Deep Neck Lines and Folds. (photo)

This is probably the most stubborn cosmetic problem when it comes to the neck.  It is difficult to make them all disappear but you can fill them with injections of soft tissue filler, which as you know, is not permanent and needs to be repeated.

"Injecting soft fillers like Belotero in this area can reduce lines, wrinkles and folds as well as improve skin texture with long-term collagen production. Fillers are being used more frequently to contour and lift rather than solely line fill. Of course, fillers are best used in combination with lasers and microneedling​ with PRP to get the optimal outcome.

I suggest getting a formal evaluation with a cosmetic dermatologist to create an individualized treatment plan that works for you. Best, Dr. Emer"

Horizontal lines in the neck are a challenging problem with average rather than good answers from treatments. They combine the pattern of attachments of the skin to the underlying muscles and a degree of thinning that happens in the creases. As such, a combination of subscision and micro-fat grafting can help, but does not eliminate them. You have the option of testing on a small area under a local anaesthetic to evaluate efficacy in your case, before committing to try and address the full length of the creases. Injectable fillers also an be of help, but again to decrease visibility rather than eliminate the lines.

The neck can have deep horizontal wrinkles and rings from an early age (genetics play a key role) as well as from sun damage and aging in almost everyone. They can be super annoying and are hard to get rid of.Surgically removing them is the best way to get rid of them but this can leave a lot of scars in very visible areas which most people don’t want.These deep lines are usually at the skin level. There are several nonsurgical and surgical options to consider. Some can be done at the same time. Surgery combined with injections and laser treatments before or after surgery is usually the biggest difference.  For people not interested in surgery, the hyaluronic acid injections and laser treatments are the most reasonable options, maybe combined with a chemical peel.These procedures can be done safely in the office and the results are often very satisfying. An in-office private consultation and examination with a board-certified plastic surgeon would be the best way to fully  address your specific concerns and determine the right treatment plan.I hope this helps answer your question.  If it does, please take a moment to up vote this answer on the “respond” button on the top right.  

Unfortunately, the horizontal lines in the neck are very difficult to treat. They can be improved somewhat with things like fillers, fat grafting, possibly even Botox, but even surgical neck lifts often don't make them better. These lines are genetic and are often visible even in very young patients.All the best,

You are absolutely right that those lines are hereditary.  If you look it children and babies, you'll notice they may have these as well.  They may deepen with age or weight gain, but you've probably always had them and always will.  Fortunately these horizontal lines are not as associated with aging and don't and won't make you appear older than your age.  Unfortunately they are not easy to correct as a facelift or neck lift will not erase these lines, but may simply move them slightly higher in your neck.  You can consider having your doctor fill them with a hyaluronic acid filler to soften the lines.  This is also temporary so if you don't like it, it can be reversed. 

hello You should set up an in-patient consultation with a board certified PS, who would advice you on the right approach to take. #neck #lines

as our society becomes more excepting of mobile devices many patients are finding that they are spending extended periods of time with your neck bent looking at their iPad iPhone or smart phone.  This unnatural neck position for extended period of time has led to a increased propensity for neckbands or horizontal neck lines of tension with the neck in the flexed position. Appropriate evaluation for cause of these lines is important to Determine for the selection of the appropriate treatment. Certainly hereditary and genetic causes can lead to a more complex evaluation. In office valuation of these horizontal bands can provide insight as to what treatments may be best indicated for these bands. For example if the patient has thin and wrinkly skin there for interventions should include treatments which thicken the skin.  However if the patient has thick and full skin with excess adipose tissue or excess fat then perhaps a combination of Liposuction and soft tissue excision may be beneficial. 
 Often it is best to consider nonsurgical treatments first as these will be able to be evaluated for their efficacy. However more substantial interventions will often result in more long-lasting and sustainable results 

I concur with the rest of the surgeons who have commented.

It is very difficult to cure but can be temporized with a combination of fat grafting, liposuction and fillers in some cases.   

I have seen them resected with a large scar followed by laser. This can then be covered up with make-up but does leave a rather large scar which most cosmetic surgeons are hesitant to undertake. 

Best of luck,

DrC

Dear Reader, There is not a good surgical option in my opinion.  Fat grafting may help a little but is questionable.  Good luck and be safe.John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic Surgeon