What Are Non Surgical Options for Tightening Loose Neckline

through surgery for removal of parotid gland, my neckline is loose, saggy and very unattractive. What are some options, if any, to tighten and smooth lines and sagging.

Doctor Answers 15

Ulthera is a new option for tightening a loose neckline without surgery

Ulthera is a new option for tightening a loose neckline without surgery.  It is a brand new laser my office now carries, similar to Thermage but we have found that it provides even better results.  Nothing is as good as surgery, but this is the best non-surgical option available.  Please feel free to call us and schedule an appointment!

Beverly Hills Facial Plastic Surgeon
4.1 out of 5 stars 9 reviews

Loose neck skin needs a facelift

Loose skin in the neck and jowl is best treated by some form of a facelift. Since a facelift is really a neck and jowl smoothing treatment, it will produce the most assured result. In the face of having had a parotidectomy, there will be asymmetry in the amount of skin tightening that is needed for each side. That can be differnentially managed during the facelift operation. There are different variations of a facelift based on how much loose neck and jowl skin exists and the extent of the incisions around the ear.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

ThermiTight for tightening the loose neckline

Depending on how much skin laxity is present, ThermiTight is a very powerful tool to treat the neck and around the mouth. It works by heating the deeper tissues around the treated area to stimulate collagen production and overall skin tightening. There is very minimal downtime with this and all my patients are able to tolerate this simply with local anesthesia.

Michael T. Somenek, MD
Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 34 reviews

Botox and laser skin tightening

For nonsurgical, Botox can relax the platysma bands and a laser skin tightening technology may help firm up loose skin to some extent. 

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.7 out of 5 stars 140 reviews

Loose neck skin

If you have loose skin in the neck, a facelift and neck lift may be the option to best treat your concerns.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Non surgical treatments for removing skin don’t exist

Unfortunately non surgical treatments for removing skin don’t exist. Some treatments including chemicals and laser resurfacing of skin can remove wrinkles and gently tighten the skin. These treatments can not remove excess skin as often occurs on the upper eyelids or in the neck. Some day perhaps we will figure out a way to achieve this but for now there are excellent well established and safe techniques to surgically remove and tighten excess facial skin, including lower facelifts.

Thomas Buonassisi, MD
Vancouver Facial Plastic Surgeon
4.9 out of 5 stars 108 reviews

Sagging neck after parotidectomy requires more invasive treatments.

Sagging neck after parotidectomy requires more invasive treatments.  You can try Thermage or other radio frequency treatments or fillers or creams etc and after you have spent all that money you will still not have the results that you really wanted in the first place.  Yes, some of those treatments will offer some improvement, but if you want to save the time and expense of experimenting with those treatments then speak to a plastic surgeon about a face/neck lift.

Richard H. Fryer, MD
Salt Lake City Plastic Surgeon
4.9 out of 5 stars 277 reviews

Tightening skin of the neckline usually requires surgery

Unfortunately, surgery is the only reliable technique to tighten neck skin.  The Thermage laser is reputedly successful in giving a modest tightening of neck skin in some patients, but unfortunately, it is only successful in a relatively small percentage of cases.  

Roger J. Oldham, MD
Bethesda Plastic Surgeon
5.0 out of 5 stars 17 reviews

Non-Surgical options for loose neckline

Thermage® is now a safe, non-invasive, radiofrequency (RF) cosmetic procedure that’s clinically proven to help smooth, tighten and contour skin for an overall younger looking appearance. The treatment delivers natural looking results with little to no downtime —on all skin colors, on and off the face, all in a single procedure. Fast and easy, you can even come in during your lunch break and return to work after!

Thermage® uses radiofrequency technology to heat the deep, collagen rich layers of your skin. The heat helps tighten existing collagen and stimulate the formation of new collagen, which reduces sagging, renews contours, and improves the smoothness and texture of the skin’s surface. Comfort Pulse Technology, including a vibrating handpiece delivers enhanced patient comfort.

On the face, Thermage® can treat sagging skin, loose jowls, lack of definition in the jaw line, sagging neck skin (“turkey neck”), wrinkles and fine lines, and lack of definition in the lips. Elsewhere on the body, Thermage® can treat wrinkled, crepey, sagging or bulging skin as well as the appearance of cellulite.

Michelle Copeland, MD, DMD
New York Plastic Surgeon
4.6 out of 5 stars 10 reviews

No good non-surgical neck tightening treatments

There are really no non-surgical treatments that give anything of significance in skin tightening to be close to worth the money they can cost.  Accept that a neck lift is needed and maybe it can even improve or move back the parotidectomy scar.

A WORD OF CAUTION here is that after a parotidectomy, the facial nerve branches that make your face move will be right under the skin after removing at least the outer half of the gland.  It is vital that you go to an experienced plastic surgeon so as to minimize the risk of injuring these nerves!!!!!

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.