Nonsurgical aesthetic improvement of the neck: an algorithm for multimodal treatment
Objectives: Objectives:
To present a novel algorithm for nonsurgical rejuvenation of the neck. Learning outcomes include patient stratification into three main groups—volume reduction, skin laxity, and volume replacement—plus guidance on treatment sequencing. Attendees will learn how to combine lipolytics, energy-based devices, fillers, collagen inducers, neuromodulators, and regenerative injectables to optimize safety, outcomes, and long-term results.
Introduction: Introduction:
Neck aging involves fat accumulation, laxity, platysmal bands, and volume loss, often compromising cervicomental definition. While surgery is effective, many patients prefer minimally invasive solutions. The growing number of nonsurgical options—lipolytics, EBDs, fillers, collagen stimulators, and skin boosters—can deliver meaningful results. However, the absence of unified protocols complicates treatment planning. A structured algorithm can support safe, effective, and reproducible outcomes.
Materials / method: Materials / method:
Patients were classified into three groups: (A) excess submental or cervical fat; (B) skin laxity; (C) mandibular or chin volume deficit. The algorithm integrates lipolytic agents (cryolipolysis, deoxycholic acid, endolaser), EBDs (RFM, HIFU), fillers, collagen inducers, polynucleotides, skin boosters, and neuromodulators. Preferred sequencing: lipolytics → EBDs → fillers → intradermal treatments → neuromodulators. Treatments were tailored per anatomy, degree of aging, and patient goals.
Results: Results:
Case studies demonstrated efficacy in improving cervicomental angle, skin laxity, and mandibular contour. Lipolytic treatments effectively reduced submental fat; EBDs and collagen stimulators improved firmness; fillers corrected retrognathia and restored structure. Patients reported high satisfaction with minimal downtime. Adverse events were limited to mild erythema or edema, resolving spontaneously. The algorithm provided reproducible, synergistic outcomes across different aging patterns.
Conclusion: Conclusion:
This structured algorithm enables safe, comprehensive nonsurgical rejuvenation of the neck. By categorizing patients into distinct types and sequencing multimodal treatments logically, it addresses fat excess, laxity, and volume loss while harmonizing with the lower third of the face. Preliminary evidence suggests durable results and high satisfaction. Broader prospective studies are warranted, but this framework offers a reproducible, patient-centered model for clinical practice.
