Is Botox a Good Alternative to Surgery for Turkey Neck?

Botox injections are effective at softening the neck bands (also known as platysmal bands). The treatment can also be combined with a “Nefertiti Treatment”, which will improve the definition of your jaw line and create a beautiful neck lift at the same time!

Botox works poorly for turkey necks. Its action is to relax muscles. It does nothing to tighten skin. It does nothing to tighten the platysma. It does nothing to reduce neck fat. Occasionally if there is a hypertrophic band of platysma, Botox can help relax it.
However patients with a true turkey neck will likely be very disappointed with Botox alone.
Liposuction alone can give reasonable benefits to patients who have primarily a problem with fat but their deep tissues (platysma) is tight and their skin is tight. This is typically younger patients.
There is some risk to Botox in the neck. The muscles of the vocal cords can be paralyzed if the injection comes too close to them. This can, and has, resulted in death. Also neck function can be weakened if the patient has underlying weakness or aggressive Botox is used. I have seen a patient who could literally not hold up her head after aggressive Botox to the neck performed elsewhere!
Necklifts have their place if the problem is isolated to a bad cervicomental angle (profile) but the skin is reasonably tight.
Facelifts plus necklifts typically give the very best corrections to the turkey neck.
Your best bet for selecting a surgeon capable of mastering all these techniques is..... you guessed it... board certification in plastic surgery or facial plastic surgery.

Dear Brooks

Botox for the neck cords can be helpful. However, it is not nearly as dramatic as surgery. I think that it is not unreasonable to try BOTOX for the neck cords. If it works, great. If not then surgery will be necessary.
I would discourage you from having just a neck lift however. The face needs to be opened to do an proper necklift and it makes sense to have a neck and cheek lift at the same time.