Nasty neck with platysmal bands. Is a neck lift my best option? (Photo)

Question

I am a38year old, 5’7”, 150lbs. I am in the beginning of research to find out if a neck lift is my best option. I have been told Botox for the plasma bands will not work it’s skin.

Thomas Wright, MD · Answer

Thriving, Thank you for sharing your photos.  I agree you have prominent platysmal bands and loose skin and some jowling.  I appear that your chin is also slightly recessed . An open surgical face and neck lift will probably best address all of your concerns, however, this surgery has a pretty long recovery  and is your most expensive option but a good bit.  A non surgical neck lift with MyEllevate combined with skin tightening with FaceTite or Renuvion/ Jplasma can address all of your concerns and give a wonderful improvement. Wishing you the best.

Robert M. Lowen, MD · Answer

Dear Thriving,
  With this degree of skin laxity of the lower face and neck that we can see in the photos, a face and neck lift are indicated.  The transverse neck lines will remain despite that surgery as the lines are depressions in the skin and dermis.  Nevertheless the contour will restored to the more youthful appearance.

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

Jason Emer, MD · Answer

"Injecting soft fillers like Belotero in this area can reduce lines, wrinkles and folds as well as improve skin texture with long-term collagen production. Fillers are being used more frequently to contour and lift rather than solely line fill. Of course, fillers are best used in combination with lasers and microneedling with PRP to get the optimal outcome.

I suggest getting a formal evaluation with a cosmetic dermatologist to create an individualized treatment plan that works for you. Best, Dr. Emer"

I suggest getting a formal evaluation with a cosmetic dermatologist to create an individualized treatment plan that works for you. Best, Dr. Emer"

Camille Cash, MD · Answer

From the submitted photos a surgical neck lift is recommended.  This will remove excess skin as well as contour the neck for a more youthful appearance.  After your procedure keep your results looking great with medical grade skin care products like Transform MD and wearing sunscreen every day.

Nasty neck with platysmal bands. Is a neck lift my best option? (Photo)

Answers (5)

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