Will Fraxel Tighten my Skin on the Front of my Neck?

Fraxel will give only a temporary improvement to the hanging neck if any at all.  The deeper tissues of the neck have to be addressed with some type of surgical procedure to give a lasting and noticeable effect.

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

It is difficult to gauge the looseness of your skin from your photo and without a direct examination, but keep in mind that the most successful tightening produced by any device is not the same as a neck lift. If the muscle bands are loose and pulling the skin down, no resurfacing or tightening device will be enough. It is academically fascinating for physicians to see that without surgery a small improvement in tightening can occur from Thermage, Portrait, Fraxel or Titan treatment, but our excitement with that result may be much less than yours as the end result is not a “homerun.” You didn’t mention which Fraxel was discussed. Was it the Re:store or Re:pair?
The former involves a series of treatments and although it improves the texture of the skin, the tightening is minimal. The latter is more aggressive and requires considerable downtime and has a slightly greater risk of pigment change and scarring than the Re:store. If you were to invest in treatment with Re:pair, you might incur some risk for a result that will dissatisfy you. The newer technology of Thermage compared to the original protocol and equipment, may provide you with a better outcome than with the Titan, Fraxel or Portrait.

I think that one treatment with the Fraxel re:pair laser is the right thing for you. I feel that this laser tightens the skin so you will see on average a 50% improvement (the company says up to 70%) in skin quality, fine lines and sagging. The Fraxel re:pair combines the fractionated technology with a CO2 laser.