What can I do to get rid of the rings of fat and lines around my neck? (Photo)

Question

People are telling me it’s hormonal and I’ve never seen anyone with any similar neck. I’ve had it since birth. I’m 23 now.

Arnold Almonte, DO · Answer

Neck rings are very difficult to treat, mainly because the rings themselves are etched in the dermis. Meaning, even if you stretched the skin, you would still be able to see the lines in the skin. Therefore, my recommendation would be to remove a ring AND stretch the skin. This will lessen the overall appearance of compressed multiple rings, like the "michelin man". The way that is accomplished would be by performing a neck lift which would stretch the skin, as well as removing skin between rings and creating one ring where there was two. This would create a smoother, more natural look. Seek an experienced plastic surgeon you can discuss this with. I wish you the best.

Jonathan Kulbersh, MD · Answer

Neck banding like yours can often be treated with injectable procedures. Botox is often used for this purpose, but small amounts of filler might also be appropriate. I recommend scheduling a consultation with a board-certified facial plastic surgeon for further assessment and treatment recommendations.

Jeffrey H. Spiegel, MD · Answer

If you have fat rings around the neck you need to have that fat melted and the skin contracted.  We'll use Necktite with liposuction to shrink and contour while reducing lines and folds.

Richard G. Schwartz, MD · Answer

Although I would really need to examine you in person to be more specific, I would suggest liposuction to reduce the fat within each roll, with release of any fascial connections to deeper tissue which create the lines bordering each roll.  Sometimes, the skin shrinks back against your neck more smoothly than before, but if there is too much skin looseness, than your neck skin might need to be tightened with a more extensive lift.  However, I would first try the liposuction.

Jason Emer, MD · Answer

at home peels like cosmelan and enlighten as well as dermarolling can help (see link to emeragecosmetics.com for the best roller and where we do free skincare consults daily).  in office the neck needs a combination approach.
the neck can be treated with a combination approach
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif RF micro needling for crepe skin and lifting
4. fillers like belotero and restylane silk to improve lines and folds
5. neck lifting if sagging is prominent or early starting
6. J plasma or thermiRF for internal tightening
7. ultherapy and thermal for external tightening
8. regular Venus legacy and exilis ultra treatments with facials to maintain tightness.
see an expert for a full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer.

Zoran Potparic, MD · Answer

This is very difficult condition to treat! A combination of neck lift/liposuction and injection of neck lines with fat nano-grafts seem to be working. Consultation with a board certified plastic surgeon experienced in this kind of surgery is recommended. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

Personally I don’t think you have a hormone problem. Your neck is simply your unique anatomy.
The rings are best treated using fillers. They should be injected at the deep dermis or just below the dermis for best results.
Liposuction will not address the rings but could improve overall contour. I suggest addressing one of the issues at a time.
Best,
Mats Hagstrom MD