How Can I Make my Neck Look Younger? (photo)

I'm 31 and have always been thin but for some reason my neck seems to look way older than it should– especially compared to my friends who are the same age (see photo...I'm the one in white). There isn't saggy skin, just not enough fat. Is there anything I can do to correct this problem? Thanks!

Doctor Answers 13

Neck aging - treatment

It is apparent from the photo that you are a outdoor person.  This is a major factor in skin aging (80 % of aging is due to the sun.)  A tan looks great in a white dress until it looks like your skin needs a pressing at the cleaners also.  Start with skin care - protection and then medicate it with tretinoin (generic Retin A).  After the summer fun is past then laser treatment should be done by a physician experienced in using a variety of lasers.

Orlando Plastic Surgeon
5.0 out of 5 stars 11 reviews

Botox, Dysport, or Xeomin

Thanks for your question and thanks for including the photo. You need to have a consultation with a board-certified dermatologist or plastic surgeon to learn the various treatment options that are available for you. We would surely recommend a toxin into your platysmal bands on the neck. By using Botox, Dysport, or Xeomin, one can minimize these prominent bands and you will not look like you are older than your friends.

Michael Gold, MD
Nashville Dermatologic Surgeon
3.9 out of 5 stars 17 reviews

Botox for platysmal bands

Botox injections are effective at softening the neck bands (also known as platysmal bands) that can contribute to an older-looking neck contour. The treatment can also be combined with a “Nefertiti Treatment”, which will improve the definition of your jaw line and create a beautiful neck lift at the same time!

Making the Neck look Younger

Most of my patients are concerned with the neck area.  The photo is difficult to assess.  If your main problem are the bands on the neck, a simple injection of Botox can make the entire area look younger.  If skin tightening is the problem, then I would recommend you consult with a dermatologist for Thermage.  If pigmentation and fine lines are your concerns in this area than Fraxel would be your best option.  With so many different causes of aging, please consult a board certified dermatologist who has a great deal of experience with these lasers.

Possible Smartlipo of the chin

You may be a good candidate for Submental Smartlipo. This procedure will remove unwanted fat deposits while tightening the skin. My suggestion is to consult with your doctor to decide which procedure is best for you. Good luck!

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

Treat neck bands not skin tightening to make neck look younger

I think you look great.  You're very thin which is very ideal.

A close-up photo would be very helpful.  However based on the distant photograph  what I see is prominent neck bands.  Injections of Botox may make the muscles standout less.  I do not understand help tightening the skin will help you and understand that the best skin tightening technology achieves only 22% of the tightening provided by a neck lift.

Neck bands be gone.

Being thin undoubtedly makes you the envy of other women. Nevertheless, thinness has its downside, as it can lead to premature signs of aging. You’re seeing this in the area of your neck, where the banding is becoming noticeable. The condition can be improved through a number of non-surgical treatments; however, none is more effective than Ultherapy. It is a single 90-minute procedure that triggers a marked lifting and tightening of the neck, producing results that continue to improve for several months. Other options involve a series of treatments. This is a one-time procedure that’s especially effective on adults whose skin is still youthful and elastic.

Hal Michael Bass, MD
Miami Plastic Surgeon
4.7 out of 5 stars 47 reviews

Prominent Neck Bands can also be treated with Botox or Dysport

The other surgeons and physicians in this Q&A have offered excellent suggestions for treatment of your neck bands. Another alternative to consider is the injection of Botox or Dysport into your platysma muscle. This is a great option for thinner, younger patients who have prominent neck bands but good skin elasticity, minimal "loose skin", and little neck fat. The procedure takes just a few minutes to perform, with 4-6 practically painless injections in the office setting, and the results typically last 3-4 months. The treatment is relatively inexpensive as well. 

At worst, if your neck bands don't soften or go away to the extent which you would like, you can always consider other options, including platysmal plication. This is a procedure in which the neck bands are stitched to one another through a small incision under the chin. This surgery "tightens the corset" of the neck from the front and can be a good alternative for patients in their 30s and early 40s who are not yet appropriate candidates for a necklift/lower facelift. The platysmal plication surgery can be comfortably performed under local anesthesia with light sedation, if patients prefer this over general anesthesia. 


All the best,

Dr. Mehta

Umang Mehta, MD
Bay Area Facial Plastic Surgeon
4.8 out of 5 stars 43 reviews

Your neck reveals your true age

Sometimes we focus on our faces so much that we forget our necks - a lot of "real estate" on our body so close to our faces. The neck is very thin skin, so this area easily shows lines, wrinkles and aging. Perhaps it's because you lack fat, but likely might be because collagen has collapsed and is revealing it's age. Before you look to needles, you can certainly tighten, tone and receive great texture on your neck with laser treatments such as CoolBreeze, Yag laser, Yag, and especially with Ultherapy. A professional consultation with an experienced cosmetic dermatologist would be your first step toward your goals.

Douglas J. Key, MD
Portland Dermatologic Surgeon
4.5 out of 5 stars 15 reviews

Non surgical rejuvenation of the neck

  It is helpful that you included a photo but nothing can take the place of an in person evaluation.  While Fraxel and fillers can be helpful in your neck, if the primary considern is the platysmal banding seen on the photos, I think a mini lift would be best.

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon
4.9 out of 5 stars 114 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.