Botox or fillers for neck rings and bands?

Sort: Date | Helpful

9 answers to “Botox or fillers for neck rings and...”

A: Neck bands and rings

By Sutton Graham II, MD - Greenville Plastic Surgeon

Deborah Kate: Without an in-person evaluation I can only speculate about what you may be seeing, and I do not know what was done during your surgery (there are a variety of techniques used during facelift / necklift). Vertical bands caused by the underlying platysma muscle are one of the primary issues... more

A: Very little improvement with both.

By Toby G. Mayer, MD - Beverly Hills Facial Plastic Surgeon

The band problem would best be corrected with re-excision. Botox is short lived and gives little improvement and is more costly over time. Neck rings can be treated with fillers but once again is very costly over time.

A: A consultation with your doctor is in order

By Scott E. Kasden, MD - Dallas Plastic Surgeon

I can't answer this because I don't know the nature of the bands, or the time since surgery. It would follow that the surgery would have taken care of the concerns. However if you are still within a few months from surgery, it may be a self limiting situation that would better respond to massage, moist heat,... more

A: Botox Yes, Fillers No

By Christopher L. Hess, MD - Fairfax Plastic Surgeon

This is an unfortunate complication with a facelift/necklift. In the operating room patients are relaxed and lying on there backs The neck muscles are sutured together in the midline and elevated and sutured by the ears. This is the standard approach to the neck and works most of the... more

A: Forget the fillers

By Kenneth R. Francis, MD - Manhattan Plastic Surgeon

Deborah Kate, Botox may help the bands that you describe by weakening the platysma muscle that forms the bands. Fillers, in general, don't work well on the neck. Weakening the platysma with Botox over a long period of time may eventually soften the rings. Good luck!

A: Treatment of Neck Bands and Rings

By Michael A. Persky, MD - Los Angeles Facial Plastic Surgeon

Hi Deborah, Aside from Botox and fillers, Fraxel repair treatment of the neck helps with the "neck rings" and tightens the lax bands. In most patients I am finding that 2 treatments separated by 4 to 6 months results in very nice tightening of the laxity in the neck. Botox can be helpful... more

A: You can have Botox for now

By Hisham Seify, MD, PhD - Orange County Plastic Surgeon

The treatment is either surgical in the form of revision of your neck lift or non surgical in the form of Botox. Since you just had your surgery done, I would recommend Botox for now.

A: Botox may well help.

By George J. Beraka, MD - Manhattan Plastic Surgeon

To Deborah Kate, Hi! It's too bad that you still have bands after a neck lift, but incomplete correction certainly can happen. Botox in fairly large doses (about 50 units, it's a big muscle) will definitely help, but it has to be repeated every 4 months. I am afraid the only alternative is a... more

A: use bottom for neck bands

By Otto Joseph Placik, MD - Chicago Plastic Surgeon

Neck bands are most commonly associated with the activity of the platysma muscle. Using bottom will help to diminish the activity of the muscle with a decrease in prominence of the vertical bands and with time produce softening of the horizontal creases. Resurfacing options may also add additional benefits.