As a 50-year-old woman, I had anticipated eyelid droop. I had anticipated crow’s feet and forehead lines. (Anticipated and eradicated with Botox Cosmetic, thank you very much.) However, as a person who takes pretty meticulous care of my complexion, not just with injectables but with sunscreen and other skin-saving products, I did not expect to wake up to find that my prized part — my long, lean and evenly pigmented neck — had aged seemingly 20 years overnight. How, after a year of minimal sun exposure and all the time in the world for self-care, had my neck suddenly gone from swan to turkey? I turned to several of my favorite sources to help me figure out the hows, whys and, more important, what-to-dos about the wobbly wasteland below my chin. Here’s what I learned.
Is the Computer to Blame for Our Nation’s Current Saggy Neck Crisis?
It’s certainly not helping. Recent research shows that in the wake of the pandemic, individuals report a 33-185% increase in their screen time. And the simple act of looking down at a device can add anywhere between 10-60 pounds of weight on the delicate neck area. This, coupled with factors like collagen loss and the thin texture of the skin surrounding the neck area, makes the neck more vulnerable to premature signs of aging. Furthermore, the platysma — two plate-like muscles which run up the sides of the neck — is prone to sagging and susceptible to the effects of gravity. “Dermatologists are seeing an uptick in aesthetic concerns from our patients because, as we work from home, many of us are staring at ourselves all day long on video calls. As a result, we are not only more conscious of our physical appearance, but the action of looking down at our phone or computer can also exacerbate ‘tech neck,’ which in addition to the musculoskeletal issues, is characterized by skin laxity and sagging and deepening of the horizontal neck lines,” says Shari Marchbein, M.D.
Why Did My Neck Aging Seem to Creep up Overnight?
“I think it’s because so many of us either ignore or forget about our neck entirely, and don’t use skincare products in that region like we do on our face … until it seems that, suddenly, we’ve aged a decade and now we have sagging neck skin,” Dr. Marchbein says. Like eyelid skin, neck skin is thin and delicate and requires special care. It also has fewer oil glands and is, therefore, more prone to showing the signs of aging, including sagging, sunspots and fine lines.
When Should You Really Start Taking Care of Your Neck?
We know that after age 25, our bodies start producing collagen at a rate of about one percent less per year in the skin. This means that by 50, there is almost no new collagen being made — and the collagen that remains becomes broken down, fragmented and weaker, according to Dr. Marchbein. In our mid-to-late 20s (and certainly by our 30s), most of us begin to notice some looseness of the neck skin, particularly close to the jawline, a deepening of the horizontal neck lines and more pronounced platysma. By our 40s and 50s, as we have more significant sagging, skin laxity and volume loss, the signs of aging will become more evident especially if these areas have not been addressed and maintained throughout the years. The laxity of the neck and thickening of the strong muscular platysma also contributes to the downward pull on the face and jawline, and the appearance of jowls. All of this to say that by our mid 20s, at the latest, we should be focusing some of our anti-aging efforts on our neck. You can start by doing things like applying your facial products down to the base of your neck.
Uh-Oh. I’m 50. Is it Too Late for Me to Get A Nicer Looking Neck?
“It’s never too late to start taking good care of your skin,” says David Shafer, M.D., F.A.C.S. “The most important thing is a healthy diet, not smoking, protection from the sun and using effective daily skincare products that help hydrate and restore.” To that end, get in the habit of applying a broad-spectrum sunscreen with an SPF of at least 30 to all exposed neck skin daily. And stop terminating your skincare regimen at your jawline! Seek out products specifically designed to treat the thin skin on the neck, such as Dermalogica Neck Fit Contour Serum and SkinMedica Neck Correct Cream. Both of these formulas contain peptides, which can help boost the production of collagen and elastin and improve the appearance of fine lines and wrinkles on the neck.
Is There More THan One Way For A Neck To Age?
“In short, yes,” says Dara Liotta, M.D., F.A.C.S. “I say that platysmal banding — a pronounced platysma — is a ‘thin person problem.’ If you had extra padding, you wouldn’t see it. Heavier people tend to have the same platysmal banding in addition to excess fat, which pulls the fat forward and gives more of a sloped neck effect, according to Dr. Liotta.
Do Facial Exercises, Such As Tilting Your Head Back And Trying To Cover Your Upper Lip With Your Lower Lip, Help Tighten the Neck Area At All?
The most important movement for the neck is to keep it upright and avoid prolonged periods of time looking down, such as when you’re using electronics, advises Dr. Shafer. But in reality, the neck skin is going to age and sag just as the facial skin will so it’s important to start a skincare routine early and, just as with our face, use preventative treatments.
And If I Wanted To Get Sligtly More “Aggressive” With My Neck Care?
Botox Cosmetic and fillers can be used separately and in combination to improve the look of a saggy or lined neck. One solution is the so-called “Nefertiti” lift, which is done by injecting Botox Cosmetic into the platysma as well as along the jawline, says Dr. Marchbein. But at a certain point, it may make more financial sense to consider a lower face lift, says Dr. Liotta. “A lower face lift and neck lift — often combined with a chin implant, depending on the patient’s natural chin projection — can yield the best and most long-lasting results.”
Frequently Asked Questions
Looking down at phones or computers puts extra strain on the neck, adding the equivalent of 10-60 pounds of weight on the delicate neck area. This pressure, combined with natural collagen loss and thin skin, accelerates sagging, skin laxity, and deepening of horizontal neck lines, a condition often referred to as 'tech neck.'
Neck aging can appear sudden because many people neglect skincare on their neck until visible signs like sagging or wrinkles emerge. The neck skin is thin, delicate, and has fewer oil glands, making it more prone to showing aging signs quickly once neglected.
You should begin neck care by your mid-20s at the latest. Collagen production decreases by about 1% per year after age 25, leading to skin laxity and lines. Early care, including applying skincare products down to the neck, helps maintain firmness and delay visible aging.
It is never too late to start caring for your neck. A healthy lifestyle, sun protection, and using effective skincare products designed for the neck can hydrate, restore, and improve skin appearance even at age 50 and beyond.
Neck aging varies depending on body type. Thin individuals often experience pronounced platysmal banding (visible neck muscles), while heavier individuals may have platysmal banding combined with excess fat, causing a sloped neck appearance.
While keeping the neck upright and avoiding prolonged downward gazing is beneficial, facial exercises alone cannot prevent neck skin aging and sagging. Consistent skincare and preventative treatments are essential to maintain neck firmness.
Products specifically formulated for the neck, such as Dermalogica Neck Fit Contour Serum and SkinMedica Neck Correct Cream, contain peptides that boost collagen and elastin production, improving fine lines and wrinkles on the neck.
Yes, Botox and fillers can be used alone or together to improve sagging or lined neck skin. Procedures like the 'Nefertiti' lift involve Botox injections into the platysma and jawline to lift and tighten the neck area.
Surgical options like a lower face lift and neck lift, sometimes combined with a chin implant, are recommended when non-invasive treatments are insufficient. These procedures provide the most long-lasting and significant improvements for advanced neck aging.
After age 25, collagen production decreases by about 1% annually, leading to weaker, fragmented collagen in the skin. This loss causes the neck skin to become lax, develop lines, and sag over time, making collagen maintenance crucial for neck health.