Filler for Loose Neck Skin? (Photo)

Question

I lost some weight and now have a small band of saggy skin on my neck. Is there a filler that can correct this ? I have already tried Ultherapy and Morpheus 8 in the last two years, but have seen no improvement. I'm too young for a neck lift (I do not have enough skin for that). I was wondering if a filler would help. Thanks.

Randal Haworth, MD, FACS · Answer

In my experience, I don’t think that filler would help you with the issue you are describing but you would be a good candidate for CO2 or CIT (Collagen Induction Therapy or Needling).

Best of luck !

Barbara Padilla, MD · Answer

Thank you for your question! Titan is a procedure that heats up the dermis with a safe infrared light causing the collagen fibers to immediately contract while preserving the epidermis through continuous cooling. Titan tightens the skin using radiofrequency causing a gentle pull of the skin. Some skin tightening may be noticeable immediately, with additional tightening over the next few months.

Erin Smith, MD · Answer

Various filler materials have been described for use in the neck. Without completing a physical examination, it is difficult to know whether you would benefit from any therapies alternate to the ones you have tried. You may benefit from a consultation with a board certified facial plastic surgeon who can make the best recommendations for you after a detailed history and evaluation.

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

Paul Flashner, MD · Answer

I understand that you have tried Ultherapy and morpheus8 which are great treatments. You may just need more to generate more collagen or you can try Neogen which will help with the tightening and techture of the skin. I wouldn't recommend filler unless you did the jawline to pull up the skin. Good luck!

Jason Emer, MD · Answer

"A combination approach would give the most improvement. Nonsurgical options such as Kybella, PDO NovaThreads, and Ultherapy do well in combination for skin tightening, but the results are mild compared to surgical options.

I would recommend a VASER Hi-Definition Liposuction with ThermiRF, Renuvion (J Plasma) and InMode BodyTite to contour and tighten the chin and neck. A neck lift can be performed at the same time, if you're a good candidate. I suggest seeing a board-certified cosmetic dermatologist to develop a personalized treatment plan that works for you. Best, Dr. Emer.​"

Lisa Vuich, MD · Answer

Thanks for your question. This degree of skin laxity can still be addressed with energy-based treatment. A step up from Morpheus8 would be the procedure called FaceTite. this involves the use of a fiber inserted underneath the skin, after adequate numbing of course, to tighten "from the inside". Filler would not be the answer here- that just adds volume which is not what you want in this treatment zone. I hope that helps you.

Glenn Murray, MBBS · Answer

Hello,
From what I can see from the photo it may be a platysma band that can be easily corrected with Botox.
Good luck!

Anna Avaliani, MD · Answer

Thank you for your photos. I wish you provided a side view photo as well to get a better understandingMy approach would have been to add a little chin and jaw line filler and a little microbotox first. Then assess the improvement and consider possibly Threads or Tempsure RF for skin tightening.It is important to have place that offers and has experience with multiple treatments.The results of each treatment depend on the proper patient selection, proper assessment, experience of the provider and appropriate procedure selection.Hope this helps. Good luck in your journey.
Have a beautiful day, Best, Dr.Anna Avaliani, NYC

Rafael Diaz-Yoserev, MD, FACS · Answer

Hey there, what you have is called platysmal band. Platysmal bands are two strips of muscle that run vertically down both sides of your neck. They’re caused by contractions of the platysma, the most superficial muscle layer in the face and neck.
While they don’t pose any health risks, it’s a cosmetic concern for some. It can create the appearance of saggy skin, which can result in a double chin, neck creases, and what’s often referred to as a “turkey neck.”Botulinum toxin type A injection isn’t just for wrinkles. It helps reduce the appearance of platysmal bands by relaxing the muscles in the neck.The only way to reduce the appearance of that band is injecting Bot. ToxiN AI hope this answer will help you understand better

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