Turkey Neck (Part 2): Fix That Aging Neck With A Little ‘Ol Needle

Neck products are all well and good to prevent and improve a dreaded turkey neck but sometimes ya just need a little boost.

Neck lines (endearingly referred to as ‘turkey neck’) happens for a host of reasons like:

  • sun damage
  • weight loss
  • loss of elastin
  • collagen breakdown
  • and, if your unlucky like me, heredity

But whatever the reason, it make us look old so today we’re going to talk about some simple, in-office procedures to smack down that less than welcome turkey neck.

Define the Issue

Aging necks are not created equal so it’s important to identify the issue in order to choose the most effective treatments.

So first determine, do you have:

Necklace lines?

Botox Injectables for Necklace Lines

Do you have necklace lines, those fun little horizontal lines that we get across our neck?

They’re caused by repetitive creasing due to everyday neck movements. As we get older, our skin is depleted of collagen and elastin, making it less likely for the skin to snap back, which causes permanent lines.

If the lines aren’t permanent yet then you’re lucky, you can avoid them with a simple neck wrinkle pad. If they are you’ll need something more meaningful.

Platysmal Bands?

Degrees of Platysmal BandingPlatysmal bands (I like to call them ‘abysmal bands’), are those vertical neck muscles that start to show through your skin in your mid 40’s or early fifty’s. Depending on the degree of banding, there are different treatments.

Above is a Platysmal Band chart for you to refer to when we start discussing treatments for those icky monsters (besides psychotherapy).

Saggy Skin?

Perfect example of saggy neck skin

Perfect example of saggy neck skin

Not so easy to look at, but relatively easy to treat, a saggy neck is probably the top complaint of middle-aged women.

Neck Fat (Double Chin)?

double chin thin compressed no w

You don’t have to be overweight to store a teeny bit of fat under your chin.

First, you need to determine if what you have is fat under there or just loose skin OR is it a combination of both? Keep this in mind when considering your plan of action.

You can tell by simply pinching it. Is there a hunk of fat in there or does it pinch finger to finger then maintain that pinched look even when you let go? Victoria has a combo of both.

Crepey Skin?

My crepey neck skin (1 year ago)

Ewww! Imagine how I felt when I saw this crap on my neck!

Crepey skin is the most difficult to treat but you can if you have the patience. I’ve tried lots of things with some success but the ones I’ll talk about next is my fave for fast, temporary results.

Treatments For Turkey Neck

Now that we’ve discussed the key issues of an aging neck, we can discuss the leading treatments and really what works for what.

If you’re enjoying this article you may also enjoy Turkey Neck (Part 1): How to Avoid a Life of Turtlenecks

Neurotoxins (Botox, Dysport, Jeuveau)

Before and After Neurotoxin Injections in Platysmal Bands

Before and After Neurotoxin Injections in Platysmal Bands

Used For:

  • Necklace lines
  • Saggy neck skin
  • Platysmal Bands
  • Crepey skin

A neurotoxin is a drug that temporarily paralyzes the corresponding muscle. I like neurotoxins as the first line of attack on a turkey neck because of the immediate gratification, lack of downtime and cost.

As a matter of fact I’m getting neurotoxins in my neck in that video above. Here’s how it helps.

  • Necklace Lines– When injected into necklace lines, Botox or Dysport, can soften them making them less noticeable.
  • Saggy Neck Skin – When injected along the jawline it not only lifts the jowls a bit but tightens the lose skin under the chin.
  • Platysmal Bands (0 to 4 rated) –Neurotoxins for Minor Platysmal Banding When injected along the length of these bands, Botox (or Dysport) will relax the muscles making them less prominent.
  • Crepey Skin – A few well-placed Botox (or Dysport) can temporarily tighten a crepey neck, making it feel tighter and less tissue papery.

Expect to feel an immediate change as you saunter out of that doctor’s office, but look forward to the final result within the next week or so. The effects of neurotoxins can last anywhere from 4 to 6 months.

Cost of Neurotoxins

Neurotoxins in your neck is going to run about $500 but since everyone is different please make sure to check at your injector’s office.


If you’re ready to go hardcore then check out Fractional C02 Laser for Neck Wrinkles (how it really goes down!)

Dermal Fillers

Dermal Fillers are comprised of hyaluronic acid and, when injected into the skin, adds mass which is handy to fill in wrinkles or pull up the skin directly below it.

Used For:

  • Necklace Lines  –  Dermal Fillers, such as Juvederm or Perlane, work wonderfully to fill in the creases of necklace lines, making them more uniform and less obvious. And now, with products such as the Juvederm XC, the effects can last up to a year!
Necklace Lines Before and After Dermal Filler

Necklace Lines Before and After Dermal Filler

  • Saggy Neck Skin – By injecting fillers along the jawline and in front and below the ear,it can lift the skin a couple of millimeters making it appear tighter.

The procedure isn’t painful if you’re first numbed with a topical cream, like lidocaine. The viscous material doesn’t burn to go in because most of the main brands are mixed with lidocaine and numb leave the syringe.

Dermal fillers are charged by the syringe and how much you use depends on the state of your neck. A neck like that lady above may take up to two syringes ranging from $350 to $550 depending on where you go and the brand. This lady probably used one and a half syringes.

Some doctors offices will let you pay for a partial syringes, others will charge you the full price for the partial syringe but save it for you to use another time.  Then there are the ones that charge you for a partial syringe and won’t save it for you!

And then you’ve got the flat fee docs. I prefer the charge for a partial syringe because sometimes you just don’t need more than that.

Kybella for Fat

If a doctor confirms that the issue under your skin is indeed fat and not sagging skin then Kybella may be a good choice for you.

If it’s fat and you have pretty good elasticity in your skin, then Kybella isn’t for you.

atx101Used For:

  • Neck Fat – When injected in a graph pattern under your chin, Kybella can destroy the fat membrane so that the fat is filtered out of your body.

Watch my experience with Kybella here.


So that about covers the injectable options to help smooth out a turkey neck. Make sure to nip that aging neck in the bud chicas, or else you will end up chasing it for years and years before you realize you’ve no other choice but to go under the knife! 😮

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