A non-surgical neck lift firms crepey neck skin and lifts a fold under the chin without stitches, scars or a general anaesthetic. Sofwave™ ultrasound is used for skin that has loosened; 720 PDO neck threads for tissue that has dropped. Sofwave™ is FDA-cleared to lift lax under-chin and neck tissue: it warms the collagen layer and the skin firms itself over 12 weeks. Neck threads draw the fold back on the day and hold for 12 to 18 months. At Medisha Clinic, Dr Nish Shah MD examines the neck on its own, pinched and in profile, and performs whichever your neck needs, or both as a staged plan.

Pinch the skin under your chin between finger and thumb. If it is thin and papery with nothing in it, it is loose skin. If it fills your fingers and moves as a pocket, it is fat. Many necks over 45 are some of both. Loose skin is tightened with Sofwave™ or, where it has folded, lifted with neck threads; a pocket of fat does not respond to either and is treated as fat first. Dr Nish does this test at the start of every neck assessment, because treating fat as skin is the commonest reason neck treatments fail.

A turkey neck is the fold of tissue under the chin that blurs the line between chin and neck. It is lifted with 720 PDO neck threads, which draw the fold back and up on the day and hold for 12 to 18 months. Where the skin over the fold has also gone crepey, Sofwave™ follows at a second stage to firm it over the new line. Where the fold is really a pocket of fat, it is treated as fat. Where there is more skin than threads can take up, Dr Nish refers you for a surgical opinion rather than book a treatment that will not change it.

At Medisha Clinic in Mayfair, Sofwave™ for the face and neck, which includes the under-chin, is £1,800, or £2,200 with the brow; a 720 PDO neck thread lift is £750, and jawline and neck threads together are £1,500. For a neck that has both folded and gone crepey, the Neck Lift Plan (neck threads, then Sofwave™) and the Jawline & Neck Lift Plan are sequenced by Dr Nish and quoted after consultation. Reviews are included. Consultation with Dr Nish is £50, redeemable in full against treatment. The clinic is at 58 South Molton Street, Mayfair, London W1K 5SL, 3 minutes from Bond Street station.

Yes — the neck and under-chin are two of the areas Sofwave™ is FDA-cleared for, under a clearance to lift lax submental and neck tissue granted on a five-site clinical study. It suits the neck well because the skin is thin and the energy is focused at 1.5 mm, above the fat, so a slim neck is firmed without being hollowed. One session of about 30 minutes under numbing cream, no downtime, firming visible at 12 weeks and still improving at 6 months. It does not move a fold that has dropped; that needs threads.

Yes, as a staged plan where clinically appropriate and in line with manufacturer guidance. Threads usually go first, to draw the fold back. Sofwave™ follows at the spacing set in your plan, so the skin tightens over the repositioned neck rather than the old one. Both stages are performed by Dr Nish and the order and dates are written down at consultation. This is the usual plan for a neck from the late 40s that has both folded and gone crepey.

After Sofwave™, straight away: there is mild redness for a few hours and nothing to hide. After neck threads, the under-chin may be mildly swollen or bruised for about 48 hours. Most patients are comfortable in a low neckline within a week. The 2-week care period is about avoiding massage, wide yawning and hard exercise, not about hiding anything. Thread entry points are behind the ear and under the chin and are not visible once healed.

If the angle has gone because the under-chin has folded forward, neck threads restore it on the day, because they draw the dropped tissue back and up rather than tightening the skin over it. If the angle has softened because the skin has loosened, Sofwave™ firms it over 12 weeks. If the angle was never there because the chin is small, that is a structure question, assessed separately. Dr Nish looks at the neck in profile at the assessment and tells you which of the three applies.

Horizontal neck lines, often called tech neck, are creases etched into thinning skin by years of tipping the chin down at a phone or screen. They are treated by firming the skin they sit in with Sofwave™, which softens them as the skin tightens over 12 weeks. They are a skin problem, not a position problem, so threads do not treat them. Daily SPF on the neck and keeping the screen at eye level slow them from deepening again.

The two vertical cords that stand out when you tense your neck are bands of muscle, not loose skin, so neither Sofwave™ nor threads treats them. They are assessed separately at consultation, and Dr Nish will tell you what, if anything, is appropriate. A neck can have cords and a crepey or folded neck at the same time, and the skin and the fold are still treated as described on this page.

A neck with real skin excess, where there is more skin than threads and ultrasound can take up, is referred for a surgical opinion rather than treated. A pocket of fat as the main finding is treated as fat first. Prominent cords as the main concern are assessed separately. Sofwave™ is not used over a pacemaker or metal implant in the neck, threads need a review if you take blood thinners, and neither is performed in pregnancy or breastfeeding. There is no upper age limit and skin tone is not a restriction.

Because the neck is assessed as a neck, pinched and viewed in profile before anything is planned, and the doctor who finds the answer performs it. Dr Nish Shah MD trains other doctors in neck and jawline thread technique as Senior International Clinical Trainer at Derma Medical. He is an official Sofwave™ partner and has performed thousands of PDO thread lifts among over 30,000 non-surgical treatments. A fat pocket is treated as fat and real skin excess is referred, so no neck is booked for a treatment that cannot change it. Rated 5.0 on Google from 128 reviews. 58 South Molton Street, Mayfair, London W1K 5SL, serving Mayfair and Marylebone.