the contour of your neck.  In addition, a "turkey neck" usually includes extra fat concentrated in the front and sagging platysma muscles that  contribute to the wattle.  These require surgery to correct.  The most comprehensive approach is with a standard neck lift, essentially the lower part of a facelift.  However, depending on what combinations or degrees of these anatomical changes are present, you might be able to get a nice result from less extensive surgery, such as liposuction and muscle tightening performed just under your chin.  As for non-surgical approaches to firming up loose skin and soft tissues of the neck, there are some technologies such as ultrasound, radio frequency waves, and light-based systems that may tighten the neck slightly, but  results so far have been subtle and minimal, so your choice should depend on just how much looseness you have and how much excess tissue is present.  Seek a consultation with a respected plastic surgeon who has experience treating necks.

Richard G. Schwartz, MD
West Palm Beach Plastic Surgeon
5.0 out of 5 stars 9 reviews

There are many options to correct sagging neck skin

There are many options to correct sagging neck skin. With your non-surgical options, it all depends on the severity of the laxity that you have. Typically anything that would help tighten the skin with a goodskin care product line would definitely help with this. From a surgical standpoint your options include liposuction with laser assistance or a surgical neck/face lift. It all depends on the severity of your issue and everything that is going on. A full physical examination/consultation with a Board Certified Plastic Surgeon would be needed to be able to tell you exactly what is needed between those options. Hope this helps!

Bill Kortesis, MD
Charlotte Plastic Surgeon
5.0 out of 5 stars 63 reviews

Correction of a “turkey neck”

In terms of surgical options to correct a “turkey neck” you are looking at a facelift procedure.A lot of patients call our office or come in and say “I don’t want a face lift, I just want my neck tighter”.A neck lift is part of a face lift.A face lift can remove the excess skin from the neck area giving you a smooth neck and better jaw line.The platysma bands of the neck are tightened to smooth the neck as well through a small incision under the chin.In most cases a face/ neck lift can be performed with little downtime, minimal scaring and can get you very natural, but effective results. Unfortunately there are no good, non-surgical options to remove the “turkey neck”.A face/ neck lift is the recommended procedure for this issue.

Surgery is the best treatment for a

There are multiple ways to improve a heavy or sagging neck.  Saying that you have a "turkey neck" usually implies a relatively heavy/sagging neck, however, patients use this term to describe a wide variety of conditions ranging from an abundance of sagging skin with little fat to a large, heavy neck with very few wrinkles.

As the neck ages, several changes occur.  First, "banding" or vertical lines develop under the neck.  These lines are actually a bunching up of a neck muscle called the platysma.  In a relatively young neck with mild banding and elastic skin, these muscles can sometimes be treated with Botox or similar product to improve the appearance.  Banding, however, is usually accompanied by loose, sagging skin and the best treatment in this case is to perform a neck lift (platysmaplasty).  In this procedure, the muscle is tightened so that it tightly conforms to the neck again.  At the same time, fat can be removed and the excess skin can be removed.  The incisions are well-hidden around the ear and under the chin.

Another option is liposuction.  Liposuction is very effective for improving the neck contour, however, the optimal patient should have young, elastic skin that will conform to the new shape of the neck.  If the skin is less elastic, liposuction will actually worsen the appearance of the neck, because the excess skin will appear to sag even more.

There are non-surgical options to improve the neck, such as the Venus Freeze, Ulthera, and other devices.  These devices may be a good option if you are looking for a modest improvement, but they cannot produce the dramatic results seen using liposuction or neck lifting.

Michael Ondik, MD
Philadelphia Facial Plastic Surgeon
5.0 out of 5 stars 5 reviews

There are really only surgical options for neck firming

While it is nice to imagine a laser or some other device that can tighten the neck and avoid surgery, as of yet I have never seen one that really works. Until the day we have a non-surgical device you are looking at a neck lift of some sort.

There are different variations but basically you are going to have some incision around the ear and tightening of the neck fascia. Down time will range from 1-2 weeks. Results are usually good though the aging process will slowly continue and over time there will be some relaxation. Hope this helps.

Ivan Wayne, MD
Oklahoma City Facial Plastic Surgeon
5.0 out of 5 stars 34 reviews

Options for a sagging neck

 If you have sagging neck skin there are really no non-surgical options at all that do anything worthwhile.  What you need is a well performed facelift or cheek and neck lift. Check the necks on the photos on my web site and on RealSelf and see if this is what you are thinking about wanting.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.