Is the effect of Botox in the platysma muscles cumulative?

Question

I am not sure if "cumulative" is necessarily the correct word. I would like to know if the repeated use of botox in the platysma muscles leads (eventually) to a permanent softening of the muscles whereby the use of botox can be forestalled or even eliminated Thank you.

Steven J. Rottman, MD, FACS · Answer

Thank you for your question. I have seen weakening of the muscle with repeated injections to the platysma bands. This may allow you to decrease the frequency in which you need the injections. Please see a board certified plastic surgeon who commonly performs this procedure for an in-person examination. Hope this helps.

Martin Jugenburg, MD · Answer

Thank you for your question. Botox in the platysmal bands can soften the contraction of muscles. In addition, Botox will most likely be required for prolonged results. Best,

Kyle Coleman, MD · Answer

Over time, repeated botox injections can lead to longer intervals between treatments as muscles become less engaged or "re-trained".  However, upon discontinuation of injections, the muscle activation would return. There is a preventative effect to botox injections that, by decreasing muscle movement, less elastin/ collagen degration occurs.  This effect is likely minimal in the neck since this is not a "movement" muscle.

Boris M. Ackerman, MD · Answer

Botox can be quite effective in treating platysma bands.  The effects are not permanent, therefore the treatmen has to be repeated.

Hratch Karamanoukian, MD, FACS · Answer

Thank you for your question.Regular interval Botox injection in the platysma can result in the increase in the time interval between session, meaning less injection sessions per year. BestDr. Karamanoukian

Melvin Elson, MD · Answer

Usually there is some weakness in the muscles over time with repeated Botox injections but you cannot depend on that occurring to the point you can forego the injections and keep the benefit in the future

Steven Wallach, MD · Answer

I think that regular use as has been shown in other areas, may prolong the interval between re-injection of the area. Best of luck.

Sejal Shah, MD · Answer

Botox can be a very effective treatment for the platysmal bands on the neck. Like Botox in any other area, if you stop the injections completely eventually it goes back to it's pre-treatment state.

Mark T. Boschert, MD · Answer

The short answer is no. Botox typically has no permanent effects and must be repeated about every three months. However, there is some learned component  with regards to the way we animate which can lead to somewhat of a permanent effect. This part is really minimal.Good luck!

Keith Denkler, MD · Answer

Botox for platysma bands is very popular and appealing.  Long term use probably does not cause any permanent softening of the muscle or forestalling of treatments in the future.

Is the effect of Botox in the platysma muscles cumulative?

Answers (12)

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