So I'm in my Mid Thirties and I'm Pretty Thin So my Neck Has Really Been Making Me Look Older, What Can I Do for This? (photo)

What stands out most is your platysma muscle bands. They can be handled by Botox every 3 months plus or minus or with a platysmaplasty - a procedure that can be performed in the office or under IV sedation using an incision in your chin crease line to hide it. 

See a board certified plastic surgeon or facial plastic surgeon for advice and options.

Hi Margot,

Nora Ephron's book, "I Hate My Neck" says it all for many women. I would recommend non-invasive treatment of your "mid-thirties" neck.  I would treat your anterior neck platysmal bands with appropriately dosed and placed neuromodulator (Botox or Dysport), and then use Ulthera (micro-focused ultrasound) to lift and tighten the muscles and skin of your neck non-surgically without any downtime.  I agree that surgery in your case can be delayed for some time. Nora would have loved this treatment.  Good luck and be well.

Michael A. Persky, MD

Encino, California

Botox is a temporary fix for these bands. a better rather lasting option would be a platysmaplasty which is a rather invasive procedure.