Is Injecting Botox in the Neck Risky?

Hi Nan,
Injecting Botox in the neck is safe as long as your injecting physician is experienced and well trained. Careless injections of Botox into the neck may result in severe complications.
The injections are effective at treating midline platysmal bands, as well as creating a more defined jaw-neck line with the "Nefertiti" lift.
The injections need to be placed into the muscles in the correct dosage. Make sure that your injecting physician has an excellent knowledge of the neck anatomy and has experience with injecting Botox in this area.
Be well.
Dr. P

Botox won’t help the fat of the neck; but, can minimize muscle bands that hang down. Liposuction can be done to remove the fat of the neck. See a dermatologic surgeon or plastic surgeon for a consultation.

You can safely have BOTOX injected in bothersome neck bands. You can see them by tensing your neck muscles while looking in the mirror. While tensed, if these bands feel like a firm piece of rope, then they'll likely respond well. This is a good, non-invasive treatment if you're in your late 30s or early 40s.
I hope this helps, and best regards.

Botox has a number of applications/uses in the neck. The main cosmetic uses are for muscle bands that run from under the chin, called platysma bands. Botox can also soften horizontal lines in the lower neck. There were a few reports of patients having swallowing difficulties in the early studies. However, this was using over 100 units of Botox. If your treating physician uses under 100 units, I don't use more than 60 units in the neck, it is very safe and there have been no reported complications from cosmetic Botox.

There have been some reports of complications following injection of Botox into the neck but these were associated with neck muscles in the back which can cause painful spasms and require extremely large doses.
The use of Botox for cosmetic control of neck bands requires significantly less and if performed properly, by an educated and experienced professional, are extremely safe.