Women

• Slim neck
• Slim base of the neck (trapezius muscles)
• Long appearing neck
• slim sternocleidomastoideus muscles
• slim larynx
• Ratio muscle/Larynx/muscle (1/4:2/4:1/4)
• thin fat layer
• No transverse wrinkles
• It begins on the inside of a line between the outer nostril and the inner corner of the eye.
• The highest point of the brow is on a line between the outer nostril and the outer edge of the pupil.
• The end of the eyebrow lies on a line between the outer wing of the nose and the outer corner of the eye.

Men

• Narrower neck
• Broad base of the neck (trapezius muscles)
• Short appearing neck
• Prominent sternocleidomastoideus muscles
• Ratio muscle/Larynx/muscle (1/4:2/4:1/4)
• Prominent larynx
• Thin fat layer
• No transverse wrinkles

Fat accumulations on the neck appear as “double chins”. They can negatively affect a person’s overall appearance to the point that even a young person looks older or a fit person appears unhealthy. Treatment of choice is the Liposucction of the anterior neck

Weight gain and  can leads to increased fat storage at the upper back and neck area (“buffalo neck deformity”). Other important reasons for a neck hump are a variety of underlying conditions or medications and postural deformity (up to 60 – 90 % of patients) . Bad body posture with rounded shoulders and forward-tilted heads is usually caused by habitually looking down at smartphones and tablets, or leaning forward toward computer screens. If this continues unchecked, this can develop into a curve of the upper vertebrae commonly referred to as a “Dowager’s Hump.”

Scars at the anterior neck are mainly due to thyroid and cervical spine surgery. A noticeable scar can be the result of poor planning, poor wound closure, excessive scarring due to genetic predisposition, or a combination of all three. In fresh scar the scar suppressive treatment is indicated. In old scars scar correction is necessary.

There are 2 main reasons contributing to aging of the neck:

Less tones Neck:  As we age, skin loses the elasticity it had when we were younger. (Transverse) folds and even small skin bags that hang down (“turkey neck”) develop. In addition, the skin muscle (platysma) shows specific changes. Some believe that the platysma muscle can play a large part of “banding” or “necklace lines”. The platysma muscle runs from the jawline down to the décolleté, as we get older it tightens and loses its flexibility, causing a downwards pull skin of the lower face and neck.

Posture changes: Your posture can also be a contributing factor, poor posture often leads to rounded shoulders and ‘invisible’ neck.

Platysmal bands are two strips of muscle that run vertically down both sides of your neck. They’re caused by contractions of the platysma, the most superficial muscle layer in the face and neck. Treatment of first choice is Botox. If there is a gap forming at the anterior neck region, various minimal-invasive surgical techniques can be used to reapproach the inner bands at the midline region. In case of additional skin excess the neck-lift  is the treatment of choice. Turkey neck is characterized by loose and sagging skin underneath the chin and down the front of the neck. Submental fat under the chin can contribute to the aged look of a turkey neck.

Turkey neck is characterized by loose and sagging skin underneath the chin and down the front of the neck. Submental fat under the chin can contribute to the aged look of a turkey neck.