Best laser or treatment to tighten the neck and décolleté? (photos)

Question

Hi! Would Laser, IPL other other treatment be best to tighten and rejuvenate the skin on my neck and décolleté? It has a rough texture that I'd love to even out. Thank you in advance for any advice!

Paul Flashner, MD · Answer

Hi and thank you for your question.  Although Morpheus is not a laser; it is a great skin tightening treatment.  Morpheus is a fractional skin treatment that stimulates collagen production.  It is minimally invasive, using a matrix of micro pins to renew the deeper layers of the skin, in doing so the tissue of the skin can be remodeled to reveal a more radiant youthful appearance.  I would consult with a provider to come up with a treatment plan that works for you.

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

​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.​

Nelson Lee Novick, MD · Answer

Additional photos, particularly profile views of the neck and front views of the submental region would have been helpful. However, the skillful and appropriate use of a robust HA filler placed in the neck to the sides of the central laxity can provide a lift that can tighten the central area. Additionally, the use of another more cohesive HA filler with low viscosity injected centrally as boluses in a grid pattern can further improve and tighten this region. I have personally been using this nonsurgical necklift approach for many years with gratifying results. Both procedures in experienced hands can be performed in about fifteen minutes with results that are typically immediate and elicit a "Wow!" response.  It would also be prudent to exercise a great deal of "buyer beware" caution when being offered, as you will no doubt be, the so-called "next big thing," expensive, "bells and whistles" fraxel laser, RF or ultrasound devices whose hard science to support their use lags woefully behind the heavy marketing to promote them.You would be wise to consult with an experienced board certified cosmetic dermatologist. Best of luck.

Leita Harris, MD · Answer

I agree. IPL would work great to address the brown/red discoloration, sun damage, etc. I have found RF micro-needling to work great on skin to address tightening, pores, wrinkles, etc. and can be used on all skin types. Secret RF is considered "head to toe" treatment since it can tightened the skin anywhere there is loose skin, head to toe.

Kristin Jackson, MD · Answer

Hi and thank you for your question!I believe a combination procedure using microneedling with radiofrequency (like Morpheus 8) and ultrasound therapy (Iike Sofwave) would give you and excellent result in skin tightening, smoothing, reducing wrinkles and improving skin texture.You will probably need a series of 3 treatments (one treatment monthly), with best results noticed 6 months later.Hope this helps!

Camille Cash, MD · Answer

To improve skin tone and texture you can consider various treatments.  The correct choice for you will be based on what degree of improvement you desire and your budget.   IPL is a conservative treatment that will provide some improvement in sun damage and aging effects.  Lasers and Morpheus8 are more intensive and would provide more significant results.  We also recommend using medical grade skin care products and wearing sunscreen every day.

William Portuese, MD · Answer

Much more information is needed such as your age and a full set of facial and neck photos from all  angles.  IPL is great for improving the rednes and broken capillaries, however a lower face/neck lift is required to tighten loose neck skin

Best laser or treatment to tighten the neck and décolleté? (photos)

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