Ultherapy or a neck lift? (Photo)

Ultherapy is a great procedure for skin tightening, however if time and money are not an issue for you, lower face and neck lift will give you the best results as the muscle will be tightened as well. Be sure to consult with a Board Certified Plastic Surgeon to explain your options. Good luck.

Thank you for your question and sharing your images.  Ulthera is a noninvasive alternative to give you some improvement in the neck contour.  However, it will not be the same result as a facelift or necklift could provide.  If you are already considering a surgical procedure with related recovery, you may want to consider this as an option.  Consultation with your surgeon will help you make the decision."This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

Double Chin Treatment / Laxity-- SmartLipo/VASER/ThermiRF, Botox, Venus Legacy, KybellaI treat this everyday in my practice. You may be a surgical candidate but you do not need surgery for improvement. Properly performed liposuction with energy based devices and physical fat removal will do fantastic to remove the fat, lift the skin, and contour the jawline. I pretreat everyone with Botox 1-2 weeks before surgery to relax the neck muscles, allowing for better retraction of the skin after surgery. Then after treatment we do skin tightening with Venus Legacy to improve the results and decrease the neck swelling. I suggest you only see an expert for treatment of this area as a meticulous surgeon is required to get great results and complications in this area can be devastating both medically and cosmetically. A new medication that is used to remove chin fat with injections called Kybella may also be an option, as it secondarily allows for skin tightening/lifting as well. A formal consultation is needed to determine what are the best options for you. Best, Dr. Emer. 

Ultherapy can provide a minimally invasive alternative to a surgical
neck lift. It is less costly than
surgery but cannot achieve the same results.
A second treatment may be recommended in your case to achieve the best
results. A consultation at your doctor’s
office should help you make the right decision.

Ultherapy does not address platysmal banding, which is present in the photos, but is minimally invasive and less expensive than surgery. The critical feature in the decision making process is understanding your expectations, because surgery will provide (in the right hands) a more substantial result. 

You may see some improvement in the neck with Ultherapy.  You do have some pretty loose skin there however, and a neck lift would give you a much better result.   

Neck lifts are good but only at the right time.  It is possible that your issues can be helped simply with fillers on the facial area (they lift), Kybella or Ultherapy.  Make sure you find someone who does all the above to see which is best in person.  Good luck!

Thank you for your question. Ultherapy may be tried before you ultimately get a neck lift.Read my Ultherapy ebook on the link below.BestDr. Karamanoukian

Based on the photos you provided, I feel you would benefit from a lower face and neck lift. I like to recommend Ultherapy to all of my face lift patients as a maintenance procedure. good luck.

Hello. Since you are having a blepharoplasty, you may wish to discuss with your plastic surgeon, the treatment options available for rejuvenating your neck. Items such as cost and downtime will all be factors in your final decision. Best of luck.