Best procedure to fix sagging neck skin? (Photo)

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite 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 formal evaluation and to develop a personalized treatment plan based on your individual situation and goals. Best, Dr. Emer

PDO threads: PDO (polydioxanone) threads are thin, dissolvable sutures that are inserted under the skin to lift and tighten sagging skin. They can stimulate collagen production and provide a subtle lifting effect. PDO threads may be an option for improving the appearance of sagging neck skin, but the suitability can vary depending on individual factors.

Botox is typically used to relax muscles and reduce the appearance of wrinkles and fine lines. It may be used to address certain neck concerns, such as horizontal lines or "necklace lines." However, it is not typically used to treat sagging or loose skin.

Morpheus8 is a minimally invasive fractional radiofrequency (RF) treatment that combines microneedling with RF energy. It can help tighten the skin and stimulate collagen production. Morpheus8 may be considered as an option for improving the appearance of loose neck skin, but it's important to discuss its suitability with a medical professional.

Fillers, such as hyaluronic acid-based fillers, are commonly used to restore volume and add structure to areas of the face. While they can be used to address some signs of aging, such as marionette lines or wrinkles around the mouth, they may not be the most effective option for sagging neck skin.

A neck lift can be considered as a comprehensive option for addressing sagging neck skin. It is a surgical procedure that involves removing excess skin and tightening the underlying muscles to improve the overall appearance of the neck. A neck lift can provide more significant and long-lasting results compared to non-surgical options.

I hope this helps,
Best of luck !