Double Deep Horizontal Neck Lines? (photo)

   A neck lift may not be appropriate in a younger patient.  Fillers and or fat grafting to help obliterate the creases may be reasonable considerations in younger patients.

"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"

As board certified plastic surgeon, I sometimes see patients who do not have excessive weight or a high BMI (body mass index), yet who have unusual distribution of fat, such as in your case. Your configuration unfortunately has nothing to do with your weight, but is due to your genetics and being predispositioned to having more fat in your neck than other areas of your body. No matter how much weight you lose with diet and exercise, you most likely will still have the neck lines. Based on the photos, there appears to be too much fat in the neck to consider trying to camouflage them with microdroplets of filler. I think the most effective treatment would be to liposuction the neck to smooth out the contour and reduce fullness. There might be the option of re-injecting some of this fat below/under the bands, depending on what is to be found upon physical exam. This procedure would be done in an operating room, and I use extremely small cannulas for a very exact approach. The recovery period is approximately one week. Even with the liposuction, you might still have four lines in your neck, however, as the lines are the natural folds of your skin, but if the fullness were reduced, the lines would appear less prominent. I recommend consulting with a board certified plastic surgeon to discuss your concerns and to see which treatments would be best for you.

You are so young for a neck lift procedure. Fillers are an option. Fat grafting with spacer canola also help to fill  the creases. Radiofrequency options like golden needles or Thermilift  are other options worth to try. Expectationshould not be so high.

Per your photos, a great amount of laxity is not evident which is trait of most neck lift candidates.  The presence of banding down the front of the #neck, and, amount of excess skin are among some factors which determine what lifting type treatments will best rejuvenate the #neck. In your case, the bands or #rings are across the neck which may not be significantly improved with surgery. Yet, you may experience improvement with #non-invasive in-office treatments. Therefore, I suggest consulting with a board-certified plastic surgeon to learn about the #options and products available and which may be best for you.

This is a very difficult thing to correct without undergoing surgery. I'd advise that you meet with an experienced facial plastic surgeon who can describe to you the benefits of selecting a surgical neck lift and why you may be a better candidate for that procedure as opposed to non-surgical methods.

Have you tried Botox? Intradermal injections of Botox along the lines can soften the creases. As far as I know this is the best treatment for necklace lines. One of the risks of treatment is difficulty swallowing, so make sure your doctor knows how to perform this procedure.

Unfortunately there is not a lot of great options for this problem.  An assessment in person by a plastic surgeon would be helpful. Release of the bands would be an instinctive thing to do but they would most likely reform again.  Injecting fat into the area after release might minimize the recurrence but could leave you with lumpy looking neck.  I would recommend no surgery/treatment as you could end up with a much worse looking neck.

Deep horizontal neck lines are a difficult problem to treat.  In a young patient such as yourself a lower face and neck lift would not be appropriate.  The only real option is to consider fat grafting to the area.  This is a difficult procedure and may have to be repeated in order to give the optimal result.  Trying to liposuction the rest of the neck to bring the fuller areas down would not be appropriate.  In older patients the horizontal lines will often improve with a neck lift but at your age that wouldn't be appropriate. 

Best to start from a very conservative position. Try BOTOX with HA fillers. If happy than repeat this therapy 2 times a year. If not happy consider laser therapy or surgery.