Botox needed to shore up neck lift & ensure sternocleidomastoid doesn't become pronounced again?

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

There are almost no times when Botox should be used in the sternocleidomastoid muscle. Sternocleidomastoid muscle function is absolutely essential and therefore should not be injected. I hope this helps and good luck from New York City Plastic Surgery

There is no reason to inject any neck muscle after a facelift. The sternocleidomastoid should never be injected except for severe torticollis. If your surgeon was, instead, talking about the platysma, it should have been taken care of at the time of the facelift. I suggest finding a different surgeon.