What Can be Done for Loose Neck Skin?

Loose skin on the neck can be addressed in three ways:

If it is just excess fat, then often a simple liposuction can be performed.
If it is only the excess neck skin in the midline that bothers a person, then a direct excision can be performed, which is called a submentoplasty. This is really best for older individuals who heal well with their scars and have a relatively strong jaw line.
Finally, the more common procedure is a neck lift where incisions are placed behind the ears and the excess skin is removed after elevating the tissues of the neck and pulling behind the ears so that the scar is not visible.

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.

For loose or crepey neck skin, you may opt to try a tissue tightener such as Ulthera or Pelleve. Upon assessment, if you have any excessive submental fat, you may be a candidate for Kybella or CoolSculpt in this area as well.

One of the newest non- invasive treatments that has been a huge success at my office is the 3-D Collagen Firming Laser. It firms, lifts and tightens face and/or neck while stimulating new collagen. It's painless and requires no downtime!

Your skin is complex and tightening of skin is based on your skin quality, elasticity, genetics, diet and the care (ie suncreen to prevent sun damage) you have exhibited. There are no definitive answers but there are temporary solutions (non-surgical) and more lasting surgical solutions that can be presented to you by a plastic surgeon once your skin is evaluated. Loose skin in the neck can be removed, fat can be liposuctioned and the muscles underneath can be brought together to create a more youthful neck line.

There are few surgical techniques to correct loose skin around the neck.

1) Liposuction can be used for excess fat.

2) Skin Excision can be performed.

3) Neck Lift in isolation or in combination with a facelift, segmental lift, or smartlift.

Consult with an experienced surgeon to discuss the various possibilities.

 

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

There are multiple options to address the neck from non-surgical to surgical. I have been impressed with the New FDA approved Sidelaze laser that is minimally invasive. Under local anesthesia, 3 tiny entry points without sutures  are used to heat the undersurface of the skin, as well as, melt fat if indicated.  The heat helps to form new collagen and contract the excess skin.Comfort level is excellent with minimal bruising and downtime.  You walk out of the office wearing an elastic chin strap.  It might work for you  provided you do not have a lot of excess skin.