Procedures That Can Tighten The Neck– And Renee’s Expertise With Them

It’s no information to me, an esthetician of 30+ years, that individuals neglect their necks on the subject of skincare. The truth is, I typically be certain my pals, household, and shoppers are making use of their merchandise appropriately by asking them to reveal how they apply their sunscreen. Extra occasions than not, I’ll watch them apply it to their face after which apply no matter is leftover on their fingertips to their neck– which is way from a beneficiant software. What I need to emphasize is that our necks are an extension of our faces, in addition to one of many first areas to indicate seen indicators of growing old. Taking the right steps to take care of our necks day in and time out is extremely essential, don’t get me unsuitable. Nevertheless it’s essential to notice that skincare alone has limitations. As we age, our our bodies and muscular tissues naturally bear adjustments that will require various options.

So, What Do You Want To Know About The Neck?

Positioned instantly beneath the pores and skin in our necks is the platysma muscle. This muscle serves little or no goal in people besides to guard the deeper neck buildings. With age, this neck muscle begins to loosen and descend, inflicting the telltale indicators of growing old, or sagging vertical neck bands (also called the “turkey gobbler” – a stunning phrase LOL!). Whereas that is utterly regular, it’s one thing that I personally have undergone quite a lot of therapies for. As some proved simpler than others, I’m right here to supply perception to these of you on the market searching for skilled procedures (surgical and non-surgical) to tighten the neck.

Let me introduce you to my private board-certified facial plastic surgeon Dr. Sam Lam to debate what modern-day medication can do for anybody scuffling with seen indicators of growing old across the neck. Let’s dive in!

Non-Surgical Choices To Tighten The Neck

Botox for Platysmal Bands

Botox therapies are a minimally invasive and efficient remedy for effective traces and wrinkles. By injecting botox into the perimeters of the platysmal vertical neck bands each three to 4 months, the muscular tissues will start to melt and grow to be much less seen. “Botox injections can assist with early neck growing old, decrease visibility of the vertical neck bands, and delay the necessity for a face and neck raise,” says Dr. Lam. “Nonetheless, in average to superior neck sagging, solely a facelift will assist ameliorate these bands, as Botox will show ineffective to handle this extra pronounced sagging.”

Learn extra about how Botox can enhance your look (and high quality of life!).

Radiofrequency Microneedle

Radiofrequency microneedling is a type of managed pores and skin damage that stimulates the expansion of wholesome new pores and skin through the use of a effective needle to create micro-wounds within the pores and skin. What separates this process from common microneedling is the needle’s capability to launch radiofrequency into the pores and skin, inflicting further injury and leading to thicker, smoother pores and skin. “For non-surgical therapies, I imagine that radiofrequency microneedle can assist with enhancing pores and skin tone and crepiness,” says Dr. Lam.

This type of microneedling can be a typical skilled remedy for pimples scars— however is it price it?


Mesobotox is a beauty process that makes use of a microneedle to inject small quantities of diluted botox all through the face, usually within the T-zone. This treats the pores and skin high quality, like pores, texture, tone, wrinkles, and horizontal traces. “Sadly, most individuals in the USA nonetheless don’t respect Mesobotox though it’s the most potent technique of pores and skin rejuvenation on the market, is secure in all pores and skin sorts, with no long-term dangers, with profound long-term outcomes, and with little downtime,” says Dr. Lam, including that he prefers it to radiofrequency microneedle, because it achieves related ends with much less subcutaneous scarring.


Kybella is a non-surgical injectable method that targets fats beneath the chin. In line with Dr. Lam, any type of subcutaneous neck fats discount is a mistake. “The issue with fullness within the neck truly doesn’t reside within the subcutaneous airplane (instantly below the overlying pores and skin) however within the airplane that’s deep to the platysma muscle,” says Dr. Lam, including that the process dangers problems similar to untimely growing old. This process exposes the underlying platysma muscle with out offering any main enchancment.

