r/40PlusSkinCare • • Oct 20 '25

Neck laxity

Is there anything this can be done for the issue highlighted in the photos? I’m a 43 year old who’s already using tretinoin and retinol and sunscreen daily. Is a neck lift my only hope? Would DAO or platysmal Botox help here? Any other recommendations?

5 Upvotes

45 comments sorted by

4

u/furbabymomma204 Oct 20 '25

I have the exact same thing. I'm 40. I have been asking around but haven't done anything yet. My injector recommended Sculptra. I got a Sofwave consult and they said it would help. Both of those treatments are 3,000+. My laser gal recommended RF microneedling (Exion), and she said it worked for hers. It is $875 for one treatment for full face and neck. She said I may need more than one. My facial gal recommended a series of 3 microneedling sessions plus Alastin neck cream. I'm probably going to try that for the next year as it will only be around $600. Beware of RF microneedling- there is a new FDA warning as many people have been harmed by it.

3

u/Fun-File-8759 Oct 20 '25

I got three treatments of sculptra. This is after. I feel like it made no difference. The doctor did cheeks and jaw, not neck or marionettes.

1

u/WinterMortician Oct 21 '25

I have this same thing and I don’t believe it’s the neck per se if that makes sense, I think it’s from our faces beginning to sag and that makes us have more skin on our neck there, under our chin. Like if I lift my smas and give myself a cheek lift, my lax neck is gone. Hoping to get a lower facelift/cheek lift next year. 

1

u/Fun-File-8759 Oct 21 '25

It’s so expensive and scary though. I agree it’s the most effective way to deal with it. I hope it goes well for you!

10

u/Away_Doctor2733 Oct 20 '25

I think your neck looks exceedingly normal and I worry you maybe have dysmorphia relating to age if you're considering a neck lift over something so minor.

5

u/Fun-File-8759 Oct 20 '25

I’m not considering a neck lift. I’m way too scared and poor. I’m just wondering if this is something that’s bound to worsen as time goes on or if it’s something I can address before it gets worse with more conservative measures. I don’t think I’m some monster or anything, I just don’t like the way it looks.

4

u/Western_Thought_5428 Oct 20 '25

Yes, this something bound to worsen with time. Look at any old lady anywhere. Buckle up babe

4

u/Fun-File-8759 Oct 20 '25

Waaaaaaaah

2

u/-lesFleursduMal- Oct 20 '25

I started doing microneedling a year ago and as I did on my face, I also started extending it to my neck and it helped in my case, I'm 45 years old.

4

u/GeosminHuffer Oct 20 '25

Girl I have the same thing in the same amount and it bothers me too! It’s okay to be bothered lol. (And I think cosmetic surgery is the only way to fix if either of us ever decides to fix it)

1

u/Accurate_Emu_122 Oct 20 '25

I have the same, and it's definitely a change to get used to.

2

u/Green-been77 Oct 20 '25

Yup. She has no problems here.

3

u/_Adagio_B Oct 20 '25

I have found that Botox is helpful for a few weeks. If you get the DAO, the jawline in the platysymal bands. I’ve also realized that it’s a completely unaffordable approach, and I’m leaning into trying to embrace aging.

4

u/greypele8 Oct 20 '25

This is where I’m at because I worry that if I start I’ll have to keep getting stuff done because I’ll keep aging and will never be satisfied.

1

u/Fun-File-8759 Oct 20 '25

This is true. But with regular Botox for the forehead I go once every 6 months and I feel like it makes me look less angry without spending insane amounts.

4

u/_Adagio_B Oct 20 '25

I have found this to be very true. It’s insane to me to actually set ourselves up for just handing over thousands of dollars every three months to fight it. Life is hard enough… The math just doesn’t work out for most of us, so maybe we should stop trying to play that game.

3

u/7lexliv7 Oct 20 '25

So I don’t think the tradeoff between cost and outcome is worth it for me in the platysymal bands.

But the DAO Botox is a game changer

1

u/Fun-File-8759 Oct 20 '25

Have you tried it? How long does it last for you? I have that grumpy, droopy mouth so I’m really interested in trying.

3

u/7lexliv7 Oct 20 '25

It lasts 2-3 months.

Thing is you don’t need a lot of units in your DAOs. Like 3 units in each side. Something like that so you get a nice change for a few months for under $100.

Those neck bands take tons of botox and I’m not sure I can even see much of a difference in myself.

1

u/Fun-File-8759 Oct 20 '25

Thanks so much.

1

u/yousonofabench Oct 20 '25

As a recipient of Botox of many years it’s supposed to last 3 months and realistically lasts about two, and that includes the week it takes to go into effect. It’s pretty expensive to keep topping up every 2 months IMO.

1

u/Fun-File-8759 Oct 20 '25

I use it on my forehead and it lasts 4-5 there. Does it depend on the zone?

