I Have An Old-Looking Neck Thanks To Bad Posture — Here's How I Treat It

“Neck wrinkles are caused by the same things that cause other wrinkles: a combination of aging of the skin—breakdown of collagen and elastic tissue—and movement," says board-certified dermatologist Jeremy Fenton, M.D., of Schweiger Dermatology Group in NYC and Long Beach, New York tells us about neck wrinkles. 

This is also especially true of the neck, as the skin here does tend to be thinner, and thinner skin is often affected by aging faster (the same reason your eyes may show fine lines before any other part of your face).

Collagen and elastin breakdown is primarily triggered by UV exposure. In fact, up to 80% of visible signs of aging1 can be attributed to sun damage. So wearing sunscreen on your neck is one of the most effective ways to address a root cause of premature aging. 

But to quickly address the movement aspect: "The second main cause is the movement of the neck," says Fenton. "We get horizontal lines in the neck due to the bending of the neck to look down."

Here, I should note that I’m certainly not advocating that folks stop moving their neck. That would be bad advice, to say the least. What I am advocating for is better posture: There are many health benefits—skin included—to improving how you sit and stand. It can give you a mood and cognitive boost2, relieve muscle tension, and improve circulation. 

Here’s manual therapist and movement coach Aaron Alexander best advice on sitting, which he shared during the mindbodygreen podcast "Make sure that your hips are above the height of your knees when you're sitting in any position. What that will do is naturally put your lower back and your pelvis into an architectural position of integrity, support, and load-bearing. Drive weight through the shoulders, and [you will] comfortably stack through that neutral spine."

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Other than daily hydration, I also look to treatment steps to improve the appearance of the skin. Think: retinol, chemical exfoliators, enzymes, masks, and so on. However, these should be used with caution. “You must be careful because the neck skin is often more sensitive than other parts of the face," says Fenton.

Lots of people don’t realize this, but the neck is prone to irritation, as the skin here is so thin. And can even be more sensitive than the facial skin. This means that some facial treatments may be too potent for the area, or that you shouldn’t do them as frequently as you might on the face. 

I have very sensitive skin in general, so I’m careful not to go overboard on any part of my body. But occasionally—I’m talking like once every other week—I’ll use some sort of gentle exfoliating mask or serum on the area. 

My favorite ingredients are glycolic acid (when buffered with several hydrating ingredients), lactic acid (which tends to be more gentle as it’s a larger molecule and can’t penetrate the epidermis as deeply), and fruit enzymes (which are criminally underrated exfoliators).