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Thu Mar 21, 2013 3:04 pm  |
Dr. Keith Roach (from Cornell Univerity) is a daily columnist in our local paper. Today's headline on his column:
Sagging Neck Is A Natural Effect Of Aging
caught my eye.
Just thought I'd throw it out to readers here:
Dear Dr. Roach:
I am a 62-
year-old man who is starting to
get a sagging neck. Is there any
exercise I can do to pull this skin
back?
Answer: Loose skin around
the neck is very common as we
age. Exercise isn't likely to help,
since for most people the issue is
not weak muscle but loosened
skin. The best cosmetic result
comes from plastic surgery. And
there are newer, nonsurgical
approaches, such as focused
ultrasound to stimulate growth
of collagen under the skin.
this info may be obvious to others
but i thought it was an interesting quick read, since i saw, he deemphasized neck muscle tightening (for most people) and stressed the need for neck-skin collagen growth |
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Thu Mar 21, 2013 3:31 pm |
Hi Kath, interesting post.
I read different opinions about sagging necks, about the skin sagging and exercising not doing much to help there if the collagen is not boosted. But then I always marvel at the necks of elderly bodybuilders! Whether men or women, they seem to have fabulous neck and jaw lines, which is what makes me wonder about what really goes on in the neck area controversy about skin and muscle connection. |
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Thu Mar 21, 2013 7:09 pm |
| Kath91 wrote: |
Dr. Keith Roach (from Cornell Univerity) is a daily columnist in our local paper. Today's headline on his column:
Sagging Neck Is A Natural Effect Of Aging
caught my eye.
Just thought I'd throw it out to readers here:
Dear Dr. Roach:
I am a 62-
year-old man who is starting to
get a sagging neck. Is there any
exercise I can do to pull this skin
back?
Answer: Loose skin around
the neck is very common as we
age. Exercise isn't likely to help,
since for most people the issue is
not weak muscle but loosened
skin. The best cosmetic result
comes from plastic surgery. And
there are newer, nonsurgical
approaches, such as focused
ultrasound to stimulate growth
of collagen under the skin.
this info may be obvious to others
but i thought it was an interesting quick read, since i saw, he deemphasized neck muscle tightening (for most people) and stressed the need for neck-skin collagen growth |
Well, I dunno why he doesn't seem to think muscle is involved. According to the three physicians below, muscles are very involved in the sag. These were their answers to What Causes the Neck Muscle to Loosen?
| Quote: |
The neck muscles sag because they don't have a firm attachment
The neck muscles (platysma) do not have a fixed attachment like other muscles that attach to ligaments and bone. The platysma muscles are free-floating in the neck and actually are pulled forward by their own contraction.
In facelift surgery, I pull the back portion of the muscle close to the ear again. You can see this in yourself in the mirror. Just pull on the neck at the angle of the jaw towards the ear and see the neck tighten. Once you do this, you will see why most non-surgical treatments for neck sagging don't work if the muscle position is not addressed.
Edward Szachowicz, MD, PhD
Minneapolis Facial Plastic Surgeon
www.facialplasticsurgery.com
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| Quote: |
Neck muscle loosen
As you age the neck muscles become a little lax and the skin looses its tone and that is why people need neck lifts.
Steven Wallach, MD
Manhattan Plastic Surgeon
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| Quote: |
Platysma muscles sag and create an aged appearance
The muscles in the neck that sag and create an aged appearance are the platysma muscles. The platysma muscles shorten, fibrose, and contract; this creates two bands in the front portion of the neck as we grow older. These bands are tightened in front above the hyoid bone and Adam’s apple and are cut and released down low below the Adam’s apple. This gives a normal neck contour and the bands disappear. The muscle itself is actually shortening, contracting, fibrosing, and bowstringing out from the neck skin. The fascia attachments around the muscle are actually what are loose.
Web reference: http://www.seattlefacial.com
William Portuese, MD
Seattle Facial Plastic Surgeon
www.seattlefacial.com
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Source: http://www.realself.com/question/loose-neck-muscle-cause
And face exercises seem to address the issue of sagging neck as I showed in the following post:
If I were to choose to believe Dr Keith Roach's assessment of what causes neck sag when his strength is in Internal Medicine vs plastic surgeons who work with the face and neck on a regular basis, I'd go with the latter who are bound to understand the tissues of the neck and how they are related to each other better. What's more, the proof is in the pudding: People who exercise face and neck muscles seem to have better (nay, improved) tone to their necks, than those who don't. So clearly exercise does make a difference. |
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Thu Mar 21, 2013 8:27 pm |
Thank you for your post Nonie. I completely agree with you.  |
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Fri Mar 22, 2013 1:50 am |
being neutral in any solid assessment
of this, e.g. doesn't matter whether i
believe the doc-columnist,or not, i'm
certainly not qualified to offer a rebuttal,
just shared and threw it out there..
(maybe that's why Family Physicians/General Practitioners generally
refer out to Specialists anyway?...)
if his opinion is way off, (beats me)
he lists his e-mail address, perhaps
someone can/wants to correct or update him...
i've seen instances where he's published an amended/extended position of his viewpoint for
the general public good:
ToYourGoodHealth@med.cornell.edu |
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KeithRoach
New Member
 
Joined: 25 Mar 2013
Posts: 1
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Mon Mar 25, 2013 10:29 am |
I don't believe I said, and certainly didn't mean to suggest, that muscles aren't important for sagging necks. I said that exercises aren't likely to help loose skin. The issue isn't what causes it in the first place, which the surgeons answered, but what can be done about it when it exists.
