Babar Sultan

The aging neck can be a great cause of preoccupation for a patient, and any intervention lies in a thorough understanding of the interplay of heredity and aging with anatomy. The anatomical components of concern can be divided into skin, fat, muscle, and bone. As one examines the neck, it is helpful to define what is ideal. The neck should have a clear delineation from the inferior border of the mandible with a cervicomental angle of ~90 degrees. There should be a slight depression inferior to the hyoid bone followed by a prominence of the thyroid cartilage.

Horizontal Cervical Rhytids

Skin degeneration of collagen and elastin fibers leads to redundant and sagging skin.

Dynamic lines are created perpendicular to the vectors of muscle (eg, platysma) contraction.

Effacement of Cervicomental Angle

Unequal or excess fat deposition