I'm 28 and I have saggy neck skin. What can I do?

Question

I'm 5'8 and 136lbs, so I'm not overweight. My weight does fluctuate some, but the heaviest I've ever been is 150lbs. My face is round and kind of fat. My neck skin is saggy and there are two lines running down with an indentation between them. It's right above my throat.

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. To provide a valid medical opinion I will need to see pictures of your face from different angles. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Jason Emer, MD · Answer

"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​​​​"

Jed H. Horowitz, MD, FACS · Answer

It's best to begin by consulting with a surgeon in-person to discuss your options. The presence of banding down the front of the #neck, and, amount of excess skin and condition of your skin are among some factors which determine what treatments will best rejuvenate your neck . During your initial examination, your chin will be evaluated along with the neck and jawline. A weak #chin implies a lack of chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall #balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. For individuals with signs of #aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.If you are not a candidate at the time of your #consultation, your board certified plastic surgeon can recommend alternatives to address your concern. Consulting with a board-certified plastic surgeon who specializes in #neck lift procedures is important to ensure you are receiving the best advice, care, and surgical experience possible.

Ross A. Clevens, MD, FACS · Answer

I would suggest you consider Kybella, the first FDA-approved injectable that is utilized to eliminate submental fullness (aka double chin) due to submental fat. Kybella contours patients' neck and jawline in multiple 15-20 minute in-office treatments. I suggest you consult a board certified
facial plastic surgeon because the board certified credential ensures you
receive the highest quality knowledge, treatment, care and skill available. A
consultation provides you the opportunity to relay your concerns and desired
outcome to the surgeon while the surgeon can assess your health profile and
discuss his/her pertinent advice.

Jonathan Kulbersh, MD · Answer

Is difficult to give you specific answers without pictures. Generally speaking there will be both surgical and nonsurgical options to improve sagging skin in a 28-year-old. Surgically speaking if you have excess fat causing the fullness in your neck then liposuction would be a great option for you.There are nonsurgical options to improve the neckline as well. These involve using some type of laser to heat or cool the skin to tighten the skin or cause the fat cells in the neck to die. There are wide variety of options nonsurgically that you can choose from.There is a new injectable form of liposuction called Kybella. Kybella involves a series of injections in the neck that will cause the fat cells to die a can help angulate the neckline.The most important decision you will make is to choose a trusted doctor that will give you good guidance.I hope this helps.

Dilip D. Madnani, MD, FACS · Answer

At 28, its hard to suggest a specific treatment option without pictures. Suffice to say, depending on exactly what is going on, surgical and nonsurgical options are there. From straight forward liposuction, to a platysmatplasty(neck lift), to noninvasive device options. Post some pictures and we can help more.

Evan Ransom, MD, FACS · Answer

Thank you for the question. Photos are an essential part of the consultation process, and without these, it is difficult to comment. However, from your description, it sounds like you have loose skin and platysma muscle. It is generally not recommended to undergo invasive surgical procedures such as face or neck lift at your age. An exception would be patients with massive weight loss and subsequent loose skin. In your case, starting with a minimally invasive option, such as ThermiTight, is probably best. Good luck!

Alejandro J. Quiroz, MD · Answer

Without pictures
is difficult to give an opinion but  at
your age can be fat deposit that can be  treated
with liposuction or  if there is lose you
can treated with an non invasive thermage( radiofrequency) to tighten the skin

Tanveer Janjua, MD · Answer

You can get a platysmaplasty to get rid of the two bands and then get Thermitight to tighten the neck. RegardsDr.J

Reza Momeni, MD, FACS · Answer

Depending on the exact cause, There are good surgical and non-surgical treatments for this, and you need to find out your options by having a proper examination with a qualified plastic surgeon.  Be sure to discuss with your own surgeon about how this applies to you, and whether they have any special concerns in your case.  You would need photos at a minimum on this site so that we can help you.