How to Treat Sagging and Wrinkles Below the Chin

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Client receiving a non-invasive laser-based neck rejuvenation treatment in a clinical aesthetic setting

The face often gets all the attention—but the neck tells the real story. As collagen declines and skin loses elasticity, the neck can show signs of aging even earlier than the face. Think sagging, crepey texture, horizontal neck lines, and fullness under the chin. Sound familiar?

At Greenspring Medical Aesthetics, we offer a range of non-surgical neck rejuvenation treatments to tighten, smooth, and lift the neck area—restoring youthful definition from chin to collarbone.

 

TLDR – Quick Guide

  • The neck ages due to collagen loss, sun exposure, repetitive motion, and weakened muscles. 
  • Non-surgical treatments like Ultherapy, injectables, RF microneedling, and skin tightening lasers can effectively address sagging and lines. 
  • A customized combination of therapies often delivers the best, most natural-looking results. 

Why the Neck Ages Faster Than You Think

The skin on your neck is thinner and has fewer oil glands, making it more prone to dehydration and breakdown. Combined with constant movement (hello, tech neck) and sun exposure, this area is highly vulnerable to:

  • Fine lines and horizontal creases 
  • Skin laxity and “turkey neck” appearance 
  • Vertical banding due to platysma muscle strain 
  • Submental fullness (double chin) 

Top Neck Rejuvenation Treatments at Greenspring

1. Ultherapy®

Ultrasound-based skin tightening that lifts and firms by stimulating deep collagen regeneration.

  • Targets: Sagging skin, crepey texture, mild jowls 
  • Downtime: None 
  • Results: Gradual improvement over 2–3 months with continued lifting over 6 months 
  • Ideal for: Clients not ready for surgery but wanting noticeable lifting 

2. RF Microneedling (Scarlet RF or Profound RF)

Combines microneedling with radiofrequency energy to tighten skin and improve texture from within.

  • Targets: Fine lines, laxity, and early neck bands 
  • Downtime: 1–3 days of redness 
  • Benefits: Triggers new collagen and elastin production 
  • Series: 3–4 treatments recommended for optimal results 

3. Botox® for Platysmal Bands

Botulinum toxin is strategically injected into the platysma muscles to soften vertical neck bands and relax strain.

  • Targets: Vertical cords, tension, and early creasing 
  • Downtime: None 
  • Results: Visible softening in 5–7 days; lasts 3–4 months 

4. Dermal Fillers for Neck Lines

Horizontal neck lines (also called “necklace lines”) can be softened using precise injections of hyaluronic acid fillers.

  • Targets: Fine to moderate horizontal creases 
  • Downtime: Minimal; possible bruising or swelling 
  • Results: Immediate smoothing that lasts 6–12 months 

5. Skin Tightening with Venus Freeze™ or Profound®

Non-invasive or minimally invasive radiofrequency energy firms the skin and boosts circulation.

  • Targets: Mild sagging, dull tone, and early wrinkling 
  • Benefits: Improves elasticity and restores youthful contour 
  • Ideal for: Clients looking for comfortable, no-downtime maintenance 

6. Kybella® for Double Chin Reduction

An injectable fat-dissolving treatment that permanently reduces submental fullness.

  • Targets: Fat under the chin 
  • Downtime: Swelling and tenderness for 3–5 days 
  • Series: 2–4 treatments spaced 4–6 weeks apart 

 

Combining Treatments for a Full Neck Rejuvenation Plan

Most patients benefit from a tailored combination of therapies to address skin, muscle tone, and fat.

Example Combo:

  • Ultherapy + Botox for lifting and smoothing 
  • RF Microneedling + Fillers for tone and line correction 
  • Kybella + Venus Freeze for contour and tightening 

Our experts at Greenspring will design a plan that fits your anatomy, goals, and comfort level.

 

Key Takeaways

  • Neck rejuvenation is achievable without surgery using proven, advanced technologies. 
  • Treatments address multiple layers of aging: skin, muscle, and fat. 
  • A customized, combination approach delivers the most natural, youthful results. 
  • With little to no downtime, these options fit seamlessly into your lifestyle. 
  • At Greenspring Medical Aesthetics, we bring expert care to every step of your anti-aging journey. 

 

FAQs

  1. When should I start treating my neck?
    The earlier, the better. Starting in your 30s–40s helps prevent deeper sagging and lines later on.
  2. How long do results last?
    Most treatments last 6–12 months or longer with proper skincare and maintenance.
  3. Can I combine neck and face treatments?
    Absolutely. Many clients address both simultaneously for complete facial harmony.
  4. Does neck rejuvenation hurt?
    Most treatments are well tolerated. We offer topical numbing and comfort techniques for sensitive procedures.
  5. Will I need maintenance?
    Yes. Like any anti-aging solution, maintenance helps preserve your results long term.





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