Age 51, giraffe neck - neck lift vs mini vs Potenza? (Photos)

You have platysmal bands under your chin and marionette lines. Your best choice is not Potenza which is a non invasive skin tightening procedure. You have platysmal bands which are loose muscle. I'm afraid you will be wasting your money with Potenza. You treatment should not be just a neck lift or a mini. Your proper treatment should be a face and neck lift.

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production

See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals. Best, Dr. Emer"

Thank you for your question. Microneedling is an excellent option for addressing fine lines and mild skin laxity, and you may be a good candidate for this treatment. This non-surgical procedure can rejuvenate the skin to reveal a smoother and more youthful appearance with results that could potentially last for up to a year. If you want more dramatic results that will last for many years, a surgical neck lift might be a better option. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your needs on a more individual basis.