Would PRP help neck? (Photos)

Question

I am 36 with generally good skin, but have one area with quite a bit of laxity on my neck. Would this be something that PRP could help? If not, what are other options? Thanks in advance

Cameron Chesnut, MD, FAAD, FACMS · Answer

PRP can be used to lift, tighten and rejuvenate various areas of the body, from the face and neck to the breast and buttocks. Alone it's power to lift is limited. When combined with other treatments, surgical and nonsurgical, it is an excellent addition. 
 You will have a myriad of surgical and nonsurgical options to choose from, ranging from Botox and energy-based devices to a limited neck lift.  
To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.
Cameron Chesnut
#realself500 Physician

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. I suggest that you move forward and consult with a board certified facial plastic surgeon.
Best wishes,

Jacqueline T. Cheng, MD · Answer

Hello, thank you for your question and photos. In your case, Plasma Rich Platelets would not seem to be an effective treatment. Your problem lies in the platysma muscle band which can be smoothed out using Botox, which is a purified protein used to relax muscles. This should help considerably, but if not, you may want to look into surgical options such as a neck lift. I recommend scheduling an in person consultation with a board certified facial plastic surgeon and discussing your goals for treatment. Good luck!

Jed H. Horowitz, MD, FACS · Answer

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 an in-person 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.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.

Mark Karolak, DO, FAOCO · Answer

What you are seeing is separation of the platysma (neck muscles).  This is not just skin. The muscle edges are showing up through the skin. My suggestion is to consider treatments that address muscle. The most conservative nonsurgical treatment will be Botox. The only other treatment that I would suggest that you consider if botox does not help is a neck lift, which can be done under local anesthesia through a small incision under the chin and possibly incisions behind the ears. Laser and energy devices will help tighten the skin. I have not found them to be helpful when it comes to addressing muscle bands. The best way to know for sure is to have an in person consultation with a board certified facial plastic surgeon who performs all of these procedures daily.  Tweet

Kenneth Hughes, MD · Answer

To reduce the laxity on your neck, I recommend that you try InMode's Forma or Fractora to reduce fine lines and wrinkles.  Following the treatment some redness will appear in the treatment area but dissipate within a few hours.  One or more treatments may be needed but it is non-invasive with no down time. Both treatments revitalize the collagen in the skin and leads to a smoother texture.
Find a board certified plastic surgeon or board certified dermatologist who has invested in this equipment and has before and after photos of patients showing skin improvement using these procedures.

Nima Shemirani, MD · Answer

Dear Dani2613,Thank you for your question and photos. I would recommend a combination of Botox and radiofrequency skin lightening to help achieve what you are looking for. The platysmal neck band can be relaxed using Botox and laser treatments can help reduce the laxity in the neck. PRP, although great for the texture of the skin, does not help with lifting. Best regards,Nima Shemirani

Jason Emer, MD · Answer

No, prp won't help skin laxity on it's own. A combination approach would give the most improvement for the neck. Kybella, PDO Nova Threads, Ultherapy and/or ThermiRF treatments (Venus Legacy) are non-invasive options that would do well in combination for skin tightening. VASER with ThermiRF is a great alternative for contouring and tightening the chin and neck and can be performed at the same time as a neck lift, if you're a candidate. See a cosmetic dermatologist for a long term treatment plan.  Best, Dr. Emer.

Andrew Pichler, MD · Answer

Than you for your question and for submitting a picture. You have a platysma muscle band and the best initial approach would be Botox/Dysport injection that would flatten this muscle band and could give you the result you seek. Failing that surgical tightening would be the only real benefit. PRP will not do anything for this type of muscle issue.

David S. Rosenberg, MD · Answer

PRP might help but I would include that with fractional resurfacing with an Erbium laser.  You can botox that neck band on the right side.  Ulthera is also helpful for improving neck laxity

Would PRP help neck? (Photos)

Answers (16)

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