Neck Rejuvenation - is There Really Nothing Short of Surgery?

There are excellent non-surgical options available. Patients with moderate skin laxity of the lower face and neck are ideal candidates for the Endolift Laser which is FDA approved and used throughout Europe. I brought it to the Connecticut area to offer my patients an alternative to a surgical facelift. When used in combination with PDO Threads and possibility facial fillers, the results are ideal and the downtime is minimal. You may also benefit from selective facial fillers: Radiesse, RHA or Restylane to contour your jawline and cheeks. This will support lax skin and muscle of the lower face. The combination of the Endolift Laser, PDO Thread Lift and selective Facial Fillers is the choice for patients who wish rapid recovery, have moderate laxity of facial and neck skin and wish a natural and rejuvenated appearance. Botox will not assist sagging skin but when appropriate can diminish prominent neck bands or muscles.

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 person’s age is best guessed by the appearance of their face. If you feel that your face does not reflect how young you feel inside, you may be a candidate for a facelift.During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect.If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.

We continue to advocate for the use of Ultherapy as an excellent option for non surgical neck lifting. Ultherapy can address the lower face, jowls, jawline, and neck quite well. Best, Dr. Karamanoukian Los Angeles

For nonsurgical, Botox can relax the platysma bands and a laser skin tightening technology may help firm up loose skin to some extent.

   Neck bands can be injected with Botox and skin can be improved with filler or chemical peels along with alot of other modalities.  However, if you want the neck bands to go away and have the skin tight, the neck lift is best.

Thank you for your question. This issue is raised frequently by patients who would prefer to employ non-surgical rejuvenation methods when possible. Your question would be best answered during an in-person consultation with a Board Certified Plastic or Facial Plastic Surgeon. However, you may consider the following. Age-related skin surface changes may be improved with resurfacing modalities such as a chemical peel or laser treatment. True laxity of the neck skin is best approached with a well-performed lower facelift or neck lift. Non-surgical options for neck rejuvenation are in high demand. As a result, there are numerous procedures advertised to meet that demand. However, few non-surgical neck rejuvenation treatments live up to the claims made about their effectiveness. I hope that helps.

A lower facelift or neck lift is typically more like a 1-2 week recovery, not the "2 weeks or more" that you described.  And the recovery is more of a "social recovery" where how quickly you look socially presentable is more of a factor than how you feel.  It is definitely not a "you can't do much more than lay in bed" kind of recovery - the pain is usually quite tolerable, and really more of a discomfort during those first 7 days.  Loose skin and platysmal bands on the neck respond best to a lift.  Realistically, there is no reasonable alternative.

The recovery from face/neck surgery is less than most people think and many patients can look quite presentable at one week.  Non surgical options can help some but they don't deal with skin laxity

Fillers such as restylane/juvederm($550/syringe) can fill in the creases and chemical peels($500-1000 ea.) can smooth out the crepe surface but true neck rejuvenation usually involves either a platysmaplasty ($4500) for the central neck and/or neck lift ($6000) for the lateral neck which is all done under local anesthesia quite easily. Sincerely,

David Hansen,MD