Botox or surgery are the two most effective solutions for wrinkling or sagging neck skin, but how do you know which is the right option for you?

Botox – The Pros

It’s Non-Surgical

Botox is a non-surgical procedure that helps you to 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, giving you smoother skin and a younger appearance within just a couple of weeks. Because it’s non-surgical there’s no need for sedation or a general anaesthetic, so no need for 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

Because Botox is non-surgical there’s no incisions made, no sedation or general anaesthetic needed and no scars to heal. After 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 are the best solution for you.

Surgery – The Pros

It Works For Sagging & Severe Signs Of Ageing

If you’re suffering from serious sagging skin or “turtle 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 which 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.


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

Monica Berrangé & Jonathan Britto