Help with crepey skin on neck. Microneedling? Lasers? Topical treatments? (photos)

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

Without a personal examination it is difficult to give the best advice. In general,
Radio Frequency, and laser energy devices as well as chemical peels can tighten the skin and reduce fine wrinkling. Your doctor can council you which is best for your skin type and exam.

A combination approach would give the most improvement. Kybella, PDO Nova Threads, lasers, microneedling/prp, Ultherapy and/or ThermiRF treatments (Venus Legacy) are non-invasive options that would do well in combination for skin tightening. Please see a cosmetic dermatologist for a long term treatment plan.  Best, Dr. Emer.