Neck Rejuvenation

Our face and body does not age evenly. There are areas, such as the neck, where the skin is thinner which can show signs of premature aging. After the eye area, the skin on the neck is the most delicate it contains far less elastin fibres compared to the face, resulting in a weaker supporting structure. The neck also lacks fatty tissue which gives support to the skin.

As we age, women in particular, can lose their long slender necks as the jaw line becomes heavier and can lead to a double chin. The skin can become thin and crepey, developing fine lines and deeper wrinkles. The skin also loses its elasticity becoming loose and saggy, known unflatteringly as ‘turkey neck’.

Neck lines can appear as part of the natural ageing process. As we age, our natural skin cell turnover decreases and the collagen that we naturally produce depletes. This, as well as, exposure to the sun, and neglect of the neck in our daily routines, can cause neck lines to become more prominent and add age to our overall appearance.

The neck is often one of the most exposed areas of the body and therefore it is important to protect it against damage. A moisturising cream with SPF 30 or higher should be applied daily to ensure that the neck does not become dehydrated and is protected against harmful UV rays from the sun.

Most men and women seeking treatment for the neck area are looking to firm, tighten and lift loose sagging skin, reduce fine lines, improve the jaw line, and prevent the appearance of wrinkles that deepen as we age.

Classically, the main concerns related to the neck and décolletage include:

  • Skin laxity
  • Fine lines, Neck lines
  • Wrinkles
  • Crepey skin
  • Double chin


Treatment choices

Fortunately, there is a wealth of minimally-invasive treatment options available for treating the ageing neck and décolletage. This is where the value of a thorough initial assessment comes in to guide the best treatment choices for the individual needs of each patient.

The treatment options include thread lifts, injectable treatments, energy devices such as Radiofrequency or HIFU or you can use high quality topical cosmoceutical treatments.


Injectable Treatments and Threadlifts

At Cheshire Lasers we often recommend Patricia Goodwin for treating the neck and décolletage area. She has vast experience in performing the following procedures for improving the neck and décolletage appearance:
Botulinum toxin – ‘Nefertiti lift’

Named after the famous youthful jawline of the Egyptian queen, the Nefertiti neck lift involves injections of botulinum toxin into the lower jaw and neckline. The amount of injections is variable depending on the muscle bulk and definition.
This treatment is best suited to patients with early signs of the ageing neck, in particular mild jowling and platysmal bands.

Dermal fillers

Hyaluronic acid (HA)-based dermal fillers aim to replenish lost moisture and improve volume and elasticity, making them a suitable option for treating the delicate skin of the décolletage. Once treated, the skin appears plumper and the lines and wrinkles are effectively smoothed. Compared to traditional HA dermal filler injection, the treatment involves superficial micro injections of filler to create small blebs along the valley of wrinkle.


The Silhouette Soft threadlift offers an alternative to the traditional face lift in concerns about sagging skin of the neck and jowl formation in the lower jaw. Threads are usually are inserted into the dermis to create a mechanical lift, which is maintained by collagen formation.
There are many different techniques that can be used. The number of points needed to create elevation is best decided on a case-by-case basis.


Profhilo is a completely new product that uses patented technologies engineered for ‘skin remodelling’. It is made from hyaluronic acid like many dermal fillers however rather than filling lines it is designed to promote collagen and elastin growth to reduce skin laxity.

Thanks to the unique characteristics of Profhilo, improving skin texture and laxity is easily obtained in only 2 sessions, with a 1 month interval. Profhilo® is suitable for practically anyone, men and women, from 30 years’ old and with no upper age limit. Occasionly a third treatment is required for best results.

10 or more injections may be required during each treatment, the treatment is slightly uncomfortable.

Dr Teri Johnson, Patricia Goodwin, Jan Birch and Moira Grobiki perform this treatment.

Non Invasive Energy Devices

The following treatments improve the neck and are performed by our staff at Cheshire Lasers :


Ultraformer III

Ultraformer III uses High Intensity Focused Ultrasound (HIFU) with the newest paradigm of advanced technology – MMFU (Micro Macro Focused Ultrasound)

It is good for skin lifting and tightening. It also helps with lines, wrinkles, skin tone, and laxity without any downtime.

The technology is able to create a lift not only in the skin but also the deep muscle layer underneath, which previously was reached only by a surgical face lift.

The Ultraformer treatment stimulates the growth of new collagen over time, to gradually strengthen and tone your skin from within.

One or two treatments are required for best results. Some people find this treatment uncomfortable.

Find out more about Ultraformer III here.



At Cheshire Lasers we use Endymed or the Thermaclinic machines to perform our radiofrequency treatments.

A form of energy called Radiofrequency (RF) is applied to the skin to gently heat the skin, promoting accelerated collagen production and contraction of collagen fibres to restructure and tighten the skin. A course of 6 treatments are required for best results and is is a comfortable, safe treatment which can be quite relaxing.

The Endymed is a more advanced machine which penetrates slightly deeper than the Thermaclinic and is slightly more expensive.


Topical Treatments for the Neck

At Cheshire Lasers we recommend and stock the following products for the neck:

NeoStrata Skin Active Triple Firming Neck Cream

ZO Skin Health Growth Factor Serum plus


Combination therapy

Many of the treatments discussed work best synergistically, so it is useful to explore the option of combination treatment. Other treatments such as platelet rich plasma (PRP) therapy, mesotherapy, microneedling and skin peels can provide great alternative treatments or ‘add-ons’ to the treatment regime to support the rejuvenation process. Advanced techniques such as threadlifting, combined with Botox and injectables and optimum skincare.