Neck Rejuvenation and Turkey Neck Treatments


Neck Rejuvenation treatments at Cheshire Lasers Middlewich


Neck Rejuvenation and Turkey Neck Treatments at Cheshire Lasers

Our face and body do not age evenly. There are areas, such as the neck, where the skin is thinner, which can show signs of premature ageing. After the eye area, the skin on the neck is the most delicate. It contains far fewer elastin fibres than the face, resulting in a weaker supporting structure. The neck also lacks fatty tissue, which gives support to the skin.

As we age, women, in particular, can lose their long slender necks as the jawline becomes heavier, leading to a double chin. The skin can become thin and crepey, developing fine lines and deeper wrinkles. The skin also loses its elasticity, becoming loose and saggy, known unflatteringly as ‘turkey neck’.

Necklines can appear as part of the natural ageing process. Our natural skin cell turnover decreases as we age, and the collagen we naturally produce depletes. This, as well as exposure to the sun and neglect of the neck in our daily routines, can cause necklines to become more prominent and add age to our overall appearance.

The neck is often one of the most exposed areas of the body, and therefore, it is essential to protect it against damage. A moisturising cream with SPF 30 or higher should be applied daily to ensure that the neck does not become dehydrated and is protected against harmful UV rays from the sun.

Most men and women seeking treatment for the neck area are looking to firm, tighten and lift loose, sagging skin, reduce fine lines, improve the jawline, and prevent the appearance of wrinkles that deepen as we age.


Classically, the main concerns related to the neck and décolletage include:

  • Skin laxity
  • Fine lines,
  • Neck lines
  • Wrinkles
  • Crepey skin
  • Double chin
  • Turkey neck

Neck Rejuvenation Treatment choices:

At Cheshire Lasers, a wealth of minimally-invasive neck Rejuvenation Treatment options are available. This is where the value of a thorough initial assessment comes in to guide the best treatment choices for each patient’s individual needs.

The treatment options include injectable treatments, energy devices such as Radiofrequency or HIFU or high-quality topical cosmeceutical treatments.


Injectable Treatments and Threadlifts:

Botulinum toxin – ‘Nefertiti lift’

Named after the famous youthful jawline of the Egyptian queen, the Nefertiti neck lift involves injections of botulinum toxin into the lower jaw and neckline. The amount of injections is variable depending on the muscle bulk and definition.
Best suited to patients with over active platysmal muscles pulling down the face or creating platysmal bands.

Dr Kyra Drinnan and Moira Grobiki perform this treatment.

Dermal Fillers

Hyaluronic acid (HA)-based dermal fillers aim to replenish lost moisture and improve volume and elasticity, making them a suitable option for treating the delicate skin of the décolletage.
Alternatively, Ellanse can be used as a collagen stimulator to improve skin texture and tighten skin. The result is plumper, smoother, less wrinkly skin.
Compared to traditional HA dermal filler injection, the treatment involves superficial micro injections of filler to create small blebs along the valley of wrinkles.

Profhilo

Profhilo is a skin booster engineered for ‘skin remodelling’. It is made from hyaluronic acid, like many dermal fillers. However, rather than filling lines, it  to promotes collagen and elastin growth to reduce skin laxity and also boosts skin hydartion.

Profhilo’s unique characteristics make it an excellent treatment for neck rejuvenation. It improves skin texture and laxity easily in 2 sessions, with a 1-month interval. Profhilo is suitable for practically anyone, men and women, from 30 years old and with no upper age limit. Some people require a third treatment best results.

This treatment is slightly uncomfortable but is quick and easy to perform.

Dr Teri Johnson, Dr Kyra Drinnan and Moira Grobiki perform this treatment.

Skin Boosters

Cheshire Lasers now offers a range of injectable skin Boosters including PRP which are alternatives to Dermal Fillers.


Non-Invasive Energy Devices:

The following treatments stimulate the production of collagen in the skin. This increase in collagen helps strengthen the skin and improve wrinkles, tone, texture and laxity.

