Would Micro Botox or Vivace help my crepey neck skin? (Photo)

Question

I am very self-conscious about the crepey skin on my neck. I lost a lot of weight a few years back and am also a reformed sun worshipper. I did one session of Cool Sculpting 7 months ago to help with double chin, which I think it did do. I did Ultherapy a month later (now 6 months ago) for the crepe and see little difference. I'm now considering Micro Botox and/or Vivace. Would either help? I know I may be a good candidate for a real neck lift, but I don't want to do anything invasive. Thanks!

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

Camille Cash, MD · Answer

From your photos it appears you would be a good candidate for FaceTite.  This procedure uses RF technology to tighten skin up to 40% with no general anesthesia needed.  Your results can be enhanced with Morpheus8 treatments which will address overall skin tone and texture, including the crepey texture that concerns you.

Jason Emer, MD · Answer

peels, skincare and lasers with morpheus can help crepe skin. but wll not lift the neck and botox will not help at all.

if you want a dramatic change necklift/facelift, Implants and fillers will give you that. noninvasive will improve the area and facetite, threads, morpheus, and fillers can be used.  start at home dermarolling to tighten you skin, see emeragecismetics.com where we do free skincare consults daily and recommend emerageskin roller with anteageMD ampules daily (see dermarolling package).

With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite 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 full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer

Emil A. Tanghetti, MD · Answer

For a non-invasive option for neck tightening and crepey skin, Vivace is a device that I use extensively in my practice for this purpose. The heat from the radio frequency and the epidermal damage from the microneedling in the Vivace device stimulate collagen production to produce firmer, tighter and younger- looking skin. The skin's texture and tone is improved as well. Keep in mind that a series of treatments is required to see best results typically we recommend a series of 3-5 treatments. Micro botox, while it can help release some lines that are caused due to movement, won't work to address the crepey skin, which seems like it is your main concern.

Would Micro Botox or Vivace help my crepey neck skin? (Photo)

Answers (4)

Answer: Vivace for crepey neck skin

Answer: Vivace for crepey neck skin

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Would Micro Botox or Vivace help my crepey neck skin? (Photo)

Answers (4)

Answer: Vivace for crepey neck skin

Answer: Vivace for crepey neck skin

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