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Aging Neck Treatments

There are many non-surgical options that can help rejuvenate the appearance of your neck.

The neck and décolletage are often among the first areas to be affected by the various visible signs of aging. Even those who embrace a complete skincare regimen often commonly forget to apply moisturizer or sunscreen to the neck area. As a result, collagen and elastin in the skin may be broken down at a faster rate than they are created, which leads to the development of wrinkles, skin laxity, and other signs of premature aging. The appearance of an aging neck is one of the most common complaints from patients visiting the private New York City dermatology office of Dr. Michele Green.

Luckily, there are many non-surgical options that can help rejuvenate the appearance of an aging neck. Thermage, Kybella, Dermal Fillers, Botox, Coolsculpting, and Microneedling are among the most popular non-surgical cosmetic treatment options for rejuvenating the appearance of the neck area. The unique combination of non-invasive procedures that is best-suited to addressing your particular skin concerns and delivering your ideal aesthetic results should be determined with an expert in the field of cosmetic dermatology, such as Dr. Green in NYC.

Dr. Michele Green in NYC is a world renowned cosmetic dermatologist with over 25 years of experience providing some of the most discerning men and women from around the globe with the best available non-invasive cosmetic treatments for rejuvenation. Dr. Green embraces a ‘less is more’ philosophy and takes a holistic approach to anti-aging treatment, helping her patients to look and feel like the very best version of themselves. She is consistently voted as one of New York’s best physicians by Castle Connolly, Super Doctors, and New York Magazine. When you consult with Dr. Green at her private dermatology office in the Upper East Side neighborhood of Manhattan, you’ll develop a customized treatment protocol that delivers natural-looking, long-lasting cosmetic results.

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, and scheduling a consultation with Dr. Green in NYC is the best way to determine which unique combination of treatments is right for you.

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Can Botox help an aging neck?

Botox® is an injectable neurotoxin that is derived from botulinum toxin type A and is used cosmetically to prevent or reduce the appearance of dynamic fine lines and wrinkles. Dynamic wrinkles are those which are formed over time in response to the repeated movement of facial and neck muscles related to expression. Botox works by temporarily paralyzing certain muscles that are associated with expression, resulting in a reduction in fine lines and an overall smoother skin texture. When it comes to treating an aging neck, Botox can be injected to prevent the neck muscles from appearing strained and aged. The “Nefertiti Lift” is the common name for the popular cosmetic procedure that entails injecting Botox into the platysma bands and along the jawline to reduce fine lines and wrinkles as well as produce a lifting, rejuvenating effect for the neck area.

Dr. Michele Green was one of the first dermatologists in NYC to incorporate cosmetic Botox injections into the rejuvenation treatment plans of her patients from around the globe. When you consult with Dr. Green at her private dermatology office in the Upper East Side neighborhood of Manhattan, you’ll have the opportunity to discuss with her in-depth regarding your particular skin concerns and ideal cosmetic results. She will work with you to determine which combination of non-invasive procedures and specially formulated skin care products are best suited to delivering your natural-looking, long-lasting, revitalizing results.

Resurfacing with Fraxel

Another effective approach for treating the aging neck is to laser those fine lines and age spots away. The Fraxel® Dual laser is often referred to as the ‘magic eraser’ by Dr. Green for its unique ability to target a myriad of skin concerns, including signs of aging on the neck. The Fraxel laser is equipped with two distinct wavelength settings, meaning that there are essentially two laser treatments in one device. 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 including fine lines, wrinkles, enlarged pores, stretch marks, 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 look of fine lines, wrinkles, skin texture, and even helps reduce scars.

In preparation for a Fraxel treatment session, patients are advised to apply a topical numbing cream to the entire surface of the treatment area in order to eliminate any potential discomfort that may be experienced during the procedure. There is almost no downtime involved whatsoever with having Fraxel treatment, and patients are able to resume their normal daily activities following the procedure.

Reduce Submental Fat with Cool Mini®

Stubborn pockets of fat that are unresponsive to diet and exercise may seem almost impossible to get rid of. When the submental area is affected by a stubborn pocket of fat, the neck area may appear aged. To reduce submental fat and rejuvenate the neck area, the Cool-Mini is ideal. The Cool-Mini by CoolSculpting is an innovative technology that relies on controlled cooling to break down fat cells and eliminate unwanted fat in a treatment area. Each CoolSculpting treatment reduces the fat in the treated area by 20 percent. The fat cells that are broken down are naturally metabolized by the body in the weeks following the CoolSculpting treatment session. Patients presenting with a significant amount of submental fat may require two treatment sessions that are spaced one month apart for the best cosmetic results.

