Am I a good candidate for Facetite/Necktite/Accutite? (Photos)

Question

Hi, I am very interested in getting this procedure done. I would greatly appreciate feedback on whether or not I am a good candidate and why or why not? Also, if not, what minimally invasive and/or non-surgical solutions should I consider?

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your photos and asking such a thoughtful question. These procedures can be excellent tools, but the key is understanding what they can realistically improve and whether your concerns are coming from skin laxity, fat, or underlying facial structure.

Based on your photos, I would say you appear to be a potentially good candidate for a minimally invasive radiofrequency-assisted contouring procedure, especially NeckTite with or without FaceTite.

Why I think you may be a good candidate

What I see is:

Mild to moderate fullness under the chin
Early jawline softening
Mild skin laxity in the upper neck rather than severe hanging skin
Relatively good overall skin quality

This is exactly the group that tends to benefit the most from FaceTite/NeckTite. These treatments work best for people who are not yet ready for a surgical facelift or neck lift, but who want more definition than non-invasive treatments usually provide.

The differences between the procedures

NeckTite

Best for submental fullness (double chin) and loose neck skin.
Combines fat reduction with radiofrequency skin tightening.
Often gives the most noticeable improvement in jawline definition.

FaceTite

Used for the lower face and jowl area.
Helpful if the main concern is early jowling or lower-face sagging.

AccuTite

Designed for very small, delicate areas (around the eyes, brows, nasolabial folds, or small pockets of fat).
I would not choose AccuTite alone if your primary concern is the neck and jawline.
My honest assessment from the photos

If your goal is:

a sharper jawline from the front,
less fullness under the chin,
and tighter skin along the neck,

I would rank the options:

NeckTite
NeckTite + limited FaceTite
FaceTite alone
AccuTite alone (least appropriate for your main concern)
What results are realistic?

A common misconception is that FaceTite or NeckTite can produce a facelift-level transformation. In reality, they usually provide:

20–40% improvement in skin tightening
Better jawline contour
Reduction of submental fat
A more defined cervicomental angle (the angle between the chin and neck)

For someone with mild to moderate laxity, that can look quite significant because the changes occur in the right places.

When you would not be an ideal candidate

These procedures are less effective if someone has:

Significant hanging neck skin
Large, heavy jowls
Marked muscle banding (platysmal bands)
Very poor skin elasticity
Expectations of a dramatic surgical facelift result

From your photos, I do not see severe laxity, which is encouraging.

If you decide against FaceTite/NeckTite

For a non-surgical approach, I would consider:

1. Deoxycholic acid (Kybella) or injectable fat reduction
Best if the issue is primarily fat under the chin.
Does not tighten skin very well.
2. Radiofrequency microneedling (Morpheus8, Secret RF, Potenza)
Helpful for mild skin tightening and texture improvement.
Less dramatic than NeckTite because it does not remove fat directly.
3. Ultrasound tightening (Ultherapy)
Can provide subtle tightening in the jawline and neck.
Works best for very early laxity.
4. Combination approach

For many patients your age and with your degree of laxity, a combination of:

small-volume chin augmentation (if the chin is slightly under-projected) and
radiofrequency tightening

can sometimes improve the appearance of the neck and jawline more than tightening alone.

The one thing I would evaluate carefully

The photos suggest that part of the neck fullness may be related to the chin-to-neck relationship, not just loose skin. If the chin is even slightly recessed, it can make the neck appear fuller than it actually is. In that situation, chin projection and neck contouring together often produce a more balanced result than neck tightening alone.

My Bottom Line

Based on your photos, I would consider you a reasonable to good candidate for NeckTite, possibly combined with limited FaceTite, because you appear to have mild to moderate submental fullness and early skin laxity without severe excess skin.

If your goal is meaningful improvement while avoiding a traditional neck lift, NeckTite is probably the option I would explore first. If you prefer a completely non-surgical approach, radiofrequency microneedling combined with targeted fat reduction would be the closest alternative, though the results would generally be more subtle than NeckTite.

Paul Flashner, MD · Answer

If you're looking for a minimally invasive option, I would consider a treatment such as FaceTite. FaceTite uses radiofrequency energy beneath the skin to produce tissue contraction and stimulate collagen remodeling. It can be particularly useful when the goal is to improve laxity and create better definition along the jawline and neck without going directly to a surgical neck lift. Studies of radiofrequency-assisted treatments have demonstrated improvement in lower-face and neck laxity and contour.

Another option would be Morpheus8, which uses fractional radiofrequency microneedling to stimulate collagen remodeling. Pairing both treatments together would give optimal results.

Another option would be Morpheus8, which uses fractional radiofrequency microneedling to stimulate collagen remodeling. Pairing both treatments together would give optimal results.

Nelson Lee Novick, MD · Answer

From the photos provided, each of the apparent problems can be quite easily addressed with the use of an appropriate HA Filler. For example, the apparent age-related volume depletion of the cheeks (which is largely responsible for the sagging of the cheeks,  the pronounced smile folds, as well as the horizontal creases beneath the eyes) can be quite easily addressed with the use of a robust HA volumizing filler. Chin projection can also be enhanced with a robust HA volumizing filler and this would likely help to better define and straighten the jawline. In the hands of an experienced, board certified cosmetic dermatologist filler treatment expert, both treatments should take no more than about ten minutes each to perform, with immediate results and typically little to no significant downtime. 
Before jumping into the use of expensive gizmo treatments, be forewarned that the hard science to back up the use of the expensive energy-based treatments out there lags well behind the social media buzz and the intense marketing hype to promote them.  You would be wise to consult with an experienced, board certified cosmetic dermatologist filler injection expert. Hope this helps and best of luck.

Am I a good candidate for Facetite/Necktite/Accutite? (Photos)

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