Would Botox Alleviate Noose-sensation After a Neck Lift?

I had a neck lift 2 years ago. For about 6 mths I experienced a noose-like feeling, that eventually (mostly) went away. I recently had back surgery (they suspend you neck down) & the noose is back with a vengence. I tried NSAIDs, prednisone, local triamcinolone and nothing is working. The sensation of gagging is horrible & it is making it impossible to work or focus on anything. Even going for a walk (that is needed to recover from back surgery) exacerbates the noose. Any advice??

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6 Doctor Answers | Asked by edrio

Doctor Answers (6)
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Botox For Noose-sensation?

I recommend scheduling a follow up with the surgeon who performed the procedure as the sensation you’re describing normally subsides this far post surgery. It is possible you have a permanent suture in place to help suspend your neck, which has been known to cause this strangulation sensation in some patients. When you see your surgeon, inquire about possibly removing that suture if in fact you do have one as that should relieve the discomfort whereas Botox would not help in a situation... more

Noose-sensation After a Neck Lift Unusual

Although common right after surgery, the noose-sensation this far after standard facelift and platysmaplasty surgery is quite unusual. You may indeed have a suspension stitch across your neck that is still tight, however. A review of your operative report or your surgeon will be able to help answer that question. I doubt that Botox will help.

Would Botox Alleviate Noose-sensation After a Neck Lift?

The sensation of having a noose across the neck might indicate that a suspension suture was used during your Neck and Face Lift. In this technique a thick permanent suture is placed from one end of the neck across to the other creating a strangulation-type sensation in some patients. The typical Platysmal band suturing should not have this pronounced of an effect and certainly would not recur some 2 years after the Neck Lift. If the symptoms persist, you... more

Noose Feeling after Neck Lift and Botox

If the noose feeling is due to an anterior platysmaplasty where the platysma is tightened, Botox to relax the muscle may be reasonable. A physical exam with and without animation would be necessary to determine appropriateness.

Noose-like feeling

If your feeling is related to the recent spine surgery it may not be a bad idea to just give it some time to improve.

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Botox unlikely to help but no harm in trying

Hello, Thank you for the question. Your symptoms may be related to a permanent type suture used to suspend your neck. If that is the case removal or cutting of that suture would be the ideal treatment for your symptoms. Botox is not likely to help, however it will not do any harm in trying it. All the best, Dr Remus Repta