Can I ever have a smooth neck?

This is very particular issue and difficult to treat! It doesn't seem that radiofrequency and/or light therapy helps, fillers as well. We found that injection of nano-fat grafts produces significant improvement. Procedure of fat harvest and injection is done in local or twilight anesthesia. Hope this helps.

"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"

Thank you for posting your question. A neck lift procedure is an ideal solution for tightening the skin of the neck and throat to reveal a smoother appearance. Submental fat and excess skin may be removed before tightening the skin as well.
In some cases, the underlying tissue and muscles are also tightened to provide optimal results. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can help you decide on the best approach to help you reach your aesthetic goals.

Dear Sal570,
Thanks for submitting your question. For deep horizontal wrinkles on your neck you can try fillers like hyperdilute radiesse which will build collagen and elastin to improve your deep wrinkles. The gold standard would be a neck lift, by releasing the deep attachments of the skin to the underlying muscle, and then repositioning the skin, you will find the deep wrinkles become much smoother. You would then need regular skin treatments with Morpheus 8 or Pixel 8 to maintain the skin health and appearance. I hope this helps answer your question.
All the best,Dr. Sanan, MDAkshay Sanan MD Facial Plastic SurgeryLos Angeles, CA