Neck
Contouring
The neck is the first place that reveals age — and the last place most patients think to treat. Horizontal creases, vertical banding, crepey texture, and a softening jawline-to-neck transition signal collagen loss in tissue thinner and more exposed than anywhere else on the face. At Couture Dermatology, our Neck Contouring programme addresses every layer of this neglected zone: surface texture, pigmentation, structural laxity, and muscle banding — without a single incision.
surgical recovery
post-treatment
with maintenance
"The neck tells the truth before anything else does. We make sure it tells the right story."

Why the Neck Ages
Before Everything Else
The skin of the anterior neck is among the thinnest on the body — roughly 40% thinner than facial skin — with fewer sebaceous glands, less subcutaneous fat, and a collagen matrix that begins to thin early. It receives near-constant UV exposure, is subject to repetitive flexion from device use, and sits directly over the platysma muscle, whose gradual separation produces vertical banding.
The clinical result is a distinctive combination of problems that no single treatment can fully address: horizontal creases from repetitive folding, vertical platysmal bands from muscular descent, crepey texture from epidermal thinning, pigmentation from cumulative photodamage, and laxity from the structural collapse of the deep dermal scaffolding.
Neck Contouring at Couture Dermatology is a sequenced multimodal programme designed to address each of these layers simultaneously. RF microneedling for collagen induction. Fractional laser for surface texture. Neuromodulator for platysmal band relaxation. Each modality targets a specific anatomical plane.
What Happens
at Each Session
The neck demands a different approach than the face. Thinner skin and the presence of the platysma muscle require energy parameters that are calibrated specifically for this anatomy.
Neck Assessment
Your board-certified FAAD dermatologist evaluates the neck — assessing the degree of horizontal creasing, platysmal band prominence, skin laxity, crepey texture, and pigmentation.
Included at every visitPreparation & Numbing
Medical-grade topical anaesthetic is applied to the treatment zone. The neck is more sensitive than the face — we adjust accordingly. Cooling measures are used throughout.
20–30 minutesMultimodal Treatment
RF microneedling induces deep collagen remodeling. Fractional laser resurfaces the epidermal layer. Neuromodulator relaxes vertical banding. Each modality is calibrated for the neck.
30–90 minutesRecovery & Rebuilding
Mild redness resolves within 24 to 72 hours. Neuromodulator results emerge over 7 to 14 days. Deeper work — new collagen synthesis — unfolds over 3 to 6 months.
1–3 days downtimeEach Layer of the Neck
Requires a Different Approach
The neck presents multiple simultaneous aging pathways. No single device addresses all of them. Your dermatologist selects the combination that matches your clinical picture.
Thermal · Dermal + Subdermal Depth
RF Microneedling
Radiofrequency energy delivered through ultra-fine microneedles heats the dermal layers of the neck — triggering immediate collagen contraction and a sustained fibroblast response that produces new collagen over the following months. Particularly effective for crepey texture and horizontal creases.
Photothermal · Epidermal + Dermal
Fractional Laser Resurfacing
Fractional laser energy resurfaces the neck's epidermal layer — improving sun damage, pigmentation, and fine lines. For necks where surface quality and photodamage are significant contributors, laser provides the most efficient pathway to visible improvement in tone and texture.
Neuromuscular · Platysma Muscle
Neuromodulator (Nefertiti Lift)
Precise placement of neuromodulator along the platysmal borders relaxes the vertical muscle bands that create a ropy, aged appearance. When the platysma is relaxed, the downward pull on the lower face is reduced — producing a subtle but visible lifting of the jawline.
Multimodal · Combined Protocol
Full Neck Contouring
The most transformative outcomes emerge when modalities are sequenced across tissue planes: RF microneedling for structural collagen remodeling, fractional laser for surface quality, and neuromodulator for muscle banding — designed as a single unified plan.
What Neck
Contouring Delivers
Horizontal Line Reduction
The deep horizontal creases that define the aging neck — including "tech neck" lines — are softened through mid-dermal collagen induction, with results deepening over 3 to 6 months.
Platysmal Band Smoothing
Neuromodulator relaxes the vertical platysma muscle borders responsible for the ropy, stringy appearance, creating a smoother, more defined anterior neck profile.
Crepey Texture Improvement
The thin, tissue-paper quality that develops in neck skin is addressed through RF microneedling and fractional laser. The result is skin that feels and looks firmer and denser.
Cervicomental Angle Restoration
When the angle where the jawline meets the neck blunts from laxity, the face reads as heavier. Energy-based tightening restores definition to this clean transition of youth.
