Can Botox be used to soften the central platysmal bands shown here? My injector would only do the side bands (Photo)

Thank you for sharing your question and photograph. Yes it is possible to inject the central bands with Botox

Botox can relax muscles for cosmetic purposes, and has been used to minimize the appearance of platysmal bands in many patients as an off label indication. The placement and quantity of Botox used in an area is indiviualized for each patient based on desired outcome and safety. Platsymal bands do / can provide functionality, and the pratitioner will need to make that determination relative to safety during the exam. We will sometimes utilize "microtox" for the neck and combine with other treatments such as threads to give a firmer appearance of the skin. I would reach out to your practitioner for questions or concerns relative to their office protocols and your specific concerns. Thank you for your question.

hi there! the bands are caused by the action of the platysma muscle. this muscle is a thin sheet of muscle that basically separates your neck into a superficial and deep space. the important stuff is basically all underneath the platysma. the platysma does NOT hold your head up or really serve much of a musculoskeletal function.
however, with poor technique (or bad luck) neuromodulators can migrate past the platysma muscle (which is fairly thin), and can affect the deeper structures. often, it can cause voice hoarseness if this happens.
the center of the neck can simply be a scary place for your injector... which is ok! see someone who has a solid knowledge of anatomy (a plastic surgeon) and who feels comfortable doing this. I would never encourage an injector who simply isn't comfortable doing something, to do it-- that is a recipe for disaster.
good luck!!

Hi there,
Platysma bands can be treated centrally, however, if you have been having issues lifting your neck during Pilates, perhaps this is not the right treatment for you. There needs to be care taken so the botox does not migrate to the muscles of swallowing and the throat. A permanent treatment for the neck is a surgical neck lift.

Botox can be used to soften the appearance of central platysmal bands. Speak with an experienced injector to determine if you are a candidate for this treatment.

Platysmal bands such as yours are treated with Botox for temporary softening. It is difficult to tell if your photo is with animation or relaxed. Treatment should not cause problems with lifting your head.

Botox usually works very well for treating the middle platysmas bands that you dislike. 10-15 units for each band should help with minimal to no side effects

Hello and thank you for your question. Nothing truly compares to a face to face consultation for advice however from what you have said I would avoid any further botox in the neck- it's a sign that you have already got to the maximum as the botox is affecting the functional ability to raise your neck.
Always seek an experienced and qualified practitioner, best wishes

Botox can definitely be used to treat central platysmal bands. However, I doubt if it would improve yours very much. Only a direct examination by an experienced plastic surgeon could tell for sure. You look relatively young with reasonably elastic skin. It is highly likely that the best option is a central platysmal plication with partial division of the muscle at the level where the neck changes direction. You need to see a plastic surgeon experienced in treating the neck.