How to Tighten Crepey Skin in the Neck?

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.