A lean and tight neck is an important contributor to the appearance of youthfulness and attractiveness. Smooth skin texture with an even tone, a well-defined cervicomental angle, distinct mandibular border and appropriate fullness are all considered to be visual aspects of a youthful neck.1 Multiple underlying physiological processes contribute to ageing of the facial and neck skin. These include chronological ageing (which leads to thinning and reduction in the elasticity of the skin), accumulated tissue damage from environmental factors such as photodamage from sunlight exposure, downward tension from the platysma muscle complex, increased submental fat and the effects of gravity on ageing skin.1,2 An already existing recessed chin and 3D changes of the mandible and the chin contribute to characteristic signs of ageing.3-5 An interplay of these underlying processes leads to the visual…
