Neck wrinkles, is there a way to remove them?

The appropriate method depends on the wrinkle type, so choosing based on the cause is more important than a single correct answer. For vertical bands caused by muscle movement, an approach using botulinum toxin to relax muscle tension and soften the bands may be considered. For horizontal wrinkles, methods that target the skin layer, such as Skin Boosters or hyaluronic acid-based products to replenish moisture and elasticity, are commonly used.

Skin Boosters improve the moisture and collagen environment within the skin, helping with shallow horizontal wrinkles and skin texture. At Heal House, we use REJURAN®, RADIESSE®, and others tailored to the condition of the neck skin. However, botulinum toxin type A is primarily effective for muscle-related vertical bands and has limited effect on horizontal wrinkles, so it is important to select the right treatment for the purpose.

During consultation, the recommended approach also differs depending on whether vertical bands or horizontal wrinkles are more prominent. The appropriate method is determined by evaluating wrinkle depth, skin thickness, and muscle movement together.

Deep-set neck wrinkles are approached with the goal of softening and improving them rather than completely removing them, and combining multiple methods can be more helpful. Long-standing horizontal wrinkles result from accumulated loss of skin elasticity and collagen, so a multi-layered approach that replenishes the skin environment with Boosters and lifts elasticity in the dermis and deeper layers with lifting treatments is considered together.

At Heal House, we design a combination tailored to the condition, using ultrasound-based Ultherapy PRIME® to stimulate deeper layers and induce collagen regeneration, while supplementing surface moisture and elasticity with Skin Boosters. However, if the grooves are very deep or skin sagging is severe, non-surgical methods may have limited improvement, so it is important to set realistic expectations.

The degree of improvement and number of sessions required vary greatly among individuals, so for deep neck wrinkles, it is important to combine multiple approaches and set realistic expectations.

To manage neck wrinkles, daily habits are as important as procedures. One of the biggest factors is prolonged bending of the head, so raising your smartphone to eye level and adjusting your monitor height can reduce the folding stress on horizontal wrinkles.

Also, the neck is an area where sunscreen is often neglected compared to the face. Applying sunscreen thoroughly to the neck and maintaining moisture can help slow the rate of collagen damage. Collagen is known to gradually decrease by about 1% per year starting in your 20s, so early sun protection and moisturizing are advantageous for prevention. Avoiding sleeping positions that excessively fold the neck with a high pillow and practicing smoking cessation can also help.

Managing lifestyle habits forms the foundation for maintaining the effects of procedures for longer, so it is recommended to do so alongside treatments.

For neck wrinkles, combining approaches by type tends to yield higher satisfaction. For example, using toxin to relax muscle tension for vertical bands, Skin Boosters to replenish the skin for horizontal wrinkles, and adding a lifting treatment for overall loss of elasticity—combining different tools for each cause is commonly recommended.

The key to such combinations is targeting three layers: muscle, skin, and elasticity. At Heal House, we assess neck skin thickness, wrinkle type, and age group together to adjust the proportions of Boosters, lifting, and toxin, and design a plan that extends the maintenance period by also linking to lifestyle habit management.

The appropriate combination and number of sessions vary depending on individual condition, so we recommend establishing a neck wrinkle improvement plan through a consultation with a dermatologist.