There's probably a better term for this, but I hate having those those vertical muscles (maybe tendons or ligaments) in my neck, but a deep canyon between them. I've never read about any way to help those. I see lots of beautiful women who've had surgery, but the neck!
Any Hope for a Ropy Looking Neck?
Doctor Answers (14)
Ropey Neck Correction Requires Neck Lift/Platysmaplasty
Thank you for your question.
The bands that you see are caused by laxity and sagging of two muscles on the neck called the Platysma Muscles.
A procedure called a Platysmaplasty and Neck Lift can correct the ropey neck.
A small incision is made beneath the chin and the two muscles are sutured together and tightened. Usually an incision is also made behind the ears and neck skin is tightened.
Treatment of platysma bands
The formal way to get rid of these bands is with surgery, usually in the form of a lower facelift. Thes bands are generally sutured and cut. Other forms of treatment in surgery are also sometimes needed. Botox can help a little but is only temporizing.
Treatment for a "ropy" neck
Those "ropes" are your platysma muscles, which attach to the undersurface of the skin, very superficially. They can be treated with Botox, which should work for 3-4 months, so it's a temporary solution. A permanent solution would be a platysmaplasty, which uses a small incision in the upper neck (beneath the chin), then plicates (sews together) the muscle edges, so they can't create that chasm between them anymore. This is an outpatient procedure.
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Solutions for a "Ropy" looking neck!
Botox can relax the muscle that causes the bands. Surgical correction (for more severe bands) may involve incision of the bands. Suturing the muscle in the mid-line and re-susupension of the muscle.
Option for neck cords or bands
Shortening of the anterior platysmal bands causes the ropes you are referring to. This is addressed through a lower face/neck lift where muscles are tightened along the front part of the jaw line between the chin and the Adam’s apple. The bands are then released down low over the thyroid area so that they lengthen, expand, and the cords go away. Neck fat will be addressed at the same time in addition to tightening any excess skin in the lower neck.
Treatment for neck bands
Neck muscles can be treated, to some extent, by diminishing their movement with Botox. This does create a smoothing effect, which may suit you. The absolute best treatment for repairing the neck muscles is a surgical one (i.e., a necklift). However, even this never fully eliminates muscle contraction.The platysma muscle movement is usually the source of the complaint you describe and while surgery treats it best it may still be visible to a minimal degree.
What you are referring too is called Platysmal banding. There is a muscle in the center of the neck that as we get older, in some of us, the center part will start to disintegrate. The solution for this problem is to surgically re-attach this 2 muscles into one in the center. This also should be performed with a Facelift for better results. Look for advise with your local Facial Plastic Surgeon.
Treatment for neck bands
Those bands are the anterior border of the platysma muscle, a sheetlike muscle that runs across the neck and jawline. With age, they sag and pull away from the deeper attachments in the neck, and the overlying skin does something similar. There is only one solution, which is surgery. Botox is described and performed, but rarely is worth the money, and the results are not always impressive since the skin remains an uncorrected component.
I also agree with the other surgeons that you require a straightforward facelift, which includes an incision and correction of the midline issues with excess muscle resection and suture reapproximation (anterior plication), and then posterior repositioning as well. Anything less will leave you with incomplete correction. Whether or not the surgeon proposes even more, like a muscle relaxing cut in midline, or complete platsymal transection, or neither, is just surgeon preference.
Ropy looking neck
These are platysma bands or neck cords, that are a facia/muscle. The options for treatment are from Botox injections to operating upon by cutting them. See 3 boarded plastic surgeons in your area to evaluate.
From MIAMI Dr. B
The vertical bands of the platysma muscle need to be tightened together with a neck/facelfit. For those patients who are adamant not to undergo surgery, Botox or Dysport can help flatten them slightly but this is temporary and the treatment ongoing, and there are risks that you would need to discuss with your doctor such as weakness of the neck and even swallowing if very rare cases.
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.