38 y/o interested in neck skin tightening and lift. What are the best options for turkey neck? (photos)

The problem you have is quite a common one in active cosmetic dermatology practices. I have found that the use of an appropriately robust HA filler can be injected in such a manner as to pull the skin more taut and the injection of an HA skin booster or Profhilo (where available) in a grid pattern across the central portion of the neck can work to nonsurgically achieve the kind of improvement sought here. You would be wise to consult a board certified cosmetic dermatologist and be wary of offers for the use of other so-called energy-based or light-based devices, as the hard science to promote the use of these devices, as you have found out the hard way, lags woefully behind the heavy marketing hype that surrounds these kinds of "bells and whistles." I gave up using threads a number of years ago already a relatively expensive, minimally invasive procedure that has downtime associated with it) , when it was clear that not only did the results not last significantly longer than the use of fillers, but that the rate of complications, such as infection, skin puckering and spitting out of stitches, was unacceptably high. Hope this helps and best of luck.

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite 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 formal evaluation and to develop a personalized treatment plan based on your individual situation and goals. Best, Dr. Emer

Great posted photos! Do not waste your time and $$s on Threading.... I recommend full open neck lift with muscle plication. fee $10,000. Best to virtual consult with...