Should I get Facetite or a neck lift?

it depends on the level of results you are looking for many of my patients will do facetite , threads and morpheus and be very happy. but if there is enough sagging, doing an early lift wont hurt. we do all this in my practice so Id suggest you get a formal consult and go over all your options.
With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite 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 full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer.

The decision about whether it is best to perform a surgical procedure like a neck lift versus a minimally invasive approach such as FaceTite depends on several factors. These include the extent of the aging changes in the face and neck, the expectations of the patient for improvement, downtime, and potential risks of each approach. The outcome of the two options is not equivalent and surgery remains the gold standard. However, meaningful improvements can be achieved with the delivery of radiofrequency energy via FaceTite to trigger a skin tightening response accompanied by improvement in skin quality. It is best to schedule a consult with a plastic surgeon certified by the American Board of Plastic Surgery to evaluate you and discuss which approach would be advisable in your specific case.

Hello, thank you for your question. It is hard to tell without pictures, a physical examination is need it, I recommend you to schedule a consultation with a board certified plastic surgeon. 

In general, surgical results are always more dramatic than non-surgical options.  FaceTite can produce improvement in the lower face and neck, but the results from a neck or face lift would be greater.  Ultimately, an examination or at least photos of you would be needed to determine if you might be a good candidate for either procedure.  Having a FaceTite procedure should not influence the ability to have a face or neck lift at a future time.  

Dear Lindalou22,
it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your questions. It is impossible to give a recommendation without a photo. In general, Facetite produces about a 40% improvement in tissue tightening. It will not impact getting a surgical procedure in the future. A facelift or necklift should never look fake when done by an experienced surgeon, even a redo. I recommend you schedule a consultation with a board certified Plastic Surgeon who has experience with the Facetite. They will be able to assess your specific anatomy a develop a plan for you. In our office, we offer 3D imaging to give our patients an accurate idea of what their final result will look like. Good luck!

Many of our patients come to the office beginning to show signs of aging in their lower face and neck. Though not ready for a facelift yet, they wish to have some improvement to their 'baby jowels' and loose skin in their neck. For these patients, we have been relying on technology which utilizes radiofrequency as a less invasive option to tighten skin. At our practice we have been having success with combining liposuction of the submental with FaceTite and Morpheus8. This treatment combination self-named the 'Trifecta' gives real and lasting results, is less invasive than a facelift, and requires significantly less downtime. Undergoing this less invasive option now, at 40, does not eliminate the option of having a facelift in the future. Please consult with a board certified plastic surgeon to see if you are a candidate for this procedure. 

Hello,If I could see your photos, I could speak more precisely, but as a board certified facial plastic surgeon, surgeries always have more impact than non-surgical procedures. It may be a good result of  non-surgical operation , but the effect of neck lift surgery will be much more eye-catching, effective, natural and long-lasting.You need to seek a board certified facial plastic surgeon to achieve the best result.Regards,

 A full set of facial photographs from all angles are going to be required to make a determination about how best to proceed. In our practice, a neck lift at age 40 involves surgical removal of the fat   below the platysma muscle, liposuction of the fat above the platysma muscle, and a corset platysma plasty. At age 40, the skin tone should be acceptable, therefore no skin removal is usually necessary at that age.

I would say that if you appear to be of stated age (40), then definitely FaceTite over Neck Lift.  It does exactly what most 40 year olds would want. It tightens skin 38% AND contours the fat that starts to change the jawline!  AND it does not burn any bridges for future lifts.  The worst case scenario is that it won't do as much as you want. If this is the outcome, then you can simply wait a couple more years and get the Lift anyway!BUT, if you appear older than stated age (40), this might be tough for you to decide... because we are all so critical of ourselves. If this is the case, then a stronger case can be made for a facelift/necklift/minilift.   If you indeed have accelerated aging, then you would want to pursue surgical correction now and follow it up with FaceTite type nonsurgical correction for maintenance, thereby often reducing the number of future lifts.