I've had neck lines since I was 15, maybe even before. What is the reasoning and is this a normal thing that women have? (Photo)

Question

I have the 2 horizontal lines since I was 15 maybe even before and I am curious as to why I have these?! Was I born with them?! I am 33 and just wondering if these look bad and what type of treatments are out there if I wanted to get rid of them. Is this a normal thing?!

Manish H. Shah, MD, FACS · Answer

Hello kimali,Thanks for your question.Neck lines are normal for both men and women.  They are more easily seen in thin necks like yours.  They are attachment points between the skin of the neck and the underlying muscles of the neck that crease when you look down.  The current term for this is "tech neck."  We look down a lot because of your computers and smartphones.  A procedure that I perform that tends to improve this is a combination of soft-tissue release using VASER liposelection, followed by topical laser or microneedling to soften the creases.  The VASER basically disconnects the skin from the underlying muscle (when aided by facelift scissor release).  As the skin and muscle reconnect in slightly different positions, the creases are seen as softer.There is nothing to make them go away completely, but this procedure typically makes patients happy.I hope this was helpful.Take care,Dr. Shah

Ross A. Clevens, MD, FACS · Answer

Thank you for your question, kimali. I suggest you consult with your board certified facial plastic surgeon. You can address the necklines with the Laser-Assisted Weekend Necklift, although you are a few years too young for this procedure so you may want to consider other options as well. The Laser-Assisted Weekend Necklift provides a natural appearance in a short and comfortable recovery time after a procedure that leverages minimal invasiveness under local anesthesia. I leverage both surgical and nonsurgical techniques for this procedure.Best wishes,

Jason Emer, MD · Answer

These lines are genetic and can be improved but not cured with a combination of botox, fillers and lasers. I suggest seeing an expert that treats this often.  Best, Dr. Emer.

Donn R. Chatham, MD · Answer

Many people dislike the horizontal neck creases which develop throughout out life. (these sometimes run from ear to ear). Necks are very mobile and usually flexible, so we move our heads and necks hundreds of times daily. Therefore over time the skin gets pushed/pulled/stretched and this creates creases in the skin. Overtime, permanent deeper creases form. While this is annoying to some, it is not an abnormality. Neck lift surgery can help soften these but does not eradicate them, especially the deeper ones.

Dino R. Elyassnia, MD · Answer

Yes these lines are most likely congenital meaning they have been there since birth. Since they are normal and seen in many young people I don't think they are a major sign of aging or necessarily look bad.  However as the neck ages they may look worse as you develop loose skin and these lines begin to look like folds.  To treat the lines at this stage, you need superficial treatment with thin fillers that can be placed superficially or micro/nano fat grafting.

Gustavo A. Diaz, MD · Answer

Horizontal neck lines is an increasing concern among patients. The increase use of computers and technology make patients look down and flex their neck more. This will increase the incidence of horizontal neck lines as the neck is a dynamic structure and needs to fold and expand in order to do it's function.There are some treatments that can improve the horizontal neck lines, but non will erase them completely.Some of them are:* Fractional resurfacing* Micro needling* Bolotero injectionsHope this helps,Dr. Gus Diaz

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question and photograph.  Fortunately you have a very nice young looking neck.The transverse lines are normal and are most likely inherited.  If they bother you is some cases Botox injections can make them less obvious.

Jon A. Perlman, MD (retired) · Answer

Thank you for your question. If you examine many patients necks it is very typical for there to be two horizontal lines similar to yours. People who are in front of the camera very often become self-conscious about them. My preference for someone your age is to inject Bellotero into the lines to soften them. This usually works quite well and is safe and nonsurgical but not permanent either.Meet with a plastic surgeon or dermatologist to discuss your options if they are bothersome to you. Good luck and thanks for your question.Jon A Perlman, MD FACSDiplomate, Am. Board of Plastic SurgeryAssoc. Clinical Prof. of Plastic Surgery, UCLA Medical CenterBeverly Hills, Ca

I've had neck lines since I was 15, maybe even before. What is the reasoning and is this a normal thing that women have? (Photo)

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