I don’t know what to do about my neck. Botox, fillers, facetite, neck lift? Just don’t know!! Help (Photo)

Thank you for your question!!

Neck Skin Laxity with Age:
The skin around the neck is indeed highly prone to laxity as we age. This is primarily due to the natural loss of collagen and elastin, which leads to sagging and the development of fine lines and wrinkles. Additionally, the platysma muscle, which runs from the jawline down to the collarbone, can contribute to the formation of prominent bands in the neck.

Botox for Platysmal Bands:
Botox can be an effective treatment for addressing platysmal bands. These bands are caused by the contraction of the platysma muscle. Botox works by relaxing the muscle, which reduces the appearance of these bands. It is administered through a series of injections into the targeted areas of the neck. Results are temporary, usually lasting several months, and the treatment may need to be repeated to maintain the desired effect.

Fillers for Volume and Elasticity:
Radiesse, a dermal filler, can be a valuable tool for restoring lost volume and improving collagen and elastin production in the neck area. By injecting Radiesse into the neck, it not only adds volume but also stimulates the body's natural collagen production, which helps to improve skin elasticity over time. This can lead to a more youthful and rejuvenated appearance in the neck region.

Choosing the right treatment option depends on your individual concerns and goals. I recommend scheduling a consultation with a board-certified dermatologist or plastic surgeon who specializes in neck rejuvenation. They will assess your unique needs, discuss your goals, and help you decide which treatment or combination of treatments is best suited for you. It's essential to have a personalized treatment plan tailored to your specific situation for the best results. Hope this helps!

An in person evaluation is best, but from your photos you may be a candidate for FaceTite. This minimally invasive procedure uses RF technology to sculpt and tighten the neck and jaw area. No general anesthesia is required as patients are kept comfortable with local anesthesia. Results can be enhanced with Morpheus8. See my website or a provider near you to learn more.

I have been performing Botox "Nefertiti Necklifts" for well over thirty years. They can be quite helpful when clenching results in pronounced vertical neck cords. So, in this case, Botox would likely be somewhat helpful. The appropriate choice of HA fillers, injected with the proper technique, i.e. a Nonsurgical HA Filler Necklift, would likely provide a more substantial improvement, as would, of course, combining these two approaches. The effects of Botox typically can be seen between one to seven days following treatment, and those of the filler necklift are immediate. There is little to no significant post-treatment downtime engendered by either treatment. A nonsurgical filler necklift is a very advanced injection technique and should not be left to the hands of novice injectors accustomed to the use of simple Juvederm or plain Restylane for treating smile lines. A surgical necklift is an expensive, aggressive procedure that engenders significant postop recovery time. And the use of relatively expensive 'bells and whistles energy-based devices is backed up far more by media hype than hard science. You would be wise to consult with an experienced, board certified cosmetic dermatologist injector and best of luck.