How to Tighten Crepey Skin in the Neck?

Skin Tightening Lasers- Do Not Get Caught Up In Brand Names

 

First of all you should ask -"Do they really work?" I would urge you to find a responsible and knowledgeable plastic surgeon and not focus on brand names as this is the least important part of your decision.  As far as longevity- the six week results of your intervention are as permanent as anything in your body can be.  you will continue to age depending on your genetics and environmental factors.

The problem with noninvasive skin tightening is that everyone wants it and everyone wants to believe it works.  The result is practitioners of all sorts capitalizing on this demand.  The truth about skin tightening interventions is that almost all of them work AND NONE OF THEM WORK.  What I mean by this is that there are many ways to convert energy into heat inside or below the skin causing contraction.  The problem is that to deliver clinically effective results the tissue needs to reach at a minimum 43 C which is uncomfortable and can be scary for the patient and the practitioner.  This often results in ineffective treatment and wasted time and money.  I have developed extensive experience with noninvasive technologies mot because I'm a fan but because my patients demand it.  After using several "best in class" technologies to deliver definitive results, my patients were relatively pleased but I was underwhelmed.  THis is why I started using  a treatment that we call Maerckks Multimodal Therapy(MMT) in my practice.  All this is is an intelligently designed multitechnology treatment customized for the individual patient.  I use multiple diffferent frequencies and administration systems for radiofrequency delivery, three different ultrasound frequencies, infrared pulsed light, two different laser systems in concert to deliver immediate significant results that are hard to argue with and continue improving for weeks.  I think the only way to get real results is to combine technologies under the direction of a plastic surgeon that understands the capabilities and limitations of noninvasive skin tightening.  No one technology really delivers anything significant.  Also realiize that even my MMT results that I am very proud of do not remotely compare to what I can achieve with surgery and the cost can approach or exceed that of surgery depending on location and individual patient findings

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

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime. Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

There are numerous options For necks with loss of contour due to submental or neck fat Liposuction or Kybella is effective.  Kybella is a medication which in injected into the fat of the neck to permanently dissolve neck or chin fat.  Kybella is done in the office in a quick procedure similar to a botox treatment.  Several treatment are usually necessary but the results are permanent.For loose neck skin there are several "laser" type options.  Ulthera is probably the most popular although Thermage is also widely used.  Ulthera uses ultrasound while Thermage uses radiofrequency.  Loose skin can also be improved with microneedling and PRP (platelet rich plasma)  This treatment option uses healing properties of blood (platelets) which are purified using a simple blood draw and centrifuge.  A microneedling device, Dermapen3) is used to treat the neck skin and PRP is applied both to the skin surface and injected under the skin for maximal effect.Botox can also be used to soften platysmal bands which appear as rope like structures in the anterior neck.  Botox takes a few days to take effect and lasts 4 months in most cases.   Liposuction removes targeted areas of fat to improve neck contour. 

Without photos, it's difficult to determine if a non-surgical treatment will address your concern. Also, it really depends on the amount of #sagging you are experiencing.  The presence of banding down the front of the #neck, and, amount of excess skin and condition of your skin are among some factors which determine if you are a #candidate for #rejuvenating the neck. During an in-person examination, your chin will be evaluated along with the neck and jawline. A weak #chin implies a lack of chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall #balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. For individuals with signs of #aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.The best neck #lift surgeon will evaluate both your anatomical features and aesthetic goals to determine which neck lift procedure best suits your individual needs. In some cases your plastic surgeon may give you more than one option to choose from. If you are not a candidate at the time of your #consultation, your board certified plastic surgeon can recommend non-surgical alternatives to address your concern.

I would recommend Ulthera if you are looking for something with no downtime, or Profound if you could tolerate some downtime. Ulthera is an ultrasound based energy that heats the underlying tissue and stimulates collagen in response. Profound is a radio frequency microneedling device that allows for the creation of Elastin, collagen and hyaluronic acid and hence restores some of the lost elasticity in the neck. It has more visible downtime with the possibility of some swelling and bruising that diminishes in about a weeks time.  The Elastin creation may be your best option to reverse the 'crepiness' of the skin that you describe.I would visit with a board certified plastic surgeon who has the portfolio of non-surgical options in your area who can help explain the treatment options for you and the limitations of each option, both surgical and non-surgical.

Without a picture is hard to give specific advice for your situation. However, depending on the severity of laxity in your neck, you may need anything from laser to a neck lift. You can have external laser such as Fraxel or internal laser such as Smartlipo or Acculift. If you need surgery, a neck lift would involve an incision behind your ears and a small one under your chin. I hope this is helpful.

A variety of options can be used to address the problem you are experiencing including PDO threads. CoolSculpting to reduce fat if there are. In order to tighten and firm your skin, I would suggest combining Secret RF with Fraxel. Filler is also an option when appropriate. Please contact a qualified provider or a board-certified physician with extensive experience in these procedures.

Thank you for this question.
There are several options that can treat skin laxity- CO2 laser, Necktite with RF energy, RF Microneedling, Skintyte...
In my practice I would evaluate the laxity at your consultation and show you examples of all the options available. Then I would help you make the best decision for your specific situation.
In my experience Thermage is not an option I recommend.

ThermiTight is a great alternative to a surgical necklift in the appropriate candidate. It can produce excellent skin tightening results that allows someone the option to avoid a surgical procedure. There is a limit to how much skin laxity can be treated with ThermiTight so you would need an evaluation to determine if this device is right for you.