Neck Lift Without Surgery - What Works?

There are effective nonsurgical options to treat sagginess in the neck, however, there is no one treatment that can match a well-executed facelift/necklift.Here are my comments on a number of popular options:1. Ultherapy -This is the only FDA approved device for tissue lifting in the face.  Results are mild and many are attracted to the no-downtime feature.  Younger patients with mild laxity in the jawline are best candidates.2. Botox-This has a limited role at improving the vertical bands from the platysma muscle that becomes saggy.  Some horizontal  lines may also be treated.3. Lasers-These can improve skin texture and lines and I think fractionated CO2 lasers work best such as the Mixto laser.  You have to be gentle to this skin though, so choose an experienced laser provider!4. Fillers can also work very well along the jawline to create definition and minimize jowls.  Radiesse and Voluma are my preferred options.5.  Other things such as threadlifting, radiofrequency and skin tightening creams have a limited role.A good exam by someone who understands your anatomy and your needs is the best start!

One of the characteristics of facial aging that tends to "age" more than any other is fullness in the lower cheeks (jowls) and upper neck.  Finding an appropriate non-surgical alternative to treat this common problem is the "holy grail" of facial rejuvenation.  To the honest and objective observer, there is no alternative approach that even comes close to the results you can get with surgery.  Not even close!!  I know that surgery can be scary, but for the most part, facelifts are very safe, relatively easy recovery and the results can be unbelievable.

A combination of non-surgical options like Kybella, PDO NovaThreads, Ultherapy and Thermage would do well in combination for skin tightening for the neck. VASER Liposuction (with ThermiRF, Renuvion and InMode FaceTite) is a great alternative for contouring and tightening the chin and neck and can be combined with a neck lift at the same time, if you're a candidate. I suggest getting a formal evaluation with a cosmetic dermatologist to develop a long-term treatment plan that works for you. Best, Dr. Emer.

Choosing a plastic surgeon is important in this process, even if you choose to undergo a non-surgical procedure. 
Neck laxity can be caused by muscle tightening, masseter dysfunction, loose skin, and fascial dehiscence and loosening. 
Our Hidef approach to non surgical neck lifting addresses underlying
muscle hypertrophy, neck laxity, and fascial tightness. We use a
combination of Venus Legacy RF, NanoRF, and Ultherapy to exact a
tightening of the neck + Botox for muscle and masseter hypertrophy.
Retinoid creams are a must and we follow a comprehensive cream program
for topical creams. 
Finally, fractional laser offers the benefits
of microablation to improve skin quality and texture. We use this in
addition to light therapy and PRP.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

There are many options for the neck depending on what you want to address. This depends on your skin quality and platysmal bands. 
Embrace RF is an option to tighten the skin and remove excess fat. This seems to be a good option for many in-between patients that are not ready for a facelift/necklift. This procedure allows treatment of the neck and small jowls. 
CO2 laser resurfacing and Fractura RF are also good options for tightening skin. 
For bands, a platysmaplasty is needed to tighted the muscle. 
To discuss your options, please see a board certified plastic surgeon!

Thank you for your question about non-surgical neck lift.There are many different ways to treat the neck non-surgically.  There are some creams that have peptides to help rebuild collagen.  Lasers such as the Sciton Halo can help the skin regenerate collagen to minimize lines and tighten skin.  Also, Platelet Rich Plasma (PRP) microneedling will also help your skin regenerate collagen. Sometimes the muscles in your neck (Platysmal bands) can flex causing the skin to lift and look like sagging skin.  Botox can relax these muscles with a procedure often referred to as a "Nefertiti Lift".  If it is less about loose or crepe-like skin, and more about a small amount of fat under the chin....then Kybella may be the choice for you.  


To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment.

I hope this helps.

The presence of banding down the front of the #neck, and, amount of excess skin and condition of your skin are among some factors which determine if you are a #candidate for #rejuvenating the neck. During the examination the chin will be evaluated along with the neck and jawline. A weak #chin means there is not adequate chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local anesthesia. For individuals with signs of aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.The best neck #lift surgeon will evaluate both your anatomical features and aesthetic goals to determine which neck lift procedure best suits your individual needs. In some cases your plastic surgeon may give you more than one option to choose from. If you are not a candidate at the time of your #consultation, your board certified plastic surgeon can recommend non-surgical alternatives to address your concern.

Thank you for your question. One option you can consider trying is Ulthereapy. It is a non-invasive procedure to the neck and under chin, as well as the eyebrow. It is an FDA cleared procedure. Basically, Ultherapy is a non-surgical ultrasound treatment that counteracts the effects of time/gravity on your skin. Best of luck!Dhaval M. PatelDouble board certifiedPlastic SurgeonHoffman EstatesBarringtonOakbrookChicago

Ultimately, a surgical neck lift would be your best option. This procedure could include tightening your underlying musculature to give you a better contour and also removing the excess skin laxity. Together this allows for a much better neck contour. In some instances, some liposuction is also beneficial to reduce the submental fullness.However, if you are looking soley for a non-surgical solution, I am finding that the combination of Kybella to reduce the sub mental fullness (when present) and an energy device to tighten the skin are among the best non-surgical combinations to help your neck concerns.kybella is an injection procedure that dissolves the fat an may require between 2-4 treatments spaced 4-6 weeks apart. There is some swelling and bruising potential, with the greatest amount with the first treatment.As far as energy devices, I would recommend Ulthera if you are looking for something with no downtime, or Profound if you could tolerate some downtime. Ulthera is an ultrasound based energy that heats the underlying tissue and stimulates collagen in response. Profound is a radio frequency microneedling device that allows for the creation of Elastin, collagen and hyaluronic acid and hence restores some of the lost elasticity in the neck. It has more visible downtime with the possibility of some swelling and bruising that diminishes in about a weeks time.

Thank you for your question! There are some ultrasound and radiofrequency devices that can improve very minor neck issues (such as slight skin laxity). Yet a "turkey neck" description makes me think that you may need a formal facelift (which is also a necklift) with possible platysmaplasty and neck liposuction. I hope this helps!