Doctor's Notes | Neck Wrinkle Treatment

In this TikTok, Dr. Devgan breaks down her recommendations for treating neck wrinkles. Her solutions range from topical to non surgical to surgical options.


Neck Wrinkles: Why They Happen—and What Actually Works

The neck is one of the first places to show aging, and one of the hardest to treat. Skin here is thinner, oil glands are fewer, and it’s constantly in motion—looking down at phones doesn’t help. Add sun exposure, collagen loss, and gravity, and you get creases, laxity, and fullness that don’t respond to wishful thinking or random creams.

Dr. Lara Devgan’s approach is simple and unsentimental: match the treatment to the problem. Neck aging isn’t one issue—it’s several happening at once. Texture, lines, fat, and skin laxity each require a different solution.

Start With Skin Quality: Scientific Beauty Niacin Qualene Neck Cream

Great results start with great skin. Dr. Devgan recommends daily use of her Scientific Beauty Niacin Qualene Neck Cream to address the foundational issues: thinning skin, dehydration, and loss of elasticity.

This isn’t a face cream repackaged for the neck. It’s formulated specifically to strengthen the skin barrier, improve texture, and support collagen where the skin is most fragile. Used consistently, it helps soften fine lines and makes in-office treatments work better and last longer.

Neck Tox: Relax the Pull That Creates Lines

Vertical banding and tightness in the neck often come from overactive muscles, not just aging skin. Carefully placed neuromodulator injections—often referred to as “neck tox”—can relax these muscles, reducing visible banding and creating a smoother, more elegant neck contour.

This is a precision treatment. Done correctly, it softens without affecting natural movement or expression.

Horizontal Neck Line Filler: Treat the Creases, Not Just the Skin

Horizontal neck lines—sometimes called “tech neck”—can appear early and deepen over time. Skincare alone won’t erase them.

Dr. Devgan may recommend micro-aliquots of filler placed directly into these lines to smooth creases and restore continuity to the skin. The goal isn’t volume—it’s refinement. When done properly, results look natural and seamless.

Kybella: Address Fullness Under the Chin

Submental fullness can blur the jawline and make the neck look heavier, even in younger patients. Kybella is an injectable treatment that dissolves excess fat under the chin, improving definition and contour over time.

This option is best for patients with good skin elasticity who want improvement without surgery.

Submental Liposuction: When Fat Is the Main Issue

When excess fat is more significant—or when faster, more dramatic results are desired—submental liposuction may be the better option. This procedure physically removes fat beneath the chin and along the upper neck, immediately restoring sharper definition.

It’s a targeted solution for patients whose skin quality is still strong but whose neck contour has been compromised by fat.

Surgical Neck Lift: The Gold Standard for Laxity

When skin laxity and structural aging are advanced, no injectable or topical can fully correct it. In these cases, Dr. Devgan considers a surgical neck lift the definitive solution.

A neck lift tightens underlying muscles, removes excess skin, and redefines the neck and jawline with results that are both dramatic and long-lasting. It’s not about looking different—it’s about restoring what time has taken.

The Bottom Line

There is no single fix for neck aging—and that’s the point. Dr. Devgan’s philosophy is layered, precise, and honest. Skin care supports procedures. Injectables refine specific issues. Surgery is reserved for when it’s truly needed.

The best neck results come from choosing the right tool, at the right time, for the right anatomy. And when that happens, the neck doesn’t just look younger—it looks intentional.

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