Neck and Decollete: The Extended Architecture of the Face

Platysma and Nefertiti lifting

The platysma is a flat, broad muscle in the front of the neck; it is the bridge between the lower face and the neck. With age, it loosens and becomes visible as two vertical "bands." When 20-30 units of Botox are injected into these two bands, the bands relax, and the neck line softens. At the same time, the downward pulling effect of the platysma on the mandibular border is cut; the lower face appears as if it has been slightly "lifted" — this effect is called "Nefertiti lifting."

Characteristics of neck skin

Neck skin is approximately 30% thinner than facial skin; its collagen density is lower. At the same time, daily UV exposure is high (the décolletage is also often exposed). For this reason, neck skin aging is usually 5 years ahead of the face. The appearance of "a very good face, a clearly aged neck" is a classic example of aesthetic inconsistency.

Professional protocols for the neck

Microneedle RF: increases collagen synthesis, tightens neck skin; 3-4 sessions are recommended.

Skin booster: Profhilo gives particularly good results in the neck; significant hydration and fullness for 6-9 months with 2 sessions.

Fractional laser: for pigmentation and skin texture; preferred in winter.

Botox (platysma): essential intervention if bands are prominent.