What is the Best Way to Deal with Loose Crepey Skin in the Lower Neck Area?

I have had upper neck lift /lower face lift but the skin further down the neck is still loose and old looking and my neck and face now do not match.

Doctor Answers 9

Loose crepey skin in lower neck area

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Without photos or an exam, it's hard to make a treatment recommendation. I recommend you discuss the situation with your surgeon, although my best guess is that you might require more extensive work on your actual neck skin, meaning a tightening of the neck skin which may require short incisions both beneath the chin and behind the ear to reach maximum improvement.

Huntsville Plastic Surgeon

Lower face/neck lift for loose crepey skin of the neck

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The lower face/neck lift addresses laxity in the skin of the neck, face, and jowls. It targets fat above and below the platysma muscle and the submental area along with tightening the platysma in front and the post auricular portion of the neck.  

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Loose, Crepey Neck Skin Treatment with Cosmetic Surgery

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Without photographs, it's difficult to determine to which part of the neck you are specifically concerned about. Generally, skin in the lower part of the neck near the collar bone is not treated with a face and neck lift surgery. Lower face lift surgery normally stops at the level of the voice box cartilage or Adam's apple. This low, loose neck skin may be treated with cosmetic surgery, but not necessarily another face lift. Alternatively, skin care products or skin resurfacing (chemical peel, laser, etc) may be appropriate. Speak with a plastic surgeon to perform a comprehensive evaluation and to help determine appropriate options.

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 89 reviews

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Old neck skin not matching the new facial lift skin

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this is a common problem. Neck skin doesn't heal as well and surgeons must treat it conservatively.  Non-invasive and minimally-invasive procedures such as Botox, Thermage and Fractional laser resurfacing may help rejuvenate the neck skin.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Lower neck crepey skin

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The undermining of the neck in a facelift/necklift generally stops at around the level of the Adam's apple. The only way to tighten the skin below this is to undermine much further down.  This may cause blood flow compromises in the cheek skin and may still not resolve your problem if you have a lot of sun damage.

Correcting loose lower neck skin

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Correcting loose lower neck skin
Frequently this skin is severely sun damaged and it is this damage that makes it look so different from the face. If so, rejuvenating it with something like the Obagi Nu-Derm or ELASTIderm Decolletage systems or one of the rejuvenating lasers is all that is needed. If you have significant excess skin, you may need a secondary neck lift with much wider undermining than the first time. Discuss this with your surgeon.

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Lower neck lift

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This is an extremely difficult area to treat and does not respond well to surgery. Some gentle laser resurfacing or repeated low strength TCA peels may provide some improvement. A posterior cervicoplasty with extended incision is about the best option for correction of this area.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Correcting loose neck skin

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Thin, sagging skin in the neck may be improved by several treatments, both surgical and non-surgical. There are a number of lasers and other skin tightening modalities which may be beneficial. A secondary neck lift may also help, depending on the exact procedure you've already undergone, and how long since your previous surgery.

Olivia Hutchinson, MD
New York Plastic Surgeon

Loose lower neck skin

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Correcting the loose crepey lower neck skin can be a difficult task.  The skin below the neck cartilage is difficult to access during a neck/face lift.  Depending on when your surgery was, you may be a candidate for a secondary neck lift with lower dissection.  Other options include skin tightening with minimally invasive light energy or radiofrequency devices.  Lastly, a direct neck lift excises the skin down the middle of the neck.  The downside here is the scar. 

Etai Funk, MD
Houston Facial Plastic Surgeon
4.9 out of 5 stars 69 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.