My Neck Looks Wrinkly and The Muscles Tighten Up When I Speak. What Can I Do? (photo) Doctor Answers, Tips
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My Neck Looks Wrinkly and The Muscles Tighten Up When I Speak. What Can I Do? (photo)

I am a 41 year old female and only a year ago I started to see how my neck muscles tighten up and when I'm speaking, and my neck looks so wrinkly. It happens too when I inhale my cigarette. I am a TV journalist and how my neck looks now really bothers me. I get a lot of "I thought you were early 30's" comments from people, thanks to my Asian genes, but my neck just doesn't want to cooperate. Pls help. Thank you!

8 Doctor Answers | Asked by ladydebdeb in VA
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Neck cords respond to Botox

Neck cords may respond well to Botox as long as the skin tone is OK. If Botox doesn't help then a neck lift may be the next step
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Botox or Dysport for Neck Bands

At my practice in New York, I have found the use of Botox/Dysport to be helpful with "neck bands". As you've probably observed, the neck skin gets thinner as we age and the underlying muscles become more prominent. In my practice, I often combine Botox/Dysport for the muscle bands with radiofrequency (Pelleve) treatment for the skin.
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Good Options for Wrinkly Neck Skin with Tightened Neck Muscles

It’s hard to tell exactly what is bothering you from the picture (the problem sounds more dynamic- seeing you in person would obviously help) but there are a few options available depending on the specific issue. If it is the platysma muscle (the thin circular muscle just under the skin of your neck) that is tightening up (which gives the appearance of tight bands that form with certain movements) then a neuromodultor like Botox, Dysport, or Xeomin can work well. This is injected into... more

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Wrinkly neck and tightened neck muscles

Most 41-year-old women do not require a facelift. The only neck muscle that can be treated with a neck lift is the platysmal muscle. The anterior most platysmal bands are tightened along the submental jaw line in the center portion of the neck and when the 2 cords are present, they are released through the submental incision as well. The sternocleidomastoid muscle is not adjusted with the neck procedure. Any excess skin that is present will need to be addressed with a... more
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Neck Muscle Treatment for Wrinkles

The platysma contributes to wrinkles of the neck and sagging tissue. For younger patients like yourself, Botox Cosmetic can help soften the neck wrinkles. It may be too early for other treatments such as a lower face lift or neck lift. However, only after a comprehensive evaluation can a neck lift plastic surgeon help determine appropriate for you. Lastly, please stop smoking. Your face and neck will look much better, and you voice will better too. Best of luck. Dr.... more
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Botox can help early muscle bands (platysma) in the neck.

Botox along the edge of the platysma muscle can give some temporary help to platysma banding. Later on, they will need surgical repair. I think skin tightening technology is a waste of time and money.
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My Neck Looks Wrinkly and The Muscles Tighten Up When I Speak. What Can I Do?

Botox or Dysport injections can soften the horizontal lines and over-active Platysma muscle within the neck. For neck skin laxity, either Ulthera or a localized skin ellipse through an incision under the chin.
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Neck Changes at Age 41

You are describing 2 issues: 1. Hyperactivity of your superficial neck muscle known as platysma; 2. Early skin laxity. When I examine the photo you provided I would describe these issues as "early" and "mild". I think you can expect some nice improvements with non-surgical treatments such as Ultherapy and Botox or Dysport. Consult with a facial cosmetic surgeon for a thorough in-person assessment. Lastly, smoking does do significant harm - also related... more
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