I am a 47 year old woman who is very youthful looking. I started noticing my neck looking saggy within last year (Photo)

A neck lift called a platysmaplasty would make a great improvement and is easy to undergo under local .

"These are all natural parts of the aging process. What we can do is try preventative treatments or get a neck lift / face lift earlier in the aging process. There are numerous non-surgical options available, and some can be used in combination to get best outcomes, but you would need a consultation with an expert.

Some options for skin tightening include:

- Thermage radiofrequency to heat the skin, tighten it over time, and prevent the aging process
- Ultherapy high-intensity ultrasound to contract the muscle, tighten the face and neck, and prevent the aging process
- PDO NovaThreads or InstaLift threads for immediate lifting without surgery and long-term collagen production
- Sculptra injections for collagen production to areas of the face and neck with crepey skin or early sagging
- BTL Exilis Ultra, Venus Legacy, and Thermi250 for monthly collagen stimulation with facials
- ThermiRF, Renuvion (J Plasma), or Inmode BodyTite for internal heating and tightening with or without surgery
- Fillers (or facial implants) to contour the jawline and chin to improve the appearance of the neck
- Face lift / neck lift with fat grafting and fillers if you need a significant improvement​

​I would suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​​​"

Thank you for your question. The Laser Assisted Weekend Necklift is minimally invasive, avoiding the extensive incisions made around the hairline and ears during a conventional facelift. It can provide you a dramatically improve appearance along the jowls and neckline with a short recovery time. I suggest that you move forward and consult with a board certified facial plastic surgeon.
Best wishes,

At 47, you have the typical changes that people get in their late 40's. Neck is acceptable in most positions, with some early platysmal banding. When you bend your neck, tissue piles up unacceptably. This is a dilemma for the patient and surgeon alike, as some may feel it is too early to have neck/face sugery. Less aggressive measures are not always the best solution. Lasering the neck skin or other methods in the hopes of improving the excess skin are less than successful.  Injecting botox to take care of the bands is problematic, as it takes a lot of botox (I suspect much of it is wasted in the tissues) and it doesn't last very long. Often I take the step of a limited necklift to correct the problem, and I am pleasantly surprised that the neck corrects to a much better degree than I would have thought.

Simply put, you are in the age range and have early indications whereby surgery would be beneficial.  Since thisis more "finesse surgery", please see a Surgeon who focuses on faces. 

Since you have already tried Botox, it's time to consider surgery. A necklift would address your concerns.

There is not cutoff age for neck lift.  I do not think 47 is generally too young for a lift.  It all depends on how much your neck is bothering you.  For every surgery we do, we must weight the risks vs. benefits.  Neck lift surgery is not without risk, so you would need to be aware of what you are getting into.  That said, a short scar vertical lift could definitely produce some improvement.  There is not much else, ie Botox/fillers, that could improve that area.  

Hi there. Based on the photos alone, it seems you would be an excellent candidate for a neck lift. It is often best performed as a lower facelift to remove the jowls at the same time and deliver a more harmonious facial appearance. However, the photos show fullness under the chin, which is often a combination of deep placed fat (liposuction will not touch) and sometimes overactive salivary glands - both these are targeted in a neck lift. The platysma bands can be smoothed over at the same time. Botox and laser are totally ineffective at dealing with these issues and similarly, liposuction alone is often disappointing as it does not address the main causes of a sagging neck. Good luck!

Thank you for your question and for posting photos.  Based upon your photos, you have some facial and neck aging changes including mild jowl formation (the fullness of the area just below the corners of the mouth), very mild submental (under the chin) fat collection, and banding of the platysma muscle.  You appear to have a very good neck-jaw angle and an otherwise youthful neck.  You would be a candidate for a lower facelift, which also includes the neck.  The lower face is addressed because the platysma muscle extends up into the lower face and the neck. Lifting/tightening the tissues of the lower face will elevate the platysma in both the lower face and the neck.  The platysma is also tightened in the neck. If the neck alone is treated, with continued aging changes in the lower face the platysma will further loosen and the banding will return. The mild excess fat in the submentum is removed during the procedure to contour this area.  At age 47, you are on the younger side for a facelift, however not outside of the range of what is considered appropriate. The individual anatomy is what drives the indication for surgery, not age alone. I suggest you seek out an in-person consultation with a board certified facial plastic surgeon or plastic surgeon who is experienced in facelift to correct facial and neck aging.Best of luck!

There are few absolutes in this type of surgery and we have occasionally performed necklifts in the 45-50 year old group. If you had laxity of the jowls also perhaps a smaller jowl-neck lift would be good.  The neck issues we see here could be addressed to some degree with a "submental lift" which would tighten the platysma muscle and remove a conservative amount of skin through an incision  just beneath the chin. Any fat can be addressed at the same time.  We would frequently do this procedure under local anesthesia.   Ulthera which is an ultrasound based non-invasive skin tightening procedure could also be of use although it wouldn't treat the platysma bands.