December 1, 2023


Science Of Woman

Procedures That Can Tighten The Neck– And Renee’s Expertise With Them

7 min read

It’s no information to me, an esthetician of 30+ years, that folks neglect their necks in terms of skincare. In actual fact, I typically be certain my pals, household, and shoppers are making use of their merchandise accurately by asking them to display how they apply their sunscreen. Extra occasions than not, I’ll watch them apply it to their face after which apply no matter is leftover on their fingertips to their neck– which is way from a beneficiant software. What I wish to emphasize is that our necks are an extension of our faces, in addition to one of many first areas to indicate seen indicators of ageing. Taking the right steps to look after our necks day in and day trip is extremely necessary, don’t get me improper. Nevertheless it’s necessary to notice that skincare alone has limitations. As we age, our our bodies and muscular tissues naturally bear modifications that will require various options.

So, What Do You Want To Know About The Neck?

Positioned instantly under the pores and skin in our necks is the platysma muscle. This muscle serves little or no goal in people besides to guard the deeper neck buildings. With age, this neck muscle begins to loosen and descend, inflicting the telltale indicators of ageing, or sagging vertical neck bands (also called the “turkey gobbler” – a beautiful phrase LOL!). Whereas that is utterly regular, it’s one thing that I personally have undergone a wide range of therapies for. As some proved simpler than others, I’m right here to supply perception to these of you on the market looking for skilled procedures (surgical and non-surgical) to tighten the neck.

Let me introduce you to my private board-certified facial plastic surgeon Dr. Sam Lam to debate what modern-day drugs can do for anybody scuffling with seen indicators of ageing across the neck. Let’s dive in!

Non-Surgical Choices To Tighten The Neck

Botox for Platysmal Bands

Botox therapies are a minimally invasive and efficient remedy for high quality strains and wrinkles. By injecting botox into the perimeters of the platysmal vertical neck bands each three to 4 months, the muscular tissues will start to melt and change into much less seen. “Botox injections may help with early neck ageing, decrease visibility of the vertical neck bands, and delay the necessity for a face and neck raise,” says Dr. Lam. “Nonetheless, in reasonable to superior neck sagging, solely a facelift will assist ameliorate these bands, as Botox will show ineffective to handle this extra pronounced sagging.”

Learn extra about how Botox can enhance your look (and high quality of life!).

Radiofrequency Microneedle

Radiofrequency microneedling is a type of managed pores and skin damage that stimulates the expansion of wholesome new pores and skin by utilizing a high quality needle to create micro-wounds within the pores and skin. What separates this process from common microneedling is the needle’s means to launch radiofrequency into the pores and skin, inflicting further injury and leading to thicker, smoother pores and skin. “For non-surgical therapies, I consider that radiofrequency microneedle may help with bettering pores and skin tone and crepiness,” says Dr. Lam.

This type of microneedling can be a standard skilled remedy for zits scars— however is it value it?


Mesobotox is a beauty process that makes use of a microneedle to inject small quantities of diluted botox all through the face, usually within the T-zone. This treats the pores and skin high quality, like pores, texture, tone, wrinkles, and horizontal strains. “Sadly, most individuals in the US nonetheless don’t recognize Mesobotox regardless that it’s the most potent technique of pores and skin rejuvenation on the market, is secure in all pores and skin varieties, with no long-term dangers, with profound long-term outcomes, and with little downtime,” says Dr. Lam, including that he prefers it to radiofrequency microneedle, because it achieves comparable ends with much less subcutaneous scarring.


Kybella is a non-surgical injectable method that targets fats beneath the chin. Based on Dr. Lam, any type of subcutaneous neck fats discount is a mistake. “The issue with fullness within the neck really doesn’t reside within the subcutaneous aircraft (instantly below the overlying pores and skin) however within the aircraft that’s deep to the platysma muscle,” says Dr. Lam, including that the process dangers issues equivalent to untimely ageing. This process exposes the underlying platysma muscle with out offering any main enchancment.

