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.?

Sort: Date | Helpful
15 answers to “Botox for relaxing neck bands?”

A: Botox for relaxing neck bands

Bryan K. Chen, MD

As you may have gathered from the other posts, Botox is a good treatment for relaxing vertical neck bands.  50 units is usually adequate.  The total dose should not exceed 100 units and should be superficial to avoid complications including neck weakness and difficulty swallowing.

A: Some side effects from Botox on neck reported

Ronald Shelton, MD

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... more

A: Botox for Platysmal Bands

Daniel Reichner, MD

I routinely use Botox to treat platysmal neck bands.  I usually start with 40 to 60 units and dilute this in twice the normal amount of saline to provide uniform coverage.  It is safe and effective and cost much less than a traditional neck lift or platysmaplasty.

A: Botox is useful for dynamic neck lines

Hisham Seify, MD, PhD

Botox could be used to improve the dynamic lines caused by the platysma muscle spasm. Botox will relax the muscle and make the lines softer. The number of units used wil depend on how many bands you have and how tight they are. Like all procedures choose a board certified plastic surgeon that you trust and for... more

A: Botox is great for relaxing neck bands

Anifat Balogun, MD

Botox is a safe and effective treatment for relaxing vertical neck bands. The bands typically are noticeable from the jawline to the collar bone and become prominent when they separate into bands as we age. To flatten/relax the bands, Botox is injected along the length of the muscle, the platysma. Depending... more

A: Botox in the Neck

Michael A. Persky, MD

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... more

A: Be careful with Botox for neck bands

D.J. Verret, MD

Greetings, As the other physicians have pointed out, Botox cosmetic does work for neck bands, but this is an off label use. What was not mentioned is that injection in the neck can lead to difficulty swallowing necessitating a feeding tube if injected improperly or there is migration of the injection. If you... more

A: Botox is great for vertical neck bands

David Shafer, MD

Botox Cosmetic works great for vertical neck bands. If you tighten up your neck and see vertical neck bands (bands running up and down like columns) then Botox will likely be very effective for you. However, Botox is not effective for the horizonal neck creases - this usually requires a neck lift. Neck... more

A: Botox worth a try for you

Scott E. Kasden, MD

This may be very effecitve for you. It should be low risk, and not that expensive. The down side is that it is temporary. Also, it will not tighten skin, and it will not address any fat pads that may be present.

A: Botox can soften neck bands

Kenneth R. Francis, MD

LK, Botox can indeed be used to soften neck bands as an off label use. I have found it to be very effective and safe. The cost depends on the size and extent of the bands. The alternative, surgical correction is, of course, more invasive, more costly, and requires a recovery. Good luck!

Post your question

Botox: 406 reviews

64% said it was worth it

Botox before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.