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For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.
Hello pearceplace.In your case I would recommend doing a mid face and neck lift so we can take out the excess skin and redrape the rest. We also need to do a platismal repair to have a smooth neck and a better angle. Dr. Medina
Thank you for your question. Being that you didn’t gain the desired long-term effects from your previous neck lift, you may benefit from treatments that target the skin to restore health and elasticity to the neck area. It is possible to optimize your results through laser facial resurfacing, which can remove the outer layers of aged skin to reveal a more youthful and firm appearance. RF microneedling is another option, which works by triggering collagen production in the body to refresh skin at a cellular level. I recommend that you schedule an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your needs on a more individual basis.
Based on these photos, you seem to be good candidate for face and neck lift. In person consultation with a board certified plastic surgeon, with expertise in face lifts, is recommended. Good luck.
First a face and neck lift would help. After that is done, you can do maintenance treatments with microneedling. As far as other topical treatments, there are various brands available.
Your photographs demonstrate both laxity of the neck and wrinkling of the skin. A surgical neck lift is the best way to rejuvenate this area as it will tighten and reshape the neck while simultaneously reducing the visibility of the wrinkles. Non-surgical treatments including topical skin preparations and radiofrequency with microneedling can improve the texture of the skin but will not improve the laxity as much as a lift so this would result in a more partial improvement. My recommendation is for you to consult with a surgeon experienced in lower face and neck lift surgery to learn more about this option.
Based upon your posted photos you best to consider full open neck/face lift with muscle plication. Redrapeing the skin gives chances for best youthful outcomes. Fees in the $15,00-$25,000 ranges.
Yours is a common problem. This is because your skin stopped making collagen and elastin about 25-30 years ago. To correct you need to be using tretinoin (Rertin-A) daily and Obagi’s ELASTIderm twice daily with your skin care of a cleanser, Ph balancer, exfoliant, and zinc oxide sunscreen. To speed improvement, you could add micro needling or. Fraxal laser.
"Injecting soft fillers like Belotero in this area can reduce lines, wrinkles and folds as well as improve skin texture with long-term collagen production. Fillers are being used more frequently to contour and lift rather than solely line fill. Of course, fillers are best used in combination...
We do this frequently in our office and call it a cobra lift, we do skin removal, muscle tightening (platysmaplasty), VASER and J Plasma all to contour the chin/neck in one treatment. Best, Dr. Emer.
Thank you for your question. Radiesse is a stronger solution compared to hyaluronic acid fillers because its purpose is to gradually stimulate the body’s collagen production over time. The results can also last for up to two years, while hyaluronic acid dermal filler results may only last for 6...