Best Laser for Improvement of Skin Quality on Neck?

While many devices are tailored for skin tightening in the neck, the greater challenge remains how to improve the tone and texture of neck skin. Technologies that tighten the neck skin sometimes do not address issues like sun damage, discoloration, and even wrinkling and  that can extend down to the chest area.

 

To this end, I  still believe laser resurfacing has a space in treating a wide variety of issues in the skin of the nexk and uppe chest. My protocol includes various RF devices for tightening (Thermage, Ulthera, or Viora), but on the surface I still like fractional ablative Co2 laser resurfacing. Any device can be used as long as it can be compatible for these settings. My device of choice remains the Lutronic Eco2 laser.

 

The treatment protocol I use focuses on a spot size of about 300 microns, with about 7.5 percent coverage repeated three times. In the submental area (under the chin), one can drop down to 120-150 micron spot size with about 10 percent coverage, but outside this area it is important to increase spot size. As for depth, in the submentum I have found it safe to treat down to 1000-1200 microns, but outside this area I like to stay in the 300-500 micron depth range.  Hope this helps and good luck!! 

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

"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.​"