I have loose neck skin, no fat, three definite lines on the neck.
Doctor Answers 7
The Nonsurgical 3D Vectoring Necklift Can Work Well For Early Neck Sagging
First, as to Sculptra, it was originally used for facial wasting in HIV patients on antiretroviral therapy. However, it has been many years since its use was expanded to include other patients suffering with age-related facial volume loss, since it is known to increase new, native collagen synthesis and its results typically last about two years.. That having been said, I personally stopped using the product a number of years ago for a couple of reasons. For one, it is relatively expensive, and for another, it generally requires a series of at least three treatment sessions in order to realize the aesthetic effect.
By contrast, there are a number of hyaluronic acid-based volumizing fillers that yield immediate visible results, are less expensive, also increase new, native collagen synthesis and also may last up to two years. For early stages of loose neck skin and sagging, these volumizing agents may be used for The Nonsurgical 3D Vectoring Necklift technique. My favorite volumizer for this purpose is Juvederm Ultra Plus XC, which I use in my Upper East Side Manhattan office (and Stylage XXL, Princess Volume, and Emervel Volume--my choices in my Israel satellite facility, where a far greater number of regulatory agency approved volumizing fillers are available).
If ropey neck cords are the problem, a wrinkle relaxer, such as Botox (or Dysport or Xeomin) may be used either directly injected in droplet fashion along the cords themselves or as a part of a more sophisticated technique, known as the Nefertiti lift, which can help to straighten a jowly jawline, as well as address the problem cords. Droplets of Botox may also be used along the horizontal necklace lines, either alone or more often in combination with a filler, such as Belotero Balance (NY) and Teosyal Redensity II (Israel), which have little to no tendency to give rise to the unwanted, bluish Tyndall Effect when injected superficially into these lines.
Unfortunately, I have been particularly underwhelmed by the results of relatively expensive ultrasound, radiofrequency and fraxel laser treatments, finding them to be far more device manufacturer backed marketing hype than hard science.
For more information on any of the above, check out the archives of RealSelf.com, and of course, be sure to seek consultation with a board certified aesthetic physician with experience and expertise in nonsurgical facial and neck rejuvenation.
Non surgical neck lift
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Sculptra is a fabulous product that was originally studied on HIV populations to produce collagen and treat facial wasting. It has changed a lot over the years and is used a great deal in the face to promote collagen and lasts about two years. I wish you could post photo because it sounds like those are cords or loose skin which would respond to Botox and Thermage and not Sculptra. Please consult a board certified dermatologist who is an expert in this advanced area. Best, Dr. Green
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