With significant neck sagging you would need a neck lift / facelift with muscle tightening (platysmaplasty). At the same time, lasers treatments (Fraxel, CO2, Erbium) or microneedling RF (Fractora, Intensif) can be performed to improve crepey skin or wrinkles. You need a formal consultation, as the neck can be treated with a combination approach: - Microneedling and laser treatments for texture - Botox, Dysport, Xeomin, or Jeuveau to help the Platysmal bands - Intensif or Fractora RF microneedling for crepey skin and lifting - Injectable fillers like Belotero, Restylane Silk, and/or Juvederm Volbella to improve lines and folds - Renuvion, ThermiRF, and/or InMode FaceTite for internal tightening - Ultherapy and Thermage for external tightening - regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness - 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.
Short answer: yes, but not to the degree that you will find satisfying.Long answer: truly, it is impossible to give an appropriate answer without at least a photograph or physical examination--you could be young and at the beginning of these skin elasticity and loss of collagen issues, in which case DermaPen or its equivalent type of microneedling, perhaps with a bit of HA filler like Voluma, may be all you need to hold off the inevitable facelift/necklift procedure.Or, you could be more mature and further down the laxity scale with actual "turkey neck" loose skin and actual jowls. Microneedling is not a replacement for actual aesthetic surgery by an experienced plastic surgeon. If you fit the latter category, don't waste your time at a spa or Derm clinic where there is no plastic surgery option, for THAT is what you really will need. The spa or office that oversells the abilities of microneedling may simply be over enthusiastic about the positive effects of dermal needling--it really does work. But not to tighten truly loose or floppy neck skin or eliminate sagging jowls!See one or more ABPS-certified (ASAPS members if possible) plastic surgeons with experience in facelift/necklift surgery and see what is needed. The best and most ethical plastic surgeons won't sell you a facelift if microneedling and fillers is a better and still-appropriate option for you, nor will they sell you microneedling to let it fail as a way of getting you to have the operation you really need. Best wishes! Dr. Tholen
