What are my options for horizontal neck lines? (Photo)

Question

These neck lines are genetic.. no matter what weight i am at they have always been there. I had a friend get beltero but haven't found an injector to do that by me. What do you think my best option is?

Marc Polacco, MD · Answer

Thank you for your question. This is a common concern. I have found that a combination of treatments gives the best result. This can entail use of filler, microneedling, and conservative liposuction. I hope this is helpful, and all the best to you.
-Dr. P

Hung William Song, MD · Answer

Hi there, thanks for asking this questions. Horizontal neck lines are tricky to treat but it can be done. Carefully using a thin viscosity filler like Belotero, Silk, Vobella, or RHA2 can work but there is a high risk of having visible lumps form making it look worse. You should look for someone who has a lot of experience doing this using the hyperdilute technique. The other option is to just leave them alone. These are natural lines that are very common even in young people.

Nima Shemirani, MD · Answer

Hi @JennaMB517! This is a common concern for many patients. I recommend a combination of treatments including dermal fillers (Belotero, Juvederm Vobella)  and RF microneedling like Morpheus 8. Best of luck to you!

Jason Emer, MD · Answer

"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"

I suggest getting a formal evaluation with a cosmetic dermatologist to create an individualized treatment plan that works for you. Best, Dr. Emer"

Jonathan Kulbersh, MD · Answer

Hello, and thank you for providing images along with your question. You have several treatment options to consider for targeting horizontal neck lines. Dermal fillers, for instance, can help treat these lines. They will give the skin volume and support, so it does not collapse into a fold as you move. However, a more popular injectable treatment for this area is a neuromodulator like Botox or Dysport. These products target the platysma muscle, relaxing activity to smooth away lines.

Lasers and RF microneedling (Profound RF) work by stimulating collagen production, strengthening the skin’s foundation and improving skin texture and skin laxity. These treatments can be used as stand-alone procedures or in combination with injectable treatments to enhance the results. To learn more about how you can benefit from these procedures, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. During your consultation, your surgeon can assess your skin quality, customize the best procedure plan, and ensure the best possible outcome.

Bryan G. Forley, MD · Answer

The presence of horizontal neck lines is primarily due to the effect of repetitive neck flexion on the overlying skin. It is generally not related to muscle contraction in the way that forehead lines and frown lines are produced. The best option for treatment is to improve the thickness of the dermis so that it will essentially resist the forces of flexion creasing. This can be done with a filler that improves dermal density without creating a volumized look which would produce a ridge. Belotero Balance® has worked well for this issue and the new Teoxane Redensity is another good solution. Fat transplantation using a combination of SNIF (sharp needle intradermal fat grafts) and Nanofat for its regenerative properties has also been highly successful for these type of neck lines.

Nelson Lee Novick, MD · Answer

I began treating these horizontal "necklace" lines several decades ago with the use of microdroplets of  Botox, which worked well in many cases. In the last fifteen years, the addition of filler injected along the lines themselves, has proven even more effective, by addressing both of the components that are responsible for their development, i.e. Botox for the underlying muscular motion-related component and fillers, such as Belotero Balance, for addressing the creases that have developed in the overlying fabric of the skin over time from the repetitive motion of those muscles. Make sure that you consult with an experienced, board certified cosmetic dermatologist. Best of luck.

Camille Cash, MD · Answer

These rings can be difficult to treat.  Filler is one option to lessen their prominence.  SkinPen microneedling or Morpheus8 with radiofrequency is another option.  A good skin care routine including tretinoin, medical grade skin care products like Transform MD and wearing sunscreen every day is also recommended.

Dallas Walker, MBBCh · Answer

Good afternoon Jenna, 
Neck lines have a lot of options to help you reduce them, as the skin folds in the same places over and over, they will require maintenance to keep their visibility down. Your focus needs to be on strengthening the skin in this area. Using Vitamin A (retinol/retinoids) can help, and its something you can use at home and several nights a week.
Further treatments such as micro needling, Morpheus 8 can really help. We do use dermal filler in a "strings of pearls" technique. This puts small bits of volume under the lines to lift them out. Lastly to treat the dermis (second layer of skin, the architecture of the skin) of the skin of the neck. This improves the support structures of the skin and adds an immense about of hydration to the area also!
I hope this helps!Have a great day!
Dr Dallas WalkerDrDallasClinic Aesthetics

Angelina Postoev, MD, FACS - Account Suspended · Answer

Great question.Options i usually recommended would be a combination of Radiofrequency Microneedeling, hyperdilute radiesse, and or HA filler into the line directly.

What are my options for horizontal neck lines? (Photo)

Answers (10)

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