Neck rejuvenation in London

Can you reverse ageing on the neck?

The neck often shows age earlier than the face, but it is rarely one problem. Horizontal lines, vertical bands, loose skin, crepey texture and sun damage each need a different approach. Neck rejuvenation at our Islington clinic is a combined plan, built around what your neck actually needs.

No treatment stops ageing, and none can turn back the clock on the neck entirely. What well-chosen treatment can do is improve skin quality, soften lines and bands, firm mild laxity and even out sun damage, so that the neck sits more comfortably with the face. Results vary, and they develop gradually. We would rather set realistic expectations at the start than promise a change we cannot deliver.

Why the neck ages differently

The skin of the neck is thinner than the skin of the face, with fewer oil glands and less underlying support. It moves constantly, it is often missed when sunscreen is applied, and many of us spend hours each day looking down at phones and laptops. Over time this shows in several distinct ways:

• Horizontal neck lines: creases that run around the neck, sometimes visible from quite a young age.
• Vertical neck bands: cords that become more prominent when the platysma muscle, a thin sheet of muscle in the neck, contracts.
• Loose skin: softening of the skin under the jaw and down the neck as collagen and elastin decline.
• Crepey texture: thin, fine-lined skin that has lost hydration and spring.
• Sun damage: uneven pigmentation and redness on the sides of the neck and the chest.
• Fullness under the chin: a small pocket of fat that blurs the line between jaw and neck.

Most people have more than one of these. That is why a single treatment rarely gives the result people hope for, and why we plan neck treatment as a combination.

Treatments we use for the neck

• Skin boosters: Profhilo and other skin boosters to hydrate and improve crepey skin.
• Laser skin tightening: gradual collagen stimulation for mild laxity.
• Anti-wrinkle treatment for neck bands (sometimes called a Nefertiti lift): softens prominent vertical bands.
• Thread lift: PDO threads or the Korean V Lift mono-thread lift, for more lift along the jaw and neck.
• IPL: for sun damage and redness on the neck and chest.

Profhilo and skin boosters for crepey neck skin

Profhilo is an injectable hyaluronic acid treatment that spreads through the skin to improve hydration and quality. On the neck it is used for crepey texture and early softening. It is not a filler and does not add volume or change shape. It is usually given as two sessions about a month apart. Other skin boosters, including polynucleotides, can be used where skin is particularly thin or tired. A PRP facial is another option for skin quality. These are prescription treatments, given only after a consultation and prescribed and administered by Dr Vishal Patel.

Laser skin tightening for mild laxity

Laser tightening uses gentle heat to stimulate collagen in the deeper layers of the skin. It suits mild softening under the jaw and down the neck. There is usually little or no downtime, and the change builds gradually over a course of sessions. Our comparison of HIFU vs radiofrequency vs microwave covers the other energy-based options.

Anti-wrinkle treatment for neck bands

Prominent vertical bands are caused by the platysma muscle. Carefully placed anti-wrinkle treatment can relax these bands and, in suitable patients, slightly sharpen the jawline. This approach is sometimes called a Nefertiti lift. It works on the muscle, not the skin, so it helps bands rather than loose or crepey skin. It is a prescription treatment, given only after consultation, and requires a detailed knowledge of neck anatomy.

Thread lift for more lift

Where there is more laxity along the jawline and upper neck, a thread lift can provide a degree of lift that skin treatments cannot. We offer PDO thread lifts (from £600 for a single area) and the Korean V Lift, a mono-thread lift (from £1,600). Dissolvable threads are placed beneath the skin to reposition soft tissue and stimulate collagen around them. It is more involved than the other options and is discussed in detail at consultation. Our guide to skin tightening vs thread lifts sets out the differences.

IPL for sun damage and redness

Intense pulsed light targets brown pigmentation and visible redness. The sides of the neck and the upper chest are common areas for both, and treating them alongside the face helps the skin tone match. A patch test comes first.

