Horizontal neck wrinkles are a prevalent aesthetic deficiency, but there are few treatment options available, and none have been researched with longer-term follow-ups. Necklines, also known as neck wrinkles, are similar to wrinkles found around the mouth, eyes, hands, and forehead. While wrinkles are an organic part of the aging process, certain factors such as diet or prolonged exposure to UV light (UV) rays can exacerbate them.

Horizontal neck wrinkles appear as linear bouts of depression or grooves in the neck’s anterior half Their etiology differs from that of other types of facial wrinkles, which are triggered by aging skin. However, as children and young adults frequently exhibit, horizontal neck wrinkles are not entirely the result of aging. Notably, age-related skin laxity can exacerbate these wrinkles. Common bending of the throat to look at cell phones, tablets, or books may also contribute to the development of wrinkles in children.

Neck rejuvenation can be achieved through a variety of therapies. Skin texture and neck laxity can be improved with ablative and nonablative laser surgery, micro-focused ultrasound with visualization, radiofrequency, and plasma resurfacing. They do, even so, tighten the skin but do not reduce rhytides. Injections of botulinum toxin type A efficiently reduce platysmal bands but only marginally enhance horizontal necklines.

Hyaluronic acid (HA) fillers are being used successfully in our hospital for several decades to treat horizontal neck wrinkles. Different HA filler brands can be used to classify horizontal neck sections, but some cause more lumps and Tyndall impacts than others. Esthelis Basic is a coherent polydensified matrix HA (CPM-HA) filler with a reduced elastic modulus, a viscous fluid modulus, and a high tan delta.

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