Why these areas are treated together
The neck, the décolletage and the backs of the hands are planned as one group. They often show ageing before the face, because skin is thinner there and volume is lost. Each has a different cause, so the neck is assessed separately from the face, and the hands and chest are assessed on their own. A horizontal line, a muscle band, a loose patch of skin and a hollow hand all call for different tools.
Dr Sin Yong assesses each concern first, then performs the treatment himself. A plan may use one method or several. Face and neck can be treated in one session. Nothing is decided until the examination shows which layer is involved.
A typical plan may pair skin boosters with botulinum toxin for bands and laser. Filler is added only where volume is missing. Energy-based tightening and laser work on laxity and texture, and these are chosen from what the assessment shows.
Neck revitalisation in Singapore: matching concern to method
| Concern | Method | What it will not do |
|---|---|---|
| Horizontal neck lines and crepey skin | Hyaluronic acid skin boosters by micro-injection | Lift loose skin or soften a muscle band |
| Platysmal bands | Botulinum toxin, where appropriate | Add volume or tighten skin over the band |
| Early to moderate laxity | Laser and energy-based tightening, including Time Freeze Laser LCLR® and the VF Lift for the neck | Replace surgery where laxity is marked |
| Neck that lacks structure | Dermal filler | Change skin texture |
| Volume loss on the backs of the hands | Hand filler | Change pigment or skin texture |
| Crepey décolletage | Skin boosters, as a skin-quality area | Restore volume on the chest |
How laser is used on the neck
Dr Sin Yong uses Time Freeze Laser LCLR® and the VF Lift for loose or crepey neck skin, often called a turkey neck. Neck skin is thinner than the cheek and heals more slowly, so settings are kept conservative and passes are not stacked. The thyroid and the midline of the front of the neck are kept out of the field.
Time Freeze is often used on the neck in the same session as the jawline and under the chin, so the lower face and neck are planned together. It is not used for platysma bands, which are muscle, or for skin that hangs in a fold, which is referred to a plastic surgery specialist.
“A loose neck, a full chin and a muscle band can all read as an old neck. The laser answers the skin and the fat; the band is a different question, and I treat it as one.”
Who it may suit
Repeated neck movement creases thin skin that has lost hydration.
Loose skin along the neck and jawline blurs the profile, without heavy excess.
Vertical cords show when the neck is tensed, where botulinum toxin is appropriate.
Neck or chest skin becomes creased and crepey, often with sun-related change on the chest.
Fat under the skin thins, so veins and tendons stand out.
From first visit to review
Who should wait or avoid it
Tell us if you are planning a pregnancy too.
Active infection, rash or inflamed skin in the area comes first.
Known hypersensitivity to hyaluronic acid or botulinum toxin.
Bleeding disorders or blood thinners are reviewed before treatment.
Conditions such as myasthenia gravis need review, because botulinum toxin acts on muscle.
These are assessed individually.
These need medical review first, before any treatment is planned.
You are referred for plastic surgery assessment.
One treatment will not solve everything. A gradual, assessed plan suits better.
What these treatments cannot do
No part of this plan replaces a surgical neck lift when laxity or skin excess is marked. Skin boosters target skin quality only. They do not lift loose skin or soften a band. Botulinum toxin acts on the muscle, so it does not add volume or tighten skin. Hand filler does not change pigment or texture. The décolletage is treated as a skin-quality area, so volume is not restored there. If fullness under the chin is the concern, see our double chin page. On the chest, skin boosters and laser protocols aim at texture, elasticity and evenness. On the hands, a filler plan only applies where volume has gone. If the concern is spots or crepey skin, laser or skin boosters are the route. Where laxity is marked, a surgical opinion is the right next step. Profhilo suitability is covered on its own page.
Risks by treatment
Redness, small swellings at injection points, tenderness and bruising. Small bumps may be seen and then settle
Lumps or unevenness. Uncommonly, infection or reduced blood supply to the skin
Occasionally, effects on swallowing, voice or neck strength
Redness, pigment change and blistering
When to call the same day
Worsening pain, or pale, dusky or mottled skin after filler, needs urgent assessment by your injector or A&E now. Trouble swallowing, speaking or breathing after botulinum toxin: emergency department now, or 995. The same applies to spreading redness with fever, a hard painful lump, worsening swelling, or blistering after laser or energy treatment. Effects on swallowing or voice after botulinum toxin are occasional, but they should not wait for a routine review.
Recovery and aftercare
Redness or pinpoint swelling may last 24 to 48 hours, and some redness, swelling or bruising can show during the first week. For 24 hours, avoid pressing or massaging the area and stay away from heat. Skip tight collars if the neck is tender. Use sun protection, and pause retinoids and exfoliating acids until advised. Skin boosters may leave small bumps that settle.
How long it lasts
Any change builds gradually over weeks, if the skin responds. No duration is promised. It depends on the treatment, product, amount, your skin, sun exposure and hand use, and each treatment behaves differently. Results are temporary, and several treatments may be needed. The number of sessions is planned for you. Whether you need maintenance, and how often, is then decided at review.
What the fee depends on
The fee reflects the areas treated, the treatments in your plan, the amount of product and whether the neck is treated with the face. A written quote follows assessment, and no figures are given in advance. See how we quote. Because each plan differs, figures are only given after examination.