Botox on Platysma Bands Usually Successful in Younger Patients?

Botox is great for the neck platysmal bands, no matter what your age. Keep in mind, however, that the results are not as good as a formal necklift. Try the botox and see if you like the results. They'll last for about 3 months, but a necklift can last 10 years! Check out some before and after photos to see which results you like the best. Good luck!

Botox works well for hyperactive bands formed by an active platysma muscle but its not going to work for flaccid skin which usually happens from loss of collagen and elasticity. For loose skin, Sculptra injections might be better.
Regards

Dear Beach,

In posing the question, you have the right idea. BOTOX and also Dysport are effective at softening the bands. This can be a great option for a small neck cord. Treatment effect typically lasts for many months.

However, when the effect is not strong enough, surgery becomes a consideration. The neck cords that are modest but not sufficiently improved by BOTOX or Dysport can be amenable to an isolated platysmaplasty. This is a procedure done in the office under local anesthesia. The muscle cords are trimmed and then sew back together. This can also be combined with lower face and neck liposuction for results that can rival a facelift. For larger neck cords, a lower face and neck lift is the answer. This surgery continues to be the most powerful surgery for improving facial appearance.

This tends to work best in patients with hyperactive platysma muscles creating vertical bands regardless of age. Generally Botox is advised for patients under the age of 65. The "good or bad" idea of its use depends on how it is applied.

In younger patients with good skin tone and minimal banding then yes Botox does work. In older patients who have the bands prominent all the time, they are not the best candidate for botox.
You would ideally want the bands to not be there in repose and then present with animation. That is what BOTOX works best on.

Younger patients, under 55, that have prominent platysma bands in their neck will usually benefit from BOTOX Cosmetic treatments. The results are a bit unpredictable, and younger patients do respond best.

The ideal candidate is someone with visible neck bands that are present when they are speaking. So I'll observe for this during the initial consultation, and suggest it when appropriate. These folks that are good candidates, typically come back for more after the effect dissipates over 4 months.

I hope this helps, and best regards.

It works well for platysma bands in younger patients. It doesn't work for the horizontal lines in the neck also related to the platysma but more a function of skin elasticity and volume. It of course doesn't help with fat or lax skin. If the skin is relatively elastic in a younger person the softening of the bands can create a better neck contour and recruit some added skin into the area.

Yes, Botox is often used off-label  to treat platysma bands.  It can soften the look of platysma bands once the Botox takes effect.  My feeling is that it works well with mild bands.

I have seen some dramatic results with the use of Botox and Dysport for platysmal neck bands. Younger patients will require less Botox and may have more dramatic results. I have also seen some good to excellent results in older patients. Botox and Dysport can also be used to inject the jowls and get a nice jowl lift as well.

Younger patients, with little to no laxity, are the ones that get the most benefit. Once the skin is loose and crepy, improving the banding and not addressing the lax skin does not give great results. Once the skin is that loose, only a lower face and neck lift will help.