The following Neck Rejuvenation treatments are performed by our aestheticians at Cheshire Lasers:

Ultraformer III

Ultraformer III uses High-Intensity Focused Ultrasound (HIFU) with the newest paradigm of advanced technology – MMFU (Micro Macro Focused Ultrasound)

At Cheshire Lasers Clinic, the Ultraformer Neck Rejuvenating treatment delivers the best treatment for a turkey neck. It is very good at lifting and tightening the sagging jowl area. It slims the fatty pockets under the chin and jowl that pull the face and neck down, while stimulating collagen and elastin to tighten the skin.

The technology creates a lift in the skin and at the deep muscle layer (SMAS) underneath. Previously this area was reached only by a surgical facelift. It rarely cause any downtime and most people require just one treatment.

Some people find this treatment uncomfortable.

Find out more about Ultraformer III here.

RF Microneedling

RF Microneedling delivers energy under the skin to stimulate collagen and elastin using the power of radiofrequency and microneedling. It is an excellent treatment for neck rejuvenation, as it not only stimulates the growth of collagen but also resurfaces the skin.

The downtime is very short, usually 6 to 24 hours.

You may need up to three treatments to achieve the best results.

The treatment is uncomfortable, similar to Ultraformer;  however, we apply topical anaesthesia to improve the discomfort.

Find out more about RF Microneedling here

Radiofrequency

At Cheshire Lasers, we use Endymed or the ThermaClinic radiofrequency machines for Neck Rejuvenation.

Radiofrequency energy gently promotes collagen production and contraction of collagen fibres. This restructures, rejuvenates and tightens the skin. Most people require a course of 6 treatments for the best results.

Radiofrequency is a comfortable, safe treatment which can be quite relaxing.

The Endymed is a more advanced machine that penetrates slightly deeper than the ThermaClinic and is slightly more expensive.


Topical Treatments for the Neck

At Cheshire Lasers, we recommend and stock the following products for the neck:

NeoStrata Skin Active Triple Firming Neck Cream.

pHformula Neck Cream

ZO Skin Health Growth Factor Serum Plus.


Combination Therapy:

Many treatments work best synergistically, so exploring the combination treatment option is helpful.

For best results, consider one of the following treatments for collagen production.

Then, depending on your needs, combine this with injectable treatments such as Botox to relax the neck muscles or Profhilo for extra hydration.

Consider skin resurfacing or skin peels for the skin texture

Do not forget to enhance the results with optimum skincare.

View a list of general rejuvenating treatments here. 


 

What Causes Skin Wrinkles?


The following changes make us prone to skin wrinkles:

  • Excessive facial expressions/smoking create dynamic lines in the stratum corneum and then the dermis
  • Epidermal cell turnover reduces so the very top layer “the stratum corneum” is present for longer subject to the causes of ageing
  • The stratum corneum layer becomes more dehydrated so the lines show more
  • The dermis the supportive structure underneath becomes thin, less vascular and loses collagen.
  • The fat layer under the dermis reduces.

skin anatomy


Facial Expressions

Facial expressions such as pursing the lips cause dynamic lines. These lines are usually seen in people that smoke due to the repetitive movements from the act of smoking. However, smoking also causes other physiological changes making smokers more prone to wrinkles all over.

Interestingly facial expression lines are often are seen around the mouth in non-smokers who have the habit of repeatedly using the muscles for their facial expressions.


Epidermal Cell Changes

The epidermis is the very top layer of skin which acts as a protective barrier. The lowest layer is the “Stratum Basale” this is where new skin cells are made. New skin cells get pushed closer and closer to the skin surface as more cells are made and over time they mature and become flatter and harder due to the keratin within them. When they reach the top layers they die and are eventually shed into the environment. As a result, these cells are found in dust throughout your home.

With age, this epidermal turnover slows down. Cell renewal time is the time a new cell takes to travel from the lowest layer of the epidermis the “Stratum Basale” to the top layer the “Stratum Corneum” and then shed off the skin.

