I am 36 years old and have noticeable sagging skin / turkey neck. What is the best treatment for this?

You do not appear to have loose sagging skin.  It appears you may have a tight platysma band which can be ascertained on physical examination. Botox or surgical release of the bands may be appropriate.  Thermage or Ultherapy will likely be disappointing.

Hello and thank you for your excellent question. If you're unhappy with the laxity of the skin on your neck, then you would be a good candidate for Ultherapy, this will help tighten the skin. However, you also have a platysmal band (this is the vertical line you see running up and down the neck. Platysmal bands can be addressed with Botox, surgical release, or a necklift. You should consult with a board certified plastic surgeon in your area for more information. 

Thank you for your question. In your case, I would likely recommend a non-surgical skin tightening technique like Ultherapy or Thermage. These devices deliver controlled heating into the deeper dermal structure to constrict tissue and firm skin from the inside out. In addition, the treatments stimulate the body to produce more collagen for results that are both natural and long-lasting. Make sure you are working with an experienced, board-certified dermatologist who can tailor your treatment to your precise needs and goals.

Ultherapy is a great option for skin tightening and botox for platysmal bands. This will tighten the lax muscle giving the neck a smoother more youthful look.  This along with Ulthera which stimulates collagen resulting in a lift and tighter neck will be a great combination of treatments at your age!

Since you are starting to show signs of aging I would recommend skin tightening and lifting procedures such as Ultherapy or Profound RF. Ultherapy is non-invasive and uses ultrasound technology to help build collagen. Profound uses microneedling with radiofrequency and is minimally invasive. You would need to be assessed in person to determine your best option but based on the picture you provided I believe both would achieve your goal to tighten your submental loose skin.

Hello and thank you for your question. At 36, I would not recommend surgery as you are too young for a facelift and the problem is mild in severity. There are excellent non-surgical skin tightening procedures that can firm up the neck and create a sleeker contour. These procedures can be combined with liposuction if necessary to remove isolated areas of fat but in your case, I see little fat. Based on an in-person exam, I would think a non-invasive treatment like Ulthera or Thermage would be best, coupled with a small amount of Botox in your platysmal muscle bands. Make sure you work with a board-certified dermatologist who is an expert in non-surgical facial contouring. Through a comprehensive assessment and detailed discussion of your concerns and goals, you can tailor a treatment plan to your precise needs. 

Thank you for your question.  You are starting to show signs of aging that would be great treated with Ultherapy. At our office we recommend using Alastin Regenerating Skin Nectar two weeks before and after treatment for an improved result.  You can also use Dysport, Botox, Xeomin or Jeuveau to help relax some of your platysmal bands as well!

Thank you for the question and photos. Ultherapy is a great skin tightening modality. There is some discomfort during the procedure which lasts for 1-2 hrs. Some patients have amazing results and it is non invasive. It is best to consult a board certified plastic surgeon. Good luck.

I may be the only physician on this site who has answered you in this way but as many cases of Ultherapy I have done since it first was FDA cleared, and many patients have received very good skin tightening, the photographs you have shown seem to indicate you do not have sagging inelastic skin, but the platysmal muscle bands have been forwardly displaced. I have not been successful tightening these bands with Ultherapy. Platysma bands are often improved through a surgical procedure, platysmaplasty.  But this is a neck lift with downtime and some risks. Botox injections can in many patients make the muscle bands retract somewhat but never do they vanish. It has to be repeated every 4 months for most patients. Microneedling with radiofrequency can help some patients with hanging muscle bands. Thermitight is a non surgical, but minimally invasive procedure that does help some patients tighten their muscle bands but there is swelling and downtime often with bruising. You should consult, in person, with a board-certified dermatologist or plastic surgeon to examine your skin and determine what is the exact cause of your neck sagging.  I appreciate Ultherapy for what it does but I don't think you're a candidate for it.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs. 

As your aging symptoms are still rather early, now is an excellent time to use some non-surgical options to firm up your skin and create a more attractive contour. I often recommend non-surgical skin tightening treatments like Ultherapy or ThermiTight for this purpose. Ultherapy uses controlled ultrasound energy while ThermiTight harnesses radiofrequency energy. The technology is delivered deep beneath the skin’s surface where it can constrict tissue and stimulate collagen production to create a noticeably younger result. Make sure you work with a board-certified dermatologist that offers numerous treatment options so your procedure can be customized to your unique needs and goals for the best possible results.