However, I would be pleased to learn otherwise. If any of the knowledgable people here have links to any clinical or scientific studies, I'd be happy to look at them and update my column. I looked at the links but would prefer published data.
Keith Roach |
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Mon Mar 25, 2013 10:55 am |
errr.... men unlike women have an instant cure for a saggy neck: grow a beard  |
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Tue Mar 26, 2013 1:40 pm |
| Kath91 wrote: |
...but i thought it was an interesting quick read, since i saw, he deemphasized neck muscle tightening (for most people) and stressed the need for neck-skin collagen growth |
What I originally thought when I saw what was a solid and interesting medical viewpoint
from a reputable syndicated med-columnist
and worthy of amplifying here on the forum.
| KeithRoach wrote: |
I don't believe I said, and certainly didn't mean to suggest, that muscles aren't important for sagging necks. I said that exercises aren't likely to help loose skin. The issue isn't what causes it in the first place, which the surgeons answered, but what can be done about it when it exists.
However, I would be pleased to learn otherwise. If any of the knowledgable people here have links to any clinical or scientific studies, I'd be happy to look at them and update my column. I looked at the links but would prefer published data.
Keith Roach |
Dr. Roach,
Questions were raised and perhaps, your credibility, unfortunately, was undermined and/or minimized.
Given that there are some knowledgable people on this forum; it was hard to know "who was getting it wrong" "who was getting it right".
...I suppose that the field of medicine is comparable to the field of law -- open to interpretation.
Dr. Roach, I'm really overjoyed that you personally took your time to professionally weigh in with your thoughts and perspective, as well as, being open to a challenge here, to further encourage examination of the issue.
Thanks for joining the conversation and posting. 
The challenge, and, hopefully, the efforts to meet it, will continue longer. |
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Fri Mar 29, 2013 3:07 pm |
| I disagree. I think facial exercise can definitely tone the neck muscles and hence make the neck look better. However, when the cords are showing as with many women, microcurrent seems to work even better. Microcurrent can firm both the face and neck. Despite what the derms and plastic surgeons say. Many on EDS are having great results with various units. Mine was very inexpensive and has definitely given my face more volume and lift. I still think I could get even better results with a more professionally made unit like the pico toner. See the microcurrent thread... Best, Aprile |
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Sat Mar 30, 2013 1:20 am |
| Aprille-thank you so much for adding what you did, just earlier in the day I had done a search on 'neck cords' convinced that, despite my exercises, the cords were becoming more apparent. Perhaps they are 'tightening'? But reading up on microcurrent and that it can also lengthen muscles makes me want the Pico (or something!) too! Thanks again for your comment |
_________________
AALS since 6/1/12. Oralift since 15/1/12. FlexEffect since April 2011, no change so switched to Ageless Feb 2012. |
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Sat Mar 30, 2013 6:24 am |
| aprile wrote: |
| I disagree. I think facial exercise can definitely tone the neck muscles and hence make the neck look better. However, when the cords are showing as with many women, microcurrent seems to work even better. Microcurrent can firm both the face and neck. Despite what the derms and plastic surgeons say. Many on EDS are having great results with various units. Mine was very inexpensive and has definitely given my face more volume and lift. I still think I could get even better results with a more professionally made unit like the pico toner. See the microcurrent thread... Best, Aprile |
I have a thin neck and basically no sag. When I do facial exercises my neck cords all the sudden become apparent....why because they are tonning up....facial exercises do tighten muscles and this can be a good thing. In my case I build easily and respond quickly to most everything. But for my best look I have resorted to microcurrent. I have seen facial exercises and microcurrent greatly affect the slack skin on the neck. I think both merit trial but for myself the microcurrent has given me the total results for my face and neck that I was looking for.  |
_________________
female,"50 something" medium to thick normal skin, no wrinkles,Lightstim,Easy Eye Solutions,Green Smoothies,Ageless Secret Gold, Pico Toner,Beautiful Image |
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Mon Apr 01, 2013 8:31 am |
| puddlelover wrote: |
| Aprille-thank you so much for adding what you did, just earlier in the day I had done a search on 'neck cords' convinced that, despite my exercises, the cords were becoming more apparent. Perhaps they are 'tightening'? But reading up on microcurrent and that it can also lengthen muscles makes me want the Pico (or something!) too! Thanks again for your comment |
Oh you're welcome puddlelover... I'm glad to see Toby posted too. I am actually considering the pico myself. I have a very small device that has probes and have achieved results, however, I KNOW those results could definitely be improved upon. The neck area is tricky to treat with the probes (small wands)... I see some improvement with the cords showing, but I just like the whole idea of the gloves and the added benefit of treating the hands at the same time. To me, that's a win, win!!! Best, Aprile |
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Sun Apr 07, 2024 7:20 am |
Regardless of what these doctors say about neck exercises, I know they work.
I documented my results from January to August with photos. You can see them here in the middle of this page:
https://www.antiagingbeautyzone.com/turkey-neck.html
I did a face/neck exercise 3 times a week. Then added a 1-minute routine a few times a week called "The Brush".
The Brush helps stretch the neck muscles back to their younger state and also makes the skin healthier.
This extra exercise makes the neck muscles stronger and encourages collagen production, which makes the neck look smoother and firmer.
The results may not be "plastic surgery" perfect, but it didn't cost much to buy the program and for a 64 years old woman, I'm happy with my results.😉 |
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| Thu Apr 25, 2024 5:07 pm |
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