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Sagging Neck Skin ("Turkey Neck"). What Asurgical and Non-Surgical Options Are Available to Firm Sagging Neck Skin?

As we get older a number of factors can change the contour of the neck and jaw line. Amount of fat Quality of skin Skin laxity Position of the platysma muscle A neck lift and platsymaplasty can be performed with or without submental liposuction to address all of the above problems. Beware of marketing efforts that claim remarkable results without surgery. Generally in the case of excess skin or poor quality skin (skin without adequate elasticity) you will need more than laser or RF tightening. Be sure to find a board-certified plastic surgeon.

Clinical Context

Turkey neck can come from excess fat under the chin, loose neck muscle (platysma) forming visible bands, sagging skin, or a combination. Liposuction alone helps fat but won't fix muscle banding or loose skin. Skin-tightening devices work best for mild laxity, not significant sagging. A neck lift with platysmaplasty addresses muscle and skin together and is often needed when skin has lost significant elasticity.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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