My Neck Is Wrinkled & Saggy – Should I Have Botox Or a Surgical Neck Lift

My Neck Is Wrinkled & Saggy – Should I Have Botox Or a Surgical Neck Lift

If you’ve started to notice wrinkles, sagging, or loose skin around your neck, you’re not alone. The neck is one of the first areas to show signs of ageing, and deciding between non-surgical treatments like Botox or a surgical neck lift can feel overwhelming.

In this guide, we’ll explore both options, including their benefits, limitations, and what might be best for you, so you can make an informed decision with your clinician.

Why Does the Neck Age So Quickly?

The skin on the neck is thinner and more delicate than on the face. Over time, collagen and elastin levels decrease, muscles (particularly the platysma) become more prominent, and gravity causes the skin to sag. Sun exposure and lifestyle factors can speed this up – leading to what’s sometimes called “turkey neck.”

The good news? Modern aesthetic medicine offers both non-surgical neck lifts and surgical solutions to restore firmness and definition.

Botox for the Neck – The Pros

It’s Non-Surgical

Botox is a non-surgical procedure that helps you look younger by relaxing the muscles that can contribute to wrinkles and lines in your neck. A series of injections will be strategically administered in your problem areas in your neck, giving you smoother skin and a younger appearance within just a couple of weeks. As it’s non-surgical, there’s no need for sedation or a general anaesthetic, so no need for a hospital stay.

It’s A Quick Procedure

Your Botox treatment will vary depending on your own unique needs and treatment plan; however, most appointments can be completed in as little as 15-45 minutes. This makes it the ideal solution for people with busy lives or a tight schedule.

There’s No Recovery Time

As Botox is a non-surgical treatment, there are no incisions made, no sedation or general anaesthetic needed, and no scars to heal. After the procedure, everybody continues with their day as normal, without any need for rest time or a recovery period. Making this a great solution if taking time out could be an issue for you.

Botox – The Cons

It’s Not Very Effective For Major Signs Of Ageing

Whilst Botox can have some really great results, it’s not ideal if your problem is severe. Botox will smooth out wrinkles and reduce fine lines, but it can’t reduce the amount of skin you have or remedy serious sagging. In these cases, surgery or a combination of surgery and Botox is the best solution for you.

Surgercial Neck Lift – The Pros

It Works For Sagging & Severe Signs Of Ageing

If you’re suffering from serious sagging skin or “turkey neck,” then surgery is probably the best choice for you. Many people shy away from surgery, but a surgical neck lift can give brilliant results where Botox may fall short. Using surgery, we can tighten loose neck muscles, remove excess skin, and create a firmer, younger looking appearance for you, even if your current state of ageing is severe.

It’s An Outpatient Procedure

A neck lift is a surgical procedure that can be performed under sedation, as a day stay patient, heading home once your surgery is completed and you are fully awake.

Long-Lasting Results

Unlike Botox, which lasts approximately 3-4 months, a neck lift will keep you looking younger for up to 10 years. With its clearly noticeable appearance and long-lasting results, it’s easy to see why neck lifts are becoming so popular.

Surgery – The Cons

It’s Done Under Sedation or A General Anaesthetic

Even though it’s still a fairly minor surgery, a neck lift does require sedation or a general anaesthetic. Whilst these procedures have been administered for many years and have an excellent track record, there is a small risk involved. Your surgeon will discuss all the risks with you before you decide to go ahead and will make sure you are not contraindicated for the surgery.

There’s a 2 Week Recovery Period

After surgery, your body will need time to heal. There may be some swelling, bruising, and you may feel tired or need more rest. These after-effects usually disappear quickly, with most people returning to their normal daily life after approximately 2 weeks.

Botox vs Surgical Neck Lift – Which is Right for You?

ConcernBest Option
Fine lines, early wrinkles, mild bandingBotox
Loose, Sagging Skin or Double ChinSurgical neck lift
Moderate ageing or desire for natural liftA combination of both
Desire for longer lasting resultsSurgery

Conclusion

A surgical Neck lift, Botox or a combination of both can transform your appearance and leave you looking fresher and more youthful. The best solution for you will depend on your current level of ageing and the result you want to achieve.

If you’re considering a neck lift, then speak to a qualified medical aesthetic practitioner or a surgeon, who will be able to help you decide on the right course of treatment for you.

Book your consultation at our skin clinic in Billericay today to discuss which option is right for you.

Monica Berrangé & Jonathan Britto

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