What non surgical options are there for treating loose skin in the neck area?

Question

I'm in my early 50's and would like to tighten the skin on my neck (vertically under my chin) without surgery. I've researched laser treatments but many reviews state that they were left with fat loss which resulted in saggier skin than before. I'm afraid of surgery because I don't like the feeling of my throat being tight from the swelling. I'd like suggestions on treatments or procedures that are minimally invasive and don't cause major neck swelling.

Nima Shemirani, MD · Answer

Hi @BettyB333. I recommend Morpheus 8. Morpheus 8 is a non-surgical treatment that helps to improve the texture, tone, and appearance of the skin by stimulating collagen production and remodeling. The depth of the microneedles and the intensity of the RF energy can be adjusted based on the individual's needs and desired results. This flexibility allows the treatment to target specific areas of concern, such as wrinkles, fine lines, acne scars, and uneven skin texture.

Best of luck,

Dr. Nima

Best of luck,

Dr. Nima

Robert M. Lowen, MD · Answer

As this is a common question, I will post a previous answer.
   There is no best treatment, but the underlying principal is either to apply heat to the dermis (externally, e.g. Lux IR, or subcutaneously, e.g. Thermitight, etc), stimulate tissue remodeling with controlled mechanical injury (micro needling or radio frequency micro needling, e.g. Vivace), or cause collagen shortening and contraction of the skin surface with ablative CO2 laser (Smartskin CO2), or non-ablative fractional erbium laser (e.g. Lux 1540 laser).
   Combinations of the above are often tried.
   Adjunctive measures would be skin metabolism enhancers, like retinol containing products (e.g. ZO wrinkle and texture) and Defenage (latent stem cell activators).
    Many practices offer some of these modalities.  Patience is needed.  Improvement is measured in months as the skin responds to treatment.

Jeffrey S. Rosenthal, MD · Answer

A facelift addresses the loose skin and muscles and does not impede your breathing or offer significant tightness.  
Another wonder option is the Endolift Laser which uses a micro-optical fiber placed beneath the skin through tiny pin holes, to stimulate collagen and tighten skin.  When used with PDO Threads, the neck skin will show significant improvement without having to have surgery or prolonged healing.

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

Jason Emer, MD · Answer

"A combination approach would give the most improvement. Nonsurgical options such as Kybella, PDO NovaThreads, and Ultherapy do well in combination for skin tightening, but the results are mild compared to surgical options.

I would recommend a VASER Hi-Definition Liposuction with ThermiRF, Renuvion (J Plasma) and InMode BodyTite to contour and tighten the chin and neck. A neck lift can be performed at the same time, if you're a good candidate. I suggest seeing a board-certified cosmetic dermatologist to develop a personalized treatment plan that works for you. Best, Dr. Emer.​"

Lisa Vuich, MD · Answer

Thanks for your question. There are several very effective treatment options for treating neck skin laxity. In non-surgical aesthetics, skin tightening is going to be "all about heat delivery". This is because the microinjury of heat is needed to stimulate collagen and elastin production in the skin, which happens during the healing response to the treatment. Results from any of these procedures are not instant but rather develop gradually over the course of 3 to 6 months:
1.	Sofwave- utilizing microfocused ultrasound to deliver heat to the deep dermis at a depth of 1.5mm, generating new collagen and elastin in the skin. The number of pulses delivered is important- the more laxity there is, the more important it is to do the ‘advanced protocol’ with 4 full passes. Most will need 1 to 2 sessions spaced 4 or more weeks apart. You should have either ‘full face and neck’ or at least ‘lower face and neck’ to get the best result for the jawline. Sofwave has no effect on fat cells as the energy cannot reach that level. Numbing for he procedure is primarily topical. 
2.	Morpheus8- utilizing RF energy delivered at the tips of micropins. With this approach you get the collagen stimulation of the heat PLUS the collagen stimulation of the microneedling, so you can potentially get more result per session, but at the expense of 'some downtime'- puffiness, faint redness for a day or two, potential bruising. The needles can also be set deeper in certain regions so that they will destroy unwanted fat cells- such as in the jowls and the “double chin” zone. Most will need 3 sessions- can be spaced 4 or more weeks apart. ‘Full Face and Neck’ is the ideal approach. Numbing for this procedure is primarily topical but nerve blocks (injection numbing) is very helpful also.
3.	FaceTite- this procedure involves placement of a probe just under the skin to achieve full thickness heating. The probe is introduced  through some simple needle pokes- considered ‘minimally invasive’. Most require a single session. Results typically last 5 years. Numbing for this procedure requires lidocaine injection. 
4.	EmbraceRF- this is a combination procedure pairing Morpheus8 externally with the FaceTite procedure. Ideal for the more advanced skin laxity, for skin laxity that is accompanied by surface wrinkles or crepiness, and/or when there is unwanted fat to be destroyed. If the fat collection is substantial, this can be combined with targeted liposuction. Numbing for this procedure requires lidocaine injection. 
I hope that helps!

Connie Hiers, MD, FACS · Answer

A nice noninvasive treatment is Secret, radiofrequency with micro-needling, that gives good results and can be boosted as you age. A minimally invasive treatment that works well is Renuvion. the two can also be combined to get even better results. Liposuction can be added to Renuvion to remove fat if needed.

Ricardo Pocurull, MD · Answer

There are a number of options for non-surgical neck lifts but most of them will result on some down time and even swelling. Radiofrequency may have little to no downtime but there may be some swelling. Injections of sculptra, PRP, PRGF, PRF will have some downtime. The new Cellsound is the only device to stimulate healing only; there is no controlled damage involved. So no downtime, no pain, no bruising, no swelling. It does require a few treatments however, usually 4-6. Consider looking for a

Camille Cash, MD · Answer

FaceTite is a minimally invasive procedure that is used to tighten the contours of the neck and face.  This single treatment option uses RF technology helps to tighten skin.  The procedure does not require general anesthesia.  Results can be enhanced by adding Morpheus8. You can find out more by visiting my website or a provider near you.

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