How do I correct crepey neck at 30? (Photo)

Question

I'm 30 years old and I'm already developing crepey neck skin. I have always had a low BMI as well as thin skin. What steps should I be takin to correct or slow the progress?

Catherine Winslow, MD · Answer

Hello!1. Use sunscreen constantly, stay out of the sun and tanning bed. Most important2. Treat skin with peels, and moisturize3. Consider botox to the platysma muscleYou cannot change genetics, and thin skin will show crepe like wrinkles much more than thick skin. Good luck!

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

"These are all natural parts of the aging process. What we can do is try preventative treatments or get a neck lift / face lift earlier in the aging process. There are numerous non-surgical options available, and some can be used in combination to get best outcomes, but you would need a consultation with an expert.

Some options for skin tightening include:

- Thermage radiofrequency to heat the skin, tighten it over time, and prevent the aging process
- Ultherapy high-intensity ultrasound to contract the muscle, tighten the face and neck, and prevent the aging process
- PDO NovaThreads or InstaLift threads for immediate lifting without surgery and long-term collagen production
- Sculptra injections for collagen production to areas of the face and neck with crepey skin or early sagging
- BTL Exilis Ultra, Venus Legacy, and Thermi250 for monthly collagen stimulation with facials
- ThermiRF, Renuvion (J Plasma), or Inmode BodyTite for internal heating and tightening with or without surgery
- Fillers (or facial implants) to contour the jawline and chin to improve the appearance of the neck
- Face lift / neck lift with fat grafting and fillers if you need a significant improvement​

​I would suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​​​"

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. I suggest that you move forward and consult with a board certified facial plastic surgeon to discuss surgical and non-surgical procedures. There are plenty of healthy living habits and healthy skin practices that you should incorporate into your daily routine.
Best wishes,

Raymond E. Lee, MD · Answer

Thanks for sharing.  In my opinion there likely is not enough laxity in the skin and muscle for a surgical solution.  Raiofrequency treatments such as eMatrix will help stimulate collagen production and smooth out the neck. The results are variable.  Botox will help the specific neck bands to soften.

Vaishali B. Doolabh, MD, FACS · Answer

Hi bsg8686.  Increasing the thickness of your dermis will diminish the amount of crepe-ness.  This can be achieved most efficiently by Radiofrequency Microneedling by Profound.  It is a single treatment that is FDA approved and shown to increase collagen, elastin and hyaluronic content in the skin.  It is performed under local anesthetic and carries less than a week of downtime.  Other methods that are effective are a series of chemical peels, regular microneedling, and laser resurfacing.  Topical agents that are necessary include sunscreen to prevent further degradation of the skin and Retin A to support cell turnover and collagen production in the skin.  There is research that show that oral hyaluronic acid and oral collagen supplements are supportive of good skin-professional grade Xymogen supplements have human clinical trials that quantify the benefits--they are only available through practioners, so look for a Xymogen provider online.  Starting at the earliest signs of aging will help you look younger for longer.  Good luck!

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph. At your age I would start with some healthy skin care habits - drink plenty of water during the day, follow a daily skin care regimen incorporating the use of retinols and sunblock, and schedule regular chemical peels to further increase collagen formation and a tightening effect to the tissues.  Hope this helps.

Brian K. Machida, MD, FACS · Answer

You might want to try Botox or a non invasive tightening first. It looks like you may have loose skin as well as a possible lax platysma so if surgical tightening is desired, platysmaplasty should be done  with lateral neck tightening as well for the best surgical result. But I would try non surgical approaches first.

Kenneth D. Steinsapir, MD · Answer

This looks like facial positioning.  So don't position yourself this way!.  It is highly improbable that at age 30 you need a face and neck lift.  For some individuals, a central platysmaplasty with a small incision under the chin can improve these.  Botox treatment into the platysma can also help.

Bahman Guyuron, MD · Answer

Redundant neck skin sometimes can appear in early age based on the genetic disposition. Getting close to ideal BMI would be the most logical way to get rid of the limited neck folds related to the low BMI and thin skin. However, if this is not feasible or would not provide the intended benefit a limited lift with the incision hidden around and behind the ear lobe, with or without the mini facelift, depending on the findings on careful examination, may serve you the best and will offer a very long lasting solution. You may wish to consult a board certified plastic surgeon who specializes in the face area for a more conclusive advice.Good Luck

How do I correct crepey neck at 30? (Photo)

Answers (13)

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