Patients enjoy that their Cool-Mini treatment sessions take just 45 minutes to perform and that normal daily activity can be resumed immediately upon completion of the procedure. The fact that there is no discomfort, downtime, or specific preparation required for CoolSculpting treatment makes it possible to schedule a session with ease. The final cosmetic effects may take up to four months to observe, and the results that are achieved from CoolSculpting are permanent provided that a patient does not gain weight after their treatment.

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Kybella injections for non-surgical Neck Lift

Not every patient that struggles with the presence of stubborn submental fat will be an ideal candidate for treatment with the Cool-Mini from CoolSculpting. For patients that are looking for another way to reduce the amount of submental fat that they have, Dr. Green often recommends injections of Kybella.

Kybella is an FDA approved cosmetic injection that is designed to reduce the amount of fat in the treated area, provide contour to the jawline and neck area, and improve the overall appearance of the submental area. Kybella is composed of a synthetic version of deoxycholic acid, which is a naturally occurring substance in the body that operates to breakdown dietary fat. Once injected, Kybella permanently destroys the affected fat cells in the treatment area. In order to get the best overall cosmetic result, patients typically require between two to four treatment sessions that are each spaced one month apart.

Patients can expect to experience some swelling in the submental area after having injections of Kybella, and this is a normal reaction to the treatment indicating that the fat cells are effectively being dissolved. This common side effect typically lasts for several days and then resolves on its own. Although more rarely experienced, some patients may have some minor bruising at or near the sites of injection, which also resolves within several days. In addition, following up a CoolSculpting treatment with a single treatment session of Kybella injections into the submental fat area is an excellent approach for achieving ideal cosmetic fat removal results. If you are frustrated by the presence of stubborn submental fat, Dr. Green will work with you to create a customized treatment approach that results in a slimmer, more contoured appearance that lasts.

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What is best for neck tightening?: Thermage

Skin laxity in the neck area and jowls is one of the most popular complaints among patients visiting Dr. Green’s private cosmetic dermatology office in the Upper East Side neighborhood of Manhattan. The most popular skin tightening treatment for improving skin elasticity and rejuvenating the neck skin is Thermage.

Thermage® treatment relies on the use of radiofrequency technology to deliver heat application to the deeper dermal layers of the skin. The procedure stimulates the body’s natural renewal process by encouraging the production of new collagen. Collagen is a protein that is naturally found in the skin and supplies it with a firm foundation and contributes to a youthful appearance. Over time, collagen is broken down and levels are depleted as part of the aging process. The neck area already has a lesser amount of collagen to begin with compared to other areas of the body, and losing collagen in the neck skin contributes significantly to the development of wrinkles and fine lines in the area.

Thermage treatment ultimately replenishes lost collagen and tightens and contours the skin in the treatment area in just a single treatment session, without the need for any invasive surgery or extensive downtime. The result of the treatment is a natural looking subtle lift, essentially which is a non-surgical facelift. This procedure takes a single 90 minute treatment session to be performed. Dr. Green may refer you to a plastic surgeon if there is too much skin laxity in the treatment area to be effectively treated with Thermage.

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In the 3 to 4 months following the treatment, as new collagen is continually produced, the skin in the treatment area will become smoother, tighter, and have an improved overall texture. Treatment with Thermage produces a younger looking complexion in just a single session. 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 the sensation of heat on the surface of your skin. 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.”

Ultherapy is another popular skin tightening treatment that is often compared to Thermage, although it is a procedure that utilizes ultrasound energy rather than radiofrequency energy to stimulate new collagen production. One of the potential risks associated with Ultherapy is facial volume loss. The ultrasound energy can penetrate at a depth that affects fat cells and may actually ‘melt’ the fat in a treatment area, resulting in poor cosmetic results. This risk is not associated with Thermage, which treats exclusively the dermal layers of skin to induce new collagen production.

View more info about Thermage for neck wrinkles

Sciton BBL™ Laser

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.

Other treatment options for neck rejuvenation


IPL treatment uses varying concentrated wavelengths of light to rejuvenate the skin, improve skin tone and texture, broken blood vessels, rosacea, pigmentation, sun spots, age spots, fine lines, wrinkles, and help to reduce the appearance of sun exposure or aging on the skin. IPL is safe to use on a variety of skin types, and can help to improve the overall look of the skin in as little as one session. IPL works by utilizing discrete wavelengths of light energy and stimulating new collagen and elastin production.


