Crepey/Loose neck skin in 20s. Any suggestions? (photos)

Question

I am a 25yo female. I have (slowly) lost about 60 lbs in the past year and i recently noticed my neck skin is incredibly crepey and loose. I am an everyday smoker and I have noticed my skin is not healing as quickly as it used to. Under my chin it looks wrinkled like I'm in my 50s. Are there any non surgical options for my loose/excess skin? Please help this is horribly depressing.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

"Injecting soft fillers like Belotero in this area can reduce lines, wrinkles and folds as well as improve skin texture with long-term collagen production. Fillers are being used more frequently to contour and lift rather than solely line fill. Of course, fillers are best used in combination with lasers and microneedling with PRP to get the optimal outcome.

I suggest getting a formal evaluation with a cosmetic dermatologist to create an individualized treatment plan that works for you. Best, Dr. Emer"

I suggest getting a formal evaluation with a cosmetic dermatologist to create an individualized treatment plan that works for you. Best, Dr. Emer"

David Stoker, MD · Answer

You need to stop smoking immediately.  It is terrible for you for so many reasons.  You will age much more rapidly.  You are already seeing the smoking related changes, and you should expect the wrinkles to get a lot worse in the near future if you don't stop the smoking.

Houtan Chaboki, MD · Answer

Best non-surgical options to improve one's appearance is to start the following:avoid smoking. Smoking prematurely ages the skin and facial tissue. Smokers can look much older than their chronilogical agedrink plenty of water. The skin is mostly water and most patients don't keep themselves hydrated sufficientlysun protection. All patients, including darker skinned patients, should be using sun block daily to protect from UVA and UVB raysSurgical options for loose neck skin in younger patients including possible liposuction or chin augmentation. A lower facelift or neck lift surgery for loose skin is normally not performed for patients under 40 years old. If you haven't already, then speak with a plastic surgeon to perform a comprehensive examination and review options with you.Best,Dr. Chaboki

Crepey/Loose neck skin in 20s. Any suggestions? (photos)

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