Loose neck skin at 20. Filler and botox?

The Nefertiti Lift, about which you can learn much more in the archives of RealSelf.com is an advanced use of Botox in which the neuromodulator is injected in microdroplets in a particular pattern within the neck and along the border of the jaw, such that it softens the activity of the downwardly pulling platysma muscle, an effect that secondarily imparts to the muscles higher up in the face the competitive advantage to pull the skin upward, thereby tightening the jawline and neck skin  below. Tiny droplets of Botox along with filler may also be used to improve the horizontal necklace lines. And finally, the use of a skin boostering filler injected in a grid-like pattern around the triangle you complain of can help to lead to tightening of the skin via hydration and its biostimulatory effect in stimulating new, native collagen and elastic fiber synthesis. You would do well to seek consultation with a board certified aesthetic physician in whose hands all these procedures performed at one time should take no more than about fifteen minutes tops. Good luck to you.

Thank you for the question.  I strongly discourage patients from placing botox into the neck.  The proposed use of botox for the neck  is to soften "platysmas bands" that seem stronger with animation or tenting the lower lip.  This is not only dangerous, but highly ineffective.  You are young and yes, you do have a little loose skin to the neck.  I would not recommend anything for you except some minor procedures like Ultherapy or using a Nu-Face.  These will improve your situation without any real time investment.  Kybella is an injectable that has recently gotten FDA approval for submittal fat dissolution.  You, of course, do not have much fat as can be seen from the pictures.  I hope this helps.  Make sure you consult with a double board certified Facial Plastic and Reconstructive surgeon.

Kybella would be a great choice for this area. Kybella takes a series of treatments to see improvement. Kybella works best in combination with other skin tightening treatments. Using it with thermage/ultherapy can help to tighten the skin under the chin. VASER/ThermiRF are also great options, if you're a candidate. See an expert. Best, Dr. Emer

Thank you for your question. Botox works by blocking signals from the nerves to the muscles. The injected muscle then can no longer contract, which causes the wrinkles to relax and soften. Some ways to help your loose skin in your neck include Botox, laser and Kybella. Botox can be placed in the vertical bands in the neck. You can have laser kin tightening treatments to help tighten the skin on the neck. Finally, you have Kybella done to address a double chin (submental fullness). You can discuss these options with your treating physician during your consultation. Best of Luck!

Thanks for sharing your photos.  The key factor here is determining if the neck looseness that you describe is due to excess fat or skin "laxity".  From your photos, it is more likely due to skin laxity.  Ultrasound or radiotherapy-based skin tightening treatments might be helpful.

Based on the photos you have provided I would recommend getting skin tightening, either surgically or non-surgically.  You may address the band with botox but don't expect botox to give you a neck lift/skin tightening.  Also, there seems to be no fat in the area so fat reduction/melting also will not address your problem.  Make sure who ever you choose to go to that they show you before/after photos of cases similar to you.

There are several different treatments options and you will need an in-person evaluation to determine a treatment plan going forward. But to get you headed in the right direction, I will provide a list of treatment options. Kybella is an injectable treatment that is used to treat excess fat below your chin. The inflammation associated with Kybella treatment also tightens the skin somewhat. Dedicated skin tightening treatments such as radio-frequency (Infini, Thermage, ThermiRF) and ultrasound based devices (Ultherapy) can also be used to tighten skin but do not help with excess fat. Botox injections help with vertical neck bands related to activity of the plastyma muscle. Fillers such as Belotero, Juvederm, and Volbella can be injected into horizontal neck lines also referred to as necklace lines to soften those. Finally, a resurfacing laser such as Fraxel can improve the skin tone and texture although this does not appear to be your issue. I hope this helps. See an expert!

If you don't have substantial fat under the neck, lipo would not be the best option for you.  However, loose skin responds well to several forms of laser skin tightening such as Thermage.  We have used these for conditions such as yours with good results.

Thank you for
your question cerealexperiments. Botox is
a purified protein used to address wrinkles associated with facial expression. In the neck Botox can be placed in the vertical bands that are seen when one tightens the neck. Laser skin tightening treatments can help tighten the skin on the neck and Kybella can address submental fullness or a double chin. Theses are the types of options I discuss with patients in a consultation. Please consult with
a doctor for specific recommendations. Good luck!

I feel the best method to tighten loose neck skin is with the Infini. It has a day or 2 of downtime and needs a series of 3 in most cases. Other methods to tighten without surgery are Thermitight, laser lipo. The submental area can be addressed as well with the Infini at deeper needle depths. Other methods to treat this area are Kybella, and CoolMini from Coolsculpting.