Ultherapy, chin lipo, or neck lift for 38 year old aging neck? (photo)

I'm unhappy with how my rapidly my neck is aging. It seems like my neck looks much worse than other peoples for my age. What are the best options for getting back my jawline and tightening the neck area? Any advice would be welcomed.

Doctor Answers 10

Ultherapy or Neck Lift

Ultherapy is the only FDA approved treatment for noninvasive lifting in the face and neck, however it cannot achieve the dramatic results of a neck lift- if that is what you require.  It is difficult to advise you from these pictures. Consult with an experienced facial plastic surgeon (as opposed to a dermatologist) who can offer you both options. Ultimately, your choice will also depend on your willingness or not to undergo an invasive procedure.

San Diego Facial Plastic Surgeon
4.5 out of 5 stars 23 reviews

Ultherapy for Neck Tightening

Thank you for your question! Ultherapy is GREAT for laxity around the jawline, lower face and neck. In our practice, we are using the triple depth approach for our patients. We use three transducer depths on our patients, stimulating collagen in multiple layers of the skin, maximizing the lifting and tightening results. We find this to provide the most efficient treatment and superior results by targeting all three layers of tissue. Our extensively trained NP & PA’s customize each treatment for each individual patient. We offer complementary consultations, as well. Our physician extenders (Nurse Practitioner and Physician Assistants) have been extensively trained and have attended all of the advanced training, seminars and conferences, so we are confident our patients are receiving the highest quality care and treatment. By customizing each treatment for the patient we assure they will achieve their special goals and results.

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 145 reviews

Ultherapy for Aging Neck

If you would like to tighten the skin around your jaw and neck, then Ultherapy is an FDA-approved, noninvasive treatment designed to accomplish just that. Typically, results from a Ultherapy treatment last between 1 and 1.5 years, and possibly longer if patients decide to undergo repeat Ultherapy treatments.

Carlo P. Honrado, MD, FACS
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

Ultherapy or Lift ?

You are turning your head to accentuate the folds of your neck skin and flexing your neck to do the same ... Ultherapy treats skin laxity and may help you in that regard. Once you choose to get Ultherapy, wait 6 months and thereafter get evaluated for possible mini lift or liposuction if you don't get the desired look you seek. Read the Ultherapy book on the link below for more information about this procedure. 

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Solutions for 38-year-old aging neck

You are a great candidate for a new, and I believe better, way of helping you your problem area, the underchin and neck, I don’t believe that you can get the results you want just with Ultherapy, because it’s not just the looseness, but the fat as well. So you need to solve both. Your best answer would be to use the safest and most gentle way to remove the fat and tighten the skin. You could do this with laser lipo, but I think a better way, and newest way, would be ThermiTight™ which can combine both tightening and fat removal. Look for my article to be published in the February issue of the Journal of Drugs and Dermatology (JDD) and ask which doctors your area are now using ThermiTight™.

Douglas J. Key, MD
Portland Dermatologic Surgeon
4.5 out of 5 stars 15 reviews


Although the photos are somewhat non-standard and provide limited information, Ultherapy is a very good treatment for a 38 year old.  It will help submental fullness and early jowling.  It will not help platysmal bands.  A consultation will be necessary in order to make further recommendations.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 93 reviews

Best Treatment for Improving Neck in 30 and 40 Year Old Women and Men…Ultherapy

Hi M,

Great question that is shared by many.  Nora Ephron's "I Hate My Neck" wasn't a best seller for nothing.  Ultherapy is the best (and only FDA approved) non-invasive treatment for lifting the skin and muscles of the neck, face, and eye brows.  In your case I would likely recommend an extended Ultherapy treatment of your neck combined with treatment of your mid-face/cheeks.  Many patients benefit from a  simultaneous injection of Botox in their neck platysma muscles.  You may always have surgical treatment in the future, but many patients who take care of their necks early enough with non-invasive treatments may not need surgery.  Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

At your age Ultherapy is a good option for neck tightening.

These pictures are not great, in that you seem to be holding your chin down which will make the neck look worse. It is also hard to tell if you need a chin implant without a good side view.  Make an appt. with someone who can advise you as to whether Ultherapy will help you.

John J. Martin, Jr., MD
Coral Gables Oculoplastic Surgeon
5.0 out of 5 stars 27 reviews

Ultherapy is often a good option for early aging changes in neck

For early aging changes resulting in skin laxity in the face and neck, Ultherapy is often a very good option. At age 38 you are in that category, but from the pictures it appears that you are holding your chin down a bit. Most of my Ultherapy patients are in their 40's to 50's.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 52 reviews

Treatment for neck

 It is hard to evaluate your neck from just photographs, but you may be a good candidate for Ulthera. Submental Liposuction may be another option, but, again, an in-person evaluation is the definitive procedure for determining your best options. Don’t forget daily use of sunscreen to your face, neck, and hands to prevent premature aging.

Sue Ellen Cox, MD
Raleigh-Durham Dermatologic Surgeon
5.0 out of 5 stars 4 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.