How to Get Rid of Excess Neck Skin

I also think that non-surgical methods, whether laser resurfacing, liposuction, laser liposuction, radiofrequency tightening of the skin will only help so much.

Shrink a shirt/Tailor a shirt analogy

 I think my colleagues have all made excellent points regarding surgery versus the non-surgical methods.  I will use an analogy to help make my point.  

The non-surgical method is like trying to shrink an oversized shirt which you are trying to make fit skin tight.  You can wash it and dry it in the dryer to try to shrink that shirt, but it may only shrink so much and you really don't have control how much it will shrink.  Yet the goal is to make the shirt fit skin tight.

Surgery is really tailoring.  By tailoring the fat, muscle of the neck, and redraping the neck skin, will you ultimately get the "tailored" result that you are looking for.  The tailor would need to open the seams of the shirt and remove the extra fabric, then sew the seams back together in the same places that you would expect for a shirt.

The analogy may seem a bit hokey, but I hope it makes some sense when you are thinking about your options.

Best,

Dr. Yang

Thanks for your question. There are several very effective treatment options for treating neck skin laxity without excess fat. In non-surgical aesthetics, skin tightening is going to be "all about heat delivery". This is because the microinjury of heat is needed to stimulate collagen and elastin production in the skin, which happens during the healing response to the treatment. Results from any of these procedures are not instant but rather develop gradually over the course of 3 to 6 months:
1. Sofwave- utilizing microfocused ultrasound to deliver heat to the deep dermis at a depth of 1.5mm, generating new collagen and elastin in the skin. The number of pulses delivered is important- the more laxity there is, the more important it is to do the ‘advanced protocol’ with 4 full passes. Most will need 1 to 2 sessions spaced 4 or more weeks apart. You should have either ‘full face and neck’ or at least ‘lower face and neck’ to get the best result for the jawline. Sofwave has no effect on fat cells as the energy cannot reach that level. Numbing for he procedure is primarily topical.
2. Morpheus8- utilizing RF energy delivered at the tips of micropins. With this approach you get the collagen stimulation of the heat PLUS the collagen stimulation of the microneedling, so you can potentially get more result per session, but at the expense of 'some downtime'- puffiness, faint redness for a day or two, potential bruising. Most will need 3 sessions- can be spaced 4 or more weeks apart. ‘Full Face and Neck’ is the ideal approach. Numbing for this procedure is primarily topical but nerve blocks (injection numbing) is very helpful also.
3. FaceTite- this procedure involves placement of a probe just under the skin to achieve full thickness heating. The probe is introduced through some simple needle pokes- considered ‘minimally invasive’. Most require a single session. Results typically last 5 years. Numbing for this procedure requires lidocaine injection.

I hope that helps!

There are excellent non-surgical options available to address lax skin of the jawline and neck.
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. The Endolift Laser targets pockets of fat in the jowl, face and neck. It stimulates collagen so the skin looks significantly better and tighter. The benefits are that the Endolift Laser is placed through tiny pin holes so there are no scars and the healing is rapid. This is an outpatient procedure with minimal discomfort during or after the procedure. The Endolift Laser is amazing in the hands of well trained individuals who understand how to avoid complications and know the optimal manner in which to target lax tissues. 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.
Seeking a consultation with a well qualified individual is the first step.