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The Ultimate Guide to Combatting Neck Sagging: Hammock Effect, Thread Lifts, and Neck Rejuvenation Explained

About the author: Dr V.P.S Ghotra

Dr Ghotra received his MD degree from Maastricht University and a PhD from Leiden University. Complementing his substantial academic credentials, he acquired a Master's degree in Ageing and Aesthetics from the prestigious University of Manchester. Leading his clinic in the vicinity of Amsterdam, Dr. Ghotra specializes in an array of minimally invasive aesthetic procedures. His expertise encompasses a wide range of treatments, from the precision of Botulinum toxin applications to the innovative techniques involved in thread lifts, fillers, and the latest advancements in laser therapies, providing his patients with cutting-edge solutions in the field of aesthetic medicine.

As we age, the delicate skin on our neck often shows signs of wear much like a well-used hammock begins to sag and fray over time. This natural process can be distressing for many, as the neck is a prominent part of our appearance. In this blog, we will explore the underlying anatomical causes of neck sagging, employ the hammock analogy for a clearer understanding, discuss modern solutions that help restore a more youthful appearance, and delve into the specifics of using thread lifts as a non-surgical option for those reluctant to undergo surgery.

Understanding Neck Sagging: The Anatomy Behind the Age

The neck's anatomy is complex, consisting of several layers that all contribute to its overall appearance and function:

  1. Skin: The thinnest layer that is prone to early signs of ageing such as wrinkles and a loss of elasticity.

  2. Subcutaneous Fat: This layer provides cushioning and contour. Changes in fat distribution can lead to a more pronounced sagging appearance.

  3. Platysma Muscle: This superficial muscle extends over the collarbone up to the jawline. As it weakens, vertical and horizontal neck bands become more visible.

  4. Deep Fascia and Muscles: These provide structural support but weaken over time, contributing to the overall sagging appearance.

  5. Cervical Structures: Beneath it all, structures like vertebrae and cartilage can become more prominent as other tissues thin and sag.

The Hammock Effect: Visualizing Neck Aging

Just as a hammock stretches and sags from use and exposure, so does the neck. Initially, the skin and structures are taut and elastic, holding everything in perfect contour. Over time, several factors contribute to the hammock effect in neck ageing:

  • Loss of Elasticity: Collagen and elastin degradation leads to less elastic skin, much like the fabric of a hammock losing its tightness.

  • Volume Loss: Redistribution and loss of fat in the subcutaneous layer alter the neck's smooth contour, similar to how a hammock's shape changes when its support weakens.

  • Muscle Changes: The platysma muscle's tone diminishes, akin to the ropes of a hammock becoming loose and uneven.

  • Structural Weakening: The deep layers that support the neck lose strength, mimicking how a hammock’s anchors might wear out.

Innovative Non-Surgical Solution: Thread Lifts Using PLA/CL

For many patients, the prospect of surgery is daunting. This is where thread lifts using poly-L-lactic acid (PLA) and caprolactone (CL) come into play. These biocompatible materials are known for their safety and effectiveness in aesthetic medicine, especially in non-surgical facelifts and, more recently, neck lifts.

How PLA/CL Thread Lifts Work

  1. Biostimulation: PLA and CL materials are excellent for stimulating collagen production. Once inserted, the threads act as a scaffold around which new collagen fibers can form.

  2. Immediate Lifting Effect: The threads provide an immediate mechanical lift by physically elevating the skin and underlying tissues, countering the sagging effect.

  3. Long-Term Improvement: Over time, the threads will slowly dissolve, but the collagen matrix they've helped build remains, maintaining the skin's improved structure and elasticity.


The thread lift procedure for the neck is minimally invasive and can be performed under local anaesthesia. Fine threads are inserted via tiny needles and positioned strategically to lift and tighten the sagging skin. The results are visible immediately after the procedure, with further improvements seen over the following months as collagen production increases.

Patients typically experience minimal downtime, making this an attractive option for those seeking significant aesthetic improvements without the recovery time associated with traditional surgery.

Case Studies and Real Results

In my practice, I have achieved several successful outcomes through the use of PLA/CL thread lifts for neck rejuvenation. Below, I present some example photos of patients I have treated. These images clearly illustrate the safety and effectiveness of this technique, showcasing the substantial improvements in neck contour. This method marks the beginning of an inside approach to neck rejuvenation."

Take Action Against Neck Sagging

Are you ready to restore the youthful appearance of your neck without undergoing surgery? At our clinic, we specialize in cutting-edge, minimally invasive treatments like PLA/CL thread lifts designed to rejuvenate and revitalize. Begin your journey to a firmer, smoother neck by scheduling a consultation with us today. Our expert team is committed to crafting personalized care plans that not only address your aesthetic concerns but also enhance your natural beauty.

Contact us to learn more about how we can help you achieve your desired results and feel confident in your skin again.

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