There is some retraction of the neck bands, making them look better in some, but not all individuals. When used in this off-label approach, it involves the same side effects as Botox when administered in facial regions such as brusing, but there is a risk that the neck muscles might be so relaxed that you could find it difficult to raise your head out of the hair salon’s shampoo sink, and a few cases of hoarseness have been reported.
Also, a very, very rare but serious side effect had been reported where a patient had difficulty swallowing, but this was not permanent. These worrisome side effects are possibly dose-related so reasonable number of units delivered to the area of the neck bands do not cause this to happen. Alternative treatment is a surgical neck lift. External radiofrequency devices may help minimally.


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