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 16

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

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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

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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.

Non Surgical Skin Tightening

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For non surgical skin tightening I would recommend radiofrequency energy devices. I would investigate the Inmode technologies such as RFAL and Fractora for minimally invasive technology. Costs for the neck vary if its done under local anesthesia.

ThermiTight for tightening the loose neckline

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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

Botox and laser skin tightening

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

Loose neck skin

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

Non surgical treatments for removing skin don’t exist

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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 110 reviews

Sagging neck after parotidectomy requires more invasive treatments.

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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.

Tightening skin of the neckline usually requires surgery

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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

Non-Surgical options for loose neckline

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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.

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.