How to Figure Out What Your Neck Needs

Many of our patients understandably have a hard time with this.  Here are the most common issues and how to treat:
Horizontal lines (“necklace lines”)  – Botox/Dysport or very expertly done fillers.
The ropey vertical bands (platysmal) –  Botox and sometimes surgery if very lax.  It’s counterintuitive but many bands are tight, and the Botox/Dysport relaxes the band back up into position.
Fat pad under chin – Kybella (see last week’s tip) or surgery.
Thin, crepey skin with poor elasticity –   start building the collagen and thickness of the skin with nonsurgical RF devices like Exilis, Thermage, etc.   There are several devices pending that will treat this area better, but in my opinion, not yet ready for mass use.
The above is just a rough guide – please discuss with your dermatologist carefully.
Dr. Irwin

See Dr. Irwin’s article on cosmetic issues with the Neck and Chest (Dr. I has not updated this article with Kybella info yet)

Dr. Brandith Irwin, MD

Ask me your skincare question!

Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

  • All our content is written and researched by myself.
  • My medical office in Seattle has treated thousands of patients for 15+ years.
  • This site is not affiliated or financially tied to any product, treatment or device.
Ask Me Something
SkinTour Skincare
One of the best investments in your skin is your daily skincare. Why? Because you can prevent many problems with blotchy skin color, lack of glow, texture, some types of acne, and fine lines with good skincare products. You can also correct some of these problems with effective skincare products. Great skincare is often more expensive because quality ingredients are expensive. Some companies spend on research/development which benefits all of us and adds to the cost. Are they worth it? In general - yes! I have handpicked some of what I consider to be the best skin care products, and offer them for sale on SkinTour's shop. This is based on my team and I's testing and research at our clinic. Many of the products are in my own regimen. What could be better than using skin care products a dermatologist uses?!