What is the best procedure for a crepey neck? (Photo)

Hello there.  Thank you for sharing with the physician community.  Based on your photo only, I would say that you are not a candidate for a "minilift'.  I say this simply because you have too much skin laxity in the upper and mid neck regions.  A minilift traditionally will do a great job tightening the jawline and upper one third of the neck. Based on your picture I feel you would need more.  In our practice, I would recommend a standard lower facelift/necklift (with incisions behind the ears).  This approach would adequately address the overall laxity of the neck skin and muscle.  Additionally, I would probably remove any fat under your chin and possibly tighten the muscle under the chin as well.  Depending on your surgeon, this can all be performed under local anesthesia in the office.  Good luck!

"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.​"

A mini lift typically does not dissect into the neck.  The results in the neck after a mini lift can be very nice in the beginning, but tend to relapse early.  For this reason, I recommend a full facelift in patients who are concerned with excess neck skin or fullness.  A full facelift will dissect into the neck, tighten the platysma muscles and give a long lasting correction in this area, as well as the other areas treated.  

Thanks for posting your photo.  In my opinion a mini lift would not be adequate to address the loos skin of the neck.  I would advise a neck lift and/or lower facelift to get the desired results.  Please consult with several board certified experienced surgeons.  

For the pictures that you post. The cords
that you see in your neck need to be corrected with the work in the Platysma
muscle and also the looseness in your neck need to be corrected with the skin removal. This to steps are done at the same time and
during the Neck Lift operation.

I recommend combination of face and neck tightening, face lift alone might not improve the neck issue that you are concerned about. good luck!

A lower face/neck lift done under local would make a great improvement for roughly $9800 on special and be easy to undergo.

Thanks for your post. I would agree w/ the other surgeons here that, if your primary complaint is excess skin in your neck area, the mini facelift procedures may not meet your goals. I do like to add skin-tightening procedures w/ my mini facelifts (chemical peel, laser treatments, laser-liposuction, etc.) to help deal w/ small degrees of skin excess. But, those results are limited. I would think about it and let your surgeon know if you are more bothered by your neck skin. Good luck

To tighten the neck would require a neck lift and platysma plasty. Mini-facelift does not tighten the neck. Other option if you need a facelift is a SMAS face lift which includes the neck work.

  Hi, based upon the attached photo there seems to be minimal "jowls" with excess neck skin that is quite wrinkled and is mostly directly below the chin.  While some form of topical skin tightening may tighten the skin a few mm's, direct excision of the skin can be performed through an incision hidden underneath the chin.  This is part of our short-incision facelift which is our most popular facelift. This the minimally invasive facelift has all the benefits of more invasive facelifts (traditional, mid-face and subperiosteal facelifts) but with these added benefits:very small incisionsminimal tissue dissection = less bruising and swelling = rapid recoverycan be performed in 90 minutes or less, with or without general anesthesiano incisions within the hair = no hair lossexcess fat can be removedexcess skin removedcheeks, chin and jaw line can be augmented with dermal fillers (I prefer Perlane) or facial implantsmost patients fly back home to parts all over the world in as little as 3 days post-opHope this helps.