Cell renewal time changes as we age:

  • Babies – 14 days
  • Teenagers – 21 – 28 days
  • Middle age – 28 – 42 days
  • 50 and up – 45 – 90 days

That means that as we age, the top layer of skin cells forming the stratum corneum are around for a lot longer.  These cells have been shown to become more dehydrated with age and have been exposed to more movement and environmental factors.

These changes mean the skin is more prone to developing wrinkles and once they develop they can be harder to treat.

Some people have a thicker stratum corneum layer and these people often need treating differently to those with a thin more hydrated stratum corneum.


Dermal Changes

The dermis the supportive structure underneath the stratum corneum becomes thin, less vascular and loses collagen with age.

The dermal thickness decreases by about 20% and the blood flow reduced by about 60%. Fibroblast activity decreases which leads to a drop in collagen synthesis. The collagen content of the dermis decreases by 1% per year throughout adult life.

The collagen remaining is less effective and loses its ability to regain its shape after deformation and also holds a lot less water.

Research has shown that wrinkles appear not so much due to the degeneration of elastin fibres, as previously thought, but also due to a decrease in the water-holding collagen and mucopolysaccharides.

Sebaceous glands produce less oil as you age. Men are fortunate and don’t experience much of a decrease until their 80s. Women gradually produce less oil beginning after menopause. This can make it harder to keep the skin moist, resulting in dryness and itchiness.

Changes in the connective tissue reduce the skin’s strength and elasticity. This is known as elastosis. It is more noticeable in sun-exposed areas (solar elastosis). Elastosis produces the leathery, weather-beaten appearance common to farmers, sailors, and others who spend a large amount of time outdoors.


Changes in the Hypodermis

The hypodermis consists mainly of fat and acts as an insulator and shock absorber. With age, there is a loss of subcutaneous fat and the skin becomes thinner and less resistant to trauma. The reduced volume of subcutaneous fat means the role of the hypodermis in limiting conductive heat loss is impaired.

When it comes to ageing the loss of fat means you lose the mattress like effect of the fat which plumps the skin out giving it a smooth appearance. As the fat goes the skin is then sat on muscle and other underlying structures which can appear wrinkly.

The mouth is an area which develops lines and wrinkles due to fat loss. This is much more common in women as they gradually lose all the fat around the mouth, whereas men are often more fortunate and keep a layer of fat. Hence why women develop lip lines a lot earlier than men.


 

How to Improve Eye Wrinkles with Creams


Many serums and creams designed for the eye area can treat and or prevent eye wrinkles.


The ingredients to look out for are:

  • Retinol.
  • Antioxidants
  • Patented peptides.
  • AHAs
  • Hyaluronic acid / B5 serum

Retinol

Retinol helps prevent fine lines as well as smoothing the ones you’ve got. By stimulating your collagen and new cell turnover, it reduces collagen breakdown and stimulates the cells to work faster to create fresh, bright, non-wrinkled skin.
It takes a few months of consistent regular use to see any impact on your lines. You will probably experience some redness, dryness, and flakiness within the first month or two of use.
To help reduce the side effects, you can start off slowly and use a retinol one night a week for one week, twice a week for two weeks, three times a week for three weeks, and then every other day until you can tolerate it and also get results. Then you need to continue for, well, life !!

A gentle retinol will cause less reaction but fewer results; stronger retinols will give better results but more reaction. This can be annoying, but you must tough it out for anti-ageing results. Stronger retinols are only available from clinics like Cheshire Lasers. You will be advised how to use the product, and support is provided to help you achieve results.
Some people are very responsive to retinol, but others need high-strength products to achieve results.

Our favourite retinol eye products are:

ZO Skin Health Intense Eye Repair
ZO Skin Health Hydrafirm
Because of the strength of these products, we can not sell these online, and they are only available in the clinic and a consultation with one of our Aestheticians.

