Crepey skin on neck after thyroidectomy: Will it go away on it's own?

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

Without photos, it’s a little difficult to address your problem specifically. However, most crepey skin can only be treated with a neck lift that actually removes excess loose skin. That said, I’d advise you to wait until you’ve completely healed before deciding on a course of action. I hope this helps.

You should wait at least 6 months after surgery to see how much would neck skin retract. In the meantime non-invasive treatments based on ultra sound, radio-frequency may help. If skin is not sufficiently retracted after 6 months, anterior neck lift or lower face/neck lift should be a consideration. A consultation with a board certified plastic surgeon with good reputation in facial rejuvenation would help to discuss your options. Good luck.

I recommend getting a formal evaluation with a cosmetic dermatologist for after care recommendations. I recommend Silagen + Bioshield to promote healing. Kybella, PDO Nova Threads, Ultherapy and/or ThermiRF treatments (Venus Legacy) are non-invasive options that would do well in combination for skin tightening. VASER with ThermiRF is a great alternative for contouring and tightening the chin and neck. See an expert for a long term treatment plan.  Best, Dr. Emer

Hi.  There are treatments that will help the crepe skin, but you want to be sure to wait for the area to fully heal.  Profound radiofrequency microneedling is very effective as is J Plasma subdermal coagulation.  Have an inperson consultation with an ABPS certified PS when you are cleared by your Thyroid surgeon.  Good luck!