Neck Laxity

Facial laxity at a Glance

  • Best Results2-5 sessions
  • Treatment RecoveryTypically 1 day
  • Procedure TimeMinutes
  • Skin SpecialistDermatologist, nurse
  • Duration of Results10 months - years
  • AnaestheticNA
  • Back to WorkImmediately
  • Cost$-$$$$

Facial Laxity

Neck laxity can be treated with dermal fillers, lasers, threads & energy devices such as HIFU, Ultrasound & radiofrequency devices. We also combine collagen stimulating dermal fillers to tighten the neck & reverse neck sagging. 


FactsFacts on Neck Laxity

  • Mild cases of neck laxity will respond to new biostimulatory fillers
  • This new filler technology stimulates the production of collagen
  • Moderate cases of laxity can be treated with radiofrequency or high intensity ultrasound – Ultherapy, often in conjunction with biostimulatory fillers
  • Severe cases of neck laxity requires surgical treatment
  • Neck wrinkles can be treated with fractional lasers
  • Neck discolouration responds to IPL or BBL & fractional laser resurfacing
  • With all treatments it is important to blend to the face, chest & decolletage 

How do I approach neck laxity?

The first step is to understand the degree of laxity. From there I assess if there are skin quality issues, such as redness & or pigmentation. A treatment program is then formulated based on the clinical findings.

The algorithm for treating neck laxity, ranging from mild to severe.

What treatments are there for mild neck laxity?

Mild cases of laxity-wrinkling can be treated with fractional laser resurfacing, RF microneedling or better still dermal fillers that stimulate your own immune system to produce collagen.

It starts with an accurate clinical assessment to determine what is the best treatment for your neck.

What treatments are there for moderate neck laxity?

Treatments that have high efficacy for moderate sagging include; 

  • RF microneedling
  • Laser resurfacing
  • HIFU- Ultherapy
  • New biostimulatory fillers

Most cases require a combination of the above. 2-3 sessions is the norm.

HIFU is an excellent treatment for lower face laxity, however it must be carefully applied.

What treatments are there for severe laxity?

Surgical. Followed by surgical, then surgical. 

For marked laxity, the most predictable treatment is surgery.

Severe cases are surgical candidates, however new collagen stimulating fillers can make a difference in some cases.

Davin’s Viewpoint on treating Neck Laxity & Sag

Given the marked UV index in Queensland, rejuvenation of the neck, & chest areas is frequently requested. Think of your neck as an extension of your face. 

The most important step is to protect this area. This means twice a day use of sunscreens & preferably clothing. It is never too late to develop good habits. My team & I can reduce/remove wrinkles in this area, but to get long lasting results, sun protection is paramount.

For improvements in skin quality, I prefer lasers over chemical peels in this area. The former is far safer, however in select individuals I still perform medium depth Jessner TCA (usually sun damaged skin with thick dermis & elastosis, pigmentation, sunspots). 

We have 5 LED devices, they work best for wound healing & not skin tightening.

My team and I use various lasers, depending on the job. The most popular devices include IPL/BBL, CO2 fractional lasers, erbium fractional lasers as well as RF & HIFU (Ultherapy or Ultraformer). I  am cautions in applying microneedling devices including Morpheus 8, Infini, Secret RF & Genius RF because the skin of this area is thinner (dermal layer). In higher treatment settings, gridding is not infrequent; especially in more powerful devices.

Collagen stimulating fillers can improve lax & sagging skin on the neck & face.

Dermal fillers are popular for treating volume loss in facial areas; however they are invaluable for treating neck lines (‘necklaces’) as well cross hatching & those pesky vertical lines on the mid-chest/between the breasts. The biggest leap in the past decade is the development of biostimulatory dermal fillers, namely Profhilo. This filler tightens neck skin without addition of volume. It also improves skin quality including reversing dull skin. 

Fractional lasers such as Fraxel can provide good tightening in mild cases of neck laxity.

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