31 Yr Old with genetic horizontal neck bands and loose skin. Is there anything I can do about it? (Photo)

Question

I've always had a bigger neck/loose skin and as I've gotten older it seems to have gotten worse. I've been underweight for most of my life hovering around 92 lbs. Is there anything that can be done to help minimize the bands and extra skin?

Jed H. Horowitz, MD, FACS · Answer

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. Per your photos,  great amount of laxity is not evident. Nor is vertical banding . So, you may benefit from #non-surgical treatments. I suggest consulting with a board-certified plastic surgeon to learn about the #options and products available and as to which  may be best for you.

John Mesa, MD · Answer

Horizontal linnes on the neck are "wrinkles" that are either genetically predisposed or developed with aging. As wrinkles in the face, they could be improved with soft tissue fillers like juvererm, restylane or belotero.Excess of fat in the neck could be improved with liposuction in patient candidates.

Kenneth Yu, MD · Answer

Hello.  I think you're a bit young for surgery at this time.  I recommend trying nonsurgical treatments first.  There are medical grade skin products that can tighten skin (but you must be aware the results won't be dramatic), but with regular use they may help improve the overall appearance.  CO2 laser at very conservative settings may also be an option.  Make sure you see a board certified surgeon or dermatologist to discuss these ideas.  Take care.

Dhaval M. Patel, MD · Answer

Thank you for your question and sharing your photos.  It is hard to make an educated optinion with only a couple photos. However, I would recommend trying skin tightening lasers. If it it sat in the neck you could try Kybella injection which essentially dissolves fat in the neck. Best of luck!Dhaval M. Patel Double Board Certified Plastic Surgeon Hoffman Estates Barrington Oakbrook Chicago

Jason Emer, MD · Answer

Neck lines can be improved with lasers, fillers, microneedling/PRP.  I suggest you see an expert for a consultation.  Best, Dr. Emer.

James D. Wethe, MD · Answer

Looking at your photos and age I would have to suggest either non-surgical or minimally invasive types of treatment to consider initially.  There are a number of non-invasive methods such as Ultherapy that may help, or minimally invasive techniques such as radio frequency devices that can tighten skin (Neck Tite is one of them).  Best idea is to see a plastic surgeon who can go over all the options and then, having examined you, can help you with formulating a plan that works for you.  Hope this helps.
J. Wethe, MD

Frank Barone, MD, FACS · Answer

In my experience, I would suggest developing a comprehensive approach for non surgical improvement  of your neck skin laxity.  A medical skin care regimen individualized to your specific skin type and lifestyle would be important as improving skin health will benefit any treatment outcomes that you might consider.  A gradual exfoliation and stimulation regimen of chemical peels would also enhance your outcome.  After adequately preparing your skin, I have had great success with micro needling,  particularly the Infini RF device which combines aggressive micro needling with radio frequency energy delivery to improve texture and tone.  Developing a long term plan with an experienced aesthetic provider will give you the best outcomes.

31 Yr Old with genetic horizontal neck bands and loose skin. Is there anything I can do about it? (Photo)

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