Neck Creases/rolls (photo)

I am not overweight and only in my mid 20's. Ever since I was little I've had these neck rolls. What can I do to get rid of them!

Doctor Answers 12

Neck Roll Management

Neck rolls are typically from localized fat collection in your neck. The reasons for this are multifactorial - for example "runs in the family", related to your weight, hormonal, congenital,etc. Liposuction using fine cannulas are very helpful for this. If loose skin is an issue then some non invasive treatments like Ultherapy, Thermage, Thermi-RF, or the Sciton Laser BBL SkinTyte are good options as well

Orange County Plastic Surgeon
4.9 out of 5 stars 157 reviews

Horizontal Neck Lines

I am sorry that you have this problem.  The best non-surgical route in a patient your age is using a filler.  Fillers will not eliminate the lines but will certainly help.  I prefer the long-term filler Bellafill since it is a soft and natural filler that will not absorb.  Botox will help as well but a lot is needed and it must be repeated so it is not a very good value. 

I hope that helps.

Best regards.

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Brian Windle, MD
Kirkland Plastic Surgeon
4.9 out of 5 stars 64 reviews

Neck rolls: young and thin

For some reason the deposition of adipose tissue in your body has chosen the supraplatysma layer of the neck.

This is an area we address with liposuction. Being young does actually complicate things in this case and you need to do your best to keep a steady weight throughout the process if you choose to go forward. The good thing about being young is that the elasticity in your skin is present and abundant and will likely respond well to liposuction. Meaning the need for tissue tightening procedures is lessoned. 

In my hands I have found staged liposuction in young people with this issue to be very helpful. That is, plan on a liposuction session, then plan for a revisit/second look session to touch up the imperfections 3-6 months after that first procedure settles.  This is important in young people. It is unlikely your platysma muscle needs work at this age so the stage liposuction can offer opportunity for perfection.

Something to consider.



Benjamin Caughlin, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

Neck rolls

It is very difficult to answer your question without seeing your pictures – you should consider posting images showing your areas of concern.  Horizontal neck creases are typically not easy to treat with any method

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Neck Lift Candidate?

Thank you for the question.

Without pictures or direct examination it is now possible to give you good advice. Consultation with several well experienced  board-certified plastic surgeons will be helpful.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,498 reviews

Neck creases and neck lines are difficult

The only options for these are fillers along those lines, fat grafting, the YoungVolumizer, or neck resurfacing. 

Philip Young, MD
Bellevue Facial Plastic Surgeon
4.2 out of 5 stars 86 reviews

Neck creases

There is nothing that can be done about neck creases or rolls.  These are neck flexion creases and are present in infants as well.  They allow the skin to have flexion when turning the head and everyone has them.  

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

What to do with neck rolls?

I'd have to see photos of your neck and neck rolls to make any evaluation and comments.  At 20, I can't imagine these are anything but extra fatty tissue.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 25 reviews

Too Young to Have Neck Rolls

The most likely cause of neck laxity when you are in your 20's is a weak chin.  A chin implant would not only improve the neck profile but also balance the face.

Joseph Campanelli, MD
Portland Facial Plastic Surgeon
4.5 out of 5 stars 8 reviews

Neck creases and folds in a trim patient in her 20s

Additional side and three quarter views would be helpful.  Of course a physical exam will help tell the degree of tethering of the creases.  If  the tissues are relatively pliable, that is a good sign. 


It should be possible to get a decent if not perfect improvement with some form of liposuction.  My current preference for a problem like this would be one of the laser lipoplasty technologies, due to the superior retraction that seems to occur.  Some good doctors might take issue with this, but my opinion is based on 20 plus years of experience with all types of lipoplasty..

If the side view reveals an abnormality of the underlying platysma muscle, this may also need to be corrected.  Sometimes the muscle is congenitally short, in which case a release can be helpful.


 Aftercare is very important with this type of neck, since the measures to set the skin into a proper new position are almost as important as the surge itself.

John Q. Cook, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 12 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.