Laser Treatment for Crepey Neck Skin?

I am 57 yrs. old with a thin build. I don't have excess fat on my neck but do have what I refer to as 'crepey' skin in the center.

Can this skin be tightened via a laser procedure, or am I doomed to undergo some type of invasive procedure to improve the appearance? (I don't have a sagging jaw line, or jowls so am not considering a mini facelift.) Thanks!

Doctor Answers 27

Neck rejuvenation

Lasers for skin tightening will never replace surgery. But, for the right person, they can improve skin quality and delay the ned for surgery. In fact, lasers can sometimes enhance the result of surgery by making the surface of the skin smoother and more youthful. In my practice it is not uncommon for me to include some laser and skin care services before and after surgery to help improve the quality of the skin.

Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 120 reviews

Laser (or other wavelength energy) treatment vs. necklift


There is no such thing as laser or non-surgical neck lift, even though there are many claims. In my practice we have available a full range of laser resurfacing, non-ablative skin tightening, HA fillers, etc. in addition to standard and short-scar or limited facelifts. We offer specific procedures to patients based on each patient's needs or wants. Your age alone is not a determinate of what procedure will give you the best result.

We recommend neck lift for 3-dimensional improvement of facial and neck aging changes (loose skin, jowling, poor jawline definition, under-chin bands or folds, etc.). In your post, it does not sound like these are your issues, but I suspect you would be surprised that the procedure is less onerous than you imply.

We recommend non-surgical skin tightening for textural skin changes. Treatment of surface looseness can improve your appearance. Crepey skin is in this category. A series of laser and intense-pulsed light treatments, and periodic maintenance treatments, can give moderate improvement.

Both types of procedures may be useful for some patients. They do not achieve the same kinds of results: they can be complimentary. I suggest you seek other in-person consultations. The education should help you choose.

PS: Allow me to clarify one point. A "mini facelift" is a procedure to improve the cheeks without much done for the neck. A surgical neck treatment would either be a neck-lift (alone) or a part of a standard facelift.

Sutton Graham II, MD
Greenville Plastic Surgeon
4.8 out of 5 stars 5 reviews

Treatment for a Crepey neck with a Good jaw Line and No Jowls

While a neck lift or lower facelift is a good option for crepey skin of the neck, if you are not interested in surgery then the non-surgical options to tighten include:

·       Microneedling.  As long as the individual doing this treatment is aggressive enough and you are willing to have a few treatments, this can be an excellent option for tightening the skin of the neck.

·       Lasers.  There are a lot of different lasers.  The more aggressive lasers should not be used on the delicate skin of the neck since there is a high risk of pigment changes and scarring.  Most lasers should not be used on any skin with color.

·       Chemical peels.  The medium depth peels like the VI peel are a great way to tighten the skin of the neck and can be used on skin with color. 

In general, I prefer chemical peels but any of these can be reasonable treatments in the right hands. 


I hope that helps.


Best regards.

Brian Windle, MD
Kirkland Plastic Surgeon
4.9 out of 5 stars 64 reviews

Neck skin

Alot of the lasers for skin tightening are not great. If you wnat bout a 20-30% improvement then this may be right for you.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

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.



Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 105 reviews

Crepey neck skin

Very common problem !

From your description, I believe skin tightening with Ulthera would give the most benefit without surgery.

Further external skin tightening could then be achieved with the Fractional Laser

Richard A. D’Amico, MD, FACS
Englewood Plastic Surgeon
4.9 out of 5 stars 25 reviews

Neck skin

it is impossible to reverse the changes of aging at the skin level. ematirx and ulthera can be helpful , but are an adjunct to surgery, not a rpelacement.

Michael E. Kelly, MD
Miami Plastic Surgeon
5.0 out of 5 stars 12 reviews

Neck Treatment Options

I would recommend scheduling an appointment with a board certified plastic surgeon to discuss your concerns. During the consultation, the doctor should assess your face and neck and be able to present the treatment options that are specific to you. Deka Laser resurfacing on light mode can help if there is significant sun damage and superficial fine lines. Not everyone is a good candidate for Laser treatments, however there are other options that might be worth considering. Ulthera is a non-invasive treatment that helps to tighten the face and/or neck by using ultrasound to stimulate collagen at a very deep level under the skins surface. After a consultation, you will know exactly what it is that you are a candidate for which will make exploring your options much easier.

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
4.1 out of 5 stars 9 reviews

Laser treatment for neck laxity

Laser treatments are not good option for neck skin laxity. They improve the quality of superficial skin but not the overall laxity of skin. Your best option at this age is a minimally invasive lower face and neck lift to have a long lasting results. This can be performed with local anesthesia and twilight sedation.

Kevin Sadati, DO
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 208 reviews

Lasers are not very effective for tightening neck skin.

We have been using what I consider to the be the best skin tightening laser available, the Active FX/Deep Fx laser,  for 7 years now. While it is very effective around the eyes and mouth, the settings have to be turned down very low to safely use on the neck, otherwise scarring can result. It can be used on the neck but the tightening at low power setting is minimal. You may look into one of the RF tightening systems but most patients do not get long term results from those devices.
Good luck and I hope this helps.

Ivan Wayne, MD
Oklahoma City Facial Plastic Surgeon
5.0 out of 5 stars 61 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.