Laser, Filler, Radiesse, Botox – Which Neck Wrinkle Lifting is Right For Me?

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Vertical Neck Wrinkles: What Causes Them & How We Treat Them (Before & After)

Hello — this is HEV Dermatology.

This post was written in accordance with the Medical Service Act and was created by a medical institution operated by a board-certified dermatologist at Hev Clinic, with the consent of the patient who received treatment.
It is not intended to emphasize treatment effects or personal treatment experiences, but rather to provide general information about dermatology and aesthetic procedures.
The photos used in this post meet the following conditions:

  • The same individual appears in both the before and after photos.
  • The dates when the photos were taken before and after treatment are specified.
  • The photos were taken under the same conditions.

This post provides various medical information, including possible side effects that may occur from the procedure. In accordance with Article 56, Paragraph 2, Subparagraph 7 of the Medical Service Act, diagnoses and treatment results may vary depending on the individual, and both effects and side effects may differ from person to person.
※ This article was written directly by the director of Hev Clinic for the purpose of providing information about dermatologic and aesthetic procedures.

Before & After (Treatment Timeline)

  • Before: August 8, 2023
  • After: March 29, 2024

Photo policy: Posted with patient consent. These are original images of the same person, taken in the same location and lighting, with no retouching or editing.

Please note: Results vary by individual. Before any procedure, we recommend a thorough consultation regarding possible side effects such as pigmentation, bruising, and swelling.

Why Neck Wrinkles Become More Noticeable With Age

As we age, our skin naturally changes. One of the biggest shifts is a gradual loss of elasticity—which often shows up early on the neck.

Skin firmness is supported by two key structural components:

  • Collagen: helps “hold up” the skin like a supportive framework
  • Elastin: helps the skin spring back and maintain flexibility

When collagen and elastin decrease or weaken over time, the skin can’t bounce back as easily—leading to sagging and wrinkles.

Loss of collagen and elastin can reduce skin elasticity and contribute to neck wrinkles

Areas with thinner skin—such as the eyelids, neck, and even the backs of the hands—tend to show aging sooner. On the neck, wrinkles can appear in two main patterns:

  • Horizontal neck lines (the “neck rings”)
  • Vertical neck wrinkles (creases that become more visible with movement)

Because these two types of wrinkles have different causes, the treatment approach should be different, too.

Horizontal vs. Vertical Neck Wrinkles

Vertical neck wrinkles: In today’s post, I’m focusing on these—especially the fine, “creased” look that can show up when talking or making expressions.

Horizontal neck lines: These are commonly treated with options like fillers, Ulthera, and skin Botox. I’ve shared these treatments in previous posts as well.

Horizontal vs vertical neck wrinkles illustration

Case Study: Vertical Neck Wrinkles in a Woman in Her 40s

Concern: Although she had some horizontal neck lines, her main concern was the appearance of vertical wrinkles—a “chicken comb”-like texture that stood out when she spoke or moved her facial muscles.

She felt that the skin on her neck had become thinner and more creased over time, and it bothered her a lot in daily life.

In many cases, vertical neck wrinkles are closely related to reduced collagen and elastin. For more meaningful improvement, we often focus on reinforcing the skin’s structure rather than only smoothing the surface temporarily.

Before and after results for vertical neck wrinkles treatment

Before vs. After Treatment

  • Before: August 8, 2023
  • After: March 29, 2024

Photo policy: Posted with patient consent. These are original images of the same person, taken in the same location and lighting, with no retouching or editing.

Important: Results may vary. Please make sure to discuss potential side effects—such as pigmentation, bruising, and swelling—during your consultation.

Patient Experience

She had already been receiving elasticity-focused treatments regularly and was also doing skin Botox for her face. While she was happy with her facial results, she’d consistently felt that her neck was still a “missing piece.”

After the neck wrinkle radius treatment, she shared that she felt very satisfied—and genuinely relieved.

Thank you.

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