Age 47, female, - is a tighter neck possible without surgery? (Photos)

You have some laxity of the neck skin and underlying fascia blunting the cervicomental angle. It looks like solar aging is contributing to this, sun exposure.
To tighten the neck with a minimally invasive procedure, more effective than purely non-invasive treatments, I suggest you research MyEllevate. This is a non-incision suture suspension neck lift designed to get a better submental, cervicomental contour. It is accompanied by skin tightening, in my practice Cynosure Sidelaze 1440 laser.
All treatments have a certain duration and treating your skin and preventing excess sun exposure play the main role here.

There are excellent non-surgical options available. Patients with moderate skin laxity of the lower face and neck are ideal candidates for the Endolift Laser which is FDA approved and used throughout Europe. I brought it to the Connecticut area to offer my patients an alternative to a surgical facelift. When used in combination with PDO Threads and possibility facial fillers, the results are ideal and the downtime is minimal. You may also benefit from selective facial fillers: Radiesse, RHA or Restylane to contour your jawline and cheeks. This will support lax skin and muscle of the lower face. The combination of the Endolift Laser, PDO Thread Lift and selective Facial Fillers is the choice for patients who wish rapid recovery, have moderate laxity of facial and neck skin and wish a natural and rejuvenated appearance. Botox will not assist sagging skin but when appropriate can diminish prominent neck bands or muscles.

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

An in person evaluation is best but you may be a candidate for FaceTite. This minimally invasive procedure uses RF technology to tighten skin and stimulate collagen production. No general anesthesia is needed. You can also combine FaceTite with other treatments such as Morpheus8 to enhance your results.

​A combination of non-surgical options like Kybella, PDO NovaThreads, Ultherapy and Thermage would do well in combination for skin tightening for the neck. VASER Liposuction (with ThermiRF, Renuvion and InMode FaceTite) is a great alternative for contouring and tightening the chin and neck and can be combined with a neck lift at the same time, if you're a candidate. I suggest getting a formal evaluation with a cosmetic dermatologist to develop a long-term treatment plan that works for you. Best, Dr. Emer.​

While surgical procedures generally do give the most improvement to the neck, there are some non-surgical treatments that can help. One such treatment would be Face/NeckTite. This is a non-surgical procedure that uses radio frequency to deliver heat to the layers under the skin. This heat produces some contraction and thus, some tightening.

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. The needles can also be set deeper in certain regions so that they will destroy unwanted fat cells- such as in the jowls and the “double chin” zone. 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.
4. EmbraceRF- this is a combination procedure pairing Morpheus8 externally with the FaceTite procedure. Ideal for the more advanced skin laxity, for skin laxity that is accompanied by surface wrinkles or crepiness, and/or when there is unwanted fat to be destroyed. If the fat collection is substantial, this can be combined with targeted liposuction. Numbing for this procedure requires lidocaine injection.
I hope that helps!

Regardless if you decide to get surgery done, in the future or near future; one should always consider the list below (to achieve better overall results and maintain them, as well as maintain your investment - longer-lasting better-looking results)

*An in-person consultation is required*

1. Get blood tests - Hormone Levels (will affect everything from overall energy to brain health and cancer prevention) Vitamin and Nutrition levels, Cell Count, and more. Bonus points if you're able to get a full consultation from a dietician.
2.Diet and Exercise - Your BMI is in a healthy range - you seem to have physical health in check but everyone should always start here regardless
3. Skincare + Supplements - Sunscreen, Facial Cleanser, Moisturizer, Vitamin C (mornings), and Retin-a (nightly)
4. Non-invasive procedures (you want skin resurfacing and skin tightening) - options: Morpheus8, IPL, Clear and Brilliant, Fraxel, and more
5. Minimally Invasive: Renuvion J-Plasma, FaceTite, Ultherapy, Thread-Lift, and more
6. Surgery (should always be your final step/consideration/option - you'll be amazed at the results of steps 1-4 and 5 will further improve them): Neck lift w/Potential Facelift

Dear OM,
There are more options for neck lift than just skin removal and tightening now.
My patients have benefited from a minimally invasive procedure that removes the jowels, defines the jawline and tightens the neck.
I use a combination of Vaser ultrasound and Renuvion skin tightening technologies. The downtime is minimal and the results are noticeable by the next day.
Best. DrBrecht
Seattle, Wa