Neck Lift Q&A
83%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers
that stated the procedure was "Worth It" or not.
See more RealSelf Worth It Ratings
or Add Your Review

View Before and Afters
Average Neck Lift Cost: $7,355
Learn about Neck Lift
254 people and 390 doctors are talking about Neck Lift
Get Free Email Updates
Botox Neck Lift
asked 4 years ago by anon
Latest answer by Michelle Copeland, MD, DMD
Question viewed 22,475 times
Tags: neck, non surgical, turkey neck
28 answers to Botox Neck Lift
+5
The Botox neck lift refers to the use of Botox...
The Botox® neck lift refers to the use of Botox® Cosmetic to relax muscular bands (Platysmal bands) located immediately under the skin of the neck--not a true neck lift. You are correct, Botox® Cosmetic is only approved for the forehead frown lines.
The use of Botox® Cosmetic to lift the neck is off-label and has some risk. In general, cosmetic use in the neck has been reserved for people with little fat under the chin and mildly hanging skin and muscle bands. By relaxing...
more
+3
Botox doesn't lift, it "relaxes" the muscle bands
You are correct that Botox is typically used for the frown lines between the eyebrows. Overuse of the muscles between the eyebrows causes deep vertical lines which we call frown lines.
If we look aging necks in the population, people with thinner necks with minimal fat tend to have "muscle bands" or platysmal muscle bands. This is a thin sheet-like muscle under the neck skin. The front edge of the muscle is what forms the edge of the muscle band.
If...
more
George Yang, MD
New York Facial Plastic Surgeon
New York Facial Plastic Surgeon
+3
Botox in the Neck vs. Neck Lift.
As we get older, the skin and soft tissues can sag. In the neck there may also be "banding", where the neck muscle enveloping the neck can form taught band like thickening of tissue. Some have used Botox into these bands to try and relax the muscle and obtain improvement. One has to be very careful as there are many structures in the neck that one does not want injured. The results of this treatment are temporary.
A neck lift addresses the soft...
more
Jeffrey Roth, MD
Las Vegas Plastic Surgeon
Las Vegas Plastic Surgeon
+3
"Botox Necklift" is a misleading marketing term - beware
Unfortunately as more and more practitioners start incorporating Botox and other injectables into their family practices , naturopathic clinics and dental offices, the marketing of these treatments starts to become more and more misleading.
Yes, Botox can be used in the neck to relax Platysma bands but when this is marketed as a “neck lift”, it’s just not true. Botox is a muscle relaxant. It does the exact opposite of lifting the neck.
Botox is a very effective muscle...
more
Thomas Buonassisi, MD
Vancouver Facial Plastic Surgeon
Vancouver Facial Plastic Surgeon
+2
Botox cannot create a lift
The term Botox neck lift isn’t really a real treatment term. Botox by definition is a neurotoxin that relaxes muscles, which can be the cause of wrinkling. Other than a very minor lift of the brows, Botox cannot “lift” anything.
However it can be used to reduce the appearance of wrinkles in the neck and to relax certain bands of muscles in the neck to create a temporarily smoother appearance. FDA had not approved these uses for Botox though and they...
more
Scott W. Mosser, MD
San Francisco Plastic Surgeon
San Francisco Plastic Surgeon
+2
Botox and necklift
Botox has been described as a partial remedy for platymal bands in the neck, although the FDA has not approved it for that purpose cosmetically. Because of the cost and temporary nature of the product, as well as the fact that neck bands are usually accompanied by loose skin, I do not consider it a great solution. A lower facelift/necklift with formal platysmaplasty is still, by far, the procedure of choice to deal with neck bands.
Botox may offer a short-term, minimally-invasive stopgap...
more
Tim Abou-Sayed, MD
Palm Beach Plastic Surgeon
Palm Beach Plastic Surgeon
+2
Botox neck lift
Botox can be used to rejuvenate the neck in the following instances:
Help decrease presence of platysmal bands
Selectively weaken the front neck muscles so that the back neck muscles pull stronger, giving a tighter neck and jawline
Botox is not the treatment of choice for the neck and its best role is in an adjunctive manner. Surgery represents the best treatment for neck rejuvenation.
