How to Prevent and Treat “Turkey Neck”

One of the most forgotten yet the noticeable areas that show signs of aging is our neck. Factors like genetics, extreme weight loss, collagen and elastin breakdown, and sun exposure can affect how your neck ages. 

Thin, weak, and delicate skin and muscle cover the neck. Year after year, twisting, stretching, and the pull of gravity and any pockets of subcutaneous fat have a cumulative aging effect. Most people notice neck skin beginning to significantly sag and wrinkle around the age of 40. That’s also when underlying platysmal muscles start to detach and loosen, their edges showing through thinning skin as vertical bands from the chin to collarbone. 

Hence giving us what is commonly referred to as, “Turkey Neck”. You can hide your turkey neck with scarves and turtlenecks, but why not treat it, too? The colder seasons are the perfect time to give some much-needed extra attention to this area! 

At New Image Plastic Surgery, Dr. Roberta Gartside offers both surgical and nonsurgical options to prevent and treat Turkey Neck. 

Kybella – This injectable is formulated to eliminate fat, specifically under the chin. It uses deoxycholic acid to break down fat cells, so your body can remove them for long-term, natural-looking improvement. 

Botox (Dysport, Xeomin) – In the hands of an expert, Botox injections can be effectively used to relax the platysmal bands, softening their appearance. 

ThermiTight – Stimulates new collagen production, helping firm and plump up skin using radio frequency heat. 

SkinPen – Uses micro-needling, which directly addresses the texture and firmness of the delicate skin of the neck. Micro-needling works by creating hundreds of microscopic channels into the dermis to stimulate your skin’s natural production of new collagen and elastin. 

Neck lift – Removes excess, sagging skin, normally by pulling it upward to an incision behind the ears. A neck lift is commonly performed with a lower face lift, because the neck and lower face share muscle and skin structures. 

Liposuction – Helps chisel the neckline by surgically extracting extra fat in hard-to-reach pockets under the chin and along the neck. 

Chin implant – Augmenting the chin can often help fill loose skin, reducing a wattle and upper-neck sagging. It’s a fast procedure. It places a custom-shaped implant, fitted to your unique jaw, through a tiny incision hidden under the chin. 

Lower face lift – While this surgery doesn’t focus directly on the neck, it can remove jowling and further contour the chin area. It is frequently carried out in conjunction with a neck lift. 

There is no one perfect treatment for everyone. For some patients with advanced aging, surgery will give the best results and they will still need to continue caring for their neck with nonsurgical treatments for prevention. For others that are concerned earlier in the game, nonsurgical treatments can help prevent or stave off the need for surgery. 

To learn more, visit or call 703-742-8004 to schedule your consultation with Dr. Gartside. 

Roberta Gartside
Roberta L. Gartside, MD, FACS is certified by the American Board of Plastic Surgery and with over 25 years in practice, Dr. Roberta Gartside is one of the most experienced and highly sought-after plastic surgeons in the area. In addition to offering patients a wide range of reconstructive and cosmetic surgery procedures, she also offers outpatient skincare treatments such as fillers, like Botox, and lasers, including the Gentle Waves Skin Fitness System™ - a breakthrough LED light treatment therapy that helps rejuvenate aging skin. While patients certainly appreciate Dr. Gartside’s vast experience and offerings, they also place great value in the time she and her gregarious staff take to explain each and every option available to them. Committed to upholding the utmost standards in her specialty, in addition to working on the medical staff at Fairfax Hospital, Fair Oaks Hospital and Reston Hospital Center, Dr. Gartside has served as Vice President of Membership and Communications for the American Society of Plastic Surgery and as a Board Representative of the National Accreditation Program for Breast Centers. She has also worked with Operation Smile and the Fairfax Skindeep Tattoo Removal Program in the past.