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As much as dermarollers and dermaneedling can be beneficial to rejuvenating the skin by stimulating it's collagen production, it does not lift or reduce excess skin. There are some non-surgical treatments that can improve the appearance of the jowls and neck. However, many non-surgical or non-invasive treatments can only benefit those with minimal laxity/#sagging. Non-surgical procedures can only temporary resolve the issue and require few to several attempts or treatment appointments. Depending on the level of laxity, the effects of a traditional neck lift will certainly outlast the effects of non-surgical treatments such as #laser. The presence of banding down the front of the #neck, and, amount of excess skin and condition of your skin are among some factors which determine if you are a #candidate for #rejuvenating the neck. For individuals with signs of #aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.A board certified plastic surgeon should evaluate both your anatomical features and aesthetic goals to suggest which procedure best suits your needs. In some cases there may be more than one option to choose from and and if you are not a candidate at the time of your #consultation, your board surgeon can recommend alternatives to address your concern.
Without photos or an exam it's difficult to make a specific recommendation but I can provide some general information. Depending on the degree of skin laxity you may be a candidate for FaceTite. This minimally invasive treatment can tighten the skin on the face and neck with no general anesthesia required. Another option is Morpheus8. This noninvasive treatment combines RF technology with microneedling to improve overall skin tone and texture. Dermal fillers can also be used to help the appearance of the jowling. Juvederm Volux is a filler specifically designed to address the jawline. See my website or a provider near you to learn more.
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
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