Sagging Neck 

Sagging neck refers to a mass of wrinkled sagging skin on the neck that develops due to the effects of ageing. It is a common occurrence when your muscles start weakening making your skin to become less elastic.

This condition is brought about by the loss of collagen and elastin in the skin as a result of ageing. Collagen is an important component of the connective tissues in the body. Elastin is responsible for maintaining the shape of the skin. Loss of these proteins results in loosening of skin around the neck. The skin then sags due to the effects of gravity. Sagging neck condition also occurs due to heredity. 

Some environmental factors are crucial in the development of sagging skin. Too much exposure to sunlight damages collagen in the skin making it becomes loose. Lifestyle conditions such as smoking and massive weight loss may play a role in the development of this condition.

However you look at it, in the end, the sagging neck comes to us all as we age.

Those who do not have a defined angle between the chin and the neck (mento-cervical angle) and significant submental fat are at greatest risk. The mento-cervical angle is determined by the level of the hyoid bone above the windpipe. If the hyoid is low, there is no angle and skin of the chin slopes directly into the neck.

There is nothing that can be done about this except remove as much subcutaneous as possible, probably by liposuction. Substantial submental fat can be removed by liposuction to reveal the mentocervical angle beneath. Any liposuction tightens the skin drawing it up into the angle. Nonsurgical treatments including deoxycholic acid (Kybella) do not do this.

Ageing, sunshine and smoking are the main causes of the sagging skin of the scrawny neck, thinning the skin and reduced elasticity. This allows the vertical bands of the platysma (neck cords, neck bands) to show through. Sometimes these gather together centrally with the surplus skin to produce the Turkey neck.

We have numerous treatments to help the stringy neck.

We start, as always, with the preventatives of moisturizing and sunscreen.

First line non-surgical treatment for the skin is the pleasant Indiba radiofrequency treatment. An excellent alternative is Ultherapy.

The taut neck cords (neck bands) are relaxed by Botulinum neurotoxin injections such as Botox.

 Profhilo is a new product improves general skin quality.

The surgical management of neck cords (neck bands), turkey neck and loose skin is the Cadogan Swan Neck procedure. This reliably removes the skin and restores the cervico-mental (chin-neck) angle. It can be carried out under local anaesthesia and is often combined with liposuction to remove fat.

The standard neck lift where the skin is drawn upwards and backwards towards the ear is the best option when the jawline (jowls) are an issue. This is nowadays combined with fat grafting around the chin and face. 

Related Treatments:

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