The neck and jowls reveal age before the face does — here are the non-surgical solutions
In summary: three non-surgical options treat neck and jowl sagging: Radiesse (restores volume and stimulates collagen, results from the first session, lasts 12-18 months), PDO/PLLA thread lifts (immediate traction effect, indicated for more pronounced sagging, lasts 12-24 months), and facial radiofrequency (gradual improvement, ideal for mild sagging and maintenance). Pricing in Bogotá starts from $1,800,000 COP depending on the protocol. Dr. Tatiana Leal, with more than 18 years of experience in aesthetic medicine, determines during the free initial evaluation which option or combination fits your degree of sagging.
The neck is one of the areas where sagging and loss of definition appear earliest, and the one we pay the least attention to in our skincare routine. Over time, the skin loses firmness, the platysma (neck muscle) relaxes, and the jowl begins to blur the jawline.
The good news is that today there are precise medical options for treating these areas without surgery: Radiesse to restore volume and stimulate collagen, PDO or PLLA thread lifts to reposition sagging skin, and radiofrequency to gradually improve firmness. In many cases, the optimal protocol combines two of these options.
This page explains how each alternative works, when it's indicated, and what you can realistically expect.

The three non-surgical options for neck and jowls
- Radiesse for neck and jowls: restores lost volume, defines the jawline and stimulates collagen. Lasts 12–18 months.
- PDO/PLLA thread lifts: reposition sagging skin with an immediate traction effect. Indicated when sagging is more pronounced. Lasts 12–24 months.
- Facial radiofrequency: gradually improves firmness with controlled heat. Ideal for mild sagging and as maintenance between other treatments.

Which option is right for you?
Comparison of non-surgical neck treatments
| Treatment | Main indication | Immediate result | Duration |
|---|---|---|---|
| Radiesse neck | Volume loss and jawline definition | Yes, from the first session | 12–18 months |
| PDO thread lifts | Moderate sagging, loss of contour | Yes, immediate tensioning effect | 12–18 months |
| PLLA thread lifts | Moderate-to-severe sagging, long-term effect | Partial, progressive improvement | 18–24 months |
| Facial radiofrequency | Mild sagging, maintenance | Partial, cumulative effect | 6–12 months per protocol |
Frequently asked questions about non-surgical neck rejuvenation
What non-surgical options exist for treating neck sagging?
The three main options are: Radiesse (a biostimulator that fills and stimulates collagen, ideal for moderate sagging and volume loss), PDO or PLLA thread lifts (reposition sagging skin and stimulate neocollagenesis, ideal for loss of definition in the lower oval and neck) and facial radiofrequency (gradually improves firmness with controlled heat, indicated for mild sagging and maintenance). In many cases, the optimal protocol combines two of these options.
What's the difference between treating the neck with Radiesse vs. thread lifts?
Radiesse works by restoring lost volume and stimulating collagen production: it's ideal when there's a loss of neck definition due to fat and volume loss. PDO or PLLA thread lifts create an immediate mechanical traction effect that repositions sagging skin: they're the best option when sagging is more pronounced and there's visible loss of the jawline and neck contour.
How long do the results of non-surgical neck treatment last?
It depends on the procedure: Radiesse lasts an average of 12-18 months. PDO thread lifts last 12-18 months, and PLLA threads up to 24 months. Radiofrequency requires maintenance sessions every 6-12 months. In all cases, results are best maintained with a personalized follow-up protocol.
Is jowl treatment the same as neck treatment?
The jowl and neck are adjacent areas that are usually treated together. The jowl responds especially well to thread lifts in its lower area and to Radiesse to restore jawline contour. The neck itself (anterior column and platysmal bands) can benefit from botulinum toxin in the platysma combined with biostimulators or radiofrequency.
How much does neck rejuvenation cost in Bogotá?
The price varies depending on the protocol chosen. Radiesse treatment for neck and jowl starts from $1,800,000 COP per session. Thread lifts for the neck range from $1,200,000 to $2,500,000 COP depending on the number of threads and the area treated. The initial consultation includes an evaluation of your degree of sagging and a recommendation for the most suitable protocol for your case.
More facial treatments in Bogotá
Every face and body needs a different plan. These are other facial treatments performed by Dr. Tatiana Leal, often combined to achieve a more harmonious result.
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