The neck is often one of the first areas to show signs of aging—but it’s also one of the most overlooked. Whether you’re bothered by sagging skin, visible neck bands, stubborn fat under the chin, or horizontal neck lines, modern facial plastic surgery offers a variety of ways to restore a smooth, youthful neckline.
At the Manhattan-based practice of Joshua D. Rosenberg, M.D., we offer both surgical and non-surgical neck rejuvenation treatments—each carefully selected to fit your anatomy, aesthetic goals, and downtime preferences.
Here are five transformative procedures that can redefine your neck and boost your overall appearance.
1. Neck Liposuction: Eliminate Submental Fat
If you’re struggling with a double chin or excess fat under the jawline, neck liposuction is a targeted surgical solution. Using tiny incisions under the chin or behind the ears, Dr. Rosenberg carefully removes unwanted fat to sculpt a cleaner, more defined neck and jawline.
Ideal for younger patients with good skin elasticity, this procedure is performed under local anesthesia with minimal downtime—and the results are long-lasting.
2. Lower Rhytidectomy (Neck Lift): Lift and Tighten Sagging Skin
A lower rhytidectomy, commonly known as a neck lift, is the gold standard for treating sagging skin, vertical neck bands, and loss of definition along the jawline. This surgical procedure repositions deeper tissues and removes excess skin, creating a firmer, more youthful contour.
Dr. Rosenberg performs neck lifts with a focus on natural-looking results—never tight or overdone. It’s often combined with a facelift or jawline contouring for comprehensive lower-face rejuvenation.
3. Kybella®: Non-Surgical Fat Reduction Under the Chin
Not ready for surgery but frustrated with a persistent double chin? Kybella is an FDA-approved injectable that dissolves fat cells under the chin using deoxycholic acid, a naturally occurring substance in the body.
Most patients require 2–4 sessions, spaced approximately one month apart. While results are gradual, Kybella offers a permanent reduction in submental fat without incisions or downtime.
4. Botox®: Soften Pronounced Neck Bands (Platysmal Bands)
Those vertical bands that appear when you clench your neck? They’re caused by the platysma muscle becoming more pronounced over time. Botox injections can temporarily relax this muscle, reducing the appearance of these bands and creating a smoother neck profile.
It’s a quick, non-surgical fix with no downtime—and it can be repeated every 3–4 months for maintenance.
5. Skin Tightening Treatments: Restore Texture and Firmness
For patients with mild to moderate skin laxity or horizontal neck lines, non-invasive technologies can deliver real results. At our NYC practice, we offer a range of advanced treatments, including:
- Radiofrequency (RF) Microneedling – Stimulates collagen to firm and tighten skin
- Laser Skin Rejuvenation – Targets sun damage, crepey texture, and discoloration
- PRP Therapy – Provides growth factors that can rejuvenate skin, often combined with microneedling
These treatments are excellent options for patients not ready for surgical intervention or those looking to maintain results post-surgery.
What’s Right for You? A Personalized Approach
No two necks age the same—and no single treatment fits every patient. Dr. Rosenberg’s approach begins with a comprehensive consultation to evaluate your anatomy, skin quality, and goals. Whether you’re interested in a one-time surgical procedure or a subtle, non-surgical enhancement, we’ll tailor a plan that fits your lifestyle and delivers results.
Ready to Transform Your Neck?
Located in the UES of Manhattan, Dr. Joshua D. Rosenberg is double board-certified in Facial Plastic and Reconstructive Surgery and Otolaryngology—bringing precision, artistry, and expertise to every procedure.
Schedule your consultation today to discover how surgical and non-surgical treatments can redefine your neckline—and elevate your entire facial aesthetic.
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