Anil R. Shah, MD
Chicago Facial Plastic Surgeon
Chicago Facial Plastic Surgeon
+2
Botox vs. Neck Lift
A neck lift can be one of the most rewarding procedures for patients. In our office, patients are amazed at the beautiful neck we can create with work on the skin, fat, and muscles. By performing work on all three layers, patients are able to achieve a youthful neck they had always dreamed of. In contrast, BOTOX only addresses the muscle and can only soften platysmal bands and will have no effect on the skin laxity or fat deposits.
Ankit Desai, MD
Jacksonville Plastic Surgeon
Jacksonville Plastic Surgeon
+2
Lower face neck lift with Botox
Botox Cosmetic is generally not the appropriate treatment for aging of the lower face and neck. Botox Cosmetic does not improve skin laxity or fat accumulation. Face lift surgery, neck lifts, and submental liposuction are more ideal for patients with sagging double chins or "turkey necks".
However, Botox Cosmetic may reduce some wrinkles in the neck by relaxing muscular bands (platysmal bands). Results are temporary.
Speak to a facial plastic surgeon to determine if Botox Cosmetic...
more
+2
Botox for a neck lift
Hi,
In certain cases, Botox may improve " platysmal banding". This is temporary. If you have excess skin and fat, Botox will not help. Botox weakens the platysma banding in your neck and allows the bands to be pulled back by the residual platysma muscle in your neck. Of course th ebest way to treat this be a platysmaplasty and/or a facelift.
Best,
Dr.S
+2
Botox neck lift Works
In early cases of neck aging, where there is little to no fat under the neck skin, the major deformity is the increasing visibility of a flipped over "V" deformity of the Plastymal muscle Pillars.
Ordinarily, this could be corrected with a Surgical neck lift in which the muscle edges were sewn to one another and then pulled both up and backwards recreating a sharp youthful angle from the chin-upper neck-chest angle.
But in woman who are happy with just the smoothing of the muscle...
more
+1
Botox for the Neck
Botox blocks nerve impulses and temporarily paralyzes muscles that cause wrinkles, providing a more youthful appearance. Botox is temporary—perfect for people who are not ready for more permanent forms of cosmetic enhancements. While typically used for the crow’s feet and frown lines, special refined techniques can be used to soften the lines of the neck. It’s important to make sure you go to a board-certified plastic surgeon who is experienced in proper injection...
more
Michelle Copeland, MD, DMD
New York Plastic Surgeon
New York Plastic Surgeon
+1
Botox Can Work Well For Nonsurgical Necklifting, Neck Bands, & "Necklace" Lines
Botox (as well as the other two FDA-approved neuromodulators Dysport & Xeomin) may be used to improve some degrees of neck sagging, vertical (playsmal) bands, and "necklace" lines.
The Nefertiti Lift (named after the stepmother of King Tut whose famous statue possesses the paradigmatic perfectly straight and tight jawline) has been used successfully to lift the lowest portion of the face and secondarily the uppermost portion of the neck. With this technique, microdroplets...
more
+1
Neck bands are caused by muscle tension - Botox can help smooth the neck
I did a study in the anatomy lab on the muscular bands in the front part of the neck. The neck muscle (platysma) actually thickens in the front part of the neck. Some people have a lot of muscular tension in the muscle which forms cords in the front of the neck. Botox placed into the cords relaxes the downward pull of the muscles and softens the neck.
This is not the same as surgical tightening, but the effect can be noticeable for many people. I suggest to patients...
more
+1
BOTOX can offer slight results to the neck...
Botox can sometimes be used to relax the neck muscles.Patients that have strong bands going up and down at the center of the neck and just to the side. Botox can relax those and become less noticeable. Is not common. The lines get less visible by paralyzing the muscle just under the lines. Also, by relaxing some muscles like next to the orbit, it will allow the forehead muscles to pull up the brow, getting a brow lift.
Luis A. Vinas, MD
West Palm Beach Plastic Surgeon
West Palm Beach Plastic Surgeon
+1
Botox neck lift
I have had temporary, but dramatic neck band relaxation with BTX. Cautious slide back of the muscle at the forward jawline can be impressive........for a short while.
