I would like to know the best filler for the neck, and the lines on each side of the mouth.

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.

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. DrC

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

In general, fillers are not used for treating the neck. Most of the HA (hyaluronic acid) fillers may be used to treat lines and folds around the mouth. Which filler is used depends on surgeon and patient preference. All available options would be discussed during an in person consultation with a board certified specialist. A board certified Facial Plastic Surgeon, Plastic Surgeon or Dermatologist would be able to help you decide which option may be best to achieve your desired results.

The filler that we used for the lines in the sides of your mouth are Restylene or Juviderm. The neck we normally don’t use fillers the combinations of laser and other dermatological treatments are best to approach wrinkles in the neck.

Fillers can occasionally be used to improve neck wrinkles, but more commonly, the neck skin and muscle needs to be addressed in another way, such as a surgical neck lift. If the skin texture is a problem, laser resurfacing treatments can be helpful as well. If skin laxity is a problem in the neck and in the jowl areas around the mouth, a surgical cheek/neck lift is the answer. All the best,

Necklifts are designed to remove only deep grooves and #wrinkles, not fine ones. Smoothing out every tiny line in your face would leave you with an eerie, unnatural, and undesirable result. The goal should be to make your necklift look as natural as possible, simply turning back the clock a few years. To learn more and to determine if you are a #candidate, consult with a board-certified plastic surgeon who is highly skilled and experienced with #neck lift procedures.

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

Fillers in the neck can work but it really depends on the elasticity of the skin. If there is poor skin tone or elasticity, placing fillers such as Restylane or Juvederm can give a lumpy appearance or no result at all. If there is platysmal banding (vertical bands in the neck), this can be treated with Botox, Dysport, or Xeomin successfully but effects the skin mildly. 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.

Without seeing the laxity of your neck skin and, or, muscles it is difficult to determine an optimal treatment. However, Micro-Botox for the neck skin softens the lines, shrinks the pores and offers enhanced quality to the neck skin. There are also a number of excellent skin care products that target the neck skin. IPL, or intense pulsed light targets the pigmentation and sun damage of the face and neck. It, also, assists in tightening the neck skin.