Removing necklace lines around the neck with dermal filler

Do you have patients hiding their necks behind scarves because of lines that run in circles around their necks – so-called necklace lines?

If you answered yes, then this blog is perfect for aesthetic clinicians like you looking to refine your skills and achieve better results for your patients by gaining valuable tips on dermal filler placement, how to manage the delicate neck area, and improve your patient outcomes.

In this blog, Dr Tim Pearce explores an advanced dermal filler technique for treating necklace lines on the neck. He discusses and demonstrates precise cannula use to enhance the aesthetics of the neck. Watch Dr Tim’s full tutorial video demonstrating removing neck lines with dermal filler.

If you are interested in learning more about facial anatomy to become a great injector and find your route to safer delivery and millimetre precision, get signed up for the Ultimate 3D Anatomy Experience from Dr Tim Pearce.

Medical professionals are taught anatomy in 2D textbooks, but in real life, anatomy is not flat. This educational opportunity is specifically for aesthetic injectors to help you level up your anatomy knowledge, get comfortable with anatomical variations, and boost your injection safety and confidence in a way that no cadaver course could ever deliver.

Approach necklace lines with dermal filler superficially

Embarking on treating his patient’s necklace lines with dermal filler, Dr Tim notes that he always starts by treating the top line around the neck first because they tend to get more difficult as you go lower, particularly if the lines become deeper or thicker, making them more volume heavy and requiring more product.

He prefers to use a cannula for this treatment, tracing along the lines, because there are so many vessels within the neck area, making a cannula a safer option than repeated needle entry.

Dr Tim explains that he wants to see the tip of the canula, pointing upwards, as he moves along each line. This is because placement ought to be superficial, as close to the dermis as possible. Therefore, by purposefully seeing the tip as you trace the line – filling as you slide the cannula with the bevel facing up – you are ensuring the correct placement. He runs a little on either side of the line and not just directly within it. A little bit of trauma from the cannula might also be helpful, alongside the dermal filler product, because it will stimulate increased type four collagen production as a natural wound healing response.

The neck is an area of considerable movement, and lines will persist, depending on patient activity and head position, but the goal is to give the area more stability and improve the aesthetic when in a neutral position.

Massaging the neck after the filler placement is one of the hardest areas to manipulate, warns Dr Tim, because you do not want to compress the area too hard so you can avoid the patient feeling threatened or faint; you must be gentle.

After assessing the primary line filling work with the cannula, Dr Tim turns to some minor tweaks to what remains of the lines using a needle, always staying very superficial when injecting product along the fine lines for the final enhancements.

If you have any tips to share, case studies to discuss, or questions about treating the nose, , you can also find Dr Tim Pearce on Instagram.

Anatomy360 - The Ultimate 3D Anatomy Course

Understanding facial anatomy is crucial for precise filler placement and achieving natural, balanced results. Knowledge of anatomical structures and vascular supply not only helps in avoiding complications but also enhances the overall effectiveness of treatments.

Dr Tim Pearce's anatomy course delivers a thorough understanding of facial anatomy through 12 online lessons. Tim says:

“The problem is we’re taught anatomy in 2D textbooks, but real-life anatomy isn’t flat. In order to feel confident with injecting and to get that millimetre by millimetre precision that increases safety, we need more detail. That’s why I’ve created the ultimate Anatomy learning experience specifically for aesthetic injectors. It’s going to help you up-level your anatomy knowledge and boost your injection safety & confidence in a way that no cadaver course could ever.”

Anatomy360 Course

Aesthetics Mastery Show

Remove neck lines with filler

Dr Tim says:

“In this episode, we explore an advanced technique for treating neck lines using dermal fillers. I demonstrate precise cannula use to enhance neck aesthetics while minimising trauma. Gain valuable tips on filler placement, managing the delicate neck area, and improving patient outcomes. Perfect for aesthetic clinicians looking to refine their skills and achieve better results.”

Watch the full Aesthetics Mastery Show here.

This episode has stimulated debate on the YouTube channel, with clients/patients participating as well as practitioners. There was even discussion as to the role of exercise and other treatments such as mesotherapy as well as topical retinoids, sunscreen.

Subscribe to our YouTube channel for regular videos and useful tips and advice. Our videos are always open for discussion and debate. 

Dermal Filler eLearning Courses

If you want to increase your knowledge about safe and effective dermal filler injectable treatments, Dr Tim Pearce offers a series of fabulous courses. The foundation level is a popular starting point, with many delegates continuing to complications courses focused around safety, including how to minimise the risk and how to handle things if the worst occurs:

• Dermal Fillers Foundation Course
• Dermal Filler Complications Mastery

Both give CPD and certificates on completion and are highly rated by our delegates.

In addition, browse our FREE downloadable resources on complications.

Dr Tim Pearce eLearning

Dr Tim Pearce MBChB BSc (Hons) MRCGP founded his eLearning concept in 2016 in order to provide readily accessible BOTOX® and dermal filler online courses for fellow Medical Aesthetics practitioners. His objective was to raise standards within the industry – a principle which remains just as relevant today.

Our exclusive video-led courses are designed to build confidence, knowledge and technique at every stage, working from foundation level to advanced treatments and management of complications.

Thousands of delegates have benefited from the courses and we’re highly rated on Trustpilot. For more information or to discuss which course is right for you, please get in touch with our friendly team.