Would RF microneedling be the best treatment for crepey neck skin?

Question

I am 63 years old. I have had CO2 laser and microneedling in the past. I can't find a surgeon to perform a necklift. So I was recommended to try RF microneedling. My concern is could this procedure cause more crepey skin. I don't have any fat on my neck.

Jason Emer, MD · Answer

lasers in the office need tob e used consistently with RFMN such as morpheus/fractora.  I suggest halo every 2-4 months with morpheus. between I would do clear and brilliant with microneelding monthly and peels between such as cosmelan/enlighten/aerify (see link).  
 
As we age the skin sags there is  nothing  you can do that but try preventative  energy-based or thread-based  treatments or get a neck/facelift earlier in the aging process.  There are numerous options and some can be used in combination to get best outcomes but you need a consultation with an expert.
 
Options include for skin tightening :
1. thermage radiofrequency to heat skin and tighten it over time and prevent the aging process
2. ultherapy highintensity ultrasound to contract muscle and tighten the face and neck and prevent the aging process
3. PDO nova threads or instalift threads for immediate lifting without surgery and long term collagen production
4. sculptra injections for collagen production to areas of the face and neck with crepe skin or early sagging
5. btl exilis ultra, venus legacy, thermi250 , or inmode forma/contoura  for constant collagen stimulation monthly with facials
6. facelift/necklift with fat grafting/fillers if you need a big improvement
7. ThermiRF or J plasma /Renuvion or Inmode FaceTite   internal heating and tightening to long term internal heating and tighting with or without surgery
8. Platysmaplasty to tighten the muscles of the neck long term and create contour
9. Facial implants or fillers to contour the jawline and chin to improve the apperance of the nec k
10. Fractora/Morphenus8 or Intensif microneedling RF for improve superficial tightening, neck and chest wrinkling and crepe skin 
You need to see an expert in facial sculpting and age prevention.  Best, Dr. Emer.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Michael I. Echavez, MD · Answer

In my opinion, RF micro needling and a neck lift would be used in different circumstances.  RF micro needling can help more with the texture of the skin, so if there are some fine lines, it can help with that.  A neck lift would be more appropriate for someone who has excess skin that is causing the issue.  An examination or photos of you would be needed to determine which treatment might be best for you.

Would RF microneedling be the best treatment for crepey neck skin?

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