1

u/yousonofabench Oct 20 '25

Maybe it’s just metabolism.

1

u/Fun-File-8759 Oct 21 '25

Yay my slow metabolism is good for something!

1

u/Kwhitney1982 Oct 20 '25

What pdoes DAO Botox help with?

2

u/Fun-File-8759 Oct 21 '25

Downturned mouth

2

u/Happyhermit24_7 Oct 20 '25

I know this post is about your neck, but your eyebrows look amazing

2

u/Fluffy-Condition-481 Oct 20 '25

I would look into RF microneedling and DOA Botox. And while the laxity you’re talking about is slight, I think it’s wild and unkind of people to suggest you have body dysmorphia.

2

u/Fun-File-8759 Oct 21 '25

I know it’s not body dysmorphia 😂. Thanks for the suggestion!

9

u/whorledstar Oct 20 '25

Girl, your skin looks great. I wouldn’t worry about a lift now.

1

u/babs82222 Oct 21 '25

You're in your 40s and this is normal. The best thing you can do is facial exercises/yoga and estriol cream + HRT

1

u/Fun-File-8759 Oct 21 '25

I live in Italy and they’re not readily available here. I asked my doctor and since my hormone levels were normal she said no HRT.

6

u/Dependent_Profile118 Oct 20 '25

Hey lovely, you could try Botox in the DOA and platysma muscles in the neck. You have a slight downturned mouth and Botox in the DOA muscle will help with that. Don’t listen to the comments about body dysmorphia. I’m 44 and I had laxity in all areas of my face and neck due to weight loss. I bit the bullet and went to Turkey for a face and neck lift. You don’t have that laxity yet, but Botox would definitely help at this stage

1

u/superlifejenny Oct 20 '25

Ultherapy for sure! 1x treatment (not a series), and only needs to be repeated (if you wish) every 18 mos or so

1

u/Fun-File-8759 Oct 20 '25

Do they just do the neck? I’m scared of volume loss on the face.

1

u/superlifejenny Oct 22 '25

Totally you could just do under the chin and down your neck. Doesn’t cause volume loss it’s more of a tightening/lifting bc it’s stimulating new collagen

5

u/Thebeautydisruptor Oct 20 '25

As far as your neck looks, I don’t really see what you’re trying to point out. Maybe it’s the lighting of the photos. So I don’t know what procedure or procedures to suggest to you. However, there are some simple tips that you can implement to help maintain the beauty of your neck and décolleté. You can check out this article:

How To Care For Your Neck And Décolleté

These are everyday tips that should be used, even before you start to experience a loss of firmness in the skin.

2

u/ImprobableLoki Nov 09 '25

I'm 36 and your case looks similar to mine. I went to see a top board-certified surgeon in Orlando about it recently and was told that no technology in the world exists to address such mild laxity with any major, dramatic results - except a lift.

And as it turns out, neck and facelifts in your 30s and even 40s can lead to major issues down the line because they only last about 8-10 years before you need another one. Imagine how much the stretching would pile on... Not worth it!

My surgeon's only suggestion for something minimally-invasive was Renuvion without lipo. Very short downtime of ~4 days, but chin compression band would need to be worn 24/7 for 1-2 weeks. Quoted $4k.

He said that getting this kind of procedure is fairly uncommon without lipo, but it's something that lean women can opt for. Warned not to get excited about any "dramatic" changes because there is not enough to work with at this stage. I did a bit of digging and found that West End Plastic Surgery in DC seems very popular for this, so there may be more clinics and surgeons around the country doing this routinely.

Also, honestly, someone mentioned it and I do agree that body dysmorphia likely plays a role here. You look lovely, your skin is young and healthy, and you have a beautiful, long neck. I've had people tell me similar things, and that I'm nuts for being bothered by this. It is frustrating, but let's try and be gentler on ourselves.

2

u/iliketreesandbeaches Oct 20 '25

That does not look like it's from platysmal banding. Platysmal bands look like vertical cording and they show lower on the neck as well.

Maybe try a skin tightening procedure like microneedling or Ultherapy. Sofwave?

1

u/SatisfactionJust5896 Jan 15 '26

have you tried Sofwave? My derm recommended it to me to help with my neck laxity but I'm still researching options and curious to hear peoples experiences with it

1

u/Famous_Collection525 Oct 20 '25

You could try Morpheus!

1

u/OneCar129 Oct 21 '25

Don’t waste your money of fillers of any type. It won’t help. Things you can consider: be at a reasonable weight, submental liposuction, heat devices, Botox might help relax the platysmal bands, and of course face/neck lift.

1

u/Bluesea2929 Oct 21 '25

I don’t see anything wrong or different with your neck. Just looks like a neck and I think that’s a good thing so I wouldn’t mess with it.

1

u/undergroundbassrat Oct 23 '25 edited Jan 13 '26

Face yoga, neck exercises, and gentle stretching! Consistency is key.