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The Best Treatments for Neck Tightening

Wrinkle free neck after microneedling

Introduction

When we think about caring for our skin and wearing sunscreen a lot of people remember to give their face the love but many neglect the neck. Overtime, years of sun damage and lack of care on the neck can start to show. Especially if one takes great care of their face, then the neck might really appear to be pre-maturely aging in comparison.

To prevent and treat these early signs of aging on the neck, a number of treatment options are available. In this article we’ve picked some of our favorites!

Overview

Loose neck skin is caused by many different factors. Some of them like genetics and aging are hard to avoid, but others like using sunscreen and avoiding cigarettes, are entirely avoidable.

To treat the wrinkles and lines as they develop there are a number of different treatments which include:

  • Botox or Xeomin

    • Cost: $400-$1000
    • Best for: neck bands
  • Microneedling

    • Cost: $200-$400 per treatment
    • Best for: necklace lines
  • Fractional laser (ResurFX)

    • Cost: $600-$800 per treatment
    • Best for: necklace lines, crepey skin
  • RF Microneedling

    • Cost: $500-$800 per treatment
    • Best for: necklace lines, turkey neck (mild-moderate), thick neck

Follow the guidelines below to determine what is the best treatment for your specific needs.

What causes loose neck skin?

Loose neck skin develops from many factors, some of which you can control and others which you can’t. Those you can’t control are genetics and general aging. You can control things like avoiding sun exposure, not smoking, exercising, sleeping well, and having good posture.
 
Like any skin on our body, the skin on our neck continues to age and gravity may pull at it. If you haven’t been good about applying sunscreen to your neck throughout your life your skin may also have sun-damage. This causes the skin to thin and appear loose or crepey.

How do you prevent saggy neck skin and wrinkles?

As above, life-style is most important. Here are a few tips to prevent a “turkey neck” appearance:
  • Wear SPF 30 or higher on your face and neck every day, even when not going outside. You can still get significant sun-damage from driving or sitting by a window.
  • Avoid smoking- smoking is the 2nd leading cause of pre-mature aging after sun-damage.
  • Exercise and stay healthy, especially a strong back and core to sit up straight with good posture. If we are slumping with our necks forward those muscles will shorten and the skin will hang more.
  • Sleep on your back if you can. When we sleep on our sides or stomach often our neck twists and more lines can appear.

Skin tightening injections

What types of injections could you get to tighten neck skin?

 

Botulinum Toxin (Botox, Xeomin, Dysport, Jeuveau) can decrease the appearance of necklines and neck bands while in effect. This is usually around 3-4 months. The treatment of neck bands is often called a Nefertiti lift because it appears to elongate the neck and sharpen the jawline. This treatment is usually around $500. There are risks involved when injecting Botulinum toxin around the neck. These include neck weakness, difficulty swallowing, and difficulty breathing. Discuss risks and benefits with your provider.
 
A longer lasting neck tightening injection is dermal filler, particularly hyper-dilute Radiesse. Radiesse is a collagen stimulator that can be diluted and injected all over the neck to stimulate collagen and tighten skin. It is usually the best option for neck tightening.
Hyaluronic acid (HA) fillers such as Restylane and Juvederm are also a great option. HA fillers are perfect for superficial work on “necklace lines” or deeper to help with the appearance of loose or crepey skin. For deeper injections, we usually recommend diluting these fillers with either sterile saline or PRP/PRF. This is so they do not create more fullness or puffiness in the neck area.
 

Botox

  • What is Botox for neck skin tightening?

    Botox for neck tightening is the use of Botulinum Toxin injections in an “off-label” application to relax the skin on the neck. This makes it appear more smooth and youthful.

 
  • How does Botox work to tighten neck skin?

    Botulinum Toxin injections don’t necessarily tighten the neck skin. They actually relax the skin and certain muscles to make the skin appear more smooth.
 
  • What is a Nefertiti lift?

    This treatment involves strategic placement of Botulinum Toxin injections on the neck and near the jawline. These make the neck appear more youthful and the jawline more defined.
 
  • How much does Botox cost for neck treatments?

    Cost of Botulinum Toxin for neck treatments is usually between $400-1000.
 
