Objectives: In this paper, we aim to revisit the neck's anatomy and then demonstrate current non-surgical techniques in managing actual cases. To achieve that, we have utilized an intuitive four-point grading scale to guide both physician and patient regarding appropriate treatment combinations.

Introduction: Effective non-surgical treatments for the aging face are widely accepted and utilized. Although changes in the aging neck, often patients seek aesthetic rejuvenation protocols that are neither well defined nor well designed. Increasingly, patients desire less invasive cosmetic treatments with less morbidity and downtime. A significant challenge exists in managing expectations and educating patients about the pros and cons of a surgical approach compared to the plethora of non-surgical options.

Materials / method: In this article, a detailed review of the critical anatomic pearls relevant to neck rejuvenation is performed, followed by suggestions of grade-oriented treatment combinations.

Conclusion: Skin laxity is not the only factor that comes into play when assessing the neck. Male patients have less impressive results, likely due to less skin contraction after undermining because of the skin's sebaceous nature. Also, the obese/heavy neck poses a challenge, as it is hard to provide a smooth contour with fat removal only, and these patients often need skin resection.

Ptosis of the submandibular glands should be noted preoperatively. The anterior approach provides access to the submandibular glands for resection, suspension, or direct platysma plication over the glands.

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