Are Fillers an Option for Persistent Neck Bands That a Prior Neck Lift Did Not Fully Address?

Fillers aren't generally used for neck band correction. I have found the use of Botox or Dysport to be helpful with "neck bands" for my patients in New York. With aging, the neck skin gets thinner as we age and the underlying muscles become more prominent. In my practice, I often combine Botox (or Dysport) for the muscle bands, and then nonsurgical radiofrequency skin tightening (Pelleve) treatment for the skin to firm and boost collagen production.

Thank you for your question. Neck lifts should generally reduce the appearance of neck bands by tightening the muscles that cause them. If you’re not interested in revision surgery at this time, Botox injections are an effective, short-term treatment option that can minimize platysma muscle activity and diminish the appearance of the bands.

I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or expert injector. They will be able to review your surgical history, assess your concern, and help you decide on the best treatment option.

"Injecting soft fillers like Belotero in this area can reduce lines, wrinkles and folds as well as improve skin texture with long-term collagen production. Fillers are being used more frequently to contour and lift rather than solely line fill. Of course, fillers are best used in combination with lasers and microneedling​ with PRP to get the optimal outcome.

I suggest getting a formal evaluation with a cosmetic dermatologist to create an individualized treatment plan that works for you. Best, Dr. Emer"