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Do Botox Injections Work on the Neck Bands?

Can Botox be used on the neck banding? What else does neck injection offer to a patient?

Doctor Answers 38

Botox on the neck - Yes, but have an experienced injector

Botox can be used for platysmal bands of the neck, but be very cautious and pick someone who does this regularly, as there are some vital structures in the neck that must not be disturbed.

I would also recommend having a formal consultation with a plastic surgeon, as oftentimes Botox is not the answer, but rather a neck lift - this can give a very natural, durable result.

Seattle Plastic Surgeon
5.0 out of 5 stars 112 reviews

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Botox may help

Botox can flatten the neck folds that hang down if they're not too big. This makes a more sharp angle at the neck on profile which looks younger. It can also help diminish fine horizontal creases but Botox does not work as well on all patients...some may not get improvement. If the sight of your neck really bothers you then schedule a consultation with a Botox expert.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 33 reviews

Botox injections are effective for neck bands

Botox is very effective at correcting the medial two bands of the neck, called platysmal bands. Of course, the injections are effective only when they are correctly placed into the platysma muscle.

The platysma muscle is very thin, and should be injected by physicians experienced with this area. The proper dosage should be used, and if the injections are improperly placed, complications with swallowing can occur. Choose your physician most carefully. Be well.

Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Botox Cosmetic injections in the neck can be used to...

Botox Cosmetic injections in the neck can be used to soften platysmal bands or the turkey waddle in the neck. This is an off label use of the medication but can be safely done. Great caution must be used as injection in the neck area can lead to difficulty swallowing. This will resolve once the Botox Cosmetic has worn off but can result in the need for special feeding arrangements.

D.J. Verret, MD
Dallas Facial Plastic Surgeon
4.0 out of 5 stars 13 reviews

Botox injections can improve neck bands

Botox injections can improve the appearance of neck bands.  However, depending on the degree of skin laxity and other signs of facial aging, other treatments may be used instead of, or in addition to Botox injections. An experienced injector can tell you if this treatment is likely to be of benefit in your particular case.

Botox Vs. Facelift

 It's not unusual for patients to develop platysmal bands during the facial aging process. These bands occur because a separation exists in the midline between the paired platysma muscles.   With aging and the development of loose facial skin these muscles develop bands along their inner borders.

The vast majority of patients with platysma bands in the skin will require a facelift. In some cases where platsyma bands are mild and patients hope to avoid a facelift, botox may be used as a temporizing maneuver.

The treatment of platysmal bands with botox requires a significant amount of technical skill. When not performed correctly this procedure can result in difficult swallowing.  It's therefore important to perform a careful analysis of the neck before proceeding with botox injections of platysma bands. Although this procedure is rarely indicated, in some cases it may yield excellent results.

Botox Injections Work on the Neck Bands - but not on everybody

Botox is effective in treating neck bands only in a certain type of necks. 
If you have loose skin in the neck, botox will make it worse .
So it is important that the Doctor who injects is experienced enough to decide if you have the right type of neck.
 Patients initially experience a strange feeling especially when they lift the neck. But this soon settles down 

Neck improvement may be seen with BOTOX®.

Although treatment with BOTOX® for neck bands is an off-label use, some patients do see very nice results and enjoy a smoother look and feel after their appointment. It’s important to only visit a highly skilled injector, as the platysma muscle is quite thin and delicate. Also, injections in the neck have to be delivered at a very precise depth, as there are many essential muscles in the area that shouldn’t be disturbed. Finally, remember that BOTOX® isn’t going to improve loose or hanging skin. A neck lift can be performed to address neck bands and skin laxity simultaneously.

Does Botox work on anterior platysmal neck bands

When patients to have the 2 neck bands or cords in the neck, Botox can help with  temporary improvement of them. The amount of Botox required tends to be cost prohibitive, since it takes if a lot of units injected quite often to keep them from recurring. When patient's have decided to stop performing Botox on the anterior platysmal bands, a neck lift, or face neck lift is required to tighten the bands surgically which  gives a more permanent effect.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

Necks Bands May Be Softened With Botox

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!

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.