Neck Wrinkles

I’m looking to tighten my neck and jowls. Can you advise which gives the best results between the following treatments – Morpheus 8, Profound, and NeoGen Plasma? Also have you heard of Facetite (a fine probe in place under the skin to tighten).

Hiya, TTG editor Georgia here. What will give you the best result depends on your neck and jowls specifically – how much sagging you have, if it's skin or fat – and other factors like budget, how much downtime you're willing to deal with, etc. Morpheus8 and Profound are RF needling devices that can be used in a certain way to melt fat at the same time as tightening up the overlying skin via stimulating collagen production, but if there's a fair bit of fat in addition to skin laxity, you'd be better off going with Facetite because liposuction can be done at the same time. Find a great practitioner who can advise you what will be best for...

Hi Alice. I have read about Ellevate for neck treatments. I think it’s quite new. Do you have any information on it?

Hiya, TTG editor Georgia here. It looks to essentially be a thread lift procedure to contour the jaw and neck, so could be a good solution for sagging skin in that area that needs some structural support and tightening. I don't know loads about it but there are some TTG-registered practitioners who offer it, like Dr Munir Somji of Dr MediSpa in London and Essex.

Do you recommend Ultherapy for the neck specifically? So many specialists – plastic surgeons and dermatologists – have differing opinions on its effectiveness.

Hiya, TTG editor Georgia here. Totally depends on what you want to treat. Ultherapy can get brilliant results on lax skin on the neck but it's very patient-specific – which is probably why you're finding such mixed opinions – so it's vital you see a practitioner experienced in using it who can advise if you're a suitable candidate.

The dreaded neck area – can Profhilo, toxin, a thread lift or Morpheus8 etc. help to tighten and lift it while I'm saving up for a neck lift? Practitioners of these kinds of tweakments say they absolutely can, but the surgeon I'm considering going...

Hiya, TTG editor Georgia here. So, Profhilo and other injectable moisturisers: minimal tightening, no lift. Toxin: can help to soften 'stringiness' in the neck caused by over-tight muscles, but will only last 3-6 months. Threads: absolutely avoid because a lot of surgeons are very wary of performing a lift on a face or neck that has previously been altered with threads – they can complicate the procedure. Morpheus8 or other radiofrequency microneedling devices, and ultrasound: great options for achieving a small amount of tightening and lifting but not cheap and won't give the big results you're looking for. So they're both right -...

Hello, I am 48 and really starting to look old, especially when I look at photos. What do you recommend as the most effective way to look fresher and better without toxin or filler? Is it HIFU or profound or another treatment? Or would I really need...

Hiya, TTG editor Georgia here. Dr Strawford will be best placed to answer all these questions for you once he's assessed your face and talked to you about your exact concerns. He is an expert practitioner with a great deal of experience. The tweakments you mention – HIFU, Profound (RF microneedling), toxin, and filler – all do different things that work towards making you look fresher and younger, but not in the same ways. Toxin for example won’t do anything about sagging skin but HIFU will, Profound will stimulate collagen production to tighten and plump the skin, but won’t replace lost volume in the ways filler will. So it all...

Hello Alice. Do you have any particular recommendations from your practitioners list (London area) who would administer toxins in the neck / jowl area to treat signs of sagging neck? Or will all practitioners do this? Many thanks.

Toxin is good for releasing tight muscle-bands under the jaw and down the neck. Pretty well all practitioners offer this as a treatment option, if you're an appropriate candidate. Narrow down our register of trusted practitioners to find someone near you in London and see what they can do for you.

After following your guide I’m looking to book an appointment with Emma Deacon in Birmingham. I’m very nervous as it will be my first time having treatment. Can you advise which treatment works best on a crepey neck?

It's really daunting going for treatment but honestly, you'll be fine. I'd ask Emma once she's had a chance to have a look at your neck as she will know what might work best for you, and she may well suggest a few rounds of injectable moisturiser jabs. Read up about potential treatments for crepey necks and make a list of all the questions you want to ask before you go. In the meantime, use the same skincare on your neck as you do on your face, perhaps a vitamin C serum plus a hydrating serum or moisturiser in the mornings, with a retinoid at night, and make sure you're using SPF50 every day, from your hairline down your neck to your chest,...

What is the best treatment for the décolletage area, please? Creases are starting to appear.

Laser or radiofrequency microneedling would both be great choices, to refresh and remodel the skin – possibly followed by hydrating, skin-conditioning injectable moisturiser treatments. While you're deciding, and going forward, use the same skincare on your chest as you do on your face, perhaps a vitamin C serum plus a hydrating serum or moisturiser in the mornings, with a retinoid at night, and make sure you're using SPF50 every day, from your hairline down your neck to your chest....

Hi Alice, do you feel filler is any good for necklace lines? I've had them for 20 years. Or is there a better alternative? I've done Morpheus8 and Profhilo and seen no difference.

Hmm, if Morpheus8 and Profhilo haven't made any difference, then maybe one of the softer fillers could help? A few years ago, I had injections of a filler called Aliaxin in my neck wrinkles (alongside Profhilo) which gave a very nice result with no strange lumpy bits. What does your practitioner suggest? They know your neck better than I do, and might have other tricks up their sleeve in terms of tweakments that could help you....

Hi Alice, I've just watched your video on Secret RF. I'm having the treatment in a few weeks. Did you think it's worth the money for the results seen? Thank you.

