What can I do to fix the crepey skin on my neck? (Photo)

Question

A few years back, I had the Morpheus8 on my face and neck. I haven't had issues on my face, but it seems like the neck a has become creepy and stringy. This is very daunting as the rest of my face looks younh.

Mert Demirel, MD · Answer

Crepey or stringy neck skin can be difficult because it is usually a skin-quality problem, not just loose tissue. Morpheus8 and other RF microneedling treatments can help some patients, but if the neck skin is thin or overtreated, heat-based procedures can sometimes make the skin look more crepey or deflated.
If the issue is mainly fine crepey texture, options may include gentle resurfacing, light fractional laser, microneedling, PRP/PRF, skin boosters, biostimulatory injectables, or carefully planned RF treatments at conservative settings. These can improve skin quality, but the improvement is usually gradual and modest.
If there is true looseness, vertical banding, or loss of neck contour, non-surgical treatments will not fully correct it. In that case, a neck lift or lower face and neck lift may be the more effective option. Surgery can tighten deeper structures and redrape skin, but it may not completely erase thin skin texture.
I would be cautious about repeating aggressive Morpheus8 or strong heat-based treatments without a careful exam. The neck has thinner skin than the face and can be less forgiving. A dermatologist or facial plastic surgeon should assess whether your problem is skin texture, fat loss, platysma bands, or actual laxity.
In short, mild crepiness can be improved with skin-quality treatments, but significant looseness usually needs surgical tightening. The safest next step is an in-person evaluation before doing more energy-based procedures.

Muhsin Yilmaz, MD, FEBOPRAS · Answer

Based on your photo, the crepiness in your neck appears to involve skin quality changes that are beyond what repeated energy-based treatments are likely to correct further. You mentioned Morpheus8 was done a few years ago, and while the face responded well, the neck appears to have developed a more irregular texture and reduced elasticity over time. If the skin has lost sufficient elasticity, a neck lift may be the most reliable option for improving both the texture and the overall contour. An in-person examination is necessary to assess the degree of laxity, skin thickness, and underlying anatomy before any definitive recommendation can be made. Photographs alone are not sufficient for that assessment. A consultation with a plastic surgeon experienced in neck rejuvenation would be a reasonable next step.

Philip Wasicek, MD · Answer

Hello, 
Thanks for your question. Crepey neck skin can be caused by excess redundant skin and also is determined by skin quality. Skin quality typically worsens with age, and can also be due to sun damage. 
Good skin care regimen and procedures to improve skin quality will help. However, based on your pictures, it looks like skin excess is likely a contributing factor to your appearance. 
I would recommend to be evaluated in person by a board certified plastic surgeon who specializes in facial aesthetics. The best option may be a face/necklift to improve your concerns--but should be evaluated in person. 
Hope this helps.

What can I do to fix the crepey skin on my neck? (Photo)

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