I am 39 years old, generally slim and youthful in appearance. I am 5'5 and 124 pounds, and have two children. I gained and lost about 50 pounds in each pregnancy. My neck skin is extremely wrinkly, crepey, and saggy. My face and body look 35, but my neck looks like it belongs to a 55-year old. I KNOW I have some sun damage there from some severe burns I got in my teens. I am also wondering if the weight gains and losses of pregnancy contributed to the sagging. What can I do?
Crepey, Saggy Neck at 39, What Are My Options?
Doctor Answers 24
Neck Lift Will Correct Crepy Saggy Neck Skin
Thank you for your question.
Certainly weight gain and loss will cause loose skin under the neck.
From your photo you appear to have loose skin, some residual fat and lax neck muscle.
A Neck Lift with repair of the muscle through a small incision under your chin, and tightening of the muscle and removal of loose skin through incisions behind the ears should give you a very nice result.
Neck rejuvenation options
- Surgical Neck lift with a lower facelift would be the gold standard and get you the best results
- Surgical Neck lift would be the next best procedure
- Neck liposuction and or laser lipolysis if only fat removal is required, typically in a younger patient
- Ultherapy is an FDA approved non invasive tightening using ultrasound technology
- Kybella is a new FDA approved injection that melts fat under the chin
Crepey, loose neck skin needs a facelift
While your photos aren't perfect, even at your age, your weight gains and losses have taken away your skin elasticity and it will never return. No non-surgical treatments are worthwhile in my opinion to make any real difference for you. The only way I know to dramatically improve what you have is to do,a facelift (cheek and neck lift). On rare occasions these are needed even in folks under 40 if they have the right anatomy.
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Loose skin at 39 looking at Face Lift and Neck Lift
I have performed Face Lifts and Neck Lifts for over 20 years and at 39 you have more loose skin that typical. This, IMHO, is most likely due to the substantial weight gain and loss as you described. Your choices, to remove, this amount of skin are limited and would include a formal Neck Lift or some smaller variation of excess skin excision under the chin. The limited surgery would not make the neck completely smooth like the full neck lift, so the decision, of how smooth, you'd like your neck would dictate what procedure is best for you.
IMHO, you should not rely on sutures, threads or suture suspension procedures to tighten and lift your loose neck skin. These procedures, IMO, are all limited by the fact the threads are more stiff then the tissue within which they are placed. This creates a "wire through cheese" type effect that will cause the threads (sutures) to move towards the surface, of the skin, or loosen which allows the skin to once again sag. This degree of loose skin will require an incision, tissue dissection and skin removal. RF or Laser treatrments, IMO, tighten the skin a couple of mm's and would not be able to remove 2 inches of skin, like the Neck Lift.
You should have a few consultations with Face Lift surgeons with good reputations to discuss your best options. Hope this helps and good luck.
Saggy Neck Skin Fixes
Thanks for including your picture. It appears to show some neck bands and the excess skin that you mention. Weight gain and loss will contribute to this problem along with genetics and sun damage. The neck is an area that many women look at and say they do not like. While we do not have a lot of great options, there are a few that would work for you
Non-surgically there is:
· Micro-needling. While a slow approach because it will take a few treatments spaced out a month apart, this can be very effective if the needling is aggressive enough.
· Chemical peels can also be effective but the skin of the neck is a little more delicate and caution is advised with peels in this area.
There are a number of other treatments like radio frequency and lasers but these have not shown good results that have any longevity in treating the skin.
Surgically, a neck lift would give you very nice results and deal with your concerns. A neck lift can be done with minimal or short scar incisions and the recovery can be as short as a few days (with makeup and a scarf you can be out doing most things in just a few days).
I hope that helps and if this answer was of benefit please take a moment to up vote it on the “respond” button on the top right.
Wear and tear
You hit it on the nose. The weight gain and loss combined with the sun damage has aged your neck skin and likely platysma muscle earlier than it would have aged if you lived a boring life. You have made the right decision though. Be happy and get happy.
For neck rejuvenation it is important to have a good physical exam to determine exactly what is going on. The sun damage and skin changes can be corrected with a laser. Likely low setting (because neck skin lacks deep dermal attachments) fractional ablation. The sagging with either radiofrequency devices or a plastymaplasty and/or necklift. That would be determined after a good facial analysis and physical exam.
Hope this helps.
Best of luck,
Lower Facelift and Necklift
Crepy neck skin age 39
From the photo the skin laxity appears significant , so while you can try skin tightening treatments like Fractional Laser, you may benefit most from a Mini necklift with limited incisions
How to treat loose skin of the neck?
Scott A. Brenman, M.D., F.A.C.S.
Plastic & Reconstructive SUrgery
Necklift with platysmaplasty and fractional CO2 resurfacing
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