Im Only 25, but my Neck Seems to Have Loose Skin when I Turn Certain Ways, Should I Consider a Neck Lift? (photo)

Question

Ive posted two pictures as examples. When I make certain facial expressions or turn my head it looks like i have really loose neck skin. Ive recently had a baby and gained and lost about 25-30 lbs. I believe i may have a weak jaw line too. Not sure but id love to just tack my skin up a bit to give me a more defined jaw and neck. Im leaning more torward a neck lift because i notice a big cord in my neck when i turn my heard sideways and i want something dramatic done that lasts.

Frank P. Fechner, MD · Answer

I would say: Definitely No! Some mild laxity is normal - especially with moving and turning. If this gets more significant (and yes, it will over the years), you could consider non-invasive face and neck tightening such as Ultherapy.

Jason Emer, MD · Answer

"For a double chin, InMode FaceTite with VASERlipo would give you the best result.

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production

See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals. Best, Dr. Emer"

Jed H. Horowitz, MD, FACS · Answer

There are several non-surgical treatments that may help address your concern. Therefore, it would be best to consult with a board-certified surgeon in-person as you may have more than one option. 
During your consultation, 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 will determine the options to #rejuvenate your neck. However, chin deficiency with the neck and jawline are also taken into consideration. A weak #chin implies a lack of chin support for the skin along the neck line. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. I suggest consulting with a board-certified plastic surgeon to learn if you a are indeed an #candidate and also more about the #options available and which of those may be best for you.

Young R. Cho, MD, PhD · Answer

Thank you for your question for sharing your pictures. Based on your age and photos, I would recommend non-surgical approaches. I am finding that the combination of Kybella or Coolsculpting Mini to reduce the sub mental fullness 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.The Coolsculpting mini procedure cools the fatty tissue under the submental area and also reduces the fatty tissue under the chin.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.

Kris M. Reddy, MD, FACS · Answer

No you are not a candidate for a neck lift.  If your concerns persist you could consider a nonsurgical tightening procedure.

Todd C. Miller, MD · Answer

The pictures that you have provided demontrate that you have a nicely defined jaw line with no evidence of jowling or neck laxity. In my experience, it is very rare for a 25 year old to be in need of any surgical lifting in the face or neck unless the patient has undergone massive weight loss (>100lbs). I would do multiple consultations with experienced and qualified facial plastic or plastic surgeons to get their opinion. Good Luck!

Amiya Prasad, MD - Account Suspended · Answer

At this point you may be a better candidate for radiofrequency skin tightening for the neck (such as Pelleve, which I offer at my New York practice) and treatment of the neck bands with Botox or Dysport. The next step for you is to have a qualified specialist evaluate you in person for neck rejuvenation procedures. The skin elasticity and other elements to making a decision about your neck rejuvenation treatment plan cannot be assessed by still photos alone, especially if indeed are considering a neck lift.

Francis R. Palmer, III, MD (retired) · Answer

Absolutely not at 25 years of age.  Perlane to enhance the aesthetic shape of the cheels perhaps...but no surgery IMHO.

Im Only 25, but my Neck Seems to Have Loose Skin when I Turn Certain Ways, Should I Consider a Neck Lift? (photo)

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