Which procedure would be best for correcting my turtle neck? Is a lift the only option? 41 y/o, 128 lbs (photos)

"For a double chin, InMode FaceTite with VASERlipo would give you the best result.

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production

See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals. Best, Dr. Emer"

For tightening the skin and improving overall neck contour, Ultherapy is a proven non-surgical option. This ultrasound-based treatment stimulates collagen production by delivering energy deep into the skin, which gradually improves skin elasticity and firmness over a few months. If you're looking for something slightly more intensive but still minimally invasive, Accent Prime, which combines radiofrequency and ultrasound, can address both skin laxity and fat reduction. This dual-action approach helps contour the jawline and improve the overall appearance of the neck.

If you’re open to injectable treatments, Botox could be used strategically to relax prominent platysmal bands. For volume restoration and mild lifting, PRP (Platelet-Rich Plasma) injections can enhance skin quality by boosting collagen production naturally.

For more advanced cases of laxity or persistent fat under the chin, FaceTite or Renuvion procedures might be worth considering. These minimally invasive techniques utilize radiofrequency energy to tighten skin and target small fat pockets effectively. Unlike traditional surgery, these options involve minimal downtime and avoid large incisions.

Each of these treatments offers unique benefits depending on the degree of laxity, skin quality, and your overall goals. A consultation with a qualified provider will help tailor the approach to your specific needs, ensuring natural and satisfying results. Let us know if you'd like to explore these options further!