Risks of using Botox for bands vs. necklift?

Question

What risks are associated with a botox treatment for neckbands as opposed to other options? How often are the muscles affected for movement of the neck or jaw? How would this complication occur, is it easily avoided in most cases?

Michael Constantin Gartner, DO · Answer

The most serious risk associated with treating this area is a difficulty in swallowing. If too much Botox is injected too deeply, your risk would substantially increase. Your alternative is a neck lift.

Ron Shelton, MD · Answer

The off-label use of Botox injections to improve the platysmal muscle neck bands has been helpful in some not all patients wtih neck bands.  Experienced physicians keep the number of units low when treating this area as there have been rare cases of swallowing difficulty and neck flexion difficulty after this treatment. A surgical neck lift can produce a much better improvement than the amount of flattening that can be obtained from Botox injections.

Steven Wallach, MD · Answer

Botox can be used for specific platysma bands.  It may soften them a bit. It is not used successfully for lax skin issues in the neck, that is best treated by a neck lift.

Tal T. Roudner, MD, FACS · Answer

The neuromodulators are used to treat what are called the platysmal bands in the neck. The risks include the common risks as well as weakening of the muscles in charge of swallowing. In turn swallowing problems can lead to aspiration and pneumonia. It is imperative not to inject to much or to deep!!!

	Make sure you get treated by a board certified specialist as well as some one experienced in those treatments !

	Good luck

Richard W. Fleming, MD (retired) · Answer

Botox and other neuromodulators can be injected to decrease the muscle bands in the neck caused by the platysma muscle but remember, the improvement will last 3-4 months. There is minimal risk of interfering with the muscles that move the neck or jaw when done by an experienced physician. A  neck lift, which is a surgical procedure, will significantly improve the neck contour for years.

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Risks of using Botox for bands vs. necklift?

Answers (7)

Answer: Risks of Neuromodulators (Botox,Dysport,Xeomin) in the neck

Answer: Risks of Neuromodulators (Botox,Dysport,Xeomin) in the neck

Answer: Botox vs Surgery for Neck Bands

Answer: Botox vs Surgery for Neck Bands

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