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Typically, the first signs of aging appear on a person’s neck with sagging jowls and loose skin by the jawline. Most patients are not ready for a face lift, but are interested in a non-invasive, non-surgical approach to skin tightening.  Dr. Michele Green is an expert in non-invasive cosmetic procedures and performs the best skin tightening lasers in NYC to rejuvenate your neck and jowls, without any downtime. 

In the past, many lasers and procedures were focused on the face, and didn’t pay attention to the aging neck. As we age, the neck loses collagen and elastin.  It is very important to concentrate on rebuilding this lost collagen and restoring the structure of the aging neck and jowls.  This is where non-invasive lasers and injections are vital to the process of non-surgical neck rejuvenation. Dr. Michele Green combines radiofrequency based lasers for skin tightening like Thermage®, and injectables such as Kybella® to remove fat, with dermal fillers like Juvederm® and Sculptra®, to produce the best non-surgical neck lift.

Which are the Best Procedures for a Non-Surgical Neck Lift?

Radiofrequency Laser – Therrmage/Thermage FLX for a non-surgical neck lift

Thermage utilizes monopolar radiofrequency energy to deliver heat directly to the deeper layers of the skin; to the dermis and subcutaneous tissue. Thermage is the best alternative to a face lift to tighten the skin and is the number one skin tightening procedure in Dr. Green’s office. This FDA approved laser acts to tighten and contour the skin by generating new collagen production. Thermage is entirely non-invasive and painless with absolutely no downtime. Thermage’s ability to tighten the skin goes beyond the face, forehead, eyelids, neck and jowls, and extends to other areas of the body such as arms, knees, buttocks, hands, and stomach. Thermage is designed to treat crepey skin and tighten skin laxity, especially in the neck skin.  Dr. Green utilizes the new Thermage FLX laser, which is more effective in tightening the neck skin than the original Thermage laser. A single treatment session for Thermage takes 90 minute, there is no downtime, and you can resume your daily activities immediately after the procedure.  Only a single treatment of Thermage is needed. The benefits of this single treatment of Thermage is that the results last up to two years. Some patients prefer to have a follow up annually with Thermage to produce more collagen and maximize the skin tightening effects and rejuvenation.  Dr. Green considers the Thermage FLX the best non-invasive skin tightening treatment available in New York.

Ultherapy for skin tightening

Ultherapy utilizes ultrasound energy to target the deeper lasers of the skin, in the dermis, to promote the production of collagen and elastin. Like Thermage, Ultherapy is used to tighten the skin in the face and neck. The result is skin tightening along the jawline and face.  Ultherapy is much more painful than Thermage and patients are required to have anesthesia before the procedure is performed. The results of Thermage are longer lasting and there have been reports of facial fat loss as a side effect of Ultherapy.  For these reasons, Dr. Green prefers Thermage for a non surgical neck lift for her patients.

Coolsculpting for body contouring with the Coolmini

Many patients have submental fat under their chin which gives them the appearance of a “double chin“.  Before Coolsculpting was FDA approved, the only way to reduce this fat was through plastic surgery and invasive liposuction. Coolsculpting has become an extremely popular way to reduce the fat under the chin without the side effects of invasive treatments, such as liposuction. Coolsculpting has practically replaced the need for this type of cosmetic surgery. Coolsculpting of the neck involves utilizing a small applicator, the “Cool Mini“, placed under the chin to “freeze” this unwanted fat.  The fat cells are frozen and get reabsorbed by the body over a period of months. The full effect of Coolsculpting typically takes four months. Each coolsculpting treatment reduces the fat in the treated area by 25 percent. If there is a significant amount of fat under the chin, Dr. Green recommends having a second treatment of Coolsculpting, with the Coolmini applicator, a month after the first procedure, to maximize the desired results. Coolsculpting may be used to treat other areas of the body as well, such as the abdomen, arms, inner and outer thighs, buttocks, and knees. If there is a small amount of fat remaining after Coolsculpting, Dr. Green utilizes Kybella injections to dissolve and contour the remaining submental fat.

