What is the best nonsurgical procedure for loose skin on the neck? (Photo)

Question

What is the best non surgical procedure for loose neck skin? I am 46 years old and due to dieting and exercise i lost volume and neck doesn’t much my face( I use fillers for face)I am not ready yet to major surgery and looking for options that can give me good result. I don’t have turkey neck, my jow still look ok. I know some electrical devices can cause more skin sagging. Is J plasma a good option?

Thomas Wright, MD · Answer

Desheva Thank you for sharing your photos. From your photos it appears that you have fairly mild skin laxity, some platysma bands and tissue crowding under your jawline. These imperfections can be well addressed with MyEllevate and some skin tightening with FaceTite or J plasma/ Renuvion.  I agree with you that you do not need a full face and neck lift. Wishing you the best of health, Dr Wright.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Nelson Lee Novick, MD · Answer

HA fillers can work well for treating next skin laxity. Robust HA fillers injected properly on the sides, for example, can be used to lift, pull and refine the contours of the neck, and resilient, low viscosity, cohesive HA fillers can be used to improve the appearance and skin quality of the central portion of neck. Treatment generally should take no more than a fifteen minute session in experienced hands and engender little to no significant downtime.  However, these are advanced injection technques that should not be left to the hands of novice injectors accustomed only to using simple Juvederm or plain Restylane for smile lines. These are advanced injection techniques and you would be wise to consult an experienced, board certified cosmetic dermatologist filler expert. Hope this helps and best of luck.

Jason Emer, MD · Answer

"A combination approach would give the most improvement. Nonsurgical options such as Kybella, PDO NovaThreads, and Ultherapy do well in combination for skin tightening, but the results are mild compared to surgical options.

I would recommend a VASER Hi-Definition Liposuction with ThermiRF, Renuvion (J Plasma) and InMode BodyTite to contour and tighten the chin and neck. A neck lift can be performed at the same time, if you're a good candidate. I suggest seeing a board-certified cosmetic dermatologist to develop a personalized treatment plan that works for you. Best, Dr. Emer.​"

Sean Arredondo, MD · Answer

Hello, the neck can change so much after weight loss! There are many great treatments to help improve the skin around the neck, and they each have different benefits. Morpheus8 is a great option to tighten the skin, especially if there is some “crepey” skin. It can improve the tone, texture and color of the skin. Renuvion is another great option to help improve the skin around the neck. This is more invasive, but it does help tighten loose skin and improve texture. I often recommend this if the patient has some volume in the chin or neck they are trying to remove. The final procedure I recommend is called MyElevate. For those with strong platysmal bands this is an excellent option, as you can legate them during the procedure. Often these bands prevent the skin from retracting further and achieving the best results. A permanent suture to is then tighten the skin and enhance the angle between the jaw and neck. It is often combined with renuvion and liposuction.

Lisa Vuich, MD · Answer

Thanks for your question. There are several very effective treatment options for treating neck skin laxity. In non-surgical aesthetics, skin tightening is going to be "all about heat delivery". This is because the microinjury of heat is needed to stimulate collagen and elastin production in the skin, which happens during the healing response to the treatment. Results from any of these procedures are not instant but rather develop gradually over the course of 3 to 6 months:
1.	Sofwave- utilizing microfocused ultrasound to deliver heat to the deep dermis at a depth of 1.5mm, generating new collagen and elastin in the skin. The number of pulses delivered is important- the more laxity there is, the more important it is to do the ‘advanced protocol’ with 4 full passes. Most will need 1 to 2 sessions spaced 4 or more weeks apart. You should have either ‘full face and neck’ or at least ‘lower face and neck’ to get the best result for the jawline. Sofwave has no effect on fat cells as the energy cannot reach that level. Numbing for he procedure is primarily topical. 
2.	Morpheus8- utilizing RF energy delivered at the tips of micropins. With this approach you get the collagen stimulation of the heat PLUS the collagen stimulation of the microneedling, so you can potentially get more result per session, but at the expense of 'some downtime'- puffiness, faint redness for a day or two, potential bruising. Most will need 3 sessions- can be spaced 4 or more weeks apart. ‘Full Face and Neck’ is the ideal approach. Numbing for this procedure is primarily topical but nerve blocks (injection numbing) is very helpful also.
3.	FaceTite- this procedure involves placement of a probe just under the skin to achieve full thickness heating. The probe is introduced  through some simple needle pokes- considered ‘minimally invasive’. Most require a single session. Results typically last 5 years. Numbing for this procedure requires lidocaine injection.

I hope that helps!

Camille Cash, MD · Answer

An in person evaluation is best, but you may be a candidate for FaceTite or Evoke Neck.  FaceTite would be a one time treatment.  It is minimally invasive and uses RF technology to stimulate collagen and elastin, tightening the skin.  Evoke Neck is non invasive with no downtime.  Typically six treatment sessions are recommended for optimal results.  Another option to consider is Morpheus8 which combines microneedling with RF technology to improve skin tone and texture.

Darryl J. Blinski, MD · Answer

Only minor surgery can effectively improve your neck laxity. Forget about J-Plasma! bad technology. Options: mini neck lift with redraping skin, My Elevate Plus neck suture, Y-Lift filler deep on jaw injections, or a combination of all. Fees  in the$10,000 ranges Best to virtual consult with....