Thank you for your question. I understand you’d like to know if PRP, or the Vampire Facelift®, can tighten loose skin under your neck.I can offer some guidance on this as PRP is something I use quite frequently in my practice. I am a member of the Vampire Facelift® network and have been consulted by the media several times about the procedure. I’m also a Board-certified cosmetic surgeon, and a Fellowship-trained oculofacial plastic surgeon, practicing in Manhattan and Long Island for over 20 years.We do a lot of skin/facial rejuvenation procedures in our practice, including but not limited to surgical facelifts, neck lifts, and non-surgical treatments for facial aging such as the Y Lift®—so improvement of the skin on the neck area is something we are quite familiar with.When it comes to loose skin under the neck, it is important to distinguish whether that looseness is due to skin quality or skin quantity. If the issue is skin quantity, or the presence of excess skin, then unfortunately there is no way of tightening skin without surgery. Many thermal heating devices may claim to be able to do such, but the reality is that they can’t, but can overheat the skin do further damage.If the issue is skin quality, such as texture and tone, then this is where PRP can be helpful. PRP stimulates collagen and fat cells under the skin, thus improving its external volume, tone, and texture. If you think about it, the face of a younger person doesn’t look tight, rather it has a lot of volume and glow, which contributes to a youthful look. In that respect, PRP can be of benefit to you.Often, laxity of the neck also has something to do with laxity of the face. When a patient has loose skin under their neck, I’ll have them do a mirror lift to show how addressing a sagging face can also address a sagging neck, and that improvement of the neck is just a part of the challenge. For this, we do face and neck lifts.In summary, if you’d like to improve skin quality, PRP can do wonders for that. PRP, however, is not a single procedure. In our practice, it is usually done 2-4 times a year. If you’d like to address skin quantity, or excess skin, some type of lifting procedure will have to be done, depending on how loose the skin is. If the skin is not that loose, it would be advisable for you to wait it out before doing something like a surgical lift.I recommend that you meet with experienced and qualified doctors who do both surgical and non-surgical solutions, so that you can get a better sense of what to expect from both types of procedures.I hope that was helpful and I wish you the best of luck!This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.