The neck is one of the more difficult areas to rejuvenate due to the fact that the skin is so thin. In addition to the sagging, thin vertical bands appear caused by muscles that become more prominent due to the loss of skin thickness.   Ultherapy, Pellevé and Titan are modalities we choose to help with skin tightening of the neck, but other things that can help include botulinum toxin (Botox, Dysport, Xeomin) for the muscle bands and Profound for upper neck “wattle” and improving the contour of the jawline at the junction of the neck (Note have a before and after of Profound pointing this improvement out for the wattle and the jawline).