Introduction
The neck and jawline play an important role in facial balance and profile. With ageing, changes in the skin, muscles, and underlying tissues can affect definition in these areas. Many patients notice these changes in mid-life and beyond, and ask what treatment options may be appropriate.
This article outlines how the natural ageing process affects the neck and jawline, and what medical and surgical approaches may be available to address these changes.
How Ageing Affects the Neck and Jawline
1. Skin Changes
- Over time, skin becomes thinner and loses elasticity.
- Collagen and elastin production decreases, leading to sagging and wrinkles.
- Sun exposure accelerates these changes, often causing uneven pigmentation.
2. Muscle Bands (Platysma Changes)
- The platysma muscle in the neck can form vertical bands as it separates and weakens.
- These bands contribute to a “stringy” or aged neck appearance.
3. Fat Distribution
- Some people develop submental fat (double chin) with ageing, genetics, or weight change.
- At the same time, fat loss in other areas can make the jawline less defined.
4. Jawline and Bone Structure
- Bone resorption in the jaw and chin occurs naturally with age.
- This reduces support for soft tissues and contributes to jowling.
Non-Surgical Options
In the early stages of ageing, non-surgical options may help improve skin tone and contour. These can include:
- Skin treatments such as laser or chemical peels for texture and pigmentation.
- Injectables (e.g., wrinkle-reduction neuro-modulator or dermal fillers) to soften lines or restore contour.
- Energy-based treatments (e.g., ultrasound or radiofrequency) to stimulate collagen.
⚠️ It’s important to note that these treatments have limitations. They may provide modest improvement but cannot replicate the results of surgery.
Surgical Options
For more advanced changes, surgical procedures may be considered:
- Neck Lift (Platysmaplasty): Tightens skin and underlying muscle bands, improving contour.
- Facelift: Often combined with a neck lift, this repositions deeper tissues and removes excess skin for a more defined profile.
- Liposuction (Submental or Neck): Can address localised fat deposits under the chin or along the jawline in suitable candidates.
These procedures vary in complexity and recovery time, and suitability depends on each patient’s individual anatomy, health, and goals.
Key Considerations
- Not everyone requires surgery — some patients benefit from non-surgical treatments alone.
- Results vary depending on age, genetics, skin type, and lifestyle factors.
- Consultation is essential — a Specialist Plastic Surgeon can assess your specific concerns and discuss appropriate options.
Key Takeaway
Ageing of the neck and jawline is a natural process involving skin, muscle, fat, and bone. While these changes are expected, various non-surgical and surgical options may help restore contour and definition, depending on the stage of ageing and patient goals.
About Dr Paul Cheng
I’m Dr Paul Cheng, FRACS, Specialist Plastic, Aesthetic & Reconstructive Surgeon, practising on the Gold Coast and in Ballina, NSW. I provide consultations to discuss the full range of treatment options for patients concerned about changes in the neck and jawline due to ageing.
📅 Book a Consultation to learn more about your options.