2026-05-24
๐ง๐ปโโ๏ธ Worried About Congenital Deep Neck Wrinkles?!
A case study of a woman in her late 20s who successfully treated deep congenital neck wrinkles using a combination of Radiesse, Belotero Soft, and Botox.

Hello.
I am Dr. Young-moon Yoo, Director of VIBE Plastic Surgery.
The case I am introducing today is a female patient in her late 20s who has always been stressed by horizontal neck wrinkles that have been significantly more pronounced than others since childhood.
Because these were congenital and structural wrinkles, rather than wrinkles caused by aging or loss of skin elasticity, she saw no effect from simple skincare or moisturizing alone.
๐ Main Concerns
โ Congenital horizontal neck wrinkles present since early childhood
โ Deep wrinkles that make her look older despite having firm skin
โ Neck wrinkles that stand out even with makeup, causing self-consciousness
โ No improvement from laser treatments or cosmetic products
๐ก Treatment Approach
In her case, since the skin itself had not lost elasticity but rather the underlying structure was repeatedly folding, we approached the treatment by filling the volume beneath the skin and increasing the elasticity of the dermal layer.
Therefore, we performed a total of two sessions of a neck wrinkle package treatment at 6-week intervals using the following combination.
๐ง Treatment Composition & Principles
1๏ธโฃ Radiesse
An injectable composed of CaHA (Calcium Hydroxyapatite).
When spread thinly and evenly beneath the dermis, it stimulates fibroblasts to produce collagen.
Especially when used on congenital thin and folding neck skin:
โค Increases the thickness and elasticity of the skin itself
โค Induces long-term improvement by helping the neck skin fold less
โ Immediate volume + Collagen induction = Making thick wrinkle layers elastic
2๏ธโฃ Belotero Soft
A filler suitable for the neck area, where the skin is thin and movement is frequent.
Unlike conventional fillers, it disperses as if soaking into the skin texture, resulting in a natural expression without lumpiness.
It is injected directly into the already deep, furrow-like horizontal neck wrinkles to:
โค Physically fill the wrinkles
โค Improve the skin surface to be smooth and flat
โ Immediate improvement through the โeffect of erasing wrinkle shadowsโ!
3๏ธโฃ Botox (Neck Platysma Toxin & Skin Botox)
The neck has a thin, wide muscle called the โplatysma,โ and excessive movement of this muscle can cause the skin to fold and fix wrinkles in place. By injecting a very small amount of Botox along the horizontal wrinkle lines:
โค Reduces excessive muscle tension and movement
โค Prevents wrinkles from becoming fixed + Enhances the longevity of the treatment effect
โ โRoot cause controlโ to prevent wrinkles from reappearing






โฑ Progress After Treatment & 2nd Session
โ Around 2โ3 weeks after the 1st session, skin texture became smoother and wrinkle depth began to soften
โ The 2nd session after 6 weeks boosted the effect even further!
โ โI love how smooth my neck looks even when wearing makeup!โ
โจ Comments from Dr. Yoo of VIBE!
Congenital horizontal neck wrinkles mainly occur when the skin texture is thin, there is frequent repetitive movement, and there is a lack of dermal volume.
โ Collagen regeneration in the dermal layer
โ Natural filler that harmonizes with skin texture
โ Muscle management to control movement
A fundamental solution is only possible when these three elements work in harmony :)
โ Recommended for those who!
โ Have congenitally deep neck wrinkles
โ Have horizontal wrinkles fixed like shadows
โ Want a more defined neck line
โ Are concerned about their neck line in photos or selfies
๐ Neck wrinkles arenโt just because of age!
It could be your natural skin structure, and in such cases, a personalized approach is most important.
VIBE Plastic Surgery aims for natural and delicate procedures that consider the harmony of your entire face and neck line without looking obvious.
Consultations and surgeries should be performed by a plastic surgery specialist!
VIBE that comes from rich experience
Young-moon Yoo, Representative Director of VIBE Plastic Surgery
VIBE Plastic Surgery complies with medical laws. These before-and-after photos were taken under the same conditions with the patientโs consent. Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery and can vary by individual, so caution is required.