Best non-surgical treatment for my crepey neck? (photos)

HI and thank you for your question. Morpheus8 is non-surgical. It is microneedling with radiofrequency that will remodel and rebuild collagen revealing tighter, more radiant skin. Injections such as filler and/or botox can be done after as a maintenance treatment to maintain your results. I would suggest partnering with your physician to come up with a treatment plan that works for you. Morpheus8 is usually done in a serious of sessions at least 4 weeks apart from each other.

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hi, thank you for your question and for providing a picture.
In my opinion, the lower face (jaw line, jowls, marionette lines) and neck area are the most challenging areas to treat because the results are not always satisfactory and may not meet expectations. This is because the aging process, which involves bone and fat absorption as well as a reduction in collagen and skin elasticity, affects not only the lower face and neck but also the upper and mid-face areas such as the temporal area, cheek, and mid-face.

My approach always involves a detailed assessment of the face and neck as a whole unit to identify the aging trigger points and determine which areas of the face need to be prioritized and treated in order to restore lost volume and achieve a natural-looking lifting effect.

In my opinion, the first option for improving the appearance of a crepey neck is a neck surgical lift, as this procedure can remove excess skin. However, surgical lift involves surgical incisions and scars. If you prefer a non-surgical option, we can consider treatments that improve volumization and structure on the lower face (jaw line) and tighten the skin on the neck area.

In my opinion, the best approach for your case would be a combination of fillers on the jaw line to give structure and support, along with radiofrequency procedures such as Face/Necktite and Morpheus 8 or Renuvion/J plasma, Exilis 360 Ultra for tissue contraction (fat and skin tightening) on the lower face (jaw line, jowls, marionette lines), and neck area. This procedure can be performed awake with local anesthesia.

For the neck area, the combination of botulinum toxin and Profhilo® can also be a good option if you want to increase skin tone, texture, and tightness. I would recommend making an appointment with a doctor who is an expert in face/neck treatments, including skin tightening procedures, for a medical assessment in order to create a bespoke treatment plan.

Best wishes,
Dr. Giuseppe Fiore

​A combination of non-surgical options like Kybella, PDO NovaThreads, Ultherapy and Thermage would do well in combination for skin tightening for the neck. VASER Liposuction (with ThermiRF, Renuvion and InMode FaceTite) is a great alternative for contouring and tightening the chin and neck and can be combined with a neck lift at the same time, if you're a candidate. I suggest getting a formal evaluation with a cosmetic dermatologist to develop a long-term treatment plan that works for you. Best, Dr. Emer.​

Thank you for your question! You might be a candidate for a non-invasive procedure called Thermage that can tighten skin and stimulate your body to make healthier collagen—the building block that provides structure to your skin. The procedure uses radiofrequency technology called ThermaCool® that has been clinically proven to tighten and lift skin. Fast and easy, Thermage requires no downtime from normal activities. Another treatment that helps smooth skin is micro-RF. Used in combination with Thermage and non-ablative lasers this can be a powerful nonsurgical treatment to help tighten and smooth skin all over the body. My office also has an innovative skin treatment which uses a combination of microdermabrasion and various laser treatments to help improve skin quality and appearance. I have also created skincare products that scientifically help improve quality of your skin. I suggest making an appointment with a board-certified plastic surgeon to discuss your options in more detail!

Filler must be properly done to get decent results in the neck. I would suggest trying Secret, micro-needling with radiofrequency, first and add filler for volume in smoothing is needed.

From your photo it appears you are a candidate for Morpheus8. This nonsurgical treatment combines RF technology with microneedling improving both skin tone and texture. It is performed in the office with no general anesthesia required. Three treatments are recommended for optimal results. We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

Great questions! As we get older our bodies produce less collagen and elastin. In fact, we start to break down collagen faster than our bodies can regenerate it, and for this reason, I prefer regenerative treatment as opposed to temporary fixes. For your concerns, I would suggest starting with a regenerative filler such as hyperdiluted Radiesse, and a nan-fractional skin resurfacing treatment such as Venus Viva RF microneedling. This combination will boost collagen, fibrin, and elastin production, it will tighten the skin, and improve the overall skin tone and texture. I would also suggest using an MD-grade skincare regimen on a daily basis such as Alastin, or ZO skin care products. Best of luck :-)