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Woman showing the line of her neck, representing neck and hand rejuvenation
Neck & Hands · Lines · Laxity · Volume · Orchard Road

Neck and Hands: Lines, Laxity and Volume

The places that show age the face does not.

Neck and hand skin is thin, sun-exposed and often left out of skincare. Dr Sin Yong at IN Eternity Clinic on Orchard Road treats them by cause: lines, loose skin, muscle bands, pigment or lost volume.

WhatsApp to Enquire →Key facts ↓
Lines
Boosters and collagen
Laxity
Tightening energy
Bands
Muscle relaxation
Hands
Volume and pigment
Assessed and treated by Dr Sin Yong, Medical Director · MBBS (NUS) · MRCS (Edinburgh) · MSc Aesthetic Medicine (London) · MSc Practical Dermatology (Cardiff) · Designated DEKA Centre of Excellence

Neck and hand ageing comes from thin skin, sun damage and volume loss. Horizontal neck lines suit skin boosters and collagen stimulation; a loose neck suits tightening energy such as HIFU or radiofrequency; vertical bands suit muscle-relaxing injections. Ageing hands are treated with filler for lost volume and laser for sun spots. Marked neck laxity may need surgery.

Key facts
  • Neck lines: horizontal creases from repeated bending and thin skin; they deepen with sun exposure and constant downward phone use.
  • Turkey neck: loose skin with or without vertical platysmal bands, often with fat under the chin.
  • Bands: vertical cords from the platysma muscle that show on talking or straining; muscle-relaxing injections can soften them.
  • Hands: fat loss on the back of the hand reveals tendons and veins, while sun spots and thin skin add to the look of age.
  • Limits: marked neck laxity with heavy skin is a surgical problem; non-surgical treatment gives a modest change.
  • Assessed by: Medical Director Dr Sin Yong, who plans the neck with the face so that the results stay in balance.
Reviewed by Dr Sin Yong, Medical Director, IN Eternity Clinic · Last updated
Neck lines

Horizontal neck lines and crepey skin

Neck lines treatment explains how horizontal lines, platysmal bands and loose neck skin are told apart. Lines in thin skin respond to treatments that improve hydration and collagen: skin boosters, Profhilo and Rejuran (polynucleotides), placed in small amounts along the creases.

Diluted calcium hydroxylapatite (Radiesse) is one way to stimulate collagen in crepey neck and décolletage skin; whether it suits you is decided at assessment. The neck and hand revitalisation page covers neck and décolletage work together.

Woman in her 50s discussing neck and hand concerns with the doctor
Illustrative image. Not a patient of IN Eternity Clinic.
Laxity and bands

Turkey neck, loose skin and bands

For loose skin, collagen-tightening energy is used: HIFU and Ultherapy place focused ultrasound at set depths, and Thermage heats the dermis with radiofrequency. Change is gradual over months.

Vertical bands come from the platysma muscle. The Nefertiti lift uses a prescription muscle-relaxing injection along the jawline and bands to reduce their downward pull. Fullness under the chin is covered on double chin causes. Where skin is heavy and hanging, a surgical opinion is the honest route.

“A lifted face above an untreated neck looks unbalanced. I plan the neck with the face, and I tell you when the neck needs surgery instead.”
— Dr Sin Yong, Medical Director, IN Eternity Clinic
Hands

Ageing hands: volume, veins and spots

The back of the hand loses its fat cushion from the forties, so tendons, veins and knuckles become prominent. Hand rejuvenation uses dermal filler placed in the layer beneath the skin to restore that cushion, with bruising and swelling for a few days.

Brown spots on the hands are usually solar lentigines, the same as sun spots on the face, and respond to pico laser. Daily sunscreen on the backs of the hands, reapplied after washing, slows their return.

Gloves and a silk scarf, representing care for the neck and hands
Illustrative image. Not a patient of IN Eternity Clinic.
Prevention

Looking after neck and hand skin

Extend sunscreen and moisturiser to the neck and hands every day. Holding your phone nearer eye level reduces repeated neck bending. Plan the neck and hands with the face so the result is consistent; the ageing by decade guide explains when each tends to change.

Questions

Frequently asked questions

Can neck lines be removed?

They can be softened but not erased. Horizontal neck lines improve with treatments that rebuild hydration and collagen in thin skin, such as skin boosters, Profhilo or polynucleotides, usually over a course. Deep creases improve less than fine ones. Sunscreen and changes in posture help slow new lines. Results vary and are reviewed after each stage.

What is a turkey neck, and can it be treated without surgery?

A turkey neck is loose skin under the chin and along the neck, sometimes with muscle bands and fat. Mild to moderate laxity can be firmed with focused ultrasound or radiofrequency, and bands softened with injections. Heavy, hanging skin does not respond enough to non-surgical treatment, and a neck lift is then the more suitable option.

How long does hand filler last?

It varies with the product, the amount and how active your hands are. Most people find the effect lasts many months, and a top-up is planned when volume starts to fade. Swelling and bruising are common for a few days, and heavy use of the hands is avoided for a short time after treatment.

Can sun spots on my hands be lightened?

Yes. Most brown spots on the backs of the hands are sun spots and respond to pigment laser, often within one to a few sessions. Any spot that is changing, irregular or raised is examined first. Because hands receive constant sun, daily sunscreen is needed to stop new spots forming quickly.

Is neck treatment uncomfortable?

It depends on the treatment. Skin booster injections in the neck are given after numbing cream and feel like small pinches. HIFU and radiofrequency create deep warmth or brief prickling, and settings are adjusted for comfort. Most people return to normal activities the same day, with mild redness or swelling for a short time.

How much does neck and hand treatment cost?

It depends on which concerns are treated, the products or devices used, the amount needed and the number of sessions. A neck plan combining boosters and tightening differs from a single hand filler session. Dr Sin Yong gives a written quote after assessment, with no obligation to book on the day.

Related at IN Eternity Clinic
Neck linesHand rejuvenationNeck and hand revitalisationSkin boostersHIFU

Book an assessment

IN Eternity Clinic, 9 Scotts Road, #12-01 Pacific Plaza, Singapore 228210. By appointment with Medical Director Dr Sin Yong. Monday to Saturday, 11am to 8pm. WhatsApp or call +65 8815 3008.

WhatsApp to Enquire →Call +65 8815 3008
S
Dr Sin Yong
MBBS (NUS) · MRCS (Edinburgh) · MSc Aesthetic Medicine (London) · MSc Practical Dermatology (Cardiff)
International KOL — CLASSYS · HIRONIC · DEKA · ALMA · FOTONA · LUTRONIC

References

  1. Riyaz FR, Ozog D. Hand rejuvenation. Semin Cutan Med Surg 2015;34(3):147-152. doi:10.12788/j.sder.2015.0172
  2. Goldie K, Peeters W, Alghoul M, et al. Global Consensus Guidelines for the Injection of Diluted and Hyperdiluted Calcium Hydroxylapatite for Skin Tightening. Dermatol Surg 2018;44 Suppl 1:S32-S41. doi:10.1097/DSS.0000000000001685
  3. Fisher GJ, Kang S, Varani J, et al. Mechanisms of photoaging and chronological skin aging. Arch Dermatol 2002;138(11):1462-1470. doi:10.1001/archderm.138.11.1462

These sources describe mechanisms and general evidence. They are not a promise of any individual result; suitability is decided at an in-person assessment.

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