Will CO2 laser help tighten my neck and jowls? (photos)

Question

I have been through the most stressful two years of my life. Suddenly I could see my neck and jaw area are not as tight as they used to be. I look at my mum and could see the similarity in the jaw shape. I'm only 32 and I feel its stress related so it's made me even more depressed. I'm thinking of getting a full ablative co2 laser....Will this help with tightening the jawline and under the chin? I will not consider fillers....I would like something more natural and long lasting. Help please

Michael I. Echavez, MD · Answer

I would not recommend having a CO2 laser treatment to the neck, as that area does not heal as well as the face.  Having a CO2 laser treatment on the face could potentially improve the jowls.  I would not recommend this treatment for you however, because you have some pigment to your skin and you could get darkening of the skin from the laser treatment.  You might consider a non-surgical treatment such as Face/NeckTite.  This is a procedure which uses radio frequency to deliver heat under the skin and this heat can produce some tightening along the jawline and neck.

Raffy Karamanoukian, MD, FACS · Answer

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

laser doesnt help tighten skin, microneedling RF, factite, threads or surgery does.
 
most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus or pixel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift.  an early face lift /neck lift with or without buccal fat pad reduction can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done.
 
For facial slimming a combination of treatments are always needed.  Options include:
1. Buccal fat pad removal to reduce fat on the lower face
2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping.
3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender
4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined
5. early face/neck lift with platysmaplasty or maxillofacial surgery (bone shaving or implants)  
6. botox/dysport/xeomin on the neck for platysmala bands and neck tightening 
 
Always use at home EMERAGSKIN dermarolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten , cosmelan or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma.
 
See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option.  Best, Dr. Emer.

Will CO2 laser help tighten my neck and jowls? (photos)

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Will CO2 laser help tighten my neck and jowls? (photos)

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Everything you need to know about CO2 Laser

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