Horizontal neck folds. (photos)

Question

As you can see I have a large horizontal neck fold or what I like to call neck rolls. I understand that the horizontal lines will be hard or may never go away. However, I want to know if it's still possible to get the fat that fills these pockets removed. I have tried neck exercises and cream to change the appearance of my neck,but I have been unsuccessful.

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. There are non-surgical options that would be most suitable to treat your horizontal neck rolls, as you call them. A combination of treatments tends to be effective. I suggest that you move forward and consult with a board certified facial plastic surgeon so that you can learn more about your options. 
Best wishes,

Jason Emer, MD · Answer

A combination approach with VASER, ThermiRF and ultrasound gives the best results in this area. Kybella can be used as an alternative. I recommend getting a formal consultation with an expert. Sometimes these genetic lines can be improved with fillers and lasers.  Best, Dr. Emer.

James Shire, MD · Answer

Thanks for your question. The horizontal neck lines can be successfully treated with fillers. I routinely remove these horizontal neck lines with Belotero or Volbella.  You also appear to have a heavy neck which would greatly benefit from weight loss. Liposuction would most likely not be very effective.Please consult with an experienced facial plastic surgeon for evaluation.

Thomas J. Walker, MD, FACS · Answer

Treating horizontal neck folds is rather challenging since they are formed from skin bunching up rather than excessive muscle movement. Hence, neuromodulators like Botox and Dysport won't work. Filling these fold with dermal fillers is also not very successful. If anything, sometimes liposuction can be performed. I suggest you seek the professional opinion from a board-certified plastic or facial plastic surgeon.

Horizontal neck folds. (photos)

Answers (4)