  • How long does Botox for neck treatments last?

    This treatment will last 3-4 months.

Microneedling

Professional microneedling can be a great treatment to tighten neck skin. The provider will assess your neck, including: skin quality, thickness, and desired outcome. Then they’ll determine what depth the treatment should performed at and how many treatments you might need. 

Microneedling is great for neck wrinkles because it increases collagen production. This works to tighten the skin and reduce the appearance of lines. The treatment happens once a month for a series of 4-6 treatments. The cost is between $200-400/treatment.

We recommend having microneedling done at a professional medical office and not at home or a non-medical Spa. There is a risk for infection, bloodborne illness, and damage to the skin when done incorrectly.

ResurFX

Fractional laser resurfacing, such as ResurFX is a great treatment for the neck. ResurFX tightens the skin by increasing collagen production and remodeling certain areas. This causes the area treated to appear more smooth and tight.

This treatment is best for crepey skin, superficial loose skin and “necklace lines”. It will not necessarily tighten deep or thick sagging skin. This is because the treatment is only able to penetrate a few millimeters in depth.

For neck tightening, ResurFX is done once a month for 3-4 sessions. The cost will depend on if the treatment includes a facial treatment or is done alone. The average cost will be $600-800/treatment.

RF Microneedling

RF Microneedling is one of the best options to tighten neck skin. This treatment combines the collagen-stimulating effect of needling with radiofrequency technology. The Radio Frequency is able to penetrate deeper through the needles then heats the skin and shrink wraps it. It is also more tolerable than other more painful treatments that use heat energy alone. These include Ultherapy, which is likely effective but difficult to tolerate for many.
 
This treatment is able to address fine lines and wrinkles on the neck including “necklace lines”, loose or crepey skin or a “turkey neck” appearance. It also works well to improve overall skin quality.
 
RF microneedling takes 3-4 treatments to see the best results and costs $500-800/treatment. Often, if you are having facial RF microneedling done, you will get a discount to add on the neck rather than paying for each of them separately. Another benefit of this treatment is the minimal downtime. Generally patients only need to keep the skin clean and dry for 24 hours. They also experience 24 hours of redness. After 24-hrs you can resume your normal routine. Learn more about this treatment here.

What is the best procedure for neck tightening?

The best procedure for neck tightening depends on what you are trying to treat or what is bothering you. RF Microneedling is the most versatile and effective treatment with minimal downtime overall. However, depending on your needs something else may fit your goals better. See the list below to decide for yourself!
 
Neck complaint and the best treatment option for it:
 

Neck bands:

Botulinum Toxin injections or “Nefertiti Lift” versus plastic surgery consult to pull back neck bands

 

Necklace lines:

 
  • Mild-Moderate: ResurFX, Microneedling, RF Microneedling 
  • Moderate-Severe: Combination of dermal filler with laser or microneedling
 

Loose neck skin, “Turkey neck”:

 
  • Mild-Moderate- RF Microneedling
  • Moderate-severe- Dermal filler (hyper-dilute radiesse) followed by RF microneedling 2-4 weeks later. A series of 3 each
  • Very severe- refer to plastic surgery to consult for neck lift
 

Thick neck or “fat neck”:

If you are in a healthy weight range for your body type and feel you genetically have a lot of fat around your neck and jawline that is bothering you, you could consider some of these options:

  • Kybella or some sort of fat-dissolving injectable (off label) 
  • Modifying laser treatment such as RF or RF microneedling at higher depths
  • Cold sculpting technology like “Coolsculpting”
  • Surgical consult for liposuction or “FaceTite” procedure

With any medical treatment, the best thing to do is to schedule a consultation with a skilled provider in your area. You’ll be able to go over your treatment goals, risks and benefits of each option to come up with a plan together. Remember these are medical procedures so do your research and go to a qualified healthcare professional. Seek out those that have a proven record of safety and excellent results.

If you’re in the Lone Tree area and are considering one of these procedures, book a free consultation with our incredible staff using the button below. Ali is a trained Nurse Practitioner (NP) and an artist that combines her skills to give clients beautiful natural results. Check our services page to find out more about what services we offer.

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