Would PrecisionTx, Ultherapy, or Silhouette threads be best for my wrinkled neck? (Photos)

Thanks for your question! I think that your best option would be a neck lift. You have some platysmal banding that will not be corrected with any of the suggested treatments. A neck lift will correct the banding and the loose skin. Please be sure to consult with a qualified plastic surgeon in person. Good luck!

Thank you for your question.A combination of non-surgical options like Kybella, PDO NovaThreads, Ultherapy and Thermage would do well in combination for skin tightening for the neck. VASER Liposuction (with ThermiRF, Renuvion and InMode FaceTite) is a great alternative for contouring and tightening the chin and neck and can be combined with a neck lift at the same time, if you're a candidate. I suggest getting a formal evaluation with a cosmetic dermatologist to develop a long-term treatment plan that works for you. Best, Dr. Emer.

In cases where surgery is not possible or not desired, or when neck laxity is mild to moderate, a variety of nonsurgical approaches may prove helpful for smoothing and tightening the neck. These include the appropriate uses of injectable neuromodulators, such as Botox (or Dysport or Xeomin) to help to diminish "necklace lines" that ring the neck and vertical "cords and tighten jawlines ("Nefertiti" Lift);" injectable volumizing fillers to help to straighten a jowly jawline and increase chin projection--both of which can lead to secondary improvement of neck laxity; injectable "skin boosters" to help to hydrate and stretch the skin; injection by fanning or boluses of Profhilo, a unique bioremodeling agent that stimulates new collagen and elastic fiber synthesis and improves fat cell viability.  A treatment course might consist of treating the jawline and chin with a volumizing filler, combined with one or two treatment sessions of Profhilo spaced a month apart accompanied by the injection "skin boosters."  If necessary, Botox may also be used as mentioned above. Volumizing filler results tend to be immediate, as are those from "skin boosters."  The effects of Botox typically take one to seven days to achieve maximal improvement and those of Profhilo typically take about two weeks to achieve maximal improvement. Profhilo has been available for several years already in Europe and Israel, where I have a satellite facility, but awaits entry into the U.S. market. And Restylane Silk is the closest equivalent to a skin booster currently available in the States, although once again a whole variety, such as Viscoderm Hydroboosters, Restylane Skin Boosters, and Restylane Skinboosters have also been available in Europe and Israel for several years already. As to threadlifting, this approach has proved quite disappointing with one recent study showing that its benefits were significantly lost after only about six months and its adverse complication rate reaching an unacceptable 34 percent.  Relatively expensive bells and whistles devices, like radiotherapy and ultrasound machines are far more backed by device manufacturer supported marketing hype and claims than hard science. So, investigate these with healthy skepticism. For more information, check out of the archives of RealSelf under "nonsurgical necklifts."  Make sure that you consult with a board certified aesthetic physician and be certain to ask to see his/her before and after photos before agreeing to proceed. Best of luck.

Thanks for your question. Silhouette sutures would not be helpful here. Precision Tx is an option, or a similar procedure called "FaceTite" which uses radiofrequency energy rather than laser energy. I would suggest combining FaceTite with Morpheus8 so that you are heating both superficially and on the deeper plane. These two treatments operate off of the same platform so it's easy to find doctors who perform both. Precision Tx would tighten but not help with smoothing the surface and it appears you could benefit from both tightening and smoothing. If you need a "no downtime" option then consider Sofwave which is the more advanced form now available for micro-focused ultrasound (and it provides much better smoothing than the older version, Ultherapy). Sofwave will certainly smooth and tighten, and with no downtime, but likely not as much as the combo treatment I just outlined. I hope that helps!

In your case you will need a combination of treatments to achieve maximal results. I will start with diluted radiese to improve skin texture and laxity and then if you still need more ( MINT PDO THREADS)

If you are not interested in a surgical procedure there are several treatments that can be used to improve the laxity of the skin.  A combination approach to this area is always advised.  Microneedling with RF (lutronic infini) laser resurfacing with CO2 or erbium, botox, dermal fillers and appropriate topical pharmaceuticals may give you the results that you desire.  You should consult with an experienced provider who can best advise you and discuss realistic expectations.

None of the treatments that you have mentioned will help your neck considerably. I have stopped using silhouette lift back in 2007 as the results were simply poor and disappeared after approximately one month or slightly longer. My recommendation to you is to find a plastic surgeon who specializes in both, face lift and fat grafting. In many cases fat grafting alone can restore the volume of the face and will give you a nice tightening effect of the neck as well. But in order to determine if you will make a good candidate, you need to be seen in person. I hope this helps and good luck from New York City plastic surgery