A: Without a photo or an in-person consultation, it’s difficult to make specific recommendations because your best therapy choices depend on your individual issues. If you have a sagging neck and jawline, then I’d recommend ThermiTight, with or without liposuction, depending on how much fat is present in the submental area. Lower face and mid-face sagging can also be dramatically improved with Silhouette Thread Lifts, sometimes in combination with a skin tightening device like Ulthera or Thermage.
Laser resurfacing with Fraxel also plumps up and tightens the more superficial wrinkles of your skin, if that is the main issue. Dermal fillers such as Sculptra, Volulma, Restylane, or fat grafts add volume to the face, and often pick up the sagging cheeks and neck.. Lastly, Botox stops dynamic wrinkling and is a quick fix for the muscle cords that develop in the neck with age. When these cords, called platysma bands are treated, the neck line lifts up. Please find a board-certified dermatologist to evaluate your skin in person to pick out the most effective remedies to create a beautiful and naturally refreshed look.