What is the Best Procedure to Remove the Lines on my Neck?

I am 36 years old and have these horizontal lines on my neck. As expected, they seem to be getting worse as I age. I have very little fat on my neck. The skin within the crease will not tan and really makes the lines stand out more during the summer. As you can see from the profile picture, there is a little bit of excess skin on my neck and under my chin. I have been considering a neck lift but didn't know if laser resurfacing would provide good results.

Doctor Answers 6

Neck Wrinkles

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Horizontal lines can be diminished used dermal fillers which would help fill in the deep creases. Although Botox can be used on the neck, it is used for vertical bands that result from your neck muscles becoming thicker and more cord-like. Botox will not eliminate the horizontal lines. 

Fraxel lasers can also be used to tighten the skin on the neck, which can help address the excess skin you mentioned. Fraxel Re:pair will tighten the skin by shrinking the overall surface area. It is safe for lighter skin patients though. Fraxel Dual will help your skin form new collagen, allowing it to become firmer and more elastic. The laser treatments will not completely eliminate the horizontal lines. 

It is important that you speak to a board certified dermatologist to determine the best treatment or combination of treatments for you.

Redondo Beach Dermatologic Surgeon
4.6 out of 5 stars 33 reviews

Horizontal neck lines

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Horizontal lines in the neck are genetic and unfortunately, are very difficult to treat. 

Fillers can soften the lines, but must be placed very carefully and require a large amount across the neck in order to be effective. Even then, they will not fully eliminate the lines, and may look a bit un-natural. Fractionated laser treatments and micro-needling can also help a little, but will not eliminate the lines. Even a surgical necklift that tightens the skin and muscle layers in the neck will not completely eliminate these horizontal lines. Botox/Dysport/Xeomin are generally ineffective for horizontal lines in the neck, but can be very helpful for vertical lines. 

Matthew Richardson, MD
Frisco Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Options for neck wrinkles; conservatism is paramount.

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These so called "necklace lines" which run horizontally are very common in thin skinned patients. Noninvasive treatment with Botox or other similar neurotoxins works fairly well by relaxing excess platysma muscle activity, and also works for vertical bands in the neck, for about 4 months. Light peels, light fractional laser treatments, and nonablative radiofrequency procedures, as well as Ulthera ultrasound do offer some improvement by tightening the skin somewhat. I always recommend a good topical regimen including retinoids and vitamin C as well.So called "neck creams" may help a little, but there is not much scientific validation for these. Surgery is reserved for neck laxity and excess skin, and a neck lift will address these issues well. Avoid aggressive chemical peels and ablative laser procedures as there is a significant risk of scarring, hypopigmentation pain and other complications.

Harrison C. Putman III, MD
Peoria Facial Plastic Surgeon
4.7 out of 5 stars 13 reviews

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What is the Best Procedure to Remove the Lines on my Neck?

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Thank you for your question.

Combination treatments with Botox placed strategically as well as laser resurfacing will soften those creases and lines.

Ultherapy will also tighten the skin in the neck.

Read my Ultherapy ebook on the link below.

Dr. Karamanoukian

Horizontal neck lines

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Horizontal neck lines with excess skin can be challenging. In my opinion, the best option is either surgery or a combination of light fractional resurfacing and dermal fillers. Botox works best for the vertical neck bands.

Miriam Hanson, MD
Austin Dermatologist

Horizontal neck creases may be improved with a carefully performed Injectable Filler treatment.

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These horizontal neck creases are bothersome to many young patients like yourself. I have had good success minimizing, not eliminating, their appearance with Silikon-1000, an off-label filler for permanent results. Hope this is helpful for you. Dr. Joseph

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 435 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.