Too early for NeckTite or Sculptra? (Photo)

Question

Hi a am 36 and have noticed more sagging skin - especially under my neck (which is driving me nuts). I'm relatively fit and assume it's minimal fat as I'm 5'9" and 142lbs. I wanted to see if sculptra or neck tire would be options?! And is it too early and 36! Thanks, -Justin

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

Jeffrey H. Spiegel, MD · Answer

Your chin is somewhat back which gives you a stronger look to the nose and is creating some of these wrinkles on your neck. Necktite will help, but you'll do much better with that plus a chin implant.
We do those together in the office in about 45 minutes.

Ryan Welter, MD · Answer

Thank you for your question, Justin. At 36, noticing early signs of skin laxity, especially under the neck, is not uncommon. Collagen production begins to decline in our late 20s, and this can result in subtle changes to the jawline and neck. Fortunately, there are both non-surgical and minimally invasive options to help contour and tighten these areas effectively.

One of the best options for addressing mild sagging and skin laxity is Accent Prime, which uses ultrasound and radiofrequency to tighten the skin and stimulate collagen production. It’s an excellent non-invasive choice for the neck and jawline, with no downtime, making it ideal for early intervention. This treatment helps restore firmness and contour while improving skin texture.

For a more minimally invasive approach, Silhouette InstaLift threads can offer a subtle and natural-looking lift. These threads not only reposition the sagging skin but also stimulate collagen production over time, providing both immediate and long-term results.

If further tightening or contouring is desired, PRP (Platelet-Rich Plasma) injections can rejuvenate the skin and enhance its elasticity by stimulating collagen and elastin. This is a great complement to other procedures and can also help with overall skin quality.

At your age, starting with non-invasive treatments and medical-grade skincare, including sunscreen and products that promote collagen health, is key. These approaches can provide noticeable results without the need for surgical intervention. A consultation with an experienced provider will help determine the most appropriate treatment plan to align with your goals and give you a rejuvenated, contoured look.

Camille Cash, MD · Answer

From the photos it appears you would be a good candidate for Morpheus8.  This nonsurgical treatment combines RF technology with micorneedling to improve overall skin tone and texture.  Three treatment sessions are recommended for optimal results.  We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

Lisa Vuich, MD · Answer

Thanks for your question. Collagen loss actually begins in our 20's, so it's not that unusual to begin to note neck skin laxity and it does begin in the jawline and upper neck "submental/under chin" zones. Sculptra is used to restore lost volume in the face and, diluted down, it can be injected as a sort of skin collagen booster but I would not rely on it for a tightening effect and you would risk that it would still add volume even if the intention was not to do that. A minimally invasive procedure like AccuTite- a smaller version of FaceTite/NeckTite is certainly an option. These names are basically all interchangeable- the AccuTite handpiece is just a smaller version we use for smaller cases/areas. They all operate off of a device called BodyTite which has recently been upgraded to a new name called Ignite. So if you find a BodyTite provider they should be offering all versions of this procedure. For a no downtime non-invasive option you could also consider a procedure called Sofwave which uses microfocused ultrasound to deliver heat to the dermis, stimulating the formation of new collagen and elastin. Expect to do Sofwave once a year or so though, where as a FaceTite type of procedure would produce results lasting 5 or more years for most. I hope that helps.

Too early for NeckTite or Sculptra? (Photo)

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