Loose neck skin is one of the most common signs of aging and can make the face and neck appear older than they really are. Often referred to as “turkey neck,” this concern develops as the skin loses elasticity, collagen production slows, and the underlying neck muscles weaken. While changes in skin texture and sagging are a natural part of aging over time, sun exposure, weight fluctuations, and genetics can also contribute to these effects. At Gilpin Facial Plastics, Dr. Gilpin offers advanced treatment options to help tighten the skin and refine the neckline.
What is Loose Neck Skin?
Loose neck skin, sometimes referred to as “turkey neck,” is a common concern that occurs when the skin and underlying muscles of the neck lose firmness and elasticity. This condition can lead to sagging skin, visible vertical neck bands, fine lines, and wrinkles that affect the overall balance between the face and neck. While loose skin can be a natural part of aging, it often leaves patients feeling self-conscious about their appearance.
Causes of Loose Neck Skin
Several factors contribute to the development of loose neck skin and sagging:
- Natural aging: As we age, collagen production slows, and skin elasticity decreases, resulting in sagging skin and folds.
- Weight loss: Significant weight loss may leave behind excess skin in the neck area that does not retract on its own.
- Sun exposure and sun damage: UV rays weaken collagen and elastin, accelerating changes in skin texture and laxity.
- Genetics and lifestyle habits: Family history, certain medications, and habits such as skipping sunscreen can exacerbate skin laxity.
- Fat cells and neck muscles: Accumulated fat beneath the chin and changes in neck muscles may cause a double chin or more visible vertical bands.
ELEVATE YOUR CONFIDENCE
IN A LUXURY SURGICAL PRACTICE
Investing in your confidence is a big step, and your choice of facial plastic surgeon should reflect it. We offer a premier, luxury environment where you can focus on yourself.
With the help of our professional and knowledgeable team, you can begin your journey toward a more confident you. We’ll take every step to ensure you feel comfortable, pampered, and acknowledged. Begin your refined and cultivated experience here at Gilpin Facial Plastics & Aesthetics.
Symptoms and Signs
Loose neck skin may present in different ways depending on the stage and severity; patients may notice:
- An aged or less defined facial and neck contour compared to the upper face
- Mild sagging or early signs of skin laxity in the neck
- Fine lines, wrinkles, and changes in skin texture
- Folds of excess skin that become more pronounced over time
- A “turkey neck” appearance with loose, hanging skin
- Vertical bands caused by weakened underlying muscles
- A double chin or fullness from excess fat beneath the skin
Treatments for Loose Neck Skin
Neck Lift Surgery
A neck lift is a surgical procedure designed to remove excess skin and improve the appearance of sagging skin, vertical bands, and excess fat, resulting in smoother, more youthful contours. A neck lift may involve a small incision behind the ears or under the chin, depending on the amount of correction needed.
Non-Surgical Skin Tightening
For patients who prefer to tighten skin without surgery, there are several minimally invasive and non-invasive treatment options. These include radiofrequency energy, ultrasound energy, and ultrasound waves, which stimulate collagen production to gradually tighten and lift the skin.
Botox Injections & Injectable Treatments
Botox injections can be used to relax overactive neck muscles, reducing the appearance of vertical bands and creating a smoother neckline. Additionally, deoxycholic acid injections can target excess fat cells beneath the chin to improve definition.
Other Options
Some patients benefit from treatments that include vitamin C skin therapies, various treatments that stimulate collagen production, or resurfacing treatments to refine skin type and texture. In some cases, combining surgical procedures with non-invasive treatments provides the most effective treatment for reducing sagging skin and improving elasticity.
PATIENT REVIEWS
Benefits of Professional Treatment
Seeking treatment with a board-certified plastic surgeon ensures access to safe, effective treatments tailored to your skin type, goals, and anatomy. Whether you choose a non-surgical skin tightening procedure or traditional surgery, professional care offers the advantage of personalized treatment options and the expertise to achieve natural, lasting results.
What to Expect During Treatment
Results in
1-3 months
Recovery
1-2 months
Lasts
Several months or years
Neck lift surgery is typically performed as an outpatient procedure under anesthesia. Recovery time will vary depending on whether you undergo invasive options such as surgery or minimally invasive procedures like laser treatment or ultrasound therapy.
Temporary redness, swelling, or mild discomfort are common side effects. Non invasive treatments usually allow patients to return to daily activities quickly, while traditional surgery requires a longer recovery period.
read moreDavid Gilpin, MD
Dr. David Gilpin is a native of Nashville, TN. After graduating from Vanderbilt University with a degree in Biomedical Engineering, Dr. Gilpin pursued his M.D. from The University of Tennessee…
Meet The DoctorNext Steps
If you are concerned about loose neck skin, sagging skin, or changes in skin elasticity, scheduling a consultation with a board-certified plastic surgeon is the best first step. At Gilpin Facial Plastics, Dr. Gilpin offers advanced treatment options, ranging from non-surgical skin tightening to surgical lift procedures, to help you tighten your skin and restore a smoother, more youthful appearance.
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Are you looking to enhance your appearance and boost your confidence? Complete this form to learn more or schedule a consultation with one of our experts at our Nashville, TN office. From facial plastic surgery to lasers & aesthetics, we offer a variety of services that help you put your best face forward.
Ask a QuestionDr. David Gilpin is Nashville’s most accomplished dual board-certified facial plastic surgeon and the founder of Gilpin Facial Plastics, the city’s largest facial plastic surgery and medspa practice. With advanced fellowship training under one of the world’s leading experts in facial plastic surgery, Dr. Gilpin brings extensive knowledge, skill, and experience to every procedure he performs. He is particularly recognized for his expertise in facelift plastic surgery, delivering natural-looking facelifts that enhance facial harmony while preserving each patient’s unique features. Committed to continual learning and innovation, Dr. Gilpin stays at the forefront of facial rejuvenation techniques to provide patients with the most advanced and cutting-edge facelift procedures available.
Renowned for his personalized approach to both surgical and non-surgical facial procedures, Dr. Gilpin is known for achieving refined, long-lasting, and natural results. He has been featured in Nashville Lifestyles, recognized as a RealSelf Top Doctor, and regularly serves as a national speaker, sharing his expert knowledge with peers across the country. Handpicked by his peers as a Castle Connolly Top Doctor for the past six years and selected by Allergan to host the official Allergan Botox Day celebration two years in a row, Dr. Gilpin is trusted by A-list clients and respected colleagues alike. His leadership, experience, and compassionate care firmly establish him as one of the most sought-after facial plastic surgeons in Nashville, TN, and the eastern United States.







