Alternatives to surgical neck lift, lower jowling?

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

A combination of non-surgical options like Kybella, PDO NovaThreads, Ultherapy and Thermage would do well in combination for skin tightening for the neck. VASER Liposuction (with ThermiRF, Renuvion and InMode FaceTite) is a great alternative for contouring and tightening the chin and neck and can be combined with a neck lift at the same time, if you're a candidate. I suggest getting a formal evaluation with a cosmetic dermatologist to develop a long-term treatment plan that works for you. Best, Dr. Emer.

Thank you for your question.  At our office, we recommend many different modalities to help improve skin laxity non-surgically. We recommend medical grade skincare to help tighten and maintain your skin quality.  We also recommend Ultherapy to help tighten the skin-non surgically, which can be used on your lower face to improve jowling. 

I would say a good non-surgical alternative to a surgical face/neck lift would be Ultherapy.  This would not produce the same extent of tightening that surgery would, but I have seen good results with the treatment.  It is also possible that fillers and Botox could enhance the appearance in addition to the tightening achieved with Ultherapy. 

You may want to explore FaceTite if you are not wanting a surgical lift. This procedure uses RF technology to tighten skin. There is no general anesthesia required for this option. I've included a video that I hope you find helpful.

You can ask your doctor about PDO. It is a minimally-invasive non-surgical procedure that can rejuvenate and lift sagging skin including the neck. It works by repositioning threads and it lasts 2-4 years.

Thank you for asking this important question. A few photographs would be helpful to address your question. I like to think of the neck region in terms of the skin and fat in the neck. There are new agents such as kybella and cool sculpting that can be used to address the fat. Often times if there is not an excessive amount of skin the skin may contract. If there is an excessive amount of skin a surgical procedure such as a neck lift would be useful to address this. I wish you the best of luck Theodore T. Nyame MD 

Non-Surgical Neck LiftYour non-surgical options are dictated by your specific
needs which may include any of the below measures:1)improving banding: Botox2)improving under the chin fullness: Liposuction with oral
sedation3)improving skin looseness: VIORA REACTION radiofrequencyA consultation would allow a doctor to customize your treatment
plan.