Question:
My neck has become very saggy. What are some of my options for firming it up?
Answer:
The degree of neck skin laxity and your tolerance for surgery and subsequent recovery time will dictate which procedures are best for you to address your neck. If there are changes to the quality of the neck skin and only mild sagging then a Fraxel laser is a good option for improvement of skin quality and mild skin tightening especially in thinner skinned individuals. Some success has also been realized with some of the new radio frequency devices that are used to tighten the neck skin, but, the results are only mild improvement. If there is a significant amount of fat and moderate excess skin of the neck then you may benefit tremendously from liposuction of the neck or laser liposuction, which really helps tighten moderate skin laxity. If you are dealing with significant excess skin and laxity of the neck muscles then you are likely going to need some sort of surgical intervention. The surgery you will need will also depend on the issues I outlined at the beginning of my answer as no one surgical procedure is appropriate for all necks.
Posted by Dr. Philip Schoenfeld