Late 30's - Neck sagging and creping starting. How can I help it? (Photos)

Question

I’m in my late 30s and I’ve started to notice sagging under my chin and creping in the skin on my neck. I also have a small pocket of fat under my chin. Some of it seems due to genetics and some due to the fact that I just did not take care of the skin on my neck until recently. I’d like to address these issues before they get a lot worse. My derm suggested and Avava laser, but I’ve read a lot of horror stories about lasers, so I don’t really want to go that route. I’m considering microneedling with PDGF to help the texture and hoping that also helps with the laxity, even though I know that’s not likely. Is there anything else you would recommend? Should I just plan for a mini-neck lift? If so, I’d like to start researching providers and plan for it. Thanks!

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Camille Cash, MD · Answer

AVAVA would be a good option for you.  It is powerful yet gentle and safe for all skin types.  It's adjustable for those with thinner skin.  Generally two to three treatments are recommended every six to eight weeks.  There is no downtime needed.

Late 30's - Neck sagging and creping starting. How can I help it? (Photos)

Answers (2)

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