Patients requesting non-invasive aesthetic treatment for an ageing neck may report a range of unwanted signs. These include loose or sagging skin, changes in skin colour or texture, accumulation of fat between the chin and the neck, changes to the cervicomental angle, horizontal ‘necklace’ lines or vertical platysmal bands on the neck itself.1,2 It is no longer the case that surgery presents the only option for addressing these signs. Now a growing range of minimally invasive treatment options are available. Injectable agents, such as botulinum toxin and soft-tissue fillers have a key role to play, as do devices and techniques including energy-based treatments.2,3
This article takes a closer look at how to approach rejuvenation of the neck and some of the treatments that are appropriate, as well as the evidence for combinations of treatments in this delicate and complex area.
Several layers of the superficial anatomy of the skin may be implicated in non-invasive treatment for the effects of ageing.1 Dermal thinning can occur due to ageing or ultraviolet damage.4 Other…