Crepy, saggy neck after thermiTight. I'm 2 months post op. What should I do next? (photos)

Thank you for your question and I understand your frustration over waiting for positive results after your treatment. However, ThermiTight stimulates a gradual process of collagen production that can take many months to complete. Most patients do not see a full result until six months after treatment and others may even have to wait longer than that. If you are still dissatisfied with your results when you hit the six-month mark, there are different options to consider. Collagen induction therapies like fractional laser and microneedling may be a good choice to boost more collagen production and rejuvenate the skin overall. Small amounts of Botox can also be used in the neck area to minimize the appearance of platysmal bands. Make sure you work with an experienced, board-certified dermatologist with the expertise to customize your treatment for the best possible results. 

With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite 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 full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer.

Thank you for your question and pictures. It can take up to 6 months to see the results from a ThermiTight treatment, and I have had patients who have shown continued improvement for up to a year after the treatment. It appears you have separation of the platysma muscle of your neck on the photos. Though, ThermiTight might improve the appearance of platysmal bands by tightening the loose neck skin, the only way to get significant improvement is with surgery. I would recommend you continue close follow up with your treating physician. Ultimately, if you are not happy with your results then surgery may be your best option. Hope this helps.