What treatment does REALLY help to eliminate pre-jowls and a saggy neck? (Photo)

"These are all natural parts of the aging process. What we can do is try preventative treatments or get a neck lift / face lift earlier in the aging process. There are numerous non-surgical options available, and some can be used in combination to get best outcomes, but you would need a consultation with an expert.

Some options for skin tightening include:

- Thermage radiofrequency to heat the skin, tighten it over time, and prevent the aging process
- Ultherapy high-intensity ultrasound to contract the muscle, tighten the face and neck, and prevent the aging process
- PDO NovaThreads or InstaLift threads for immediate lifting without surgery and long-term collagen production
- Sculptra injections for collagen production to areas of the face and neck with crepey skin or early sagging
- BTL Exilis Ultra, Venus Legacy, and Thermi250 for monthly collagen stimulation with facials
- ThermiRF, Renuvion (J Plasma), or Inmode BodyTite for internal heating and tightening with or without surgery
- Fillers (or facial implants) to contour the jawline and chin to improve the appearance of the neck
- Face lift / neck lift with fat grafting and fillers if you need a significant improvement​

​I would suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​​​"

Hello, and thank you for providing photos along with your question. Neck rejuvenation can be achieved in many ways. For a non-surgical approach, a combination of treatments is best. Fillers are often paired with Botox to produce more dramatic results. There is also Profound RF that works by creating micro-injuries to stimulate a wound-healing response and using RF energy to produce new collagen, improving mild to moderate skin laxity in the neck and jawline. The Cutera Titan uses light energy to heat the dermis and stimulate collagen production to tighten the skin.

For a surgical approach, you can consider a neck lift to revitalize the appearance of your neck and throat. Compared to a mini-lift or traditional facelift, this neck tightening surgery is considered less invasive as it requires smaller incisions and targets the neck alone. To determine the best procedure(s) for you, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can do a proper evaluation, recommend and customize the best procedure plan, and ensure the best possible outcome.

Hello,
Thank you for your question. The best way to achieve what you are looking for is through a minifacelift and necklift. These can be done awake under local or asleep (general). I wish you all the best.
Mark G. Albert, M.D., F.A.C.S.New York, NY and Boston, MA