The lines on the neck, also known as necklace lines or transverse neck lines, are regularly perceived by patients as a negative sign of ageing and ways to reduce the appearance of lines are often reported by consumer media.1,2 The lines commonly present as horizontal overlapping skin folds and can be seen in patients of any age, as there is some congenital occurrence. They are progressive in nature and there is a strong correlation between age and rhytid depth.1
In clinical practice, I find the reasons patients present for progressive conditions such as neck rhytids are multifactorial – including financial, social and life-event drivers. For instance, we often see patients present when they have self-observed a significant, rapid negative change, such as during periods of accelerated visible ageing around the peri-menopause. In many cases, an earlier preventative adjuvant therapy regime…
