The skin around the neck is often the first skin to show the visible signs of aging. The neck is an area that we commonly forget to apply moisturizer or sunscreen, and as a result we lose collagen and develop wrinkles. Since we often forget to apply any special treatment to the neck area, it often shows premature aging. The aging neck is one of the most common complaints among my patients.
Treatment Options for an Aging Neck
There are many non-surgical options that can help rejuvenate the appearance of your neck. Dr. Michele Green has pioneered a combination of treatments designed to rejuvenate the neck area. From Botox® and Fraxel®, which will reduce lines and wrinkles, to CoolMini and Kybella which will reduce stubborn fat under the chin/neck area, to Thermage® and BBL for skin tightening. There are a myriad of modalities now available to make your neck look younger without surgery.
Botox for Aging Neck
Botox® is a drug derived from bacterial botulinum toxin, which Dr. Green uses cosmetically to remove wrinkles by temporarily paralyzing certain lines of facial expression. Botox® can be used effectively on the cords of the neck to create a “Nefertiti Lift” and reduce wrinkles caused by sun damage and aging. The “Nefertiti Lift” involves carefully injecting Botox into the submental area and redining the jawline and neck area and providing a “lift” to the neck area. If you want help to rejuvenate the appearance of your skin, reduce fine lines and wrinkles around your neck, then Botox® may be the solution.
If a patient does not want to have a facelift, Botox® can be injected into your neck to tighten the neck area or just into the cords of your neck. Botox® will help the neck look better and younger. Patients will not look frozen or pulled back. The effects of Botox® last between 4 and 6 months. Botox injections takes less than 15 minutes and can be done during your lunch break. There is no down time or discomfort for this procedure.
Aging Neck Treatments with Fraxel
Another way to treat the aging neck is to laser those lines and age spots away. The Fraxel® Dual laser is equipped with two distinct settings, which means that you actually have two lasers in one. The 1927 wavelength is a state-of-the-art Thulium laser which allows Dr. Green to remove pigmentation, age spots, and sun damage from the top layer of the skin quickly, evenly and painlessly. Fraxel® Dual also has a second 1550 wavelength which Dr. Green utilizes to improve skin texture, fine lines, wrinkles, and acne scars.
The Erbium technology focuses the energy in the deeper areas of the skin, stimulating new collagen production. The new collagen that is produced ultimately improves the fine lines, wrinkles, skin texture, and even helps reduce scars. Patients normally come to the office one hour before their appointment to apply a topical anesthetic, so that there is no discomfort during the procedure. There is minimal recovery time and patients can return back to work the same day after the procedure.
Reduce Submental Fat on the Neck with Cool Mini®
Another way to rejuvenate your neck and reduce submental fat is through the Cool-Mini®. The Cool-mini by CoolSculpting® is a technology which uses controlled cooling to dissolve fat. CoolSculpting technology uses controlled cooling to target these fat cells. In the weeks to follow, your body naturally processes the fat and these cells are decreased. The procedure can reduce the fat by approximately 20% in a given area. For a large neck, Dr. Green recommends scheduling two treatments spaced one month apart for the best cosmetic results.
The Cool-mini procedure takes only 45 minutes to be performed. During the procedure, you can listen to music and relax since there is no discomfort during the procedure. You can resume normal activities as soon as the procedure is completed. The full results can take four months to appear.
Kybella Treatment for Neck Lines
Another non-surgical procedure that Dr. Green uses to help treat Submental fat is Kybella®. Kybella is an FDA approved injection, from the makers of Botox®, which contours and improves the appearance of moderate fat under the chin. Kybella is a safe alternative to liposuction or surgery for those who think twice about going under the knife. This procedure works by injecting Kybella into the submental fat under the chin.
Kybella is composed of deoxycholic acid which is a natural substance in the body. The Deoxycholic acid causes the destruction of fat cells. Once these cells are destroyed, they can no longer store or accumulate fat. Kybella typically takes two to four treatments spaced one month apart. It is normal to have swelling at the treated area and this is the expected result of the injection as your fat is dissolved. One of the advantages of Kybella is that it also tightens the neck while simultaneously dissolving the fat. The swelling typically lasts a few days and resolves on its own. Some patients may experience some minor bruising or temporary numbness which also resolves in several days.
Thermage to Reduce Lines & Wrinkles in the Neck
Another popular treatment which Dr. Green utilizes in her NYC Upper East side office for neck rejuvenation is Thermage®. Thermage® utilizes radiofrequency technology to tighten and contour your skin in a single treatment, with no surgery, no injections, and no downtime. Thermage® stimulates the body’s natural renewal process by encouraging the production of new collagen. During the aging process, we lose collagen in the skin, especially in our necks, and this causes wrinkles and sagging. The result of the treatment is a natural looking subtle lift, which is like a non-surgical facelift. Thermage safely heats the inner layers of your skin, while simultaneously cooling the surface of your skin. This procedure takes a single 90 minute treatment session to be performed.
After 3 to 4 months, your skin will be replaced with smoother, tighter skin, improved tone and texture and an overall younger looking complexion. Before the procedure a grid is applied to the area to mark the areas of the face and neck to be treated. During the procedure, the handheld device is pressed repeatedly onto the outlined area of your skin. As the adaptor touches your skin, you will feel both the sensation of heat and a cooling sensation. The heating sensation is a sign that the deep layers of your skin are reaching effective temperatures for tightening. After several months you will see the results of the procedure with skin tightening and a younger-looking appearance. Once the procedure is over, your skin will be slightly pink with a “glow” and you can return to your daily activities without any “down time.”
Sciton BBL™ Laser for the Aging Neck
The Sciton BBL laser procedure is often used along with Thermage for non-invasive skin tightening in the face and neck area. This method uses advanced infrared technology to heat the collagen. It is a non-invasive procedure to stimulate new collagen, which means there is no “down time” from this treatment either.
The light from the BBL treats damaged cells in the skin, stimulating a natural healing process. This procedure has become part of the “forever young BBL™” protocol for facial rejuvenation. Dr. Green is able to use this for a range of skin issues, including pigmentation, broken capillaries, fine lines and wrinkles around the face and neck. The end result is younger, more beautiful skin with tightening of the neck and jowl area. In most cases, the BBL will require 4 to 6 monthly treatments, however it is best to discuss your protocol with Dr. Green during your consultation.
Whether you want to treat a “turkey neck”, or have aging skin that you would like to tighten, Dr. Green can discuss the best options with you. To book an appointment, please contact our NYC based office or call 212 535 3088