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.

Without photos, it's difficult to determine the treatment to address your concern. It's best to begin by consulting with a 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 what treatments will best rejuvenate your neck . 
During your initial examination, your chin will be evaluated along with the neck and jawline. A weak #chin implies a lack of chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall #balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. For individuals with signs of #aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.However, 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 of the #LiteLift 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.The best candidates for #LiteLift are non-smoking patients 35-60 years old with stable skin elasticity, well-defined bone structure but showing early changes of the lower face and the neck. Older patients who cannot or do not wish to have a longer operation or general anesthetic can be improved with a Lite Lift™. All in all, Lite Lift™ surgery is individualized for each patient. 
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.

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.

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.

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.

Nonsurgical treatments for crepey neck skin work very well.  They usually involve a combination of resurfacing techniques, tightening procedures, and a touch of patience.  Treating the neck with a fractionated CO2 laser followed by using a tightening cream works well.  The laser may have to be repeated a second time about 6-12 months later to maximize the result.  In our practice, combining the laser treatment with volumizers such as Perlane, Radiesse, or Voluma in the area in front of the ear creates a nice lifted appearance.