Do I need a neck lift? Is there another procedure that would tighten this skin? (Photo)

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Ok I think your best non-surgical options include Morpheus8 treatments in a series or Ellacor. Ellacor for the neck is off label so you'll need to talk to your provider if they've had good experience with the type of changes you have. Neck lift would be the gold standard though. Best Wishes!!

The fact is: the retraction feature on your skin is gone because of your age, because of the weight loss and also genetics which dictate your quality of tissues.
No energy to tighten skin, no injections, no threads, nothing conservative will improve the degree of saggy skin you developed. You are candidate for Deep plane Neck lift to remove excess of skin PLUS submandibular glands, subSMAS fat and digastric muscle trimming.
Be encouraged!
Dr. Cárdenas

Dr. Cárdenas

Thank you for your question and sharing your photos.


General, significant weight loss leads to some areas of skin laxity and some areas where the skin seems to stay fine.

The neck contour is often affected by weight loss and it depends how much improvements you seek to achieve when you consider the treatment options.


Neck lift surgery tends to produce more profound change, in particular if you are using the deep plane approach.

If however you are contemplating losing more weight, it may be preferable to wait until this is stabilising before embarking upon surgery to make sure that you get the best result and the best longevity for the result.

The most reliable and predictable method to get an improved neck contour would be a neck lift. This would allow contouring any excess fat that is underneath your skin, suturing together your muscles if they are separated, and may be lax in your neck, and then tightening those muscles in a sling fashion, to improve the angle of your neck and your jawline. There are some non-invasive or minimally invasive treatments that are known to give some improvement but the improvement usually is modest and not as good as a formal neck lift. Have a detailed consultation with your plastic surgeon to understand your best option. Best wishes.

After a 40 lb weight loss, the main issue is going to be skin laxity combined with platysmal banding. Save your money on Botox which will not be helpful for this issue, and Radiesse is definitely not the answer. Although a consultation and examination is necessary to give a definitive answer, you most likely need to have a facelift to address the issue (cheek, jawline, neck repositioning). A deep plane facelift offers a natural, long lasting result that will address your goals comprehensively.

Hello, hope you are well. From what can be seen in the photos, the best option for you is going to be a neck lift because significant skin redundancy is treated most reliably by skin excision. There are minimally invasive options that are reasonable to consider. NeckTite can tighten the skin and improve the contour of the neck. Ellacor is a newer treatment modality that removes micro-cores of skin without scarring--it is currently only FDA-approved for treatment of the face, but being used by some doctors in an off-label manner for the neck with anecdotally good results. However, at the end of the day, there is no minimally invasive option that can produce the same results as gold-standard surgery.
Best,Dr. Tower

With minor surgery you could probably obtain some good improvement. The least involved would be a submentoplasty which could be done under local anesthesia and an incision in a neck crease beneath the chin. The skin could be smoothed and some excess skin removed. If the platysma muscles were lax they could be tightened also. A more definitive but more involved procedure would be neck lift performed with incisions around the ears to remove skin from the sides. Finally there are nonsurgical options which could help. Sofwave is an ultrasound based therapy to tighten the skin and smooth it. Sylfirm X is a bipolar radiofrequency technique to both tighten and smooth the skin. Sofwave is more or less "one and done". Sylfirm X requires a series of treatments. Both are done under topical anesthesia with minimal downtime.

The skin laxity that bariatric weight loss patients experience is different than normal skin laxity. Procedures such as Renuvion would help improve tone, texture and tightening a bit but, surgical options such as a neck lift may also have to be explored. 

You're going to require a lower face and neck lift to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove the residual fat compartments in the neck, along with a platysma plasty to significantly improve the jawline. In our practice, a neck lift alone does not remove excess skin, which is your biggest problem. The crepey neck skin is due to the deflation of your neck tissues from the significant weight loss