ThermiTight or threads for sagging neck and jowls? (photos)

With the degree of skin laxity that you have, you would be best served by a surgical face/neck lift. If you are against surgery then ThermiTight would be the best non-surgical treatment to tighten up your loose neck skin. The results are more subtle than surgery, but without the risk. You may need multiple treatments over time depending on your goals. The best thing to do is set up an in-person consultation and evaluation with a physician in your area. Best of luck.

ThermiTight works well in general for necks of loose skin and fat accumulation, but less for muscle bands.  Threads may help lift the jowls but the question is what is the duration of their effectiveness. ThermiTight can help in patients to lift their jowls but those with bad sundamage or poor nutrition, or chronic smokers will not be expected to do as well.The information provided in Dr. Shelton's
answer is for educational purposes only and is not intended
to constitute medical advice. The information provided should
not be relied upon as a substitute for consultations with a qualified
health professional who may be familiar with your individual medical
needs.

The best way to answer your question is to ask yourself what kind of results you wish to have from a procedure.  Thermitight, Ultherapy, and other less invasive technologies have the advantage of avoiding a surgical recovery, but have the disadvantage of a much lesser result.  In my experience, most patients with the aging changes shown want a fairly substantial result, and this means having a facelift with platysmaplasty.  Some patients are willing to have a lesser result because they are unwilling or unable to have surgery.  However, for other patients, these lesser results end in disillusionment despite having been counseled about expectations. The biology and physiology of aging haven't changed and there is no minimally invasive technology that produces similar results to surgical intervention.

The aging neck is often characterized by two distinct processes: loose skin and excess fatty tissue.  The ThermiTight procedure targets the loose skin component. If there is a significant amount of excess fatty tissue also present, then a procedure called microliposculpture can be performed at the same time as the Thermi to treat this problem.  Combining these procedures results in a minimally invasive, no downtime treatment that does not require general anesthesia and can give excellent results.ThermiTight can be an excellent option for natural reduction of unwanted skin laxity in the neck. However, proper assessment by a Board-Certified dermatologist with expertise in the device is crucial to get the best results.   

Thermi does great for tightening and has almost no downtime.  A neck lift will give you the ultimate results with platysmaplasty but will require significant downtime.  Liposuciton of the jowls can help as well.  I suggest seeing a neck contouring expert.  Best, Dr. Emer.

As a plastic surgeon, I would say that your most dramatic outcome would be with surgery.  However, I also understand that not everyone is willing to undergo surgery.  As far as non-surgical options, I would recommend the new Profound radiofrequency microneedling for the lower face/neck area.  It is the only device that allows for both collagen and elastin to be formed in response to the treatment.  The results are not quite a replacement for surgery, but it can help reduce some of the laxity in those areas.

Thank
you for your question. From looking at your photos, you might want to consider
Silhouette Instalift. You seem to have a lot of loose skin and Silhouette
InstaLift is a great minimally invasive procedure to help you lift your jowls
and the loose skin on your. The procedure will re-contour your face for a more
naturally youthful appearance. If you are interested please schedule a
consultation with a qualified physician and make sure they are familiar with
the procedure as it is very new. I have recently performed it on a number of
patients and their results have been great. I would recommend between 2-3
treatments for optimal results. 

If you are wanting to keep things minimally invasive I would recommend the Thermitight. There is no cutting with this procedure, minimal downtime, and the cost is significantly cheaper than a neck lift. ThermiTight uses a small probe, directly under the skin to heat the tissue with Radio Frequency. This heating causes tightening and collagen regrowth. This procedure can also be done in conjunction with a fat transfer. As always an in person consultation with a board certified plastic surgeon that has plenty of experience with ThermiAesthetics is recommended.

ThermiTight is a great device to address skin laxity within the neck. There seems to be a subtle fullness in the submental(under the chin) region that may potentially have some fat associated with it. Unfortunately, the ThermiTight does not address fat. However, you can have a simple microliposuction procedure to that area at the same time to maximize your results. Either way it is worth a consultation to get an examination and determine the best treatment for you. 

In every case the patient should seek the advice of a board certified plastic surgeon.  The assessment of the Patient's problem as well as the patient's needs and expectations are key to a successful outcome.  In most instances a plastic surgeon would probably recommend a facelift in order to improve the jaw line, jowls, as well as the neck.  Even the lower neck is improved somewhat by this.  If the consideration is choosing between threads and Thermitight the choice in my opinion should almost always be Thermitight.  This works best on people with relatively elastic necks a modest amount of fat which can be shrunk and some mild skin laxity.  Thermitight is simply a heat device that treats the deeper tissue just as the laser heats the superficial tissue.  In fact, Thermitight and the laser can be used together with great results.  Still, some people need a facelift. Threads are usually a disappointment because of the relatively short lived result.