I only had one round of Secret RF when filming it (at my age, I'd need about three sessions to see proper results) so I only saw a bit of skin-smoothing. But I know from practitioners who have the device that they absolutely love it for the results it gives, so yes, I'd recommend it.

What is the neck machine you recommended?

Did you mean the one I've been trying recently at The Cosmetic Skin Clinic? That was a device from Sciton lasers which used broadband light (BBL) to rejuvenate my neck skin and it seems to have done a great job, particularly because practitioner Lee Garrett combined it with two doses of Profhilo. I haven't posted the results yet but they'll go up shortly so you can see the difference that it has made.

I was wondering how I could firm the skin on my neck and if you recommend a particular product, please?

Take a look at the Neostrata Triple Firming Neck Cream – it's one of our bestselling products in the Tweakments Guide shop and there's a reason for that – it does a great job.

I'm thinking of Morpheus8 for my crepey neck (plus toxin for bands) but I've read some Realself reviews that were awful! I definitely don’t need to lose any fat in my neck and so probably need only skin tightening. I’m concerned I’ll lose...

Find a great practitioner and you'll be fine, seriously. Radiofrequency microneedling treatments like Morpheus8 are terrific for tightening and smoothing the skin. Yes, the ones with longer needles like Morpheus8 can go deep enough to give a fat-busting effect, but a good practitioner would only do that if it was needed, and after discussing and agreeing this with their patient.

I’m breastfeeding, but I have crepey skin on my neck that just seems to be getting worse. What tweakments would you recommend?

Stick with good skincare for the time being (vitamin C serum in the morning, plus hydrating serum or moisturiser, plus sunscreen) then try, with caution, a glycolic acid product like Alpha H Liquid Gold in the evenings once or twice a week (it's great on your face, too. Neck skin is always a bit more sensitive than the skin on our faces, which is why I say try it with caution). Once you're no longer breastfeeding, treatments like laser, broadband light and injectable moisturiser/ skinbooster treatments are great for the neck, but leave those for the time being. And also go easy on yourself, it's exhausting looking after a baby, and fatigue...

Dear Alice, from what I can gather, I think you've had both radiofrequency with needling and also ultrasound treatments. My biggest problem area is my turkey neck and jowls. Which have you found to be the most effective treatment?

Hi, yes, I've had Ultherapy a few times over the past decade and it seems to have given me good results in tightening my lower face and neck, and more recently I've tried a couple of types of RF needling. The one that gave me the most obvious improvement was Profound RF, which is a hard-hitting, one-off RF needling procedure – there's a picture on my blog showing the difference it made to my jawline 3 months after treatment.

I’m looking to have a necklift – do you have any recommendations please?

Recommendations for specific surgeons would depend where in the country you are, but it may be worth first booking in with a cosmetic doctor to discuss possible non-surgical options before deciding on surgery. Find a brilliant practitioner near you here. And have a look at our page dedicated to crepey skin on the neck to find out more about treating this concern– depending on how lax the skin is, it may be that a course of injectable moisturiser or some skin-tightening tech like HIFU or radiofrequency is all you need....

I had moisture injectables in my neck region, is this a similar thing to Profhilo? I can’t remember the brand but it wasn't Profhilo?

Hiya, editor Georgia here answering on Alice's behalf. Without being able to say for sure as you can't remember the exact name of the product you had injected, Profhilo is categorised as an injectable moisturiser, yes. Other widely-used products in this category include Sunekos, Juvederm Volite, Restylane Skinboosters, Belotero Revive and Texone Redensity 1. If none of these ring any bells it would be a good idea to get back in touch with the practitioner who did your previous treatment and ask what product they used, and how much you had injected. It's always good to note down exactly what products you had injected in your face and when,...

I have ‘Turkey’ neck quite badly. I don’t want surgery and my newface device has improved things. Can you suggest anything to help?

Hi, necks are trickier to treat than faces but there's a number of treatments that can help including injectable moisturisers aka 'skin boosters' to hydrate and smooth the skin (and tighten it a bit); radiofrequency microneedling to smooth, resurface and tighten the skin and laser - which also smoothes, refreshes and tightens the skin. Take a look at those treatment options via the links above, or to see all my suggestions for treating necks, go to the home page and hover over the 'concerns' tab, and over to the side you'll see treatments for necks. Here's one of those for starters, about treating neck wrinkles ...

Hi Alice, Lynette Hecker kindly forwarded your details to me after I contacted her for advice on cosmetic treatments. I have been consulting with Olivier Amar about a neck pinch lift and wonder if you have any thoughts on this. Or Morpheus 8...

Hi, I can see it's a difficult decision - a surgical procedure is a big deal and more expensive than any tweakment, but it will give a more definite result, and the result will last for much longer, than a course of non-surgical tweakments. Which is right for you depends on your age, the condition of your neck, whether you are up for surgical treatment and the associated recovery time, whether your practitioner thinks it appropriate (obviously yes, in this case - and Mr Amar is a great surgeon) and whether you have the budget. Good luck with your decision.

What is the best treatment for sagging jowls and crepey neck? I’m 75 but have hardly any wrinkles.

Wow, congrats on your lovely complexion, sounds like you have looked after yourself well. You're probably not going to want to hear this but the treatment that would give you the clearest, best results would be a lower face and neck lift, but I completely understand that that is not a tweakment and that surgery is not for everyone. In terms of tweakments, you could think about RF microneedling or laser which will tighten the skin and improve the texture, or perhaps a touch of filler along the jawline and in the chin, to make up for the way we lose bone mass with age, which is one reason why we lose definition around the jawline. What...