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

It’s no information to me, an esthetician of 30+ years, that folks neglect their necks in relation to skincare. In actual fact, I usually be certain that my associates, household, and purchasers are making use of their merchandise accurately by asking them to reveal 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 utility. 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 getting older. Taking the right steps to look after our necks day in and day trip is extremely vital, don’t get me flawed. Nevertheless it’s vital to notice that skincare alone has limitations. As we age, our our bodies and muscle groups naturally endure modifications that will require different options.

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

Situated instantly beneath the pores and skin in our necks is the platysma muscle. This muscle serves little or no objective in people besides to guard the deeper neck constructions. With age, this neck muscle begins to loosen and descend, inflicting the telltale indicators of getting older, or sagging vertical neck bands (also called the “turkey gobbler” – a stunning 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 offer perception to these of you on the market searching 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 combating seen indicators of getting older 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 traces and wrinkles. By injecting botox into the perimeters of the platysmal vertical neck bands each three to 4 months, the muscle groups will start to melt and change into much less seen. “Botox injections might help with early neck getting older, decrease visibility of the vertical neck bands, and delay the necessity for a face and neck carry,” says Dr. Lam. “Nevertheless, 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 extra harm and leading to thicker, smoother pores and skin. “For non-surgical therapies, I consider that radiofrequency microneedle might help with enhancing pores and skin tone and crepiness,” says Dr. Lam.

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


Mesobotox is a beauty process that makes use of a microneedle to inject small quantities of diluted botox all through the face, typically within the T-zone. This treats the pores and skin high quality, like pores, texture, tone, wrinkles, and horizontal traces. “Sadly, most individuals in the USA nonetheless don’t admire Mesobotox though it’s the most potent technique of pores and skin rejuvenation on the market, is protected in all pores and skin sorts, 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 related ends with much less subcutaneous scarring.


Kybella is a non-surgical injectable approach that targets fats beneath the chin. In line with Dr. Lam, any form of subcutaneous neck fats discount is a mistake. “The issue with fullness within the neck truly doesn’t reside within the subcutaneous aircraft (instantly beneath 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 similar to untimely getting older. 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 plenty of extra, Dr.Lam advises towards these, saying they “don’t present a lot neck rejuvenation and might 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 vital to tread rigorously. Lasers, particularly any form of ablative laser (the place the pores and skin is burned off), have a excessive danger of scarring because of the 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 without doubt one of the hottest plastic surgical procedures on the earth. Nevertheless, 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 deal with sagging– they usually’ve come a good distance. In line with Dr. Lam, neck lifts are the preferable surgical possibility, and will be carried out in isolation or mixed with a facelift. Questioning should you’re 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 way in which that I can simply inform if somebody wants a deep neck carry is to easily pull again on the neck tissues with my fingers and if there’s nonetheless fullness, then a deep neck carry mixed with a facelift is the way in which to go,” says Dr. Lam. “Nevertheless, if the sag is totally taken care of then an ordinary deep-plane facelift is adequate.”

For extra on this sophisticated 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 getting older, there are issues we are able to do to delay it. My greatest recommendation for these seeking to postpone the onset of sagging is to make use of sunscreen and lively skincare elements that encourage elasticity. A day by day utility of SPF to your neck and face is the easiest way to guard your pores and skin from the #1 reason for untimely getting older: 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 absolutely vital for making it look smoother. 

Procedures I’ve Executed To Tighten My Personal Neck

The primary time I thought of getting work accomplished on my neck was after listening to about one in all 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 distinguished platysmal bands myself. (Platysmal bands will be extra pronounced for these like me who carry weights and make facial expressions whereas doing so.) Whereas I used to be diligent about sunscreen and anti-aging care, these bands have been nonetheless one thing that I felt had change into ugly with age. This led me to hunt out options.

Once I began seeing Dr. Lam, he started injecting a little bit little bit of Botox into my platysma muscle to tighten it. Nevertheless, 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 beneath the chin and I did should go beneath anesthesia. General, I’ve undoubtedly seen enchancment. My platysmal bands didn’t totally disappear, seemingly because of the reality I nonetheless carry weights and have decrease physique fats, however I’m very pleased with my outcomes.

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

Subsequent, discover out why your sunscreen is pilling (and find out how to stop it!).