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What If Botox for Vertical Neck Wrinkles Didn’t Help?

Liting Plastic Surgery Clinic Gangnam Main Branch · 리팅성형외과 이성준 대표원장 · January 15, 2025

Hello, this is Lee Seong-jun, chief director of the Seoul branch of Liting Plastic Surgery. No matter how youthful your face looks, if the wrinkles on your neck are deep, you will...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Liting Plastic Surgery Clinic Gangnam Main Branch

Original post date: January 15, 2025

Translated at: April 24, 2026 at 2:05 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

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Hello, this is Lee Seong-jun, chief director of the Seoul branch of Liting Plastic Surgery.

No matter how youthful your face looks, if the wrinkles on your neck are deep, you will inevitably look older.

In fact, these days, people say age is predicted not by the face, but by the wrinkles on the neck and the backs of the hands.

That is because the skin is thin, so wrinkles form easily, and once they appear, they do not go away easily. On top of that, people often neglect care.

In particular, when vertical neck wrinkles appear, it can be difficult to reverse them with at-home care alone, so methods such as vertical neck wrinkle Botox or fillers are often tried first.

If that still does not help, other methods can be considered.

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Why do neck wrinkles form?

The reason neck wrinkles form varies from person to person.

Some people have neck wrinkles in their 20s, while others in their 50s or 60s still have smooth necks.

If you have neck wrinkles at a young age, they are usually horizontal neck wrinkles.

These are often believed to be congenital.

As people get older, vertical neck wrinkles tend to develop more often.

The main causes are aging and improper care.

These days, many people keep their heads bent forward for long periods while using smartphones, which worsens neck wrinkles.

At first, horizontal wrinkles become deeper, and then vertical wrinkles gradually appear as well.

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Characteristics of vertical neck wrinkles

Deep, 11-shaped wrinkles occur because the platysma muscle weakens and gradually shortens.

Because the affected area is wide, it influences not only neck wrinkles but also the chin and the corners of the mouth.

And fine vertical lines appear as the skin loosens due to aging.

So, it is important to manage your skin well in daily life to prevent neck wrinkles from forming in the first place, and already-formed wrinkles may be helped with vertical neck wrinkle Botox procedures or surgery.

At this point, there are cases where procedures such as Botox and fillers for wrinkles do not work.

Why did these methods not work?

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Different types of wrinkles from person to person

Most people think that the way to remove wrinkles is basically the same.

However, just as everyone has different fingerprints, the causes and types of wrinkles are all different, so the appropriate method must also be different.

In particular, vertical neck wrinkles should be approached by considering factors such as age, skin condition, and muscle condition.

If they have not improved with methods such as vertical neck wrinkle Botox, it is likely that the skin has become significantly lax.

Especially if symptoms such as marionette lines, buccal fat prominence, or a double chin are also present, a lifting procedure may be worth considering.

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What is V-neck lifting?

If Botox for vertical neck wrinkles did not help, you should check whether V-neck lifting is an appropriate alternative.

V-neck lifting is a method that can lift both the lower face and the neck at the same time.

It is becoming a good option for those who want strong lifting but find a full facelift too burdensome.

The procedure is performed by making a VN-shaped incision in front of and behind the area below the ears and along the back hairline of the neck, then pulling up and removing the sagging skin, and finishing the operation.

The fibromuscular fascial layer (SMAS layer) between the subcutaneous fat and the muscles is dissected and pulled, and the retaining ligaments in the area to be lifted are appropriately cut so that the skin does not sag again.

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How can you get good results from lifting?

Lifting surgery may feel more burdensome than methods like Botox.

So if you are going to make a big decision once, you should receive it properly.

Only by carefully reviewing a deep anatomical understanding, extensive clinical experience, and a thorough aftercare plan can you receive a lifting result that is natural and long-lasting.

Of course, there are various other lifting methods as well, so please consider which method suits you best before making a decision.

Become younger tomorrow than you were yesterday!

▼ Must-read if you are considering V-neck lifting

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