 

eye creams wrinkles


Antioxidants

Antioxidants control / prevent free-radicals. Free-radicals are the main reason for skin damage created by sun exposure, smoking, alcohol and other environmental factors. You can prevent free radical damage by consuming more antioxidants in your diet, usually found in fruits or vegetables deep in colour. Applying an antioxidant serum can also make a big difference.

Antioxidant products contain vitamin C, vitamin E and the new kid on the block Nicotinamide (vitamin B3) which is now considered to be one of the most potent antioxidants, possibly more effective than vitamin C.

Our favourite eye products containing antioxidants are:

Obagi ELASTIderm Eye Cream
NeoStrata Skin Active Intensive Eye Therapy
NeoStrata Restore Eye Cream
ZO Skin Health Hydrafirm
ZO Skin Health Intense Eye Repair
pHformula SOS eye rescue


Peptides

Peptides are found in many effective anti-aging skin care products. While there is no singular, miracle ingredient that will give you those instant, youthful results we all wish for, peptides are an extremely important ingredient to look for in your wrinkle fighting creams, serums, and under eye products.
Peptides are short chains of amino acids, the building blocks of proteins. Amino acids are small allowing them to penetrate the outer layer of our skin and send signals to our cells to stimulate them to function.

Our favourite eye products containing peptides are

NeoStrata Skin Active Intensive Eye Therapy
pHformula SOS eye rescue
Obagi Elastiderm
ZO Skin Health Hydrafirm
ZO Skin Health Intense Eye Repair


AHAs

AHAs are alpha hydroxy acids, sometimes referred to as fruit acids. They can also be derived from nuts and milk:
They include:
glycolic acid, derived from sugar cane
lactic acid, derived from milk
mandelic acid, derived from bitter almonds
citric acid, naturally found in citrus fruit but derived from many fruit and vegetables
tartaric acid, derived from grapes
malic acid, derived from apples and pears

AHAs work by exfoliating the top layer of skin, allowing newer, healthier skin cells to show through. They are particularly useful in dry skin and may help to diminish the appearance of wrinkles.
Studies have shown that AHAs may also stimulate collagen production and reduce the changes caused by the sun damaging the skin.

Newer, more exciting products are PHAs. They are similar to AHA’s in that they perform the same role of exfoliation, but unlike AHA’s, PHA’s are gentler on the skin, causing less irritation so common to many alpha hydroxy acids. A great product to use under the eye.
Gluconolactone is a powerful antioxidant and is the multi-tasker of all Polyhydroxy Acids.

Our favourite eye products containing AHA’s PHA’s are:

NeoStrata Eye Cream
NeoStrata Skin Active Intensive Eye Therapy
Obagi ELASTIderm Eye Cream


Hyaluronic acid / B5

Hyaluronic acid / B5 serums are a great way to reduce fine lines under the eyes. The particles act like a sponge pulling in water from the air to plump, hydrate and smooth your skin. They are lightweight, ultra-hydrating and work immediately with no irritation. The results are temporary, and the product needs to be used daily to maintain the effect.

Our favourite hyaluronic acid b5 serum is :
Medik8 Hydr8 B5 Serum
It may not be an eye product, but it is great for rehydrating the skin under the eye area.

Our favourite hyaluronic acid b5 serum eye product is :
NeoStrata Eye Cream


Not sure which serums or creams are best to treat your eye wrinkles?

Why not arrange a skin assessment consultation with one of our Aestheticians?

Book using this link.


Interested in eye wrinkle treatments? Have a look at what we have to offer here. 


Product Reward Scheme

Whenever you purchase a product at Cheshire Lasers Clinic, don’t forget to collect your points for our Rewards Scheme.

Every time you spend £50 on our skincare at Cheshire Lasers, we will reward you with 50 points.

Save up your points and use them to claim a free treatment.

Find out more about our Reward Scheme and which purchases qualify here. 


 

Hand Rejuvenation


Dermal filler hand rejuvenation Cheshire


Do your hands give away your age?

