Crepey and loose neck skin at 43 - what is the best treatment for this? (photos)

Question

What is rhe best treatment for this? Ive been on 3 consults and 2 of them told me a necklift wont help. I feel a necklift is the only thing that can help. I know its from sun damage and using a tanning bed into my mid 30’s. My face is fine and looks younger than my age. I would also like to address the fat under my chin. I am not overweight but have the loose skin there as well.

Raffy Karamanoukian, MD, FACS · Answer

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

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. While it’s difficult to provide a recommendation without photos or a personal evaluation, crepey and loose neck skin are common issues that can be addressed with a neck lift. Those who have significant skin laxity that has led to the formation of a “turkey neck” will benefit most from neck lift surgery. A neck lift procedure can also address submental fat that has formed under the chin and horizontal banding that can develop when the underlying muscle loses some of its firmness. A good surgeon will be able to customize your surgery to tighten the muscle, reposition tissue, and remove fat and excess skin. The best way to determine your eligibility for a neck lift would be to schedule a consultation with a reputable board-certified facial plastic surgeon. Your surgeon can do a proper evaluation of your skin, recommend the best treatment plan, and ensure the best possible results.

Zoran Potparic, MD · Answer

Without good photos and/or in person clinical evaluation, it is impossible to give you meaningful opinion. Quality of skin, fat deposits, platysma muscle tone and insertion are only few aspects of changes that happen on this area with aging, sun damage, genetics. Consultation with an expert in face/neck lift (even third time!) may be justified before doing anything. Good luck.

Jason Emer, MD · Answer

A combination approach would give the most improvement. Nonsurgical options such as Kybella, PDO NovaThreads, and Ultherapy do well in combination for skin tightening, but the results are mild compared to surgical options.

I would recommend a VASER Hi-Definition Liposuction with ThermiRF, Renuvion (J Plasma) and InMode BodyTite to contour and tighten the chin and neck. A neck lift can be performed at the same time, if you're a good candidate. I suggest seeing a board-certified cosmetic dermatologist to develop a personalized treatment plan that works for you. Best, Dr. Emer.​

William Portuese, MD · Answer

In our practice, a neck lift does not address laxity of skin in the neck. It simply removes extra fat deposits located above and below the platysma muscle in addition to platysma plasty and liposuction. When there's laxity of skin in the neck, a lower face and neck lift is required to tighten that loose facial and neck skin.

Crepey and loose neck skin at 43 - what is the best treatment for this? (photos)

Answers (6)

Answer: Skin Tightening for the Neck -- Kybella, Ultherapy, Thermage, PDO NovaThreads vs VASER Hi-Def, ThermiRF, Renuvion, BodyTite

Answer: Skin Tightening for the Neck -- Kybella, Ultherapy, Thermage, PDO NovaThreads vs VASER Hi-Def, ThermiRF, Renuvion, BodyTite

Answer: Crepey and loose neck skin at age 43

Answer: Crepey and loose neck skin at age 43

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Everything you need to know about Neck Lift

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Crepey and loose neck skin at 43 - what is the best treatment for this? (photos)

Answers (6)

Answer: Skin Tightening for the Neck -- Kybella, Ultherapy, Thermage, PDO NovaThreads vs VASER Hi-Def, ThermiRF, Renuvion, BodyTite

Answer: Skin Tightening for the Neck -- Kybella, Ultherapy, Thermage, PDO NovaThreads vs VASER Hi-Def, ThermiRF, Renuvion, BodyTite

Answer: Crepey and loose neck skin at age 43

Answer: Crepey and loose neck skin at age 43

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Recommended reading

Everything you need to know about Neck Lift

Our mission is to create a world where every investment in modern beauty is Worth It.