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

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"

As far as injections for neck bands the only one that appears to be successful in some patients is Botox.  Fillers don't have a big role

Fillers are not usually used for neck bands... I can't think of any reason why it should be considered. Botox or Dysport can be used in certain situations to soften the 'muscle banding'. Surgery is the best option; even if you have had it before, it would be perfectly alright to have a 'touch up' procedure again.

Neck bands are best addressed with a neck lift. Fillers will not correct your concerns although, in some instances, Botox can be of benefit. You haven't said what type of neck lift you underwent and whether the platysma bands were plicated. If you did not have a platysma plication, then the lift would not have dealt with the banding.

Neck bands sometimes don't fully go away but they are best treated with a neck lift. Sometimes botox to the neck bands is a very temporary option. But most of the time persistent folds are due to an inadequately performed neck lift.  Not to say that your surgeon did anything wrong.  Neck lifts are just hard in general to fully correct all the issues.  So you should go to someone with a lot of experience in this and someone who specializes in this. 
 

Thank you for the question.

Fillers  will not be effective for the treatment of platysma muscle bands.  If the bands are of significance on surgical correction (revision)  will certainly be the most effective  treatment.

Best wishes.

Fillers are not used to treat  platysma muscle neck bands.  The bands are the result of the contracting of the platysma muscle of your neck, a dynamic process, that cannot be improved with fillers.  

You have already had a neck lift, and you may or may not have had treatment of the neck muscle bands as a part of the neck lift procedure.  So, it would be helpful to know what was done for the platysma muscle bands.

At this point the best option may be the use of Botox to weaken the platysma muscle contraction which is the cause of the bands.

It is important to keep in mind that there is no perfect surgical procedure for this problem,  and that even with initially good results, platysma neck muscle bands may form again.

You should discuss your concerns with your plastic surgeon who is already familiar with you.  You may also want to get a second opinion consultation with a board certified plastic surgeon  who can evaluated anew and provide a fresh prospective on your concerns.

 

Botox or Dysport are very simple and effective treatments for vertical neck bands.    Neck bands can also be treated as part of a surgical neck lift.

Neck bands are caused by separation of the platysma muscle.  It can be addressed two ways, Botox and surgery.  It is unfortunate that it was not corrected with your initial surgery.  You may want to bring this up with your physician.