Extra Deep Hereditary Neck Lines - what procedure will help? (Photos)

It was our experience that best treatment of this deformity is a combination of fine liposuction of fat between lines and injection of fat nano grafts into the lines. In same patients fat injection part may need to be repeated 6-8 months later if there is residual deformity. Very delicate surgery, requires some experience and expertise. Good luck.

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. For deep, hereditary neck lines like yours, I would suggest considering hyperdilute Radiesse or Sculptra as a first-line treatment. Both are collagen-stimulating injectables that can improve skin thickness and elasticity over time, helping to soften the appearance of long-standing creases. Hyperdilute Radiesse is made from calcium hydroxylapatite microspheres, while Sculptra is poly-L-lactic acid; when injected in a diluted form, they work primarily by stimulating your own collagen rather than adding noticeable volume, which is ideal for fine or deep neck lines. Multiple sessions spaced weeks apart are usually needed, and results gradually improve over months, offering a subtle but natural rejuvenation of the neck skin. While they may not completely erase very deep, hereditary lines, they can significantly soften them and improve skin texture, giving a younger, smoother appearance without surgery.