Crepey skin around the mouth and neck. I'm only 53. Help! What procedures can help? (photos)

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

It is best to begin by consulting with a board-certified surgeon in-person. 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 if you are a #candidate for #rejuvenating the neck. During an in-person examination, your chin will be evaluated along with the neck and jawline. 
Also, if deemed a candidate, you may want to consider Lite-lift™ which is an affordable, quick, and effective innovative facelift developed by board-certified plastic surgeons Dr. Larry Nichter and myself. The goal is to provide a less invasive natural looking option for both men and women desiring to refresh their appearance with less downtime and risks. The LiteLift® is a “real” facelift, which does address the underlying muscle, tissue and overlying skin.
This is a modified facelift that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.
A board certified plastic surgeon should evaluate both your anatomical features and aesthetic goals to suggest which procedure best suits your needs. In some cases there may be more than one option to choose from. If you are not a candidate at the time of your #consultation, your board surgeon can recommend non-surgical alternatives to address your concern.

Based on your photos, I would recommend both a lower facelift/necklift and a fractional CO2 laser treatment of your entire face.  These two treatments will address the texture, tone, and droop you are wishing to improve.  A lift will tighten the jawline and improve the early jowling, as well as removing any fat under your chin while tightening the neck (platysma) muscle and skin.  The fractional CO2 laser will improve the texture and tone of your skin, for you certainly appear to be a good candidate for this treatment based on your apparent lighter skin tone.  Your recovery time would be 1-2 weeks, with the ability to put on makeup 1 week after procedure.  There should be only minimal post procedure discomfort requiring 3 days of mild prescription pain pills on average.  Both of these can be done on the same day and can be performed under local anesthesia and oral sedation, making it very safe and less stressful on your body.

A lower face/neck lift $9800 under local with a little iv sedation and a medium TCA peel is what most of our patients need and really love the results since it is easy to undergo, dramatic and natural looking.

Thank you for your question and photos.You will greatly benefit from a face lift - this procedure will make your neck skin smooth and taught defining your jaw line. Dermabrasion or laser treatments can improve the skin around the mouth. You can also benefit from a lip lift. The space between your top lip and the base of your nose is too wide making you appear older. Look into it. I hope this helps.Best wishes,Gary Horndeski M.D.

In our practice the treatment for peri-oral wrinkles is a mechanical dermabrasion. The depth of the  treatment can be controlled easily and has a good success rate. Treatment for the crepey skin in the neck is with a lower face and neck lift. For many examples, please see the link  and video below

The best solution for treating crepey skin in those areas would be an ablative laser treatment such as a Fractionated CO2 laser.  This will help improve the texture, tighten & smooth the skin for you.  Results are fairly dramatic and long-lasting, and the laser will involve about a full week of downtime in which you will need to stay indoors and keep the areas well-hydrated with Aquaphor.  I recommend seeing an experienced cosmetic dermatologist for this procedure.  Please be sure not to receive an aggressive treatment like this over the summer. 

It appears you would benefit from a facelift with some type of skin rejuvenation (peels/lasers).  The facelift and necklift would tighten and remove skin and tighten the neck muscles.  The skin rejuvenation would smooth out the texture of the skin for an overall more youthful appearance.