Would nonsurgical options minimize the appearance of deep horizontal lines or should I consider a neck lift? (photos)

Question

I am a 47 year old woman who has not treated any skin on my neck. My face looks ok but I have noticed very deep horizontal neck lines/wrinkles that I want to treat. My question is can none surgical treatments work ton tighten the skin and boost collagen e.g laser treatment, skin boosters and dermal fillers or do I need a neck lift?

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Camille Cash, MD · Answer

Morpheus8 is a nonsurgical option to improve the appearance of the neck.  It combines RF technology with microneedling to improve overall skin tone and texture.  Three treatment sessions are typically recommended for optimal results.  You can learn more by visiting my website or from a provider near you.

Ryan Welter, MD · Answer

Here’s a thoughtful answer to address the 47-year-old woman’s question, incorporating the physician’s insights:

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**Answer for Patient's Question:**

Thank you for reaching out! When it comes to treating deep horizontal neck lines, there are several non-surgical options that can help improve skin texture, promote collagen production, and tighten the skin. Advanced RF microneedling treatments, such as the Morpheus8 or similar newer-generation devices, are effective in stimulating collagen and tightening the deeper layers of the skin. These treatments are well-suited for patients with moderate skin laxity, helping to firm the neck area and soften the appearance of horizontal lines. CO2 laser treatments are another option for resurfacing and addressing deeper wrinkles, although these are best suited for lighter skin types due to potential pigmentation risks.

For patients seeking gradual, natural-looking improvement, a combination of treatments may be ideal. We often recommend layering therapies, such as starting with RF microneedling for tightening, then following up with transdermal RF treatments, like Exilis, for maintenance and ongoing collagen support. Additionally, Renuvion, a minimally invasive option, combines helium plasma and RF energy to contract skin, providing noticeable improvements within days that continue to develop over time.

However, it’s important to set realistic expectations. Non-surgical treatments can effectively improve mild to moderate skin laxity and lines, but for those with more pronounced skin sagging, a surgical neck lift may provide more definitive and long-lasting results. Consulting with an experienced practitioner will help you determine the best path forward based on your goals, anatomy, and desired outcome.

Thanapoom Boonipat, MD · Answer

Yes you should try botox for the entire neck and see how that looks. It will softens the lines but won't get rid of them completely. A necklift is a sure way to address the issue, but it is a big commitment.

Would nonsurgical options minimize the appearance of deep horizontal lines or should I consider a neck lift? (photos)

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