Botox in the Neck

Michael A. Persky, MD answers: Botox for relaxing neck bands?

I've heard that Botox is being used to relax neck bands. Can you please share your opinions on this, the safety, effectiveness, expected cost, alternate treatments, etc.?


Michael A. Persky, MD
9 months ago

Hi lk,

Botox can be very effective at relaxing platysmal neck bands.  It can also be used to lift the neck (The Nefertiti Lift).  It does take higher units to achieve excellent results, so do speak to you injecting physician about costs prior to your treatment. 

The neck is an area where you should seek out an expert because of the higher doses used, and the possibility of significant complications is placed improperly.  Good luck and be well.

Dr. P

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More answers to Botox for relaxing neck bands?

A: Botox is helpful for neck bands

Kenneth D. Steinsapir, MD
9 months ago

Dear Iksugarman,

Neck cords are caused by laxity of the platysma muscle at the angle of the neck and laxity of skin. Botox can improve the appearance of these cords by relaxing the muscles bands that are producing the cords. Be aware that this treatment can use up a good amount of Botox (25 to 50 units) depending on the individual. Cost will depend very much on what your doctor charges for a unit of Botox. Longevity is about 4-5 months. Not everyone has a great response to Botox for the neck cords. The alternative treatment is a facelift so for many it is worth trying the Botox treatment.

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