Skin Deep

Four ways to tighten that wobbly skin around your neck

When it comes to visible signs of aging, most women (and men!) focus on their faces and turn to fillers, toxins, energy-based treatments and even surgery to smooth wrinkles and restore youthful volume. While this is certainly a guaranteed way to erase years from your visage, many anti-aging warriors forget about the chin and neck, which can be the biggest age revealers of all. With Thanksgiving fast approaching, there’s no better time to talk about treatments for “turkey neck,” also known as “turkey waddle.”


We first told you about this technology back in 2010. Our clinic has seen a 90 percent success rate in numerous clinical trials (and a 95 percent success rate after two treatments) — and this includes lax skin on the neck.

Harnessing the power of ultrasound, which has long been used for medical imaging (think sonograms), Ultherapy uses a high-intensity, focused version of this energy to deliver heat deep into the skin, in turn remodeling existing collagen and prompting the body to produce more. One advantage of this downtime-free treatment is that it allows the doctor to visualize the lower layers of the skin before the ultrasound is used to generate heat and send it to an exact location. The result: Visible improvement in sagging, skin laxity, crepey appearance and horizontal wrinkles across the neck in about a month. Final results are apparent in three to six months; some patients may require two treatments for optimal improvement.

Venus Legacy

Venus Legacy is another skin-tightening option that uses radiofrequency energy rather than ultrasound. The advantage of this technology is that it can be used to both tighten slack skin on the neck (and beyond) and reduce stubborn fat without discomfort. Since every patient’s concerns are different, it’s best to consult with a dermatologist who has experience and can offer a variety of treatment options.


There’s more to “turkey neck” than saggy skin. Stubborn fat often contributes to a less-than-svelte silhouette, and that’s where Kybella comes is. This first-of-its-kind injectable treatment permanently reduces fat that’s resistant to diet and exercise, and is especially effective in hard-to-reach areas such as under the chin. Kybella offers dramatic, permanent results over a series of three or so treatments. (The number of sessions depends on the size of the area to be treated.)


As the saying goes, an ounce of prevention is worth a pound of cure. The best way to prevent and minimize visible signs of aging on the neck is proper skincare, and there are many effective products to consider adding to your anti-aging arsenal. I performed the clinical studies for Jan Marini’s Marini Juveneck and was very impressed with the improvement it provided for rough texture, wrinkles and dehydrated skin. I also like Senté Neck Firming Cream because it’s formulated with a combination of caffeine, heparan sulfate and other powerful anti-aging ingredients that provide intense hydration, diminish the appearance of fine lines and wrinkles and help make skin feel firmer and smoother.

Dr. Leslie Baumann is a board-certified dermatologist and and CEO of Baumann Cosmetic & Research Institute in Miami.