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Will Botox Get Rid of Neck Bands?

asked 1 year ago by anonyegyptian in connecticut usa
Latest answer by Tom J. Pousti, MD
Question viewed 1,005 times
Tags: comparison, laser, neck bands, options, peeling

Hello, I have had "necklace bands" or those horizontal lines that go all the way around my neck since childhood. Now they have deepened and look worse than ever.

I have a nice slim neck, but the lines are very unattractive. I have heard both yay and nay with regards to botox for necklace lines. What's the verdict? Also, are there other treatments that would work better such as laser or peels? Please help, I am desperate to get rid of these bands!

19 answers to Will Botox Get Rid of Neck Bands?

Botox for Neck Bands?

Hi anon. The results of this treatment are highly variable as you can see from the answers. Generally we would not perform the procedure because we feel the alternative (surgery) is a much better option. If you do decide to move forward with the procedure, it's best to find someone very experienced as patient selection (to see if you are a good candidate) is important.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Botox for Neck Rings

Thank you for the question. Unfortunately, Botox is not effective in the treatment of transverse neck "rings". Fillers are probably your best bet but will be time consuming and expensive over time. Best wishes.

Tom J. Pousti, MD
San Diego Plastic Surgeon

Horizontal neck bands may not respond well to any treatment but Ulthera, Theramge and Botox may help

Vertical neck bands may respond partially with Botox but I have not been successful to minimize horizontal neck bands with Botox although I have heard that some physicians claimed in the past that this can help. Some, not all, patients who are undering Ultherapy have noticed improvement in the horizontal neck bands. There have been reports of Thermage helping and even Fraxel laser, but I would be doubtful that the horizontal bands would improve much.

Ronald Shelton, MD
Manhattan Dermatologist

Vertical bands are very responsive to neuromodulators such as BOTOX

Vertical bands are very responsive to neuromodulators such as BOTOX, Dysport, or Xeomin. The necklace horizontal bands can respond to some degree, but do not respond well in general. And, all of the neck treatments with BOTOX or other neuromodulators tend to require a lot of product and therefore, are not very cost effective. The neck is a very difficult area to treat. Usually lasers will work best. But, if the neck bands are very deep, it may require several... more

Joseph A. Eviatar, MD
Bronx Oculoplastic Surgeon

Botox and "Necklace" lines

Necklace lines are not dynamic--caused by muscle movement--therefore neuromodulators are not the correct treatment. They usually are a combination of genetic factors and photodamage factors....so choose your parents more carefully next time :) Neuromodulators work very well for vertical lines caused by the platysma muscles. The best improvement I have seen with necklace lines is when a patient is consistent with good corrective skin care...like Obagi Nu Derm...they consistently... more

Reginald Rice, MD
Sacramento Facial Plastic Surgeon

Horizontal Neck Lines

Horizontal neck lines are a rather vexing problem and aren't treated particularly well be any individual therapy. Botox is not something I would recommnend for this particular issue. A series of low energy fractionated CO2 laser treatments can be helpful, but will not eliminate the problem. The same can be said for fillers.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

Botox for Neck Bands

These neck bands that have been there since your teenage years are not likely to be removed by Botox and it effects muscle activity. I would suggest the CO2 Fraxel Laser for this and I would not expect miracles. This is a difficult problem even to correct with surgery.

Richard Galitz, MD
Miami Facial Plastic Surgeon

Botox plus filler for neck lines

Botox is often used for the vertical lines (platysmal bands) in the neck, but are not very helpful for the horizontal lines. The horizontal lines can be treated with a very small amount of filler (Restylane, Juvederm) injected directly under the lines (emphasis on small amount so the filler doesn't make matters worse). The effect can often be enhanced by injecting Botox to relax the underlying muscles.

Alison Stallings, MD
Tarrytown Dermatologic Surgeon

Necklace lines treatment

I typically do not recommend Botox for horizontal neck lines. I have achieved great results with injecting Botox into vertical plastysmal bands, however. My recommendation for you is to seek a consultation with an experienced injector, and inquire is fillers would work well for your particular problem. Good luck!

Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon

Botox plus Juvederm Work Well for Horizontal Necklace Lines

The most effective approach in my experience is to inject tiny amounts of a filler (my favorite for this is Juvederm) along the entire length of each horizontal necklace line. Just enough of the material is injected to elevate the depression until it is flush with the surrounding skin surface. The results of this alone are quite gratifying to most patients. However, to prolong the duration and enhance the effect I most often subsequently (usually during the same treatment session) treat the... more

Nelson L. Novick, MD
New York Dermatologic Surgeon

www.youngerlookingwithoutsurgery.com

Botox for necklace lines

Botox will not help with necklace lines....in fact not much will. Where Botox is quite effetive is the vertical platysma bands that are the result of dehiscent (frayed) muscle fibers. There it will soften the harsh bands and will buy some time until corrective surgery (neck lift) can be done.

Andrew Pichler, MD
Sacramento Facial Plastic Surgeon

Botox will work to soften necklace wrinkles of neck

Botox should work to relax those unwanted lines. I believe that the controversy surrounding Botox use, in the neck, stems from MD's using large doses to weaken the anterior platstysma bands. Large doses, in this area have caused symptoms of disrupted swallowing. However, if you have small amounts of Botox placed just below the neck skin, spread out along the necklace lines, you should be fine. IMHO, try it and see if it works well for you. more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Horizontal neck wrinkles may be improved with Injectable Fillers.

I read your concern. I would not suggest Botox treatments for horizontal neck wrinkles. Botox can diminish "platysma-bands" that tend to run in a vetical direction. A well-performed Injectable Filler treatment may be employed to soften the appearance of these wrinkles. My personal preference is to use Silikon-1000, an off-label filler for permanent results. I hope this is helpful for you. Regards from NJ. see video

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Botox for necklace neck bands

Botox can be used to improve the deep horizontal creases in the neck, often referred to as "necklace bands." Treatment can require varying doses of Botox, so I would suggest seeing a physician who has experience with treatment of these bands and start with a low dose. The dose should then be titrated up until the wrinkles improve.

Theda C. Kontis, MD
Baltimore Facial Plastic Surgeon

facialplasticsurgerymd.com

Botox can work for neck lines.

Hi. This is an area where the results are inconsistent. It is certainly worth while trying it once, and a small amount of filler injected into the necklace lines also helps.

George J. Beraka, MD
Manhattan Plastic Surgeon

A personal consulation is needed to accurately answer this question.

Generally, there is no harm in trying BOTOX for the platysmal bands in the neck. This treatment can be surprisingly helpful for some and disappointing for others. If BOTOX does not satisfactorily address the neck cords, a face and neck lift will be needed.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Botox for neck bands

Botox can help both neck bands and horizontal neck lines. Neck bands that pop out with certain movement and speech respond the best.

Peter T. Truong, MD
Fresno Oculoplastic Surgeon

www.facialsurgerydr.com

Botox for Necklace Lines

Usually when you receive both positive and negative answers it really means "sometimes." I have have found that while I can sometimes improve the necklace lines with Botox, there are others times when it is of little or no benefit. Treatments can be additive, and I will also use the Fraxel Repair laser to improve these lines, Fillers may also help as well.

Alan Brackup, MD
Philadelphia Oculoplastic Surgeon

Horizontal creases on the neck respond better to fillers that to BTX-A

If you have horizontal creases on your neck, they will respond best to a filler like Juvéderm®, which must be injected very carefully and only a bit at a time over several sessions usually to gradually improve the creases. BOTOX® [and other formulations of BTX-A are useful to relax platysmal bands, which are vertical and which have nothing to do with the horizontal creases.