36 and Crepey loose skin on neck. What is the best method to help this and keep it from getting worse? (photos)

Fractora RF can help a lot in tightening up loose skin on the face or neck and is easy to undergo under local. Downtime is only 3 days and fractora RF really works whereas ultherapy and thermage only dream of tightening skin.

Thank you for your question. The best treatment might be a combination of skin treatments, liposuction and laser regimens. I suggest that you move forward and consult with a board certified facial plastic surgeon to determine your candidacy.
Best wishes,

Thank you for your photos.  While various skin tightening techniques ( Thermage, Ultera, micro-needling) are advertised as a solution to your issue, the results have been underwhelming.  The best option would be a well performed neck lift which could correct your platysmal bands and smooth your skin, straighten your jaw-line and contour your neck in a predictable, reliable fashion.  Recovery is short, approximately 5-7 days.  See a board certified plastic surgeon for a consultation.

A combination approach would give the most improvement. Kybella, PDO Nova Threads, Ultherapy and/or ThermiRF treatments (Venus Legacy) are non-invasive options that would do well in combination for skin tightening for the neck. VASER with ThermiRF 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. See a cosmetic dermatologist for a long term treatment plan. Best, Dr. Emer.

Hello and thank you for your question. Based on your photograph, you may
benefit from a mini neck lift.  If good technique is used,
this can be done with minimal scarring and can result in a natural look, not
over-done look, with rejuvenation of your neck.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results. The most important aspect
is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

You have a few options. Try Botox to soften your platysmal bands and chemical peels to improve the quality of your skin and, one hopes, restore a bit of elasticity. Kybella or neck liposuction may be good options for defining the chin and jawline. I hope this helps.

The best way to address this neck issue- is with a face/neck lift.This will treat the major causes which are - excess skin and loosening muscles of the neck. In the right hands you can expect elimination of this issue. In my opinion- non surgical treatments for this situation will be a waste of time and money

Hi Cortney,Sorry to hear of your frustrations.At your age, before a surgical necklift, I would consider less-invasive procedures like radiofrequency-assisted microneedling.Consider going for an in-person consultation with a dermatologist, facial plastic surgeon, or plastic surgeon who offers this technology and see if it would be appropriate for you.  If not, a surgical necklift is always an option.Best wishes, Dr. Jay

In young patients with good skin elasticity, a few energy based radiofrequency and ultrasound alternatives exist to tighten the muscles of the neck and face  - however if the skin is very loose and does not improve with nonsurgical treatments you may benefit from consultation with a specialist for possible face and neck lift surgery to rejuvenate the contour of the neck.  Best of luck to you!

 Hi, I have performed many facelifts and neck lifts for over 30 years and have performed many minimally, invasive SMAS facelifts.  From the photos there is some excess skin under the chin and in the anterior (front) portion of the neck.  While RF and other skin tightening treatments can be considered, these are likely to improve the situation somewhat but unlikely to make a significant lasting change.  For that to occur, the loose  skin would need to be removed either with a localized excision or with a "formal" neck lift procedure.  The later would likely involve a lower facelift as well due to direction of skin elevation and pull.   If you have "jowls” these are sagging facial tissues and the main indication for some form of a SMAS facelift.  The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last).  The excess skin is then removed and the facelift incisions closed.
 My most popular SMAS facelift is the minimally invasive, short incision SMAS facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
very small incisions and no incisions extend or are placed within the hair.
minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
can be performed in 90 minutes or less, with or without general anesthesia
no incisions within the hair = no hair loss
excess fat can be removed from the face and neck
excess skin removed from the face and neck
cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
most patients fly back home to parts all over the world in as little as 3 days post-op
 I combine facial shaping with every facelift procedure.  When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face.
 Along with the minimally, invasive SMAS facelift described above, some of the excess skin below the chin can be removed using a small, curved incision under the chin.  This along with skin removed in front and behind the ear will tend to reduce the skin excess by around 70% or more.
 If anterior platysmal bands are present or the maximal amount of neck skin is to be removed, a "formal" neck lift can be done.  In this procedure, the face and neck tissues are elevated using a curved incision around the front (explained later) of the ear that continues in the crease behind the ear and then 3 inches into the posterior hairline.  The tissue is dissected from that point all the way across the entire neck to the same position on the other side of the head in a dissection that is as long vertically as the entire neck.  The Platysma muscles are tightened using a curved incision under the chin and each side is pulled upward and back again being tightened at a line behind each ear (under the tissues).  Since the skin flap pull is up and back, this will pick up any tissue laxity along the jaw line or "jowls" which must be dissected and flattened out using a lower facelift (incision around the front of the ears).  If this isn't done, pleats of excess skin will appear below each ear.  This is an extensive surgery taking 4 1/2 to 5 hours with large incisions, requires placement of drains, possible hair loss and months of recovery.  
Hope this helps.