What Is Neck Rejuvenation?
The neck has thinner skin and fewer oil glands than the face, so signs of aging can appear early and become noticeable here. Horizontal neck lines (commonly called necklace lines), skin laxity, vertical neck bands and fullness under the chin are the most common concerns.
Neck rejuvenation is not a single procedure but a set of methods chosen according to which of these findings is most prominent. The aim is to help the neck look firmer and more rested, in harmony with the face.
Because the skin of the neck is thin, the dose, depth and choice of product for methods used in this area are planned differently from the face. In some people a single method is enough, while in others several methods may need to be used together at intervals for different findings.
Which Methods Can Be Used?
- Botulinum toxin: It can be used to soften the vertical bands that form when the neck muscle (platysma) becomes prominent, and the downward pull on the jawline.
- Injections that support skin quality: Mesotherapy or lightweight hyaluronic acid products may be preferred to support hydration and elasticity.
- HIFU: It targets laxity in the neck and under the chin from the deeper layers.
- Thread procedures: Fine threads can be used to support skin quality and firmness.
- Double chin treatment: It can be considered when localized fat under the chin is the main concern.
Which of these methods will be used, in what order and at what interval is determined individually according to examination findings.
Who Is It Suitable For?
- People whose horizontal neck lines have become noticeable
- Those with mild to moderate laxity in the neck skin
- People whose vertical neck bands become prominent when speaking or straining
- Those who are having their face treated and notice that the neck does not keep pace with this change
When there is marked excess skin and advanced sagging, the effect of non-surgical methods may be limited; in that case, information about surgical options is also provided.
How Does the Process Go?
- At the consultation, the neck skin, muscle activity and the structure under the chin are evaluated.
- Depending on the source of the concern, a single method or a gradual combination is planned.
- The procedures are usually done in a short time, with the comfort measures the method requires.
- At the follow-up visit, the result is evaluated and the next step is planned if needed.
Applying sunscreen to the neck daily and extending skin care down to the neck help support the procedures.
Possible Side Effects and Who Should Not Have It
Redness, swelling and bruising at the injection points are common and usually pass within a short time. With botulinum toxin in the neck area, dose and point selection are important; a feeling of temporary weakness in swallowing or in the neck muscles has rarely been reported. The side effects of HIFU and thread procedures are described separately on their own pages.
These procedures are not performed during pregnancy and breastfeeding, in people with an active infection or skin condition in the treatment area, and in some neuromuscular conditions. If there is a newly noticed swelling or mass in the neck, a medical evaluation is needed first.
Dr. Fulya Koç’s Approach
Dr. Fulya Koç does not think of the neck separately from the face; harmony between the face and neck is an important part of a natural look. For this reason, in neck rejuvenation she follows the same measured and gradual approach she recommends for the face.
Instead of a separate procedure for every finding, she prefers to start with the step that will contribute most to your concern. Results vary from person to person, and the plan is created together after the consultation.
Sometimes the most appropriate starting point can be a simple routine that includes regular sun protection and neck care; the need for procedures is then evaluated on top of that foundation.
Fulya Koç
Frequently asked questions
No single method suits everyone. For horizontal lines, injections that support skin quality may stand out; for vertical bands, botulinum toxin; for laxity, HIFU or thread procedures. The choice is made according to examination findings.
There is no specific age limit; what matters are the findings. Sun protection and regular skin care in the early period may help slow changes in the neck.
Holding the head tilted forward for long periods can contribute to horizontal lines becoming more noticeable on the neck. The appearance of these lines can be softened with suitable methods; paying attention to posture habits also helps maintain the result.
The information on this page is general. Whether the treatment suits you, its possible risks and the results you can expect are assessed individually at your consultation. Results vary from person to person. Image is illustrative.



