What treatments help with neck banding after laser lipo? (Photo)

Many doctors are overly defatting the neck with Ultherapy, liposuction, Kybella, laser liposuction and radiofrequency in an effort to make the submental area look better and 'tighten' skin. Not a week goes by without me seeing a patient who has had their neck and/or face overly defatted.

In my opinion, none of these treatments effectively tightens the skin, tightens the muscle and removes extra fat.

So what is the solution to a double chin or skin looseness in the neck?

Seen simplistically, three things can cause problems in the neck: extra fat, loose muscle (platysma) and loose skin. Loose skin is best treated by a neck lift or lower facelift. Neck banding is best treated by a platysmal tightening. Extra fat can be treated by one of the above techniques.

So rather than select a doctor who is a one-trick pony, it's better to select somebody who does all of the above and is proficient at both minimally invasive devices and laser as well as facelifts, platysmal surgery as well.

you have platysmal bands that need botox, morpheus, and RF facials. dermarolling will help (see link) to emerageskin roller + anteage ampules. if you want big improvement, get a platysmaplasty. thermage and ultherapy should be performed yearly.

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 MTS 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