Different Minimally Invasive Procedures

Whereas there are different non-surgical therapies like Ulthera, Thermage, and lots of extra, Dr.Lam advises towards these, saying they “don’t present a lot neck rejuvenation and may result in unpredictable subcutaneous scarring.” Whereas well-liked previously, he says minimally invasive procedures like threadlifts could cause extra hurt than good.

As for laser therapies, it’s necessary to tread rigorously. Lasers, particularly any type of ablative laser (the place the pores and skin is burned off), have a excessive danger of scarring as a result of neck’s lack of adequate oil glands.

Examine my expertise with Vbeam laser remedy for Poikiloderma right here.

Surgical Choices To Tighten The Neck


Liposuction is a beauty surgical procedure that goals to take away undesired fats from the physique (and neck, too!) and is likely one of the hottest plastic surgical procedures on the planet. Nonetheless, Dr. Lam believes any use of liposuction to be simply as problematic as Kybella.

Neck Elevate and Face Elevate

Neck and facelifts are particularly designed to handle sagging– and so they’ve come a great distance. Based on Dr. Lam, neck lifts are the preferable surgical choice, and might be carried out in isolation or mixed with a facelift. Questioning if you happen to’re a superb candidate for this process? Dr. Lam says that these approaching or exceeding 40 years or coping with sagging alongside the jawline would profit, as long as there isn’t a extreme neck fullness. “The best way that I can simply inform if somebody wants a deep neck raise is to easily pull again on the neck tissues with my fingers and if there’s nonetheless fullness, then a deep neck raise mixed with a facelift is the best way to go,” says Dr. Lam. “Nonetheless, if the sag is totally taken care of then an ordinary deep-plane facelift is adequate.”

For extra on this difficult process, see Dr. Lam’s detailed 5-part video series.

Topical Choices To Tighten The Neck

Whereas sagging is a pure (and regular!) a part of ageing, there are issues we are able to do to delay it. My greatest recommendation for these trying to postpone the onset of sagging is to make use of sunscreen and energetic skincare substances that encourage elasticity. A every day software of SPF to your neck and face is the easiest way to guard your pores and skin from the #1 reason for untimely ageing: the solar. I additionally love to make use of Triple Berry Smoothing Scrub no less than twice every week on my neck, as bodily exfoliation is de facto necessary for making it look smoother. 

Procedures I’ve Achieved To Tighten My Personal Neck

The primary time I thought of getting work performed on my neck was after listening to about one in every of my shopper’s experiences with Botox for platysmal bands. As somebody with a low quantity of physique fats and a 9-year historical past of clenching my jaw tightly whereas doing CrossFit, I had developed fairly outstanding platysmal bands myself. (Platysmal bands might be extra pronounced for these like me who raise weights and make facial expressions whereas doing so.) Whereas I used to be diligent about sunscreen and anti-aging care, these bands had been nonetheless one thing that I felt had change into unpleasant with age. This led me to hunt out options.

Once I began seeing Dr. Lam, he started injecting a bit little bit of Botox into my platysma muscle to tighten it. Nonetheless, on account of my prolonged weightlifting historical past, the Botox wasn’t doing as a lot as we had hoped. It was then that we determined to go ahead with surgical procedure, particularly platysmaplasty.  The process required an incision below the chin and I did must go below anesthesia. Total, I’ve positively seen enchancment. My platysmal bands didn’t solely disappear, possible as a result of reality I nonetheless raise weights and have decrease physique fats, however I’m very proud of my outcomes.

All in all, there are a number of efficient surgical and non-surgical strategies to rejuvenate and tighten the neck, equivalent to Botox, radiofrequency microneedling, Mesobotox, and neck and facelifts. Now which one is best for you? That’s one thing that can rely in your particular person anatomy, age, way of life, and so forth. For my energetic way of life and low physique weight, that meant platysmaplasty. It’s necessary to analysis your surgeon and discover somebody who will steer you within the course of the best-fit process for you– even when which means abstaining from procedures solely on account of budgetary restrictions, problematic procedures, or limitations in want for surgical procedure.

Subsequent, discover out why your sunscreen is pilling (and tips on how to forestall it!).

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