Sun Damage & Pigmentation
Fractional laser addresses photodamage layer by layer, breaking down excess melanin and stimulating epidermal renewal for a neck that matches the treated face above it.
"A face can be flawless and the neck will still tell the truth. We treat the neck with the same precision we give the face."— Couture Dermatology

continues to build
Board-Certified FAAD
Every neck protocol designed and performed by Dr. Chinonso Kagha Abisogun, Fellow of the American Academy of Dermatology
Neck-Specific Calibration
Energy parameters and depths are set for the thinner, more sensitive tissue of the neck — not repurposed from facial protocols
Skin of Colour Expertise
Harvard fellowship–trained in laser interactions with melanin-rich skin — safe treatment across all Fitzpatrick types
Wilshire Blvd, Beverly Hills
9735 Wilshire Blvd, Suite 216, Beverly Hills, CA 90212 · (310) 444-0946
Every Zone
of the Neck, Addressed
The neck is not a single treatment area — it is a collection of distinct anatomical zones, each with specific characteristics that determine the optimal modality.
Anterior Neck
The front of the neck — where horizontal lines, crepey texture, and platysmal bands are most visible and most frequently treated.
Lateral Neck
The sides of the neck where laxity and sun damage accumulate — addressable with RF microneedling and fractional laser.
Jawline-to-Neck Transition
The cervicomental angle — the sharp or blunted line where face meets neck that defines visual age more than any other feature.
Platysmal Bands
The vertical muscular cords visible at the medial borders of the platysma — relaxed with precisely placed neuromodulator.
Décolletage
The upper chest area where sun damage and textural aging create a visible mismatch with a treated face.
Submental Area
The zone beneath the chin where laxity and fullness converge — assessed for whether skin tightening is the appropriate intervention.
Is Neck Contouring
Right for You?
- Adults who notice their neck looking older than their face — horizontal lines, crepiness, or banding that skincare cannot address.
- Patients with visible platysmal bands or a softening jawline-to-neck transition who want improvement without surgery.
- Those who have invested in facial treatments and want their neck to match — closing the visual gap between face and neck.
- Patients with "tech neck" lines from device use — horizontal creases that have deepened from years of repeated flexion.
- Those with sun-damaged neck skin showing mottled pigmentation, rough texture, and uneven tone.
- Anyone seeking a preventive approach — treating early neck aging before surgical intervention becomes the only option.
Where non-surgical neck treatment has a ceiling
Energy-based neck rejuvenation is highly effective for mild to moderate laxity, textural aging, and muscular banding. However, significant tissue excess — redundant skin that hangs or folds — requires surgical excision that non-surgical modalities cannot replicate.
Similarly, substantial submental fat deposits may require injectable fat dissolving or liposuction rather than skin tightening alone. The consultation determines the honest path to the result you want.
For Complete Rejuvenation,
Pair With…
The neck does not exist in isolation. Treating it alongside complementary facial procedures produces a cohesive result that no single treatment zone achieves alone.
Non-Surgical Skin Tightening
Energy-based tightening of the lower face — using HIFU and RF — lifts and firms the tissue above the neck, complementing the neck programme.
Explore skin tightening →Jawline Contouring
Dermal filler along the mandibular border rebuilds the structural projection that frames the neck from above. A sharp jawline makes a smooth neck look even better.
Explore jawline contouring →Wrinkle Softening
Neuromodulator treatment of the lower face addresses dynamic lines. When both zones are treated, the entire lower third reads as cohesive, lifted, and relaxed.
Explore wrinkle softening →Laser Skin Resurfacing
Full-face fractional laser resurfacing ensures the surface quality, tone, and texture of the face matches the newly polished neck.
Explore laser resurfacing →Your Neck Protocol
Begins With Assessment.
Every neck ages differently. At Couture Dermatology, your board-certified FAAD dermatologist assesses your neck anatomy in full before recommending any modality, energy parameter, or treatment series. No protocol is designed before your skin has been examined.
Beverly Hills, CA 90212
Sat · By Appointment Only
"My neck had always bothered me — the horizontal lines and crepey texture made me look older than my face did. Dr. Chinonso designed a programme that addressed every layer of the problem. Three months later, my neck finally matches my face. I wear open necklines again for the first time in years."
Margaux D.
Verified Patient · Beverly Hills
Results That Speak for Themselves
Individual results vary. Images are representative of the types of outcomes achievable through a customised treatment programme at Couture Dermatology.
Frequently
Asked Questions
Direct, clinical answers to the questions patients most commonly ask about non-surgical neck rejuvenation — on treatment options, recovery, longevity, and candidacy.