No part of the body will tell the story of your age more readily than your hands. The hands suffer environmental damage, and often have less protection than the rest of your body. Dryness, poor skin texture, age spots, uneven skin tone, visible veins, fine lines and wrinkles can all add to the general age appearance of your hands.


Want to know a person’s real age? Just look at their hands.

The natural fat cushion that we’re born with under the skin of the hands begins to lessen in our late twenties and early 30’s. By the time most of us hit 50, all the structures in the hand show up – the tendons, bones and veins.


Help is at Hand

Dr Teri Johnson and her team have been performing hand rejuvenation treatments since 2008. Over the years, they have tried and tested various treatments.

Hand Rejuvenation Treatments can address various concerns and include injectable and non-injectable treatments.


Non Injectable Hand Rejuvenation Treatments

Chemical Peels

Peels are great for fading age spots, smoothing the skin texture, and stimulating new collagen production in the upper skin layers.  At Cheshire Lasers Clinic, our favourite treatment for hands is the BioRePeel with TCA. The BioRePeel has a bio-stimulating, revitalising & peeling-like effect. A single treatment often delivers a visible improvement, but for best results, we recommend a course of three every 7 to 10 days.

Microneedling

Microneedling uses tiny needles to create micro-injuries in the skin, stimulating collagen production and improving skin texture and tone. This treatment also is known for its ability to improve skin texture and can lead to a subtle improvement in pigmentation. At Cheshire Lasers, we use the EDS (Electronic Dermastamp) treatment.

Radiofrequency Microneedling

Radiofrequency microneedling combines the skin-renewing benefits of microneedling with the skin-tightening effects of radiofrequency energy.  The result is a more effective treatment for improving collagen production, skin texture and firmness. Cheshire Lasers uses Dermaforce to deliver controlled heat energy deep into the skin through tiny needles.  This stimulates more collagen production, often with less downtime than microneedling alone.

CACI Hand Rejuvenation

Using advanced microcurrent technology, CACI targets skin cells in the hands, stimulating collagen and elastin production. This non-invasive procedure tones, hydrates and firms the skin, reducing wrinkles and revealing smoother, younger-looking skin.

Laser and IPL Hand Treatment

Laser treatments, intense pulsed light (IPL) and fractional laser therapy can target age spots, sun damage, and uneven skin texture on the hands. They work by breaking down pigment and stimulating collagen production. Here at Cheshire Lasers, we mostly use our IPL on our Linton Lumina AQS System to improve skin texture and improve pigmentation on the hands. 

Topical Treatments

It’s also important to consider topical treatment when rejuvenating the hands. Retinoids, vitamin C serums, and moisturizers containing ingredients like glycolic acid or niacinamide can help improve the appearance of the hands over time by boosting collagen production and reducing signs of ageing. Regularly applying hand creams containing sunscreen can help prevent further sun damage and protect the hands from ageing.


Injectable Hand Rejuvenation Treatments

Injectable hand rejuvenation treatments involve injecting products into the skin to create volume in the skin, increase hydration or stimulate collagen production. Most treatments have an effect on all three of these.

The following treatments have all been shown to rejuvenate the hands:

  1. Dermal Fillers: Dermal fillers, such as hyaluronic acid, plump up thin skin, give hydration, and minimise the appearance of wrinkles and veins.
  2. Collagen Stimulators: Radiesse, Ellanse and Sculptra all stimulate collagen, creating firmer, tighter, plumper skin.
  3. Skin Boosters: Restylane Vital, Profhilo, and Sunekos are examples of skin boosters they stimulate collagen and elastin production as well as hydrate the skin.
  4. Polynucleotides: Made from DNA, stimulate fibroblasts to create collagen and elastin; they also stimulate hydration and have an antioxidant effect.

It’s important to consult with a qualified dermatologist or cosmetic surgeon to determine the most suitable treatment options based on individual needs, skin type, and desired outcomes.


Combination Treatments:

Often, a combination of treatments may be recommended to achieve the best results. For example, combining dermal fillers with laser therapy or chemical peels can address multiple concerns simultaneously and provide more comprehensive rejuvenation.


