for this area neck lines and wrinkles need regular lasers -- like clear and brilliant and halo -- with therads yearly, fillers to the fine wrinkles every 6 months (belotero is best IMO) and botox to keep the skin tight. morpheus should be done for tightening with your laser treatmetns -- we call this "tight and bright" see my blog. peels like emerageskin AERFIY were made to enhance the skin of this area with minimal downtime and can be done monthly (which is what I do) or you can do more agressive with cosmealn and enlighten every 3-4 months. emeragecosmetics MTS dermarolling weekly with anteageMD ampules give even more collange production. and I LOVE faith essence serum, emerageskin refit face/hyla b/and aox-c here, viatia foam is a no brainer. you need a combination! As we age the skin sags there is nothing you can do that but try preventative energy-based or thread-based treatments or get a neck/facelift earlier in the aging process. There are numerous options and some can be used in combination to get best outcomes but you need a consultation with an expert.
Options include for skin tightening : 1. thermage radiofrequency to heat skin and tighten it over time and prevent the aging process 2. ultherapy highintensity ultrasound to contract muscle and tighten the face and neck and prevent the aging process 3. PDO nova threads or instalift threads for immediate lifting without surgery and long term collagen production 4. sculptra injections for collagen production to areas of the face and neck with crepe skin or early sagging 5. btl exilis ultra, venus legacy, thermi250 , or inmode forma/contoura for constant collagen stimulation monthly with facials 6. facelift/necklift with fat grafting/fillers if you need a big improvement 7. ThermiRF or J plasma /Renuvion or Inmode FaceTite internal heating and tightening to long term internal heating and tighting with or without surgery 8. Platysmaplasty to tighten the muscles of the neck long term and create contour 9. Facial implants or fillers to contour the jawline and chin to improve the apperance of the nec k 10. Fractora/Morphenus8 or Intensif microneedling RF for improve superficial tightening, neck and chest wrinkling and crepe skin You need to see an expert in facial sculpting and age prevention. Best, Dr. Emer.