What can I do about a crepey looking neck?

I am 53, light skinned and have a crepey looking neck. I am wondering which treatment would be best, thermage or fraxel.

I would probably say neither! Necks are a very tough area to improve with current technology. Generally Thermage on the neck doesn’t work well because the skin is very thin and Thermage needs collagen and collagen making cells (fibroblasts) to be successful and there isn’t much of either in neck skin.


Also, Fraxel lasers don’t work very well here to tighten unless you plan on doing a lot of them like 5-8. The two technologies that seem to work the best on thin, crepey neck skin so far are the fractionated CO2 like the DEKA DOT (be careful about which fractionated CO2, they are different) and the newer radiofrequency Exilis (an article on this is coming soon) technology is showing some nice results on the neck. Surgery is also an option.


Hope this helps,  Dr. B I


Learn more by reading Dr. Irwin’s article on a Guide to Fractionated Carbon Dioxide CO2 Laser.

Dr. Brandith Irwin, MD

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