Examples of Hand Rejuvenation Treatments.

Restylane Vital Skin Boosters

Restylane Vital Skin Boosters contains small molecules of hyaluronic acid filler. When injected under the skin, it improves skin elasticity and deep dermal hydration. By moisturising from within it diminishes the fine crepey lines to give a plump and hydrated appearance.
An initial, intense treatment usually comprises three sessions, 3-4 weeks apart. Each treatment involves a series of very fine micro-injections however Dr Teri is now using a cannula more often for this treatment.

Typically, a maintenance treatment would be required after around 3-4 months.

Advantages:
Restylane Vital remains in the skin for about 4-8 months if not longer. It attracts water for skin hydration and improves skin texture while volumising the skin to help reduce the appearance of unsightly veins and tendons.
It can be dissolved by hyaluronidase.

Disadvantages:
3 treatments are usually required, and regular maintenance every 3-4 months to keep the effect.
Bruising is very common if injected with a needle.

Find out more about Restylane Skin Boosters here.


Radiesse Hand Rejuvenation

Radiesse was launched in 2000 and is FDA approved. It is a non permanent Dermal Filler that contains calcium and phosphate based micro spheres. When injected under the skin micro spheres stimulate your skin to produce new collagen. It is, therefore, more commonly regarded as a collagen stimulator.

The product is injected directly into the skin with a cannula and then firmly massaged to ensure even coverage.

Radiesse gives an immediate improvement due to the presence of the filler. Over a few months, the results reduce slightly as the filler degrades. The results improve again as collagen production occurs creating a volume effect and an improvement in skin texture.

This treatment is great for volume loss to help cover veins and tendons in the hands.
You may only need one treatment. Although if you have older hands or hands with significant volume loss you may need a second treatment.

Advantages:
Typically, results last around 12 months.

You will need a maintenance treatment 9-15 months.

Disadvantages:
This product is not ideal for you if you have thin skin.
Radiesse filler is firm, so you need to apply strong, vigorous massage after treatment to reduce the risk of lumps after treatment.
The product does not give as much hydration.

Find out more about Radiesse hand rejuvenation here.


Profhilo Hand Rejuvenation

Profhilo is a revolutionary injectable product based on hyaluronic acid (HA). After injection, it slowly breaks down so it remains in the skin for up to 28 days. While in place, it stimulates the body’s processes for regenerating skin tissue. It hydrates the skin and stimulates all four types of collagen and elastin. Hence, is why we call it a ‘bio-rejuvenator’ or ‘bio-revitaliser’.

Most people need two treatments one month apart. Older skin or extremely delicate thin skin prone to tearing may need a third.

You will need a maintenance treatment after 4-6 months for best results.

Advantages:

It degrades quickly, which often suits people who like minimally invasive natural treatments.
Treatments are easy and quick and take only 15 to 20 minutes.
The treatment is the best for thin, crepey, delicate skin.

Disadvantages:
The hydration effect creates some volumisation of the skin.  However, this is often insufficient to cover visible veins and tendons due to fat loss under the skin.

Find out more about Profhilo here.


Aliaxin SR Hand Rejuvenation

Aliaxin SR is made by IBSA the same company that makes the revolutionary Profhilo. It contains 3 different hyaluronic acid molecules. One of which is the same as the one in Profhilo. The other two act more like a filler designed to hydrate, plump and volumise the skin.

Aliaxin SR is injected in the hands with a cannula. Gentle to moderate massage is then required to make sure the product is distributed evenly in the tissues.

You need one or two treatments for best results, one month apart.

If you have very thin skin a Profhilo treatment is recommended first.

You will need a maintenance treatment after around 6 months for best results.

Advantages:

This product is the best of all worlds, collagen stimulation in the skin itself to improve texture, elasticity. However it also gives volumisation, to plump and hydrated the skin due to the hyaluronic acid filler component.

Disadvantages:

You need to massage after treatment. Massage is not always possible in elderly frail skin unless this is improved first.