Botox to Correct Prominent Neck Muscles?

The two muscles from my chin to my clavicle are very prominent. Is there anything I can do about it? The skin on my neck is thin, and when I see pictures, these muscle bands are all I see.

I'm thin, but I've seen this problem on other women my age (50) who are heavier that I am. Also, why do people have Botox injections in their neck? If it would relax these muscles, maybe it's worth a try?

Doctor Answers 13

I'd skip the Botox and have a neck lift done

Save your money and don't spend it on ample amounts of Botox that need to be repeated every 4 months. I would advise that you go to an excellent Board Certified plastic surgeon who does a lot of neck lift work and be evaluated. These muscles can be easily eliminated in their appearance with surgery with a simple 2 week recovery.

Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Botox done correctly can be effective

Botox can improve the appearance of these platysmal bands. In my experience, this is particularly true in thin patients. A surgical procedure is generally more effective and longer lasting.

Patrick J. Byrne, MD, FACS
Baltimore Facial Plastic Surgeon
5.0 out of 5 stars 18 reviews

Botox corrects neck muscle bands.

Hi! You sound like an ideal candidate for Botox because the bands seem to be an isolated problem (no excess fat, etc.). The neck is one of the more common areas that we treat with Botox. The platysma muscles of the neck relax, and the bands fade markedly.

The results can be dramatic, but they only last about 4 months. And the neck muscles are BIG. That means that we have to use a lot of Botox (50 to 75 units) each time. So the treatments get expensive. And the Botox has to be injected skillfully to get good results and to avoid complications.

A much more permanent approach is a good neck lift, which corrects the neck muscle bands for at least 10 years and probably longer.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

BOTOX for neck bands

Botox injections are effective at softening the neck bands (also known as platysmal bands). The treatment can also be combined with a “Nefertiti Treatment”, which will improve the definition of your jaw line and create a beautiful neck lift at the same time. The cost of your treatment depends on the number of units administered.  

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Botox inplaytsma

Botox injected into the platysma may soften the bands a bit.  It is not a procedure done instead of having a neck lift.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Some people get improvement with Botox

Botox does work well in some people with these bands of the Platysma muscle to have them become less prominent. It may last for 5 to 6 months. It doesn’t work equally well on all patients. With your thin skin, you might get a wonderful result but a surgical neck lift, although involving more risk, can produce a long term beautiful result.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

It's a good temporary fix

I feel for your situation. Botox is an excellent temporary fix for platysmal banding. Not all plastic surgeons are able to due this procedure. What you might think about it getting a submental neck rejuvenation. Over the long term it would probably be more cost effective.

Be sure to see several board certified plastic surgeons before making your decision.

Christopher L. Hess, MD
Fairfax Plastic Surgeon
4.4 out of 5 stars 34 reviews

Stick your neck out

Dear Golf,
Botox is injected into the neck to flatten the bands that you describe. It is very effective for this condition, but it is not an FDA approved use. See a board certified plastic surgeon who has experience with Botox used in the neck. Good luck!

Kenneth R. Francis, MD, FACS
Manhattan Plastic Surgeon
4.6 out of 5 stars 48 reviews

Botox is great for neck bands.

Botox is great for neck bands, however it usually takes between 75 and 100 units to knock out the bands. This many units may be cost-prohibitive if you are also getting Botox for your face. It all depends on how much you want to invest in your treatment. Good luck.

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 77 reviews

Botox injection in the neck bands helps

The bands on the neck can be improved with Botox injection. Depending on the number of bands 50-75 units may be injected. The improvement generally lasts 3-4 months. You also need to make sure that the physician injector has done this before so you won't run into any problems such as difficulty swallowing.

Nissan Pilest, MD
Irvine Dermatologic Surgeon
4.6 out of 5 stars 22 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.