🧑🏻‍⚕️ Worried About Congenital Deep Neck Wrinkles?!

Hello.

I am Dr. Young-moon Yoo, Director of VIBE Plastic Surgery.

The case I am introducing today is a female patient in her late 20s who has always been stressed by horizontal neck wrinkles that have been significantly more pronounced than others since childhood.

Because these were congenital and structural wrinkles, rather than wrinkles caused by aging or loss of skin elasticity, she saw no effect from simple skincare or moisturizing alone.

📌 Main Concerns

✔ Congenital horizontal neck wrinkles present since early childhood

✔ Deep wrinkles that make her look older despite having firm skin

✔ Neck wrinkles that stand out even with makeup, causing self-consciousness

✔ No improvement from laser treatments or cosmetic products

💡 Treatment Approach

In her case, since the skin itself had not lost elasticity but rather the underlying structure was repeatedly folding, we approached the treatment by filling the volume beneath the skin and increasing the elasticity of the dermal layer.

Therefore, we performed a total of two sessions of a neck wrinkle package treatment at 6-week intervals using the following combination.

🔧 Treatment Composition & Principles

1️⃣ Radiesse

An injectable composed of CaHA (Calcium Hydroxyapatite).

When spread thinly and evenly beneath the dermis, it stimulates fibroblasts to produce collagen.

Especially when used on congenital thin and folding neck skin:

➤ Increases the thickness and elasticity of the skin itself

➤ Induces long-term improvement by helping the neck skin fold less

✅ Immediate volume + Collagen induction = Making thick wrinkle layers elastic

2️⃣ Belotero Soft

A filler suitable for the neck area, where the skin is thin and movement is frequent.

Unlike conventional fillers, it disperses as if soaking into the skin texture, resulting in a natural expression without lumpiness.

It is injected directly into the already deep, furrow-like horizontal neck wrinkles to:

➤ Physically fill the wrinkles

➤ Improve the skin surface to be smooth and flat

✅ Immediate improvement through the ‘effect of erasing wrinkle shadows’!

3️⃣ Botox (Neck Platysma Toxin & Skin Botox)

The neck has a thin, wide muscle called the ‘platysma,’ and excessive movement of this muscle can cause the skin to fold and fix wrinkles in place. By injecting a very small amount of Botox along the horizontal wrinkle lines:

➤ Reduces excessive muscle tension and movement

➤ Prevents wrinkles from becoming fixed + Enhances the longevity of the treatment effect

✅ ‘Root cause control’ to prevent wrinkles from reappearing

⏱ Progress After Treatment & 2nd Session

✔ Around 2–3 weeks after the 1st session, skin texture became smoother and wrinkle depth began to soften

✔ The 2nd session after 6 weeks boosted the effect even further!

✔ ‘I love how smooth my neck looks even when wearing makeup!’

✨ Comments from Dr. Yoo of VIBE!

Congenital horizontal neck wrinkles mainly occur when the skin texture is thin, there is frequent repetitive movement, and there is a lack of dermal volume.

✔ Collagen regeneration in the dermal layer

✔ Natural filler that harmonizes with skin texture

✔ Muscle management to control movement

A fundamental solution is only possible when these three elements work in harmony :)

✅ Recommended for those who!

✔ Have congenitally deep neck wrinkles

✔ Have horizontal wrinkles fixed like shadows

✔ Want a more defined neck line

✔ Are concerned about their neck line in photos or selfies

📍 Neck wrinkles aren’t just because of age!

It could be your natural skin structure, and in such cases, a personalized approach is most important.

VIBE Plastic Surgery aims for natural and delicate procedures that consider the harmony of your entire face and neck line without looking obvious.

Consultations and surgeries should be performed by a plastic surgery specialist!

VIBE that comes from rich experience

Young-moon Yoo, Representative Director of VIBE Plastic Surgery

VIBE Plastic Surgery complies with medical laws. These before-and-after photos were taken under the same conditions with the patient’s consent. Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery and can vary by individual, so caution is required.

Frequently Asked Questions

Can congenital neck wrinkles be improved with treatment?

Yes, it is possible. Congenital neck wrinkles are often caused by the repeated folding of the underlying skin structure rather than reduced skin elasticity, and can be improved with a combination of treatments that fill volume under the skin and enhance dermal elasticity.

What methods are used for neck wrinkle treatment?

In this case, a combination treatment of Radiesse, Belotero Soft filler, and Botox was used. Radiesse induces collagen production, Belotero physically fills wrinkles, and Botox reduces excessive muscle movement to prevent wrinkle fixation.

When do the effects of neck wrinkle treatment appear?

Typically, after the first treatment, the skin texture begins to soften and wrinkle depth starts to diminish from 2 to 3 weeks. The effects can be further enhanced with a second treatment after 6 weeks.

How many times should I receive neck wrinkle treatment?

In this case, the patient saw results after a total of two treatments, performed at 6-week intervals. The number of treatments may vary depending on the individual's condition and the depth of the wrinkles.

In what cases is neck wrinkle treatment recommended?

It is recommended for individuals with deep congenital neck wrinkles, those with fixed horizontal wrinkles that appear like shadows, those whose necklines are prominent, or those who are concerned about their neck line during photography.