36 years old - Saggy neck, what should I do? (Photo)

Question

I had Lipo under my neck in 2013 as well as a chin implant, but my side profile is just not flattering at all. Not sure what procedure I should be looking for in order to have a tighter younger looking neck and jaw line. Thanks for any help! I am 36.

Nelson Lee Novick, MD · Answer

In the hands of an experienced injector, the use of an appropriately robust, lifting HA filler can help to strengthen, define and masculinize the jawline. Additionally, a larger bore cannula field subcision of the submental region can help to achieve greater tightening to improve the profile view. Make sure to consult and experienced board certified cosmetic dermatologist and maintain a hefty dose of skepticism if offered so-called energy-based, skin tightening RF and Ultrasound devices, as these "bells and whistles" remain, to date, largely unsubstantiated by hard science. Make sure to consult a board certified cosmetic dermatologist. Best of luck.

Raffy Karamanoukian, MD, FACS · Answer

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

Jason Emer, MD · Answer

With significant neck sagging you would need a neck lift / facelift with muscle tightening (platysmaplasty). At the same time, lasers treatments (Fraxel, CO2, Erbium, Halo) or microneedling RF (Fractora, Intensif, Morpheus, PiXel8) 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, PiXel8, Morpheus 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.

Camille Cash, MD · Answer

Although an in person evaluation is best, from your photo it appears you would benefit from FaceTite with some liposuction of the submental area.  FaceTite uses RF technology to tighten skin up to 40%.  Results can be optimized by adding Morpheus8 treatments.  See a board certified plastic surgeon near you to learn more.

Daniel Barrett, MD · Answer

Dear frank92506,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

36 years old - Saggy neck, what should I do? (Photo)

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36 years old - Saggy neck, what should I do? (Photo)

Answers (10)

Answer: Saggy neck

Answer: Saggy neck

Answer: Saggy neck

Answer: Saggy neck

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Everything you need to know about Skin Tightening

Our mission is to create a world where every investment in modern beauty is Worth It.