Microneedling, a treatment that is also known as collagen induction therapy, is a non-invasive cosmetic procedure that is designed to improve the overall texture and tone of skin. The process entails that the provider performing the treatment use a handheld device containing tiny insulated needles to create microscopic injuries in the epidermis of the skin. In response, the natural wound healing process of skin is stimulated. This process leads to an increase in the amount of new collagen and elastin that is being produced, which leads to a smoother, brighter complexion. The cosmetic effects of microneedling can be further enhanced by utilizing platelet rich plasma (PRP) during your treatment session. PRP contains a host of epidermal growth factors that accelerate the healing process and boost the effects of the treatment. To take advantage of PRP, a sample of the patient’s own blood is collected and set to spin in the centrifuge. The plasma is separated from the red blood cells, and later applied to the skin after the microneedling device is passed over the surface. The microscopic channels that are created with the microneedling device increase the absorbency of the PRP, helping patients achieve optimal cosmetic results.

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Hyaluronic acid dermal fillers, such as Juvederm and Restylane products, are commonly used to eliminate the appearance of wrinkles and fine lines that form as a result of volume loss and collagen breakdown over time. Hyaluronic acid is a substance that can naturally be found in the skin and contributes to a supple, hydrated, youthful appearance. The treatment results associated with hyaluronic acid fillers generally last for up to a year.

Sculptra is a popular dermal filler injection that is composed of a substance called poly-L-lactic acid and is commonly used for reducing the appearance of neck lines and wrinkles in the décolletage. Once injected, Sculptra stimulates the production of new collagen in the skin. Collagen is a naturally occurring protein in the skin that contributes to a firm texture and a youthful appearance. As new collagen is created, depressions in the skin that are associated with neck lines and an aging neck are filled, and the skin texture ultimately becomes more even. Most patients require a short series of three treatment sessions with Sculptra injections to achieve their ideal cosmetic results. Although the effects of Sculptra are long lasting and typically remain for up to two years in duration, many patients elect to engage with annual maintenance sessions to keep up their optimal results.

Many patients may choose to combine treatments of Sculptra injections with hyaluronic acid dermal fillers to maximize their final results. Ultimately, the dermal filler treatment that is best suited to your particular situation will be dependent upon your specific needs and aesthetic goals. Dr. Green will work with you to create a customized treatment protocol that incorporates the in-office procedures and specially formulated products that will deliver natural-looking, long-lasting results.

How can I stop my neck from aging with my Skincare?

Your skincare routine is an important component when it comes to preventing signs of aging from developing on the neck area. Retinol and retinoid products are derived from vitamin A and work by accelerating the rate of skin cell turnover. Dead skin cells are exfoliated away from the surface of the skin to reveal new, healthy skin cells that are more even in tone and texture. When it comes to the appearance of an aging neck, retinol is an incredibly beneficial skincare ingredient.

A broad spectrum sunscreen that offers coverage against UVA and UVB rays and has a minimum SPF of 30 is recommended for application every ninety minutes to both the face and neck. These areas of the body are highly susceptible to sun damage, which is one of the biggest contributing factors to the development of various signs of aging.

Hyaluronic acid is an excellent skincare ingredient to incorporate into your neck care regimen as it supplies essential skin hydration. Skin that is not adequately moisturized will appear more aged and show more fine lines and wrinkles than skin that is sufficiently hydrated. When you consult with Dr. Green at her private dermatology office in the Upper East Side neighborhood of Manhattan, she will work with you to create a skincare regimen that works best for your skin type and helps you achieve a youthful, clear, healthy complexion that lasts.

Why is my neck aging so fast?

As a part of the natural aging process, collagen in the skin is broken down and depleted. Collagen is a protein in the skin that contributes to a firm foundation and youthful appearance. As collagen is lost over time, the signs of aging start to develop. The neck skin is thinner than other areas of the body and has a lesser initial amount of collagen, making it more susceptible to faster aging. It is incredibly important to limit sun exposure and utilize an anti-aging skincare routine that incorporates the neck area in order to keep the neck looking and feeling youthful.

What does an aging neck look like?

Loose skin, jowls, fine lines and wrinkles, crepiness, and an uneven skin tone are just some of the signs of aging that may present on the neck area. Many patients refer to the aging neck as a “turkey neck”, as the skin may start to appear wrinkled and loose. If you are interested in preventing or treating the appearance of an aging neck, Dr. Michele Green in NYC can help. Dr. Green is an internationally renowned cosmetic dermatologist with over 25 years of experience providing patients from around the globe with the most innovative rejuvenation treatments available, including for improving an aging neck.

How to Prevent Aging Neck Skin

Limiting sun exposure to the neck area and adhering to proper sun protection protocol are two of the most important factors in preventing aging neck skin. The appearance of an aging neck can be impacted by a number of contributing factors including genetics, skincare, lifestyle/ habits, and more. The neck already has a relatively low amount of collagen compared to other areas of the body, making it more susceptible to developing signs of aging. In order to best prevent the signs of an aging neck, patients should adhere to proper sunscreen protocol and consult with a board-certified dermatologist, like Dr. Michele Green in NYC, as soon as evidence of neck aging becomes apparent.