Neck Contouring at Couture Dermatology addresses horizontal neck lines (including 'tech neck' creases), vertical platysmal bands, crepey skin texture, mild to moderate neck laxity, sun damage and pigmentation on the neck and décolletage, and loss of definition in the cervicomental angle (the jawline-to-neck transition). The protocol is customised based on which combination of these concerns is present.
Most patients require 3 to 5 treatment sessions spaced 4 to 6 weeks apart for optimal results. Neuromodulator injections for platysmal bands are repeated every 3 to 4 months. Focused ultrasound treatments may require only 1 to 2 sessions per year. Your board-certified dermatologist will outline a specific protocol based on the severity and type of neck aging present.
Downtime is minimal for most neck rejuvenation modalities. Radiofrequency microneedling produces 1 to 3 days of mild redness and swelling. Fractional laser may produce 3 to 7 days of redness and light peeling depending on the intensity used. Neuromodulator injections have no downtime. Most patients return to normal activities the same day or the next day.
Neuromodulator results for platysmal bands become visible within 7 to 14 days. Radiofrequency microneedling and fractional laser produce gradual improvement over 3 to 6 months as new collagen forms. Some immediate tightening from collagen contraction is noticeable in the days following energy-based treatment. The most significant results are typically visible 3 months after the final session in a series.
Yes — with appropriate modality selection and parameter calibration. Radiofrequency microneedling and neuromodulator injections are safe across all Fitzpatrick skin types. Fractional laser parameters are adjusted for darker skin tones to minimise post-inflammatory hyperpigmentation risk. At Couture Dermatology, skin type is assessed at every consultation and treatment protocols are calibrated accordingly.
Neck Contouring primarily addresses skin quality, laxity, and muscle banding — not submental fat deposits. If submental fullness is a significant concern, injectable fat-dissolving treatments or body contouring may be discussed as a complementary procedure. Your dermatologist will assess whether skin laxity, fat accumulation, or both are contributing to the appearance of a double chin and recommend the appropriate approach.
Related Treatments
Non-Surgical Skin Tightening
in Beverly Hills, CA
Couture Dermatology offers advanced non-surgical skin tightening in Beverly Hills, CA, for those seeking firmer, more youthful-looking skin without invasive procedures. Our expert dermatologists use state-of-the-art technology to gently tighten and rejuvenate your skin. Enjoy minimal downtime and natural-looking results tailored to your unique needs. Discover a refreshed appearance today with our trusted, non-invasive solutions.
How Non-Surgical Skin Tightening Works
What to Expect During Your Visit
Step 1: Personalized Consultation
Step 2: Treatment Preparation
Step 3: The Procedure
Step 4: Aftercare & Results
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Who Is a Good Candidate
- You have mild to moderate skin laxity and want firmer skin.
- You prefer non-invasive options with minimal downtime.
- You are in good general health with realistic expectations.
- You want to improve skin tone without surgery or incisions.
Benefits of Non-Surgical Skin Tightening Treatment
No Surgery Required
Minimal Downtime
Natural-Looking Results
Customizable Treatments
- Laser resurfacing can improve skin texture and tone.
- Microneedling stimulates collagen for firmer, smoother skin.
- Dermal fillers help restore youthful facial volume.
- Chemical peels refresh and rejuvenate your complexion.
Explore Additional Skin Treatments
Non-Surgical Skin Tightening Treatment Cost
in Beverly Hills, CA
Non-surgical skin tightening in Beverly Hills, CA typically ranges from $800–$3,500 per treatment, depending on the area treated, technology used, and your individual needs. Pricing may vary by provider, anatomy, and treatment plan. For an accurate estimate, we recommend scheduling a consultation to receive a personalized quote tailored to your goals.
Dr. Chinonso Kagha
Abisogun, MD, FAAD
Why Choose Couture Dermatology?
Choosing Couture Dermatology for your non-surgical skin tightening means trusting a team of experienced dermatologists dedicated to personalized care and advanced technology. Our Beverly Hills, CA, practice prioritizes your comfort, safety, and aesthetic goals, ensuring every treatment is tailored to your unique needs. With a reputation for natural-looking, beautiful results and minimal downtime, we help you achieve firmer, more youthful skin in a welcoming, professional environment.
Check Your Insurance Coverage
Testimonials
- Rosie D.
Meet Our Providers
Dr. Chinonso Kagha Abisogun, MD, FAAD
Healthy Skin.
Beautiful
Complexion.
A More Confident You.