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Botox on Platysma Bands Usually Successful in Younger Patients?

asked 2 years ago by beach bum in New Jersey
Latest answer by Tanveer Janjua, MD
Question viewed 2,483 times
Tags: neck, sagging

I know Botox results are injector dependent. That being said, is the off-label use of Botox to platysma bands a bad idea, no matter what, or is it usually sucessful when done on "younger" people that have very mild flaccidity? Thanks for your time!

13 answers to Botox on Platysma Bands Usually Successful in Younger Patients?

Botox for platysmal bands

Botox is great for the neck platysmal bands, no matter what your age. Keep in mind, however, that the results are not as good as a formal necklift. Try the botox and see if you like the results. They'll last for about 3 months, but a necklift can last 10 years! Check out some before and after photos to see which results you like the best. Good luck!

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

Off label use of Botox for platysma muscle

This tends to work best in patients with hyperactive platysma muscles creating vertical bands regardless of age. Generally Botox is advised for patients under the age of 65. The "good or bad" idea of its use depends on how it is applied.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Botox for Neck and jowls

I have seen some dramatic results with the use of Botox and Dysport for platysmal neck bands. Younger patients will require less Botox and may have more dramatic results. I have also seen some good to excellent results in older patients. Botox and Dysport can also be used to inject the jowls and get a nice jowl lift as well.

Janet M. Neigel, MD
West Orange Oculoplastic Surgeon

BOTOX works well for muscle bands in the neck.

Younger patients, under 55, that have prominent platysma bands in their neck will usually benefit from BOTOX Cosmetic treatments. The results are a bit unpredictable, and younger patients do respond best. The ideal candidate is someone with visible neck bands that are present when they are speaking. So I'll observe for this during the initial consultation, and suggest it when appropriate. These folks that are good candidates, typically come back for more after the effect dissipates over 4... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Botox Works for Platysma Bands

Botox works well for hyperactive bands formed by an active platysma muscle but its not going to work for flaccid skin which usually happens from loss of collagen and elasticity. For loose skin, Sculptra injections might be better. Regards

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon

Botox works well for bands but not the horizontal lines in the neck

It works well for platysma bands in younger patients. It doesn't work for the horizontal lines in the neck also related to the platysma but more a function of skin elasticity and volume. It of course doesn't help with fat or lax skin. If the skin is relatively elastic in a younger person the softening of the bands can create a better neck contour and recruit some added skin into the area.

Wayne F. Larrabee, MD
Seattle Facial Plastic Surgeon

Botox is very effective for a non-surgical method

Dear Beach, In posing the question, you have the right idea. BOTOX and also Dysport are effective at softening the bands. This can be a great option for a small neck cord. Treatment effect typically lasts for many months. However, when the effect is not strong enough, surgery becomes a consideration. The neck cords that are modest but not sufficiently improved by BOTOX or Dysport can be amenable to an isolated platysmaplasty. This is a procedure done in the office under local anesthesia.... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Botox works for Platysmal Banding

Yes, Botox works extremely well for platysmal banding when there is not excess loose skin. When loose skin is present, the Botox will relax the platysma muscle fibers, but the lax skin is still visible and unsightly. If this is the case, a necklift would be recommended to rejuvenate the neck rather than Botox. With the help of your doctor, you should be able to quickly decide the best option for your neck. Good luck!

Randolph Capone, MD
Baltimore Facial Plastic Surgeon

www.baltimorefaces.com

Botox for platysma bands

Yes, Botox is often used off-label to treat platysma bands. It can soften the look of platysma bands once the Botox takes effect. My feeling is that it works well with mild bands.

Steven Wallach, MD
Manhattan Plastic Surgeon

Botox is great for platysma bands.

Hi! 1) We mainly treat people under 40 with Botox for platysma bands, because they are too young to have surgery, and the results can be dramatic. 2) The platysma is a big muscle, and you need a lot of Botox (injected superficially for safety) to get a good long result. We often use 50 units.

George J. Beraka, MD
Manhattan Plastic Surgeon

Botox for Neck Banding

In younger patients with good skin tone and minimal banding then yes Botox does work. In older patients who have the bands prominent all the time, they are not the best candidate for botox. You would ideally want the bands to not be there in repose and then present with animation. That is what BOTOX works best on.

Farbod Esmailian, MD
Orange County Plastic Surgeon

Botox works on platysma bands on the neck

Botox works on platysma bands on the neck. If the bands are mild the result should be excellent. It is a non-surgical option for the platysma banding on the neck. If the bands are extensive, the result may be modest. Good Luck!

Lenore Sikorski, MD
Laguna Niguel Dermatologic Surgeon

The younger, the better

Younger patients, with little to no laxity, are the ones that get the most benefit. Once the skin is loose and crepy, improving the banding and not addressing the lax skin does not give great results. Once the skin is that loose, only a lower face and neck lift will help.