What is the best neck cream for an aging neck?

With so many over the counter options available, it can be difficult to determine which skincare products are optimal for treating or preventing the appearance of an aging neck. Neck creams containing active ingredients such as retinol, peptides, and hyaluronic acid will help treat the appearance of an aging neck by increasing the rate of skin cell turnover and providing essential hydration, respectively. From Dr. Green’s line of specially formulated skincare products, MGSKINLABS, Inc., the Neck Renew Skin Rejuvenation Cream is an excellent option for anti-aging on the neck. The Neck Renew formula is packed with beneficial ingredients including antioxidants, glycerin, niacinamide, and caffeine to provide essential skin hydration, boost elasticity, and improve the texture of the skin. Patients should use their Neck Renew Cream twice a day for best results.

Are Neck Wrinkles Genetic?

Genetics can play a role in the prevalence and severity of your neck lines. Doing targeted exercises to strengthen the neck muscles and adhering to a proper skincare routine that involves the neck area are two helpful methods for preventing the formation of wrinkles on the neck, however, genetic neck wrinkles can be difficult to manage. Dr. Green can reduce the appearance of your neck wrinkles by relying on non-invasive treatment methods like dermal filler injections and laser resurfacing treatments to create a smoother, more youthful appearance.

What causes a turkey neck?

Generally a combination of factors contributes to the development of what is referred to as a “turkey neck”. One of the primary factors influencing the presence of a turkey neck is the amount of collagen in the skin on the neck compared to the other areas of the body. Collagen is a naturally occurring protein in the skin that provides it with a firm foundation and youthful, supple appearance. There is less collagen present in neck skin than other areas of the body, making it an area that is very susceptible to developing signs of aging.

Can you reverse a sagging neck?

With the help of an expert, such as board-certified cosmetic dermatologist Dr. Michele Green, it is entirely possible to reverse various signs of aging associated with a sagging neck. Skin laxity, fine lines and wrinkles, and volume loss are all skin concerns that can be addressed with non-invasive cosmetic procedures. It is important to select a provider with the expertise and experience required to select and perform the most appropriate treatments for your specific skin conditions. Working with a board-certified medical professional is the best way to ensure that you prevent any potential unwanted or dangerous side effects associated with treatment, as well as guarantee the best cosmetic overall cosmetic results. Dr. Michele Green in NYC is a board-certified dermatologist with over 25 years of experience providing some of the most discerning men and women from around the globe with the best non-invasive treatment solutions available.

What causes Premature Neck Wrinkles?

Premature neck wrinkles are an increasingly common concern among men and women alike. Some of the factors that contribute to the formation of premature neck wrinkles, a skin concern often referred to as ‘tech neck’ or ‘turkey neck’, include sun exposure and the increased use of devices such as the computer and a cell phone. The skin on the neck area is thin, making it more prone to suffering from sun damage than other areas of the body. For this reason, signs of aging tend to develop on the neck even before they become apparent on other areas. Additionally, many patients are likely to focus on their face with their skincare routines, often forgetting to treat their necks. It is important, however, to include the neck area in a daily skincare routine to keep it healthy, hydrated, and youthful. If you are interested in preventing premature neck wrinkles from forming, or are frustrated by their appearance, consulting with Dr. Green in NYC is the first best step.

How to Get Rid of an Aging Neck

The appearance of an aging neck can be a great source of frustration and, for many, may cause feelings of self-consciousness. Loose skin, fine lines, stubborn deposits of fat, and unwanted pigmentation are some of the signs of aging that commonly affect the neck and can cause us to look and feel much more aged than we truly are. For those who are in search of a non-surgical cosmetic solution for their dreaded “turkey neck”, Dr. Green can help. Dr. Michele Green in New York City is recognized and appreciated around the globe for her holistic approach and ‘less is more’ philosophy when it comes to rejuvenation treatments, including those for an aging neck. Castle Connolly, New York Magazine, and Super Doctors consistently identify Dr. Green as one of New York’s best physicians, and she has been an international leader in the field of cosmetic dermatology for over 25 years. In her private dermatology office, located in the Upper East Side neighborhood of Manhattan, Dr. Green creates customized treatment protocols for some of the most discerning men and women from around the world to produce their ideal cosmetic results. Utilizing the most cutting edge modalities and innovative treatment techniques, Dr. Green helps all of her patients to look and feel like the very best version of themselves. To schedule a consultation with Dr. Green and learn more about the various treatment options for addressing an aging neck, please contact the office online or call 212-535-3088.


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