Dr Rupert Critchley provides guidance on injectable neck rejuvenation and multi-modal treatment strategies
Facial rejuvenation remains the primary focus of aesthetic practice, with well-established treatment frameworks and predictable outcomes. However, the neck is frequently under-treated despite being one of the earliest areas to demonstrate visible ageing. The aesthetic concern is clinically relevant because the face and neck are usually viewed as a continuous unit, and disharmony between the two can make even well-executed facial rejuvenation appear incomplete.¹˒² This often results in a discordance between a rejuvenated face and an untreated neck, which can undermine overall aesthetic outcomes. Increasingly, patients are presenting with concerns specific to neck ageing, including skin laxity, platysmal banding, submental fullness and changes in skin quality.¹˒²
The neck presents distinct anatomical and physiological challenges. The skin is thinner, sebaceous activity is reduced and structural support is limited compared to the face.³ As such, treatment…