Loose Neck Skin at 35. Options? (photo)

I feel too young to have this. Please help!

Doctor Answers 14

Neck Muscle Bands Require Neck Lift, Non Surgical Will Not Correct

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Hello Patitita,

Thank you for your question. The two folds that you see beneath your chin are caused by laxity of the Platysma Muscles beneath the neck skin. These can be tightened with a surgical neck lift.

Non surgical neck lift is a marketing term-there is no non surgical method that can lift skin and tighten the loose muscles beneath the skin. Fillers can be used to add volume to the face and camouflage the problem  but must be repeated at best every 9 months. At age 35 you have many years left and in time you will spend much more money on fillers than you would on a neck lift which will correct the actual problem that concerns you.

Consult a plastic surgeon who is certified by the American Board of Plastic Surgery for a proper diagnosis and advice.


Loose Neck Skin at 35. Options?

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 Direct excision of the loose skin through an incision under the chin would be the most effective and quickest way to address the issue.

Neck Lift Tightens Loose Skin and Muscles for Years to Come

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You are younger than most who have such a degree of skin laxity on your neck, but that is probably due to genetics. The only real solution is to permanently tighten the plastysmal muscle on the neck and remove excess, sagging skin through a neck lift. It's a simple, outpatient procedure that takes about an hour or two. You'll recover within a week and your rejuvenated neck and jawline will last for years. I hope this helps.

The Nonsurgical 3D Vectoring Necklift Can Work Well For Early Onset Looseness (Laxity)

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The neck, like the face, hands, and chest, are vulnerable to assault from long-term ultraviolet exposure, the dictates of our genetics, gravitational effects, and changes in muscle mass and elasticity with chronological aging. A variety of surgical options exist for dealing with neck problems. These include full lifts, mini-lifts, minimal incision lifts, and S-Lifts. All are predicated on cutting away excess skin, shoring up the underlying tissue, and reinforcing the long, thin, sheet-like muscle layer, known as the platysma.

But all these methods of repair are true surgery, which are expensive, postoperatively painful, demand protracted recuperative times away from work and social activities, and risk permanent scars. Happily, and especially in a person as young as 35, The Nonsurgical 3D Vectoring Necklift offers a viable alternative for diminishing unsightly turkey necks and cords.

Like its facial counterpart, The Nonsurgical 3D Vectoring Facelift, which is discussed elsewhere in Realself, The Nonsurgical 3D Vectoring Necklift entails the strategic placement of "strands" or "strains" (i.e. threadlike deposits) of volumizing fillers (my favorite for this purpose being a combination of Radiesse, a calcium-based volumizer and Juvederm Ultra Plus XC, a hyaluronic based material) starting from the more "fixed' areas near the angles of the mandible down and outward across the jawline and extending inward radially toward the more mobile and lax central portion of the neck. The three dimensional result of creating these vectors (directions of force) in this fashion is to stretch the skin under the chin and smooth it.

Gratifying results are typically seen  immediately, and there is continued improvement in appearance over the course of the next four to eight weeks as the presence of the volumizing fillers within the tissues stimulates new native collagen formation leading to subsequent additional skin retraction and lifting of the target areas. The procedure typically takes about fifteen minutes to perform using only local anesthesia and typically entails little in the way of discomfort, bruising or swelling, i.e. little or no downtime.

A platysmaplasty helps loose skin and muscle problems of the neck.

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A platysmaplasty is a surgery under local anesthesia which fixes the muscle and skin under the chin in the anterior neck well for roughly $4500.  A lower face/neck lift is an alternative which is a little bigger procedure but definitely gets the job done for roughly $8-10,000 and again can be done under local. Sincerely,David Hansen,MD

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 46 reviews

Loose Neck Skin at 35. Options?

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A neck lift is a general term used for rejuvenating the neckline to create a more youthful attractive appearance. Factors which are considered during your consultation to determine if you are a #candidate for #rejuvenating the neck include:
•Visibility and amount of excess fat below the chin and along the neckline.
•The presence of banding down the front of the #neck.
•The amount of #excess skin and condition of your skin.
•Chin Deficiency.
•Presence of Prominent Digastric Muscles (a.k.a. submandibular gland fullness).

Patients who desire facial rejuvenation that is affordable, quick, and effective should also consider the Lite-lift™. Like the Life-Style™ facelift, this is a modified facelift, individualized for each patient, 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 that are discussed below. 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 early changes of the lower face and the neck. But whose skin has elasticity with well defined bone structure. Older patients who cannot or do not wish to have a longer operation or general anesthetic can be improved with a Lite Lift™. If you are not a candidate at the time of your #consultation, your board certified plastic surgeon can recommend non-surgical alternatives to address your concern. Consulting with a board-certified plastic surgeon who specializes in #neck lift procedures is important to ensure you are receiving the best advice, care, and surgical experience possible.

Surgical Necklift Most Effective

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Your problem is quite common.
Your case is the best example, however of a young patient "hoping" for a non-surgical alternative, seeking one out and then being disappointed.
A Neck-lift is a relatively minimally invasive procedure which dollar for dollar will give you the nicest and longest lasting result.
Best wishes.

Greg Chernoff, MD
Indianapolis Facial Plastic Surgeon
4.7 out of 5 stars 32 reviews

Neck lift

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I would recommend a neck lift for your condition. Make sure a platysmaplasty is done as well. Also, get a complete evaluation from a qualified surgeon.

Laser Assisted Weekend Necklift

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It is possible that you may be a candidate for what I have termed, "The Laser Assisted Weekend Necklift:" It is a minimally invasive procedure and the downtown is generally 2-3 days.

Cervicofacial Liposculpture is first employed to contour the unfavorable fatty changes seen in the face and neck as time passes by, such as the ‘Turkey neck’ and ‘double chin’.

Careful attention is then turned to tightening the neck muscles and eliminating neck bands. Finally, I employ laser technology to ‘resurface’ the underside of the neck skin, thereby ‘shrinkwrapping’ the skin of the neck restoring a youthful contour.

A consultation with a board certified facial plastic surgeon will help determine which procedures will provide the best results for you.

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 123 reviews


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The loose skin and bands under the neck can be fixed with a limited necklift. It can be done through a small incision under the chin that is well hidden. The two bands seen through the skin are two muscles. The edges of the muscles can be sewn together and it leads to a smooth profile. Dr. J
Disclaimer: This answer is not intended to give a medical opinion and does not substitute for medical advice. The information presented in this posting is for patients’ education only. As always, I encourage you to see your personal physician for further evaluation of your individual case.

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.