For Which Patients is Non-surgical Neck Lift Recommended?

Could a non-surgical neck lift be a long-lasting solution for diabetics with turkey neck?

Doctor Answers 11

Non-Surgical Neck Lift Options

Nonsurgical options for neck rejuvenation include Pelleve to tighten loose skin and even Botox for prominent neck bands. Neck liposuction constitutes as "surgery" to remove unwanted fat in the neck area. Laser-assisted neck lift can use a laser device in addition to another neck procedure to tighten the skin of the neck, but the effectiveness depends on the skill of the surgeon. Given you have proper medical management, a surgical limited neck lift may improve the appearance of your neck to reduce sagging skin and tighten the overall appearance of your turkey neck. A turkey neck can not be properly corrected by a nonsurgical method. A photo or a proper examination would best help determine the procedure for you. I recommend seeing a qualified facial cosmetic surgeon.

New York Oculoplastic Surgeon
4.3 out of 5 stars 70 reviews

Non-surgical neck lift

I agree with others that you shouldn't waste your time or money on non-surgical options for a 'turkey neck'. The recovery from a neck lift can be as quick as 5-7 days.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

No great non-surgical solutions for the neck - and liposuction qualifies as surgery

There are really no non-surgical solutions presently available for a turkey neck (excess loose skin and fat) that do anything of any significance.  A neck lift or facelift is the gold standard and can be done safely in a well controlled diabetic as long as your internist approves and you are otherwise a healthy, non-smoker in good physical condition.

I would also take exception to Dr. Young's comment that liposuction is a "non-surgical solution" - it absolutely is surgery and carries all the potential risks that any surgery does.  Far too often patients want to downgrade this as just a little "procedure" but it is real surgery!!

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

For Which Patients is Non-surgical Neck Lift Recommended?

There is no non-surgical neck lift for turkey neck - for which all us plastic surgeons can be very thankful!

The various non-surgical modalities are possibly useful only in the very mildest cases of neck laxity, and the results are often unconvincing.

Your diabetes does not necessarily disqualify you from surgery.

I work closely with the family doctors and my anesthesiologist colleagues to ensure that all my patients with underlying medical conditions are well taken care of through their surgery.

Good luck!

Eric Pugash, MD
Vancouver Plastic Surgeon
4.9 out of 5 stars 136 reviews

Neck lift options and diabetes

A turkey neck is caused by gradual sagging of the platysma muscle underneath the skin in the neck. Once you get to the actual turkey neck appearance, it is unlikely that a non-surgical option will provide you with much benefit. The most effective solution is a neck lift which anchors the platysma muscle in the correct position and allows for the removal of excess skin.

Diabetes doesn't necessarily exclude you from a neck lift but it does put you at increased risk for post-operative complications. I have done some procedures on diabetic patients. However, I am very comprehensive in my discussion of risks and insistent that your hemglobin A1C level is normal, indicating that  your blood sugar is well controlled over the long term.

Other options include Ulthera and Thermage. I have not found patients with a turkey neck to be very satisfied with these treatments.

Todd C. Miller, MD
Newport Beach Facial Plastic Surgeon
5.0 out of 5 stars 34 reviews

Nonsurgical approaches to necklift

You are absolutely right that the nonsurgical approaches, including Thermage and laser, will not achieve optimal results. See a board certified plastic surgeon to determine whether they could be of value to you. I wold never go so far as to say that a diabetic patient should hav no major problems. It depends upon the severity of the disease and you should not discount the additional risks for diabetics.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 40 reviews

Non surgical approaches to a turkey neck in a diabetic

You've described your neck as a turkey neck which usually means you have a waddle of skin and fat below your chin of more than minor size, in which case surgery would probably be best. But, if your diabetes is not well controlled and your primary care doc doesn't advise surgery, you could consider Thermage (a radio-frequency device) or Ulthera (an ultrasound device) if you could accept a  minor improvement; they will not work miracles, don't replace surgery, but might help you some.

Russell W. H. Kridel, MD
Houston Facial Plastic Surgeon
4.5 out of 5 stars 13 reviews

Nonsurgical necklft for turkey neck

 If you really do have a turkey neck deformity, I doubt that any nonsurgical procedure will provide the results you are seeking.  Alternatively, I do not think that having diabetes means that you are not a good candidate for a surgical neck lift procedure.

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon
4.8 out of 5 stars 131 reviews

Non-surgical neck lift

Although not non-surgical, a direct approach to "turkey neck" removal is possible that may be better if you desire a less invasive option because of the diabetes. Direct excisional techniques are long lasting. May be indicated for someone who isn't a good candidate for general anesthesia. Regardless be sure blood sugar is well controlled, and your plastic surgeon plans management of your blood sugar with your diabetes physician and the anesthesiologist, if you will need one.

Steve Laverson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 46 reviews

Diabetics can get a neck lfit a non surgical solution would give minimal results but there are options

I have done many neck lifts on diabetics. You should have a medical clearance by your primary care physician or other pertinent speciailist but once cleared you should have no major problems with having a neck lift. Non surgical solutions include liposuction. Sometimes fat grafting done in a judicious way can also improve your neck. Below is a video for you to watch and a link to see more informative videos:

Philip Young, MD
Bellevue Facial Plastic Surgeon
4.2 out of 5 stars 84 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.