Fat under the chin

Where a small pocket of fat under the chin is part of the picture, fat dissolving injections with Aqualyx can refine the angle between jaw and neck. We will tell you whether the fullness is fat, loose skin, or both, because each needs a different treatment.

Can you tighten a saggy neck without surgery?

Mild to moderate laxity can improve with laser tightening, skin boosters or a thread lift. Significant loose skin is best treated surgically, and we will tell you honestly if that is the case.

A useful rule of thumb is that non-surgical neck tightening improves the quality and firmness of skin that is still reasonably well supported. Where the skin hangs in folds, or the underlying muscle has separated, no injectable, laser or thread will replicate a surgical neck lift. Recognising that early saves time and money.

Who neck rejuvenation suits, and who it does not

Neck treatment suits adults with early to moderate changes who want a gradual, natural-looking improvement and are comfortable with a course of treatment. It is less suitable where laxity is marked, where expectations are for a surgical result, or where a skin condition needs medical treatment first.

We do not give injectable treatments during pregnancy or breastfeeding, over active infection, or with certain medical conditions and medicines, which we check at consultation. If anything in your history raises a question, we may ask you to speak to your GP first.

Your consultation

Every neck rejuvenation plan begins with a consultation with Dr Vishal Patel. We ask about your health, medication, previous treatments and what bothers you most. We then examine the neck at rest and in movement, looking at skin thickness, lines, bands, laxity, pigmentation and the jawline, and how the neck relates to the lower face. With your consent, we take standardised photographs.

You leave with a clear plan: which treatments we recommend, in what order, over what timescale, and at what cost. If surgery would serve you better, we will say so. The skin and aesthetic consultation is £65, redeemable in full against treatment.

Cost of neck rejuvenation in Islington

• Profhilo: £350, or £625 for two sessions
• Skin boosters: from £250
• Laser lift and tighten: from £195
• Nefertiti lift (anti-wrinkle treatment for neck bands): £300
• PDO thread lift: from £600 (single area)
• Korean V Lift (mono-thread lift): from £1,600
• IPL photofacial: £180
• Aqualyx fat dissolving: from £350

Because most plans combine treatments, the total depends on what your neck needs. You will receive a written plan with the full cost before you commit to anything.

Looking after your neck at home

Treatment works best alongside simple daily habits. Apply sunscreen to the neck and chest as well as the face, every day. Extend your skincare routine down the neck. Where it helps, we can recommend medical-grade skincare such as NeoStrata. Being aware of how often you look down at a screen also helps. These steps will not replace treatment, but they help protect the result.

Why have it with us

Prescribed and administered by Dr Vishal Patel, BDS, MSc Aesthetic & Restorative Dentistry, GDC 103127, the clinic’s sole aesthetic prescriber. His training includes the International Fellowship in Advanced Aesthetic Science and a facial anatomy and cadaver course with Dr Ali Pirayesh at the University of Amsterdam. He has ten years of experience in facial aesthetics and around 20 years in dentistry, and is Lynton Lasers trained. Read more about Dr Vishal Patel.

Dental & Wellness London has been on Essex Road since 2009 and is rated 4.7 stars from more than 300 Google reviews. The clinic is at 222 Essex Road, Islington, London N1 3AP, two minutes from Essex Road station and a short ride from Angel, Highbury, Canonbury, Hackney and Stoke Newington. Buses 38, 56, 73, 341 and 476 stop on Essex Road. Many patients cycle or use a Lime or Forest e-bike. We are open Monday to Friday, 8am to 7pm, by appointment.

Clinically reviewed by Dr Vishal Patel · BDS · MSc Aesthetic & Restorative Dentistry · GDC 103127. Last reviewed 1 October 2026.

For the full picture, including how this compares with the alternatives, see our guide to non-surgical face lift.

Further reading

• The Truth About Neck Botox for Pain Relief: What You Need to Know
• Profhilo for the neck and décolletage