+1
Botox
Botox can improved dramatically the neck banding but remember it only last a few months and takes a few day to start working
Alejandro J. Quiroz, M.D.
Mexico Plastic Surgeon
Mexico Plastic Surgeon
+1
Botox for the neck
Botox can be used to treat the muscle bands that may appear in the neck. I have to caution you that the results are not dramatic and that this can be expensive. If this is a real problem, consider a skin tightening non-invasive option or a necklift.
Andres Bustillo, MD
Miami Facial Plastic Surgeon
Miami Facial Plastic Surgeon
+1
Botox neck lift
Botox can improve the bands that you see in the neck and help the contour. It will not tighten the skin or remove the fat. It can bring temporary improvement which many will be happy with.
Best,
Tal Raine MD
Talmage J. Raine, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
Botox is not the same as a necklift
In plastic surgery and cosmetic procedures there are some terms that can be very misleading. A Botox necklift doesn't really lift anything. Some patients have visible bands that run vertically from their chin to the base of their neck. Those bands can sometimes be relaxed with Botox or Dysport giving a somewhat smoother appearance to the neck. This in no way is the same as a necklift.
Patients with only these type of bands in the neck are not common but may benefit...
more
Adam Rubinstein, MD
Miami Plastic Surgeon
Miami Plastic Surgeon
+1
Botox necklift is not worth the money. Get a cervicoplasty "necklift".
Although the platysma muscle might be a little less prominent with botox, it wears off and has to be repeated. A better choice is a necklift, performed through a small chin incision. The muscle if repositioned, excesss fat can be removed, and the results are predictably good (in the properly selected patient) and durable. The operation takes an hour or so and patients are at normal activity the day after the operationl
+1
Botox for neck lift can give nice results
As you have read, Botox to the platysma bands can soften their appearance but this only gives a temporary imprtovement and requires a lot of Botox so can be expensive over time. If you do have a neck that bothers you then you are much better off having a formal neck lift or facelift.
Jason B. Diamond, MD
Beverly Hills Facial Plastic Surgeon
Beverly Hills Facial Plastic Surgeon
+1
Botox Neck Lift
There is no way that Botox can lift the neck. However, Botox can be used on the platysma muscle to soften the bands a bit if they are prominent.
+1
Botox Neck Lift for Minimal Bands
If a patient has minimal platysmal bands, no submental fat, and very little skin laxity, Botox can be effective albeit temporary solution. However, this tends to be a rather small subset of patients in the 50 and older age group.
+1
Botox Neck Lift
Botox MAY improve platysma bands, but does nothing to fat accumalation or skin laxity. Botox in the neck will not give you the results a Neck lift will.
Samir Shureih, MD
Baltimore Plastic Surgeon
Baltimore Plastic Surgeon
+1
Botox neck lift is expensive and shortlasting
A Botox necklift can mean various things. Firstly, it can be used to make the platysmal bands (the long "cords") which extend vertically from under the chin, inferiorly to the front of the neck. Secondly, it can be used along the horizontal wrinkles over the neck to diminish the appearance of these wrinkles. This is an "off-label" use, i.e. not FDA approved, which can have complications, if the injector applies the product too deeply, in which case respiratory...
more
Lavinia Chong, MD
Orange County Plastic Surgeon
Orange County Plastic Surgeon
+1
Botox neck lift only improves small residual neck bands
Botox neck lift only improves small residual neck bands typically after a facelift or necklift. In some patients, they can have small bands that extend below their chin in a vertical fashion. These can sometimes be treated with botox injections which weakens the muslce there and allows it to rest further back in the neck giving the illusion of a slight lift. The results are variable and typically last from 3 to six months depending upon the patient. However, it will not lift loose pockets of...
more
Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
Jacksonville Facial Plastic Surgeon
+1
The Botox neck lift: what is it and how is it done?
In some individuals, paitents present with vertical neck bands that make them appear old and often referred to as a "turkey neck." This is occasionally made worse with animation or talking. The muscle spasms and makes the bands "bow-string" and look worse.
In many instances injecting Botox will relax the muscle allowing it to fall back into the hollow of the neck and simulate a more youthful cervical contour.
This has been termed the Botox neck lift and is an...
more
Otto Joseph Placik, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon


