Thumbnail image for Dallas_Neck_Wrinkle_Treatment-NailaMalikMD.png

Neck wrinkle treatments are growing in popularity with the increasing trend toward nonsurgical facial wrinkle management. With escalating demand, there are newer options to treat this area effectively and without surgery.
I am a believer of combining different treatment modalities for best results for neck wrinkle reduction just like any other area of the body.
For the thin, sensitive neck skin with photoaging, I am a big fan of the DOT therapy, Smartoxide CO2 fractional laser resurfacing as a starting point to improve texture, fine lines, elasticity, skin thickness and to minimize sun spots.
I also utilize BOTOX® and XEOMIN® in Dallas and Southlake offices to gently relax the muscles in the skin of neck for wrinkle reduction without compromising muscle function and finally I use hyaluronic acid dermal fillers for the deeper wrinkles in neck in Dallas and Southlake clinics
Aging of skin shows on neck earlier than face due to thinner neck skin and less fat below the skin (subcutaneous fat). There are two types of neck wrinkles, horizontal neck wrinkles, the necklace lines and vertical neck ridges, the platysmal lines. Both types of wrinkles can be softened with use of BOTOX® , XEOMIN® or other neuromodulators Photoaging, aging due to sun exposure and other environmental factors can lead to loss of collagen and elastin resulting in thinning of skin and reduction of the subcutaneous fat on the neck area forming horizontal neck line wrinkles (necklace lines). Laxity of platysmal muscles (neck band muscles) can further contribute to the aged appearance of vertical neck bands (playsmal lines).

The necklace lines are the horizontal neck wrinkles and can be reduced with injection of BOTOX® or XEOMIN® placed right above and below the lines, between one to three centimeters apart, along each line. It is essential not to administer too much BOTOX® or XEOMIN® at the time of your very first treatment to avoid excessive relaxation of the neck muscle which can interfere with the ability to swallow. At our Dallas skincare office, we like to see our patients for a follow up appointment, one to two weeks after the initial treatment for a touch up if needed.

Generally, the necklace lines require more BOTOX® or XEOMIN® than most facial areas, and the results may last a little longer than those of the facial wrinkles with BOTOX® treatments due to less muscle movement on the neck. Over a period of time, with repeated, regular BOTOX® or XEOMIN® treatments these necklace lines get diminished or may even disappear alrogether
In addition to BOTOX® treatment, Dr. Malik may sometimes use a hyaluronic acid dermal filler, such as Juvederm®, Restylane® or Belotero® placed into the the deeper lines.

PLATYSMAL BANDS The platysma muscle is a broad sheet of muscle which extends from the chest in the front, and shoulder muscles on the sides and extends obliquely over the collarbone to the jaw. The platysma neck muscle becomes lax or more pronounced with aging. This leads to formation of vertical neck wrinkles or bands which are more prominent with contraction of the neck muscle. The muscle draws the lower lip and corner of the mouth sideways and down, partially opening the mouth, as in an expression of surprise or fright. BOTOX® treatment or XEOMIN® treatment may be used to relax the platysma muscle and reduce the appearance of the bands.

For more information about treatment of neck wrinkles in Dallas and Southlake or to schedule an appointment, please call 888-210-9693