I am 36 and I feel like I have a premature turkey neck! How can I fix the appearance of my neck/profile? (photos)

Question

I hate this skin under my chin and I feel like I look like I have sagging skin. How can I get a nicer profile? I'm 36 and feel too young for a facelift!

Alejandro J. Quiroz, MD · Answer

Thank you for your question. I do see platysma muscle bands in you neck and those bands can be treated with Botox or surgery. Botox normally last for 3 to 4 months but with time you eventually need surgery to permanently correct them.

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"

Kenneth Hughes, MD · Answer

Hello, thank you for your question. Any areas on the face and neck with saggy skin can be treated with FaceTite. This includes the double chin, the neck, the jowls, the jawline and mandible, and marionette lines as well as other areas with deep lines and loose skin.
Patients who opt for Facetite are seeking a more youthful look but do not want to deal with an invasive surgery, the scars of a face lift, or the recovery time.  Results of a face lift typically last about 10 years depending upon the level of undermining, level of support of deeper tissues, and amount of skin removed along with patient dependent factors; Facetite, about five, but it can be combined with Fractora to provide improve results over time.

Lucian Ion, FRCS · Answer

At your age, the most reasonable first step is to use boulinum toxin injections (Botox or equivalent) to see if it corrects or solves the problem altogether. If if you have problems swallowing, this would nor be a good choice.The texture and quality of the skin can only be evaluated in consultation. If the skin elasticity is relatively good, a smaller necklift intervention with scars placed under the chin and behind the ears can be a good solution, because you are slim and with a very good jawline contour. A facelift procedure would not add anything to the neck contour.

Emmanuel De La Cruz, MD · Answer

Hello kfmt2984,  
It’s a pleasure to answer your questions! I 
would recommend you getting neck contouring with Embrace Radio Frequency
 (RF). This is NeckTite combined with Fractora, to tighten the sagging 
skin around your neck, and obtain long-lasting and natural-looking 
results. NeckTite is a minimally-invasive, advanced contouring device, 
FDA-approved and readily available nowadays. Patients who would prefer 
to avoid surgery and general anesthesia, opt for NeckTite to achieve 
results similar to a facelift. Recovery time required for this procedure
 is remarkably short (24-48 hours), and also pain-free, relative to 
traditional lipolysis methods. This scalpel-free, and scarless skin 
treatment is typically performed in the office, under local anesthesia. 
Using radio-frequency (RF) technology, the surgeon places a small probe 
beneath the skin that heats the tissues causing them to contract and 
tighten. Furthermore, NeckTite can be combined with Fractora to provide 
anti-aging improvements on skin tone and texture for a more youthful and
 radiant appearance through ablation and skin resurfacing. Fractora 
provides dramatic wrinkle improvement by fractionally ablating the skin 
and restructuring deeper tissue. This FDA-approved technology delivers 
radio frequency energy to the skin through an array of pins producing 
localized heat and small micro-lesion dots in the treatment area. 
Downtime is minimal relative to a facelift, as you can resume work and 
regular activities as soon as the next day after the procedure. Fractora
 results will continue to develop over the coming months, as new 
collagen is created. Each session will further ablate and resurface the 
skin, resulting in a reduction of wrinkles, skin laxity, textural 
irregularities, and scarring, without going through the inconveniences 
of invasive cosmetic surgery and general anesthesia. Request an 
in-person consultation with an experienced plastic surgeon to assess 
your candidacy for NeckTite and Fractora, and discuss your specific 
needs and cosmetic goals. Best regards! Dr. De La Cruz.

Zoran Potparic, MD · Answer

Based on extent of your "problem" I would consider Botox treatment as a first step; if that does not work to your satisfaction anterior neck lift (platysmaplasty) would be my next choice. In person consultation is recommended. Good luck.

Kenneth D. Steinsapir, MD · Answer

This is a very small neck cord. I understand that you are not happy to have it. Botox can often flatten this neck cord. Seeing a physician injector who knows how to handle this can be surprisingly hard to find. You need between 16 and 30 units of Botox in my estimation. If this does not do every thing you need, then your next option is a surgery called a midline platysmaplasty. It is a small surgery done through an incision under the chin. The edges of the platysma are trimmed and sewed together. Recover is quick. Don't get talked into a facelift, you do not need it yet.

Patrick Flaharty, MD FAACS · Answer

Your photos show laxity and banding of the anterior neck. You may consider trying Botox injections to reduce the banding of the platysma muscle first as this is a quick, easy, in office procedure with no downtime. Regarding the skin laxity there are a number of treatment options. Non-invasively you could try Ultherapy which is focused ultrasound used to tighten the skin. In office, no downtime.  A minimally invasive option we use in our office is Face Tite. This uses radio frequency delivered through a delicate probe placed under the skin to tighten the skin of the lower face and neck. We use a chin strap for 2 to 3 days after Face Tite and then you can resume most activities. Lastly, a neck lift is a surgical consideration and remains the gold standard for the long term correction of neck laxity. Roughly one week of downtime after a neck lift.

I am 36 and I feel like I have a premature turkey neck! How can I fix the appearance of my neck/profile? (photos)

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