A sagging or “turkey neck” appearance is one of the most common concerns patients bring to us at Refresh Medical. For many people with mild to moderate laxity, non-surgical treatments may help improve the appearance of the neck and jawline without surgery or significant downtime.

Neck laxity can result from a combination of factors, including muscle activity, changes in collagen and skin elasticity, and loss of definition through the jawline and chin. Because each patient is different, the right treatment approach depends on which factors are contributing most to their individual concerns. At Refresh Medical, we evaluate the neck and lower face together to build a personalized plan based on your anatomy, goals, and timeline.

The Nefertiti Lift: Softening the Downward Pull

Named for the elegant, sculpted jawline of the ancient Egyptian queen, the Nefertiti Lift uses precisely placed neuromodulator injections along the jawline and platysma — the thin sheet of muscle that runs from the collarbone up to the lower face. As we age, activity in this muscle can contribute to downward pull through the lower face and neck, as well as the vertical bands that can become more visible over time.

By softening the activity of the platysma, the Nefertiti Lift may help refine the jawline, soften visible neck bands, and create a smoother lower-face contour. Treatment typically takes about 15 to 30 minutes and involves a series of small injections. There is little to no downtime for most patients. Effects generally begin to appear within several days and can continue developing for up to about two weeks. Results vary by individual and typically last around three months, with maintenance treatments scheduled as appropriate.

MP² Skin Tightening: Firming From Within

When loose or lax skin — rather than muscle activity — is the primary contributor to a sagging neck, MP² skin tightening may be a better fit. Venus Versa™ MP² combines multi-polar radiofrequency (RF) energy with pulsed electromagnetic fields (PEMF) to gently heat the deeper layers of the skin and support the body’s natural production of collagen and elastin over time.

Sessions are generally described as warm and comfortable, and there are no needles, anesthesia, or significant downtime. Some patients may experience temporary redness or warmth after treatment. Because MP² works by supporting the skin’s natural renewal process, results build gradually rather than appearing all at once.

For the face and neck, a series of approximately 6–8 treatments is often recommended, depending on your skin, goals, and treatment plan. Refresh Medical offers individual sessions as well as a discounted series of six treatments. Improvement can continue as collagen remodeling occurs after the treatment series, and periodic maintenance may be recommended to help support ongoing results.

Jawline & Chin Filler: Defining the Frame

Sometimes what looks like a sagging neck is partly related to a jawline or chin that has lost projection or structural support. A weak or receding chin, or reduced jawline definition, can accentuate fullness and looseness beneath the jaw even when the neck itself has not changed significantly.
Strategic dermal filler placed along the jawline and chin can restore structural support, help create a crisper transition from face to neck, and give the lower face a more balanced, defined appearance. Treatment is performed in the office with minimal recovery for most patients. Filler creates an immediate change, although temporary swelling can affect the initial appearance and final results generally settle over the following 1–2 weeks.

Which Treatment Is Right for You?

Because a sagging neck can involve more than one factor, the best treatment plan is not necessarily the same for every patient. Some people may benefit from one treatment, while others may achieve a more balanced result through a thoughtful combination — for example, pairing a Nefertiti Lift to address muscle activity with jawline filler for structural support, or incorporating MP² treatments to improve skin quality over time.

During your consultation, your provider will assess muscle activity, skin quality, facial structure, and the degree of laxity present. From there, we can recommend a treatment plan based on your specific concerns, goals, anatomy, and timeline.

Is this right for you? These non-surgical options are generally best suited to patients with mild to moderate neck laxity who want improvement without surgery. If laxity is more significant, your provider can also help set realistic expectations about what non-surgical treatments can and cannot achieve. As with any cosmetic treatment, results and experiences vary from person to person, and a consultation is the best way to determine candidacy and the most appropriate next step.