There Is No Surgery to “Physically Lengthen” the Neck — But There Are Medical Ways to Make It Look Longer2025.11.30
Modern cosmetic surgery cannot physically lengthen the neck bones.
However, medical techniques that make the neck appear longer and more elegant are well established.
At AVAN TOKYO GINZA LIPOSUCTION CLINIC, we design the neck and shoulder line based on anatomy, muscle dynamics, fat distribution, and posture, creating the most scientifically optimized “long-neck appearance.”
Five Medical Keys to Creating a Longer-Looking Neck
- Facial Liposuction Including the Area Beneath the Ear
Removing fat under the ear sharpens the jaw–neck border, instantly making the neck appear longer. - Trapezius Botox (Neck to Shoulder)
Overactive trapezius muscles elevate the shoulders and shorten the neck visually.
Botox relaxes this tension, elongating the neck contour. - Supraspinatus Botox Under Ultrasound Guidance
For patients with prominent shoulder blades, deep supraspinatus muscle tension is often the cause.
Ultrasound-guided Botox smooths the shoulder contour and extends the apparent neck length. - Posture Correction
Even the best procedures fail if posture is poor.
Retracting the shoulder blades alone significantly improves neck length visually. - Upper Back Liposuction
Excess fat on the upper back shortens the visual neck length.
Fat removal restores three-dimensional neck definition.
Clinical Results
- Facial liposuction + trapezius Botox: 3 months post-op
- Trapezius Botox + upper back & arm liposuction: 6 months post-op


These combinations create:
✔ A longer-looking neck
✔ Softer shoulder contours
✔ A seamless face–neck–decolletage line
Our Philosophy at AVAN TOKYO
We never treat:
- Fat alone
- Muscle alone
- Bone alone
Instead, we design beauty using a total anatomical approach, delivering natural yet dramatic neck and shoulder refinement.
Final Message
A long, beautiful neck is not created by aggressive surgery, but by precise anatomical balance.
If you have given up due to your “bone structure,” AVAN TOKYO offers a scientifically sound solution.