Different Minimally Invasive Procedures

Whereas there are different non-surgical therapies like Ulthera, Thermage, and lots of extra, Dr.Lam advises towards these, saying they “don’t present a lot neck rejuvenation and may result in unpredictable subcutaneous scarring.” Whereas fashionable previously, he says minimally invasive procedures like threadlifts could cause extra hurt than good.

As for laser therapies, it’s essential to tread rigorously. Lasers, particularly any type of ablative laser (the place the pores and skin is burned off), have a excessive threat of scarring as a result of neck’s lack of adequate oil glands.

Examine my expertise with Vbeam laser remedy for Poikiloderma right here.

Surgical Choices To Tighten The Neck


Liposuction is a beauty surgical procedure that goals to take away undesired fats from the physique (and neck, too!) and is among the hottest plastic surgical procedures on this planet. Nonetheless, Dr. Lam believes any use of liposuction to be simply as problematic as Kybella.

Neck Carry and Face Carry

Neck and facelifts are particularly designed to deal with sagging– they usually’ve come a great distance. In line with Dr. Lam, neck lifts are the preferable surgical choice, and might be carried out in isolation or mixed with a facelift. Questioning for those who’re a great candidate for this process? Dr. Lam says that these approaching or exceeding 40 years or coping with sagging alongside the jawline would profit, as long as there isn’t a extreme neck fullness. “The way in which that I can simply inform if somebody wants a deep neck raise is to easily pull again on the neck tissues with my fingers and if there may be nonetheless fullness, then a deep neck raise mixed with a facelift is the way in which to go,” says Dr. Lam. “Nonetheless, if the sag is totally taken care of then a regular deep-plane facelift is adequate.”

For extra on this sophisticated process, see Dr. Lam’s detailed 5-part video series.

Topical Choices To Tighten The Neck

Whereas sagging is a pure (and regular!) a part of growing old, there are issues we will do to delay it. My finest recommendation for these seeking to postpone the onset of sagging is to make use of sunscreen and energetic skincare substances that encourage elasticity. A every day software of SPF to your neck and face is one of the best ways to guard your pores and skin from the #1 explanation for untimely growing old: the solar. I additionally love to make use of Triple Berry Smoothing Scrub at the least twice per week on my neck, as bodily exfoliation is de facto essential for making it look smoother. 

Procedures I’ve Executed To Tighten My Personal Neck

The primary time I thought of getting work accomplished on my neck was after listening to about certainly one of my shopper’s experiences with Botox for platysmal bands. As somebody with a low quantity of physique fats and a 9-year historical past of clenching my jaw tightly whereas doing CrossFit, I had developed fairly distinguished platysmal bands myself. (Platysmal bands might be extra pronounced for these like me who raise weights and make facial expressions whereas doing so.) Whereas I used to be diligent about sunscreen and anti-aging care, these bands have been nonetheless one thing that I felt had grow to be ugly with age. This led me to hunt out options.

Once I began seeing Dr. Lam, he started injecting just a little little bit of Botox into my platysma muscle to tighten it. Nonetheless, resulting from my prolonged weightlifting historical past, the Botox wasn’t doing as a lot as we had hoped. It was then that we determined to go ahead with surgical procedure, particularly platysmaplasty.  The process required an incision below the chin and I did need to go below anesthesia. Total, I’ve undoubtedly seen enchancment. My platysmal bands didn’t totally disappear, probably as a result of truth I nonetheless raise weights and have decrease physique fats, however I’m very proud of my outcomes.

All in all, there are a number of efficient surgical and non-surgical strategies to rejuvenate and tighten the neck, similar to Botox, radiofrequency microneedling, Mesobotox, and neck and facelifts. Now which one is best for you? That’s one thing that may rely in your particular person anatomy, age, way of life, and so on. For my energetic way of life and low physique weight, that meant platysmaplasty. It’s essential to analysis your surgeon and discover somebody who will steer you within the route of the best-fit process for you– even when which means abstaining from procedures totally resulting from budgetary restrictions, problematic procedures, or limitations in want for surgical procedure.

Subsequent, discover out why your sunscreen is pilling (and learn how to forestall it!).