Around the time your periods became less predictable, you started noticing a softness along your jawline and a little crepiness on your neck in photos. You’d rather avoid surgery, so you’d like to find the best non-surgical neck tightening in Washington, DC for this stage of your life. For many of our patients, that search starts with Thermage skin tightening.
Here’s what you can expect when you sit down with board-certified dermatologist Dr. Marilyn Berzin at our office on L Street NW.
Is Perimenopause Making My Neck Skin Looser?
This is a common concern, and one you should absolutely bring up at your visit. During your consultation, Dr. Berzin will ask when you first noticed the change and whether it started around the same time as your cycle changes. In fact, many of our patients in their mid-40s describe the same early jowling you’re seeing now.
What Happens at a Consultation for the Best Non-Surgical Neck Tightening in Washington, DC?
At the beginning of your appointment, you and Dr. Berzin will look at your neck and jawline in a mirror, both at rest and while you turn your head. Don’t be shy to point out the spots that bother you most. That might be a soft jowl, a crepey patch above your collarbone, or the bands that appear when you clench your jaw.
Next, she’ll gently check whether the fullness under your chin is loose skin or a small pocket of fat, which helps her choose between treatments.
Which Treatments Tighten Mild Jowls and Loose Neck Skin?
For early laxity along the jaw and neck, Dr. Berzin will usually start with Thermage, our radiofrequency skin tightening treatment. You’ll feel a series of brief warm pulses as she moves the handpiece across your jawline and neck. Typically, you can go back to work the same day.
If she spots a few vertical bands, she may add Botox for your neck at the same visit. You’ll feel a quick pinch and mild pressure, and the bands tend to soften within a week. On the other hand, a small pocket of fat under your chin calls for Kybella, which usually takes two to four sessions.
How Many Neck Tightening Sessions Will I Need?
Thermage often takes just one session, although some patients benefit from a second. Keep in mind that your collagen rebuilds gradually, so you’ll see the full tightening around the four-month mark. If Dr. Berzin suggests Exilis instead, you’ll come in for about four sessions of 15 to 30 minutes each.
To see how other patients have weighed their options for the best non-surgical neck tightening in Washington, DC, read our post on four neck tightening treatments worth considering.
Can My Face, Jawline and Neck Be Treated at the Same Visit?
Yes. In fact, many patients treat their lower face and neck in the same Thermage session. Our post on skin tightening for neck and jawline definition shows how those plans usually come together.
What Can Non-Surgical Neck Tightening Do Without a Facelift?
After your treatments, the first thing you’ll notice is a firmer, smoother jawline and neck. Friends may say you look well-rested, but they won’t be able to tell you’ve had anything done. However, if your skin is very loose, Dr. Berzin will tell you honestly that surgery may serve you better.
Dr. Berzin is a consultant and instructor for Thermage and Exilis, and Washingtonian magazine has named her one of the region’s Top Doctors. She practices alongside Dr. Anju Pabby. Together, they’ll make sure your plan for the best non-surgical neck tightening in Washington, DC fits the stage you’re in.
See DC’s Most Trusted Dermatologists
You’ll leave your consultation with Marilyn Berzin, MD, knowing which treatment fits your neck, how many visits to plan, and what result to expect.
Call DC Derm Docs at 202-822-9591 to book your appointment.








