25 y/o female hoping to address wrinkles in the neck - are there nonsurgical options or should I consider a neck lift? (photos)

Thank you for submitting your question and photos. You may benefit from a combination of injectable treatments and aesthetic procedures to address the areas of concern you’re referring to. Kybella injections can treat submental fat by dissolving fat cells under the chin and creating a more contoured jawline. Botox injected into horizontal neck bands can target the platysma muscle to reduce its activity and minimize the appearance of the lines. RF microneedling can also treat neck lines and skin laxity by stimulating the body’s natural elastin and collagen production. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or injector. They will be able to review your treatment history and your concerns to determine the best approach for you.

​A combination of non-surgical options like Kybella, PDO NovaThreads, Ultherapy and Thermage would do well in combination for skin tightening for the neck. VASER Liposuction (with ThermiRF, Renuvion and InMode FaceTite) 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. I suggest getting a formal evaluation with a cosmetic dermatologist to develop a long-term treatment plan that works for you. Best, Dr. Emer.​

In my opinion, the only reliable option is a deep plane neck lift that will allow the following: management of subplatysmal (deep fat that is not reliably contoured with liposuction because it is below the muscle), submandibular gland partial excision and contouring, skin re-draping, and platysma muscle repair. All other modalities will either make no difference or provide very temporary improvement because they will not address the necessary structural and skin issues.