Objectives: To present the aim of using injectables in case of neck aging and to discuss some specificities of this techniques in this location
Introduction: The aging process of the neck appear quite precociously by a wrinkling / loosening of the skin with flexural folds of varying intensity depending on the sun exposure of the concerned person, his genetic, the length of his neck, his flexion attitudes...
In addition, the mandibular and submandibular areas undergoes the effect of facial tissue sagging which makes the cervico-facial limits increasingly blurred. A double chin effect can aggravate this situation if there is a fat overload under the chin.
Materials / method: different medical techniques could be proposed to treat neck aging:
- Remodeling lasers, ultrasound, radiofrequency: for neocollagenesis stimulation
- Superficial peelings to improve both dermal and epidermal quality and thickness
- Fillers: in order to give more density to the skin. Esthetic aspect (smoothness and regularity)and resistance to movements are then better
- Botulinum toxin to reduce plathysma hyperactivity
- Threads: when we want to treat sagging component
in this talk, we will discuss indications of fillers, type of materials and techniques we can use in this location
Results: hyaluronic acid and calcium hydroxylapatite are the most important molecules in this indication. Obtained results can be very interesting in case of moderated neck aging and if we use product with the right cohesivity and viscosity. So, we have to choose among the available hyaluronic acids, to use pure for limited areas or diluted to treat larger zones.
calcium hydoxylapatite can also be used, giving the advantage of secondary neocollagenesis but it has to be diluted to give enough and not too heavy product.
Finally, we will discuss advantages and disadvantages of canulas and needles
Conclusion: The interest of injectables has to be known as one of tools that could be proposed to our patients with neck aging, especially as there is no perfect medical technique in this indication.
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