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Neck Rejuvenation

Queensland’s high UV index accelerates skin aging on the chest & neck. This leads to mottled pigmentation, redness, wrinkles & laxity. Dermatologists use pigment lasers, BBL & topical antioxidants to reverse aging & restore skin quality.  

Key Points

  • Neck wrinkles are best treated with fractional lasers 
  • Vascular lasers & broad band light are used to treat redness
  • Pico lasers are used to treat pigmentation
  • Collagen stimulating dermal fillers are used to treat wrinkles & skin laxity
  • Antioxidant skincare preserves & protects the skin from future UV damage
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Neck Rejuvenation at a glance

Best outcomes: 1-3+ sessions
Procedure time: 15-30 minutes
Duration of results: Years
Back to work: Immediately
Recovery:  0-7 days
Anaesthetic: Numbing
Your specialist: Dermatologist, nurse
How much: $

Our results speak for themselves


What lasers do we use to pigment on the neck & chest?

  • Red & brown pigment responds to BBL Forever Young.
  • Resistant brown pigment responds better to Picoway & Picosure Pro lasers.
  • Resistant red pigment can be treated with V Beam Prima, Perfecta or DermaV lasers. 


Most patients will require 2-3 sessions. The hardest pattern to treat is widespread redness, this pattern may require 4-6 sessions to treat. 

Learn more (link to the vascular lasers in the laser section)

What lasers do we use to treat wrinkles on the neck & chest?

Fractional Fraxel & CO2 lasers treat wrinkles & laxity. 

If you have heavy pigmentation, we combine BBL & Fraxel lasers on the same day. 


If you have very little sun damage & more wrinkles & laxity, we prefer HIFU or Ultherapy/Ultraformer. 

Are treatments painful?

With numbing gel, treatments are well tolerated. After treatment you may experience mild burning for a few minutes. Redness will fade after a few days.

How long does it take to see results following treatment?

You will notice the results after 1-2 sessions, however for the neck & chest area, 3-5 sessions are optimal. 

How can we treat neck wrinkles?

Your ideal treatment depends on the clinical findings. They include-



  • Laser resurfacing
    • RF microneedling
  • High intensity focused ultrasound or radiofrequency
  • Collagen stimulating dermal fillers
  • Hyaluronic acid fillers
  • Combination of above
  • Surgical neck lifts


For wrinkles we find the combination of collagen stimulating dermal fillers & HIFU or laser resurfacing works the best. 

What can fillers achieve?

Dermal fillers are great for neck lines – or necklace lines as we call it. Two ways to shallow up the grooves-



  1. Direct injection of HA fillers or collagen stimulating filler into the lines.



  1. Cross hatching of the area with the above fillers. Australia will receive a revolutionary new filler in 2022 known as Profhilo, this provides better integration than the current repertoire of fillers. 

Fillers can be combined with lasers, HIFU, RF or threads to provide a superior outcome.

What causes Poikiloderma of Civatte or reddened necks?

The number one contributor is UV radiation, followed by fragrances & perfumes. Poikiloderma of Civatte or POC, is seen in 90% of women over the age of 50 in Brisbane. Treatment can be tricky. We use –


  • Pico lasers for brown pigment
  • BBL for general treatment
  • Fractional lasers for mixed pigmentation
  • Vascular lasers for red vessels
  • Antioxidants to protect


Most patients require 3-5 sessions. Even with the best equipment, this condition is resistant in 20% of cases. 

Is microneedling a good option?

It’s an option, however there are many more effective treatments. Given the marked UV damage frequently seen in Queensland skin, we find that combination treatments are more effective. They include-


  • BBL & fractional lasers
  • Pico lasers for pigmentation
  • Vascular lasers for redness
  • Collagen stimulation via fillers & high intensity focused ultrasound


Medik8 Physical Sunscreen SPF50+

Dermaceutic All Things Pigment 21 Day Kit

Lasers can tighten neck skin as well as treat mottled pigmentation. Dermal fillers can increase collagen content, in turn improving laxity. Combined treatments provide synergistic results.

Can SkinTyte BBL work?

Though marketed for skin rejuvenation & laxity, the Infrared treatment of SkinTyte BBL does not produce consistent results– especially given the sun damage we have in Queensland. We do however use BBL to treat pigmentation, sun damage & redness. 


For wrinkles & laxity we normally combine collagen stimulating dermal fillers with fractional lasers & or radiofrequency/ HIFU skin tightening devices. The latter is much more effective & powerful compared to SkinTyte BBL. Another better option is RF microneedling with the Genius RF. 

What is RF microneedling, & when do we use it?

RF microneedling is performed with our Genius RF device. It is indicated in cases of moderate to severe laxity in patients who are not yet ready for surgery. This treatment uses insulated needles to deliver heat to the deeper layers of skin. 


You will require 2-4 sessions. It is best combined with fractional lasers. 


Learn more (link To RF microneedling in the skin tightening section) 

Are threads any good?

Though popular & Instagram valuable, the results from PDO thread neck lifts are dismal (at best). This means one in every twenty patients will get a ‘good result.’ If you like these odds, knock yourself out. 


Threads can be combined with lasers, fillers, RF & HIFU for better results in a select group of patients


Muscle & gravitational forces are too great for any non-surgical options (apart from CO2 lasers if skin quality is an issue).


Learn more (link to PDO threads in the skin tightening section) 

How do I amplify results from my treatment?

The use of antioxidants will accelerate & protect your skin after treatments. These molecules will reduce UV & environmental damage to your skin.



  • Tocopherol or vitamin E is a potent scavenger of free radicals
  • Vitamin C preserves & builds collagen
  • Ferulic acid works synergistically with vitamin C, & E

How to approach neck & chest rejuvenation?

To understand what’s the optimal treatment, break it down to pigment, wrinkles & laxity. 


For pigment, figure out if it’s red, brown or a combination of colours. You then apply a specific laser to address each colour. 


For wrinkles need to determine if it’s fine wrinkles, coarse wrinkles, & the amount of background sun damage. The same applies to laxity.

What should you consider before undertaking neck rejuvenation?

Treatment is an investment of time, effort, and money for patients. Here are some helpful points that may help you along your journey. 



  • Diagnosis: It is complex. Photoaging of the neck comprises pigmentation changes, vessels, laxity, muscle one & more. It is seldom that one ‘device’ treats all. 



  • Sun protection: Especially important in treating red & brown pigment. UV protection is paramount for results & preservation of the outcomes.



  • Consider multiple sessions: there is no way around this. The neck area requires multiple sessions over a few months. 


Book an appointment with our clinical team at Cutis, as they can guide you through the assessments. Nurse consults are FREE. Redeemable with future procedures. 

Ask us more about this treatment

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