I am 25 years old, fit and in shape but I have two large rings around my neck that I’ve had for a while now. I’m not sure if it’s my neck being shorter and having larger traps or what. It’s very unflattering in pictures and videos. I’ve done everything, make sure I’m sitting up right in bed or keeping my head completely flat. Could Botox help with this?
November 3, 2018
Answer: Botox does not help my patients' horizontal neck creases Botox works normally by relaxing muscles that contact and the overlying skin creases each time the muscle contracts like an accordion bellows but horizontal neck folds are not caused by the underlying muscle contraction. They are caused by flexing the neck with deeper muscles that are not attached to skin. When reports first came out many years ago that Botox could help these lines I was skeptical but tried this off-label use but despite my best efforts for a couple of years of trying on different patients, I never was convinced it helped.Fine fillers may help soften but he the lines will still be there. Infini microneedling with RF may help in some patients. I have found the combination of using topical Alastin Restorative Cream and a series of ThermiSmooth RF treatments can help in some patients.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice. The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.
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November 3, 2018
Answer: Botox does not help my patients' horizontal neck creases Botox works normally by relaxing muscles that contact and the overlying skin creases each time the muscle contracts like an accordion bellows but horizontal neck folds are not caused by the underlying muscle contraction. They are caused by flexing the neck with deeper muscles that are not attached to skin. When reports first came out many years ago that Botox could help these lines I was skeptical but tried this off-label use but despite my best efforts for a couple of years of trying on different patients, I never was convinced it helped.Fine fillers may help soften but he the lines will still be there. Infini microneedling with RF may help in some patients. I have found the combination of using topical Alastin Restorative Cream and a series of ThermiSmooth RF treatments can help in some patients.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice. The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.
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December 5, 2020
Answer: Horizontal Necklace Lines Respond Well To A Combination Of Microdroplets Of Botox & Filler I have personally been treating these circumferential lines around the neck ("horizontal necklace lines") for well over twenty-five years. Originally, these were treated exclusively with Botox to dominish the muscular activity in the platysma muscle that was responsible for their formation. It took only microdroplets of the Botox placed along the length of each line to do the job. And this worked quite well. With time, however, it was discovered that the effects could be improved and prolonged if microdroplets of a filler were also used. Not only did this give rise to a more immediate result, but a result that lasted longer than if either Botox or the filler were used alone. In my NY practice, I use Belotero for this purpose. In my Israel satellite facility, where a far greater number of regulatory agency approved fillers are available, I prefer Teosyal Redensity II for this indication. Make sure that you consult with a board certified aesthetic physician and of course ask to see his/her personal before and after photos before agreeing to proceed. Best of luck.
Helpful
December 5, 2020
Answer: Horizontal Necklace Lines Respond Well To A Combination Of Microdroplets Of Botox & Filler I have personally been treating these circumferential lines around the neck ("horizontal necklace lines") for well over twenty-five years. Originally, these were treated exclusively with Botox to dominish the muscular activity in the platysma muscle that was responsible for their formation. It took only microdroplets of the Botox placed along the length of each line to do the job. And this worked quite well. With time, however, it was discovered that the effects could be improved and prolonged if microdroplets of a filler were also used. Not only did this give rise to a more immediate result, but a result that lasted longer than if either Botox or the filler were used alone. In my NY practice, I use Belotero for this purpose. In my Israel satellite facility, where a far greater number of regulatory agency approved fillers are available, I prefer Teosyal Redensity II for this indication. Make sure that you consult with a board certified aesthetic physician and of course ask to see his/her personal before and after photos before agreeing to proceed. Best of luck.
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