Neck Rejuvenation: the treatments that work| Dr Benjamin Cozanet Paris

We tend to focus on our faces and to neglect the neck area. However, the neck remains a critical space (like the decolletage and hands) since it is the area that most betrays our age. A double chin, sagging skin which loses its firmness with wrinkles and folds…. Here are the aesthetic medical solutions case by case which Dr Benjamin Cozanet recommends. 

The neck visibly ages, as wrinkles, age spots, and sagging appear. The neck starts to give away your actual age at about 40, and by 50 loses firmness and elasticity. Before discussing any aesthetic remedies, Dr Benjamin Cozanet will remind you of how important it is to maintain a proper skincare routine: with one golden rule: always apply your face cream down to the lower neck, and up to shoulder blades.

How to treat neck wrinkles

Effective results often stem from aesthetic medical combo treatments when dealing with the neck.

We begin by using medical devices which heat the neck skin (photorejuvenation lasers, radiofrequency with microneedling and Ultherapy Prime®, micro-focused ultrasounds) acting deep down within the skin and increasing the collagen production.

Beyond these heat energy generated techniques, we can combine neck injection techniques with very fluid hyaluronic acid (Skinboosters or mesolift) or Calcium hydroxyapatite, Radiesse®, which will act like tissue inducers to improve skin regeneration and erase neck wrinkles.

The ultimate guide to treating “turkey neck” (sagging skin and wrinkles)

Neck skin, losing elasticity and firmness, has become one of the top requests at Dr Benjamin Cozanet’s clinic, and this phenomenon can begin as early as 35-40.

Preventative medicine is always the best option, and this neck skin sagging phenomenon can be prevented through Skinboosters injections or Calcium hydroxyapatite, Radiesse® for a younger woman, directly into the neck, or reticulated hyaluronic acid on the chin, with or without a profiloplasty, and at jawline level along the facial oval contour.

For a gradual or moderate loss of skin firmness, Ultherapy Prime’s focused ultrasounds to the neck will provide better results and will last longer because they trigger the fabrication of new collagen and elastin infused into the skin for an average of 2 years. Unlike lasers, Ultherapy Prime® acts at a deep level and focuses on precise points at differing depths while respecting the surface of the dermis and epidermis. As months go by, the skin firms thanks to its 2 structuring proteins (collagen and elastin).

The Ultherapy Prime® device’s nozzle is applied on the patient’s skin treatment zones, previously coated with ultrasound gel, while Dr Benjamin Cozanet begins an ultrasound scan. The ultrasounds are then controlled by this sensor in the patient’s dermis. The session lasts 1 hour for both neck and decolletage.

Dr Benjamin Cozanet can equally propose a neck treatment with radiofrequency, which requires at least 3 sessions, 1 month apart, more effective than microneedling, for deep skin heating. This protocol is to be performed once a year.

Introducing resorbable thread lifts (PDO polydioxanone), inserted into the neck after a local anesthesia, smooths and revitalizes the skin through mechanical and biological processes. This procedure lasts anywhere from 15-45 minutes, with no scarring, no pain, nor inflammation, providing immediate visible results and then progressive results continuing after the treatment. The neck is smoothed of wrinkles, regenerated and restructured.

For major skin firmness loss, the PDO thread results will be inferior to plastic surgery, but with no stress, no scarring and no general anesthesia. This compromise could be beneficial to certain patients.

Dr Benjamin Cozanet would like to underline that this PDO thread anti-aging technique can be used on the body as well as the face (forehead, eyebrows, cheekbones, facial oval, decolletage, arms, hands, knees, thighs and buttocks).

How to get rid of a double chin?

Depending on your body weight, a double chin can show up at any age.

Even without weight gain, age, and the inevitable fat tissue descent to the lower face, the lower chin, and the neck, becoming areas of fat accumulation.

Dr Benjamin Cozanet’s aesthetic medical technique to treat localized fat deposit accumulation under the chin or jowls is Cryolipolysis with Coolsculpting® (non-invasive method of reducing 1/3 of fat deposit accumulation in just 1 session) The CoolMini Coolsculpting nozzle was developed to adapt to the double chin’s fat and is  a safe and effective alternative to surgical liposuction, and it remains “zero risk”, with no social downtime, nor avoidance of sun exposure.

In certain cases, if it’s more about the sagging of skin muscles which trigger the fat descent under the lower chin, Ultherapy Prime®’s focused ultrasounds will be prescribed by Doctor Benjamin Cozanet, with just 1 session, also safe and effective, “zero risk” with no social downtime and possible on all skin types and during all seasons.

Age spots and discolored neck skin 

Mostly due to excessive and repetitive sun exposure, neck skin (like decolletage skin) quickly shows signs of photoaging (age spots and fine lines…)

Dr Benjamin Cozanet considers the most effective treatment to be a pigment laser for age spots, a vascular laser for redness or erythrosis, a photorejuvenation laser for fine lines and wrinkles, or an (Intense pulsed light (IPL) or flashlamp therapy) performed with a pigment laser. When the neck is red, it is treated with a vascular laser.

For your information: these laser, or pulsed light treatments must be performed, avoiding all sun exposure, and sometimes require 2-4 sessions, minimum 1 month apart.

How to treat unattractive neck bands

Very often, slim patients with ultra fine neck skin have neck muscles (subcutaneous musculo-aponeurotic system (SMAS) or platysma) which show up over the years, forming vertical cords on the neck skin, even more visible when we clench our teeth.

Since this is a muscle contraction problem, the non-invasive medical solution is muscle relaxation through Botox injections performed by a dermatologist or a plastic surgeon.

If these neck “cords” don’t worsen when we clench our teeth, then it’s most probably the ultra-prevalent skin sagging issue, which will require a medical treatment with Ultherapy Prime®’s focused ultrasounds for certain patients and plastic surgery for other patients.

Dr Benjamin Cozanet will prescribe the best treatment option(s) for you during your consultation in his 1st district Parisian clinic and can equally refer you to a plastic neck surgeon, if necessary and if you desire.

For Dr Benjamin Cozanet, neck treatment is vital, much like the decolletage and hands, the most neglected zones, which betray our age and clash with a younger looking face.