IMAGE39 25 34 year old man treated with coolmini MGwatermark

Kybella for non-surgical lift and double chin

Kybella is made up deoxycholic acid, a secondary bile acid, which appears normally in the gut.  Kybella is an FDA approved injectable treatment designed to dissolve the fat cells in the submental area, which is the area below the chin.  Many patients hate their “turkey neck”.  Kybella permanently dissolves the fat under the neck and counters it, producing a non surgical neck lift.  Typically, Kybella takes 3 to 4 treatments, spaced one month apart, depending on the amount of fat under the chin, in the submental area. There is also some evidence that Kybella tightens the skin in the treated area at the same time.  Kybella is injected after a topical local anesthesia is applied.  The main side effects of Kybella injections are localized swelling and bruising at the treatment site.  Dr. Green recommends discontinuing any blood thinners one week before your injections to minimize bruising.  In addition, applying ice packs immediately after treatment, and sleeping elevated with two pillows, minimizes any swelling.  Kybella injections have become an amazing way for patients to skip liposuction and have their fat melted away easily, without surgery, at Dr. Green’s NYC office.

Can Botox or Dysport be used for a non surgical neck lift?

Botox and Dysport are used frequently on the neck and face for facial rejuvenation. While Botox has been used for years for facial rejuvenation, to soften fine lines on the forehead, glabella, and around the the eyes (crow’s feet), it is also very popular for treating the neck.  Botox can be injected into the vertical neck cords to soften them.  Botox can also be used to smooth the fine lines on the neck in a Nefertiti Lift and create a non surgical neck lift. Dr. Green often combines Botox with other dermal fillers and lasers to contour the neck and face, to create a more youthful appearance.

Which other Laser Treatments are used for a non surgical neck lift?

Some of the best lasers to treat crepey skin, and help stimulate new collagen production for the face, neck and décolleté, are the Fraxel laser, eMatrix, Clear and Brilliant laser, along with Microneedling.  These non-invasive cometic procedures help form new elastin and collagen, and improve the tone and texture of the skin.  Part of the aging neck also involves treating fine lines and wrinkles.  These cosmetic procedures are able to improve these visible signs of aging with almost no downtime. Many of these non surgical neck lift procedures, have been a boon to dermatology, and have replaced the invasive surgical procedures of plastic surgery. Dr. Green often combines Fraxel and Thermage since the Fraxel will correct fine lines, pigmentation, and texture while the Thermage will tighten the skin and provide the best facial rejuvenation.

Creating a Non-Surgical Face Lift or Liquid Face Lift with dermal fillers

One of the post popular ways to replace lost volume and restore a youthful appearance is through utilizing injectable fillers such as Juvederm Voluma, Restylane Lyft, and Sculptra.  These dermal fillers help plump up the skin and bring back the volume to your face, which has been deflated with aging and stress. Juvederm and Restylane are composed of hyaluronic acid, which plumps and smooth out the skin. There are many areas of the face which become hollow and sunken with age and need volume replacement. The cheeks, temples, chin, lips, and tear trough area (under the eyes) are common areas which Dr. Green treats to restore lost facial volume. By replacing these hollows with injectable fillers, these area are restored to reveal a younger and more beautiful appearance.  

Dr. Green commonly uses Sculptra as a volumizer because it stimulates the body to produce its own collagen.  Sculptra can be used on any area of the face and neck, except for the tear trough area, under the eyes.  The effects of Sculptra last for at least two years, and usually 3 treatment sessions are needed to have the desired result. For the delicate tear trough area, under the eyes, Dr. Green uses Belotero or Restylane fillers.  Belotero is a fine dermal filler which is well suited for the under eye area and is less likely to produce the Tyndall side effect. The Tyndall effect is where there is a bluish hue to the skin, from the reflection of light on the skin, when a dermal filler is injected too superficially. Belotero can also be used to treat the fine lines on the neck. Dr. Green often combines Botox for treating the neck cords with Belotero for treating the fine lines in the neck. Sculptra and hyaluronic acid fillers are also combined to restore the neck line and contour the jawline as well, creating a more youthful appearance.

When Do You Need a Facelift or Necklift?

When non surgical neck lift procedures are not enough to take care of the excess skin or skin laxity, Dr. Green will refer you to a board certified plastic surgeon for cosmetic surgery. The plastic surgeon will review the surgical technique involved, the use of general anesthesia, the cosmetic results expected, and the downtime associated with your necklift. 

Non-surgical neck lifts are some of the most popular procedures in the New York City office of Dr. Michele Green. By combining cutting edge lasers such as Thermage for skin tightening, Botox, dermal fillers, and Sculptra, Dr. Green can rejuvenate the face and neck without the need for invasive plastic surgery procedures.  Dr. Green always recommends using the best skincare at home and daily sunscreen to augment the effects of these cosmetic procedures.

Find out more and contact Dr. Michele Green online or call 212-535-3088 today.

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