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Ageing Neck

A sagging, loose or Ageing Neck is a common concern. With advances in gravity-defying facial treatments, the neck is sometimes overlooked, becoming a give-away of age. One of the main causes of Ageing Neck is skin laxity due to loss of collagen and elastin. The other is tightening of platysma muscle, as it loses flexibility with age. The Platysma muscle is a long, sheet-like muscle that runs from the jawline down to the décolletage. Tightening of this muscle causes a downward pull on the skin of the lower face giving the appearance of a sagging or ‘Turkey neck’.

Ageing Neck

Treatment Options

Profound RF is a break-through technology used to treat skin sagging, wrinkles and excess fat on the face, neck and body. Known as the ‘non-surgical face lift’, Profound RF is an injectable radiofrequency treatment that tightens, smoothens, hydrates and melts fat. In clinical trials, Profound RF was found to deliver 1/3 of the result of a surgical facelift in a single treatment and that 100% of patients had a clinically evident response to treatment.

Morpheus 8 is a device that combines microneedling with radiofrequency heat energy to tighten skin and underlying tissues. As the small needles enter the skin, the tips of the needles heat up with radiofrequency energy. This sends controlled heat energy into the dermis and stimulates collagen and elastin production, leading to tissue tightening. Morpheus 8 is safe for any skin type and can be used alongside other treatments such as dermal fillers.

SecretRF is an evolution of microneedling with radiofrequency. This device works by precisely inserting small needles into different depths of the skin, creating microchannels, with the subsequent delivery of radiofrequency heat energy to stimulate the production of collagen and elastin, thereby tightening the skin on the neck. The motor mechanism of the SecretRF is extremely smooth and it’s needles particularly precise and well-insulated, resulting in minimal downtime and being suitable for all skin types. 

This dynamic, non-ablative treatment, pairs RF microneedling with an erbium glass laser. The RF microneedles deliver heat to the deeper layers of the skin via precise needles, whilst the laser gently delivers powerful beams to the skin in microcolumns, creating bulk heating. This works to effectively target common signs of ageing and skin concerns in any skin type, with almost no downtime and an instant glass-like glow to the skin.

Carbon dioxide (CO2) laser is the gold standard therapy for skin smoothing and tightening. CO2 laser creates tiny burns in the skin that stimulates the skin to repair and re-model. CO2 laser is an excellent way to treat sagging and crepey skin, including the neck area, significantly increasing the production of elastin, collagen and hyaluronic acid. 

Biostimulation involves the use of external stimuli to harness the body’s own regenerative capabilities to promote collagen production, improve skin elasticity, and promote overall rejuvenation. By activating cellular mechanisms, biostimulation can help reduce the appearance of wrinkles, hollowness, scars, and other signs of aging. At Drs Tatiana + Rishi Advanced Aesthetics we used biostimulators that contain poly-L-lactic acid (PLLA), e.g. Sculptra and those containing polynucleotides.

Biorevitalisation describes a treatment where hyaluronic acid (sometimes in combination with vitamins, minerals and antioxidants) is injected into the upper layers of the skin to rehydrate, brighten and smooth the skin. Biorevitalisation typically contains more hyaluronic acid than mesotherapy and is an excellent treatment for fine lines and skin lacking in moisture. We use products such as Profhilo, Hydromax and Hydro. Depending on the choice of product, we recommend a course of 2-4 treatments (1 per month).

Exosomes are a topical gel applied to skin following microneedling, SecretRF, or CO2 laser treatments. The gel is made from billions of exosomes, micro-vesicles that contain thousands of growth factors, cytokines and nutrients that help to boost collagen, elastin and natural hydration. Exosomes work to regenerate skin cells, reduce inflammation and pigmentation, improve immune function and accelerate skin healing. 

Polynucleotides are the building blocks of DNA and RNA – nucleic acids that give the instructions for cell function, regeneration and gene expression. As polynucleotides are broken down in our body, they promote DNA synthesis, increase cell regeneration and the production of collagen and elastin, resulting in tighter and fuller skin.

Botulinum toxin has been used in medical treatments for over 4 decades and was first approved by the Food and Drug Administration (FDA) for the treatment of wrinkles in 1989. It is now one of the most popular cosmetic treatments in the world. It works by temporarily blocking the connection between nerves and muscles, thereby enabling muscles to stay relaxed. Botulinum toxin injected into the platysma, relaxes this muscle and reduces its downward pull on the skin of the lower face, reducing the appearance of a ‘sagging neck.’

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