I would like to know the best filler for the neck, and the lines on each side of the mouth.
Get Rid of Neck Wrinkles
Doctor Answers 18
The tricky neck
It depends on the depth of the fold and wrinkle in the neck but traditionally neck wrinkles are tough to treat as they are created from the dynamic function of a muscle called the platysma which enwraps the superficial structures of your neck and face.
Botox has been shown to be marginally effective in treatment to soften the folds but may require a high unit volume. In my experience, if you had a specific area of concern, i.e. a neck scar, filler may be beneficial but if there are broad areas that require treatment you might find yourself paying for a large amount of material with questionable benefit.
You may want to consider a surgical consult to identify all of your options both surgical and non-surgical prior to embarking on a possible misadventure in the neck.
Most neck creases are fine and the Restylane or Juvederm...
Most neck creases are fine and the Restylane or Juvederm can create bruising or unsightly lumps in this location if it is not administered in small amounts and carefully. Human collagen can be used (Cosmoderm) for this as well.
Fillers versus .....?
To tell you the truth, in my hands the best results are obtained with fat transfer. This is mainly because it is a large area and it is this superficial fat (above the platysma muscle) that is lost with time. So replacing it with your own tissue is most helpful. Similarly for the lines at the corner of the mouth fat can do wonders.
Fat transfer in combination with fractional laser treatment is even more powerful for these issues. With the fat transfer we also transfer stem cells which help to rejuvenate the skin after the laser treatments.
Fillers are always an option and if patients are set on fillers I am willing to offer that but the goal is to get the best results and make happy patients and in my hands that is with fat and laser!
Hope this helps,
Best of luck.
You might also like...
Fillers for side of mouth and neck
Treatment for neck lines
How to rid my neck of wrinkles
How to rid my neck of wrinkles?
This is the question which we here frequently from patients. The indications for these wrinkles will often dictate the subsequent treatment options. If a patient has massive weight loss the wrinkles may be due to excess skin which is now accumulated. If the patient is a millennial and has been flexed over a smart phone for a period of time The treatment algorithm is very different. Many patients do not realize that they're overly expressive nature is actually leading to increased wrinkles in their neck due to increased mimetic forces on the skin which lead to break down of the collagen and elastic and therefore resulting in skin that does not bounce back after tension. Often the least invasive and fastest change for wrinkles is best delivered by aestheticians with either derma planning micro needling or laser Fraxel treatment. These are very good for fine lines and wrinkles and can achieve sustained results especially with good maintenance programs. For deeper wrinkles and lines that may be a result of overly stretched skin due to age or weight loss more invasive procedures may be indicated to excise the excess skin and place the underlying platysma muscle under tension which helps carry and support the overlying skin to minimize the recurrence of wrinkles. This does involve a surgical procedure which is often referred to as a neck lift. The neck lift can be done in conjunction with a facelift for a more complete facial and neck rejuvenation which can help turn back the clock on your appeared age as much as 10 years. A neck lift often involves an incision in the retro auricular region and involves skin excision and re-draping to allow for the removal of the excess skin and to provide a contoured cheek neck transition with a defined jowl line that is smooth and contoured an appearance. When considering aesthetic rejuvenation keep in mind the concept of the aesthetic ladder and that as you move from noninvasive to minimally invasive to invasive procedures that your physician has these options available to them so that they may be able to provide your optimal results
Best fillers for neck
Increasing neck skin tone with Sculptra or CO2 laser or both can help improve the appearance of the neck skin. These procedures are performed by very few specialists so do your research and ask questions before allowing anyone to do these.
Fillers for the marianotte lines
Treatment Options for Neck Wrinkles
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.