Neck Rejuvenation Guide

Have you ever looked in the mirror and noticed that your neck tells a different story than your face? This guide is your comprehensive answer to reclaiming your neckline confidence. Whether you’re concerned about visible neck muscles, loose skin, stubborn fat deposits, or simply want to prevent future signs of aging, you’ll find a wealth of information and practical advice within these pages.

Although no hard or fast rule determines which option is best for you, the goal is to create a customized treatment plan consisting of cosmetic procedures ranging from minimally invasive to surgical to address your specific concerns and achieve your desired outcomes and a maintenance plan. But first, we will take you through the anatomy of the lower face that could be contributing to the issue at hand.

Loose Skin

After the age, of 30, our collagen and elastin renewal starts to slow down. Our skin starts to become more lax and less elastic (think of a rubber band that has lost its ability to rebound!) Depending on the quality of the skin and the amount of the skin can be contracted with radiofrequency (Facetite), re-draped like spreading a sheet out, or excised through incisions behind and around the ear.


Fat typically resides in two areas: above the muscles of the neck and below the muscles of the neck. Some people have large amounts of fat above the platysma muscle which is easily targeted with liposuction. Oftentimes, a component of this fat is below the platysma muscle, which requires surgical removal and is not amenable to liposuction. Contemporary concepts of neck rejuvenation have moved to the removal of deeper fat and leaving a thick coat of fat under the skin to provide a natural youthful smooth contour. Look at a young person’s neck and you will note smooth full skin and the absence of visible contour irregularities.

Platsymal Bands

This big sheet of muscle lives in your neck and separates the more superficial fat in the neck from the deeper fat and structures. When you frown you can see these muscles contract. As stated above, maintaining a thick layer of fat over these muscles helps create smooth contours post-operatively. Aggressive removal of this fat through techniques such as isolated liposuction can make them more visible and the neck less-esthetic. Most people have an opening between these two muscles and this is addressed by sewing them together during the surgery once the deeper structures have been addressed.

Deeper Structure

Most people have deeper components in the neck that contribute to poor contours and fullness. These include deep fat, large muscles, and submandibular glands. Prior techniques rarely addressed these, leaving unevenness in the neck. Modern techniques of deep neck work concentrate on addressing this region while leaving a thick curtain of superficial fat to cover over the new contour that has been created.

Skeletal Deficiency

Some people genetically have a weak chin or jawline. This can lead to premature aging in the neck due to the poor support for the skin and muscle. A simple solution for this is addressed through the placement of implants to build the skeletal anatomy to ideal and provide long-lasting support.

Now that you have gained a bit more insight into the underlying neck anatomy, we can explore both nonsurgical and surgical options for neck rejuvenation. Depending on your individual goals and expectations, one or more of these may be the answer for you!

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Minimally Invasive Options for Neck Rejuvenation

Neurotoxin for Neck Bands

One of the first signs of aging in the neck area is the appearance of vertical neck bands. We can address this concern effectively using neurotoxins such as Botox, Dysport, Xeomin or Daxxify to relax the muscle. This results in a smoother, more youthful neck appearance with maintenance injections every 3-4 months or even an additional 30-45 days on top of that with Daxxify.

RF Microneedling with Skinboosters or PRF

This nonsurgical approach combines the cutting-edge technology of radiofrequency micro needling with topical peptides or PRF (platelet-rich fibrin) containing growth factors. This innovative approach boosts collagen and elastin production exponentially, leading to tighter and brighter skin. This is a subtle option for patients seeking a noninvasive yet impactful solution or for those looking to maintain skin elasticity. The less invasive the treatment, the more a series of treatments may be recommended to see an effective change.


Embrace RF is a revolutionary minimally invasive technique that combines radiofrequency energy and helium plasma to contract the collagen fibers of the skin and promote new collagen formation over time. The device, which is inserted underneath the skin, causes a visible tightening of both the jowl and neck skin. It’s a fantastic option for those looking for an obvious improvement with minimal downtime. It’s often offered in conjunction with liposuction to the neck and RF Microneedling.

Surgical Procedures for Neck Rejuvenation

Chin Liposuction

Liposuction removes stubborn fat deposits in the subcutaneous layer of your skin. This is the fat that is usually responsive to weight loss. If you have substantial subcutaneous fat, then liposuction may be the procedure for you. Results are permanent, but if you gain or lose a significant amount of weight, the remaining fat cells will respond to that change. You are not a great candidate if you have a moderate amount of skin laxity.

Isolated Neck Lift

A deep neck lift can have many other names, such as “submentoplasty” or “platysmaplasty”. The key here is to address any deep fatty tissue, glands, and/or muscle that is contributing to the fullness of the region between the chin and neck. A single incision is made behind the chin and short incisions are made along the base of the earlobe and hidden behind the ear. These incisions are well-camouflaged and allow the excess skin to be removed from the neck. Sculpting is performed to achieve a defined neck angle and jawline.

Chin Implant with Neck Lift

An addition of a chin implant addresses skeletal deficiency that may be contributing to the poor contours of the neck. The incisions would be the same as the isolated neck lift. The implants are made from silicone and look very natural as they blend into the contours of the jawline. Some patients may opt to simulate this with our Vectra 3D imaging, saline, or even filler first.


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Clinical Skincare for Post-Op Maintenance

Whichever procedure(s) you choose, maintaining the results of your neck rejuvenation is crucial. We recommend incorporating clinical products into your daily skincare routine:

Nectifirm Advanced

Award-winning, age-defying neck product harnesses the power of the skin’s own Microbiome with a groundbreaking formula that combats the visible signs of moderate to advanced aging on the neck and décolletage. Also features eight distinctive peptides and Smart Antioxidant Technology for advanced results. Skin is brighter and appears more firm and lifted while the appearance of adipose tissue and crepey skin is reduced.

D·E·J Daily Boosting Serum

D·E·J Daily Boosting Serum™ is a powerhouse serum formulated with patent-pending Sunflower Sprout Extract Technology that has been clinically proven to impact the visible effects of glycation on skin. In addition to Sunflower Sprout Extract, D·E·J Daily Boosting Serum™ contains a robust antioxidant blend and peptides.

The neck is a crucial area that plays a significant role in your overall appearance. Whether you prefer nonsurgical options or are considering surgical procedures, Alabama Surgical Arts offers what you need to help you achieve a youthful, balanced neckline.

Schedule a Consultation to Find the Best Option for You!

Call us: 334-271-2002

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