Laser Treatment for Crepey Neck Skin?

There are many lasers like Thermage and Titan that help tighten some of the skin but the effects are minimal.
The best solution would be to get Sculptra injections which can thicken the skin and make it look smoother, fuller and younger.
HOWEVER, BE VERY VERY CAREFUL IN CHOSING A PHYSICIAN WHO IS COMPLETELY COMFORTABLE WITH USING SCULPTRA IN THE NECK.
Regards

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

"These are all natural parts of the aging process. What we can do is try preventative treatments or get a neck lift / face lift earlier in the aging process. There are numerous non-surgical options available, and some can be used in combination to get best outcomes, but you would need a consultation with an expert.

Some options for skin tightening include:

- Thermage radiofrequency to heat the skin, tighten it over time, and prevent the aging process
- Ultherapy high-intensity ultrasound to contract the muscle, tighten the face and neck, and prevent the aging process
- PDO NovaThreads or InstaLift threads for immediate lifting without surgery and long-term collagen production
- Sculptra injections for collagen production to areas of the face and neck with crepey skin or early sagging
- BTL Exilis Ultra, Venus Legacy, and Thermi250 for monthly collagen stimulation with facials
- ThermiRF, Renuvion (J Plasma), or Inmode BodyTite for internal heating and tightening with or without surgery
- Fillers (or facial implants) to contour the jawline and chin to improve the appearance of the neck
- Face lift / neck lift with fat grafting and fillers if you need a significant improvement​

​I would suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​​​"

The neck ages rapidly compared to other parts of the face. This is because the fan like platysma muscle is extremely mobile and the constant turning and lifting of the head and neck leads to redundant skin, fat and muscle.
Non surgical options in my hands include thermismooth, ultherapy, liposuction, sculptra, fat transfer and botox. The first two refill the volume while botox can be used to relax plastysmal banding.   Laser resurfacing can be used to treat very fine rhytids of the neck though this is more successful for the fine lines of the perioral and periocular areas. It will give a modest amount of tightening to the most superficial skin of the neck and face.
Surgically we offer a neck lift and plastysmaplasty. The neck lift is one of my favorite procedures. This is because the results are natural and the patients do so well. The incisions are hidden near the ear and in the neck and behind the ear hairline.
I hope this helps.
Best of luck,
DrC

In some cases, laser treatments on the neck can be helpful to improve the overall skin quality and can offer a small degree of tightening. If there is significant neck laxity, laser resurfacing will not be adequate, and there is no substitution for a surgical neck lifting procedure. Each patient is obviously unique, so the procedure should be tailored to the individual.All the best,

Although there are a great many noninvasive skin-tightening modalities out there, nothing can come close to achieving the results of a good neck lift with platysmaplasty (tightening of the neck muscles). Because you didn't provide photos, it's hard to understand what you mean by “crepey” skin. If it's just a matter of texture, then perhaps you would benefit from a combination of laser resurfacing, microneedling and chemical peels to stimulate more collagen and elastin. If there is any loose skin, however, a neck lift would give you a dramatic and long-lasting improvement that you could enjoy for 5 to 8 years or more. Ultimately, this might feel like less of a “doom” than constant maintenance with less effective noninvasive treatments. I hope this helps.