Any Hope for a Ropy Looking Neck?

There's probably a better term for this, but I hate having those those vertical muscles (maybe tendons or ligaments) in my neck, but a deep canyon between them. I've never read about any way to help those. I see lots of beautiful women who've had surgery, but the neck!

Doctor Answers 15

Any Hope for a "Ropy" Looking Neck

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Without photos, it's difficult to determine the treatment to address your concern. Also, it really depends on the amount of #sagging you are experiencing. It's best to begin by consulting with a surgeon in-person. The presence of banding down the front of the #neck, and, amount of excess skin and condition of your skin are among some factors which determine what treatments will best rejuvenate your neck . 

During your initial examination, your chin will be evaluated along with the neck and jawline. A weak #chin implies a lack of chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall #balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. For individuals with signs of #aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.

Your board certified plastic surgeon should evaluate both your anatomical features and aesthetic goals to suggest which procedure best suits your needs. In some cases there may be more than one option to choose from. If you are not a candidate at the time of your #consultation, your board surgeon can recommend #non-surgical alternatives to address your concern. 

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Treatment of platysma bands

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The formal way to get rid of these bands is with surgery, usually in the form of a lower facelift.  Thes bands are generally sutured and cut.  Other forms of treatment in surgery are also sometimes needed.  Botox can help a little but is only temporizing.

Treatment for a "ropy" neck

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Those "ropes" are your platysma muscles, which attach to the undersurface of the skin, very superficially.  They can be treated with Botox, which should work for 3-4 months, so it's a temporary solution.  A permanent solution would be a platysmaplasty, which uses a small incision in the upper neck (beneath the chin), then plicates (sews together) the muscle edges, so they can't create that chasm between them anymore.  This is an outpatient procedure.

Carmen Kavali, MD
Atlanta Plastic Surgeon
4.6 out of 5 stars 46 reviews

Solutions for a "Ropy" looking neck!

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Botox can relax the muscle that causes the bands.  Surgical correction (for more severe bands) may involve incision of the bands.  Suturing the muscle in the mid-line and re-susupension of the muscle.

Robert Sleightholm, MD
Brampton Plastic Surgeon
5.0 out of 5 stars 11 reviews

Option for neck cords or bands

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Shortening of the anterior platysmal bands causes the ropes you are referring to. This is addressed through a lower face/neck lift where muscles are tightened along the front part of the jaw line between the chin and the Adam’s apple. The bands are then released down low over the thyroid area so that they lengthen, expand, and the cords go away. Neck fat will be addressed at the same time in addition to tightening any excess skin in the lower neck.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Treatment for neck bands

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Neck muscles can be treated, to some extent, by diminishing their movement with Botox. This does create a smoothing effect, which may suit you. The absolute best treatment for repairing the neck muscles is a surgical one (i.e., a necklift). However, even this never fully eliminates muscle contraction.The platysma muscle movement is usually the source of the complaint you describe and while surgery treats it best it may still be visible to a minimal degree.

Deason Dunagan, MD
Huntsville Plastic Surgeon

Platysma bands

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What you are referring too is called Platysmal banding. There is a muscle in the center of the neck that as we get older, in some of us, the center part will start to disintegrate. The solution for this problem is to surgically re-attach this 2 muscles into one in the center. This also should be performed with a Facelift for better results. Look for advise with your local Facial Plastic Surgeon.

Gustavo A. Diaz, MD
Charlotte Facial Plastic Surgeon

Treatment for neck bands

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Those bands are the anterior border of the platysma muscle, a sheetlike muscle that runs across the neck and jawline.  With age, they sag and pull away from the deeper attachments in the neck, and the overlying skin does something similar.  There is only one solution, which is surgery.  Botox is described and performed, but rarely is worth the money, and the results are not always impressive since the skin remains an uncorrected component.

I also agree with the other surgeons that you require a straightforward facelift, which includes an incision and correction of the midline issues with excess muscle resection and suture reapproximation (anterior plication), and then posterior repositioning as well.  Anything less will leave you with incomplete correction.  Whether or not the surgeon proposes even more, like a muscle relaxing cut in midline, or complete platsymal transection, or neither, is just surgeon preference.

Kevin Robertson, MD
Madison Facial Plastic Surgeon
4.7 out of 5 stars 15 reviews

Ropy looking neck

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These are platysma bands or neck cords, that are a facia/muscle. The options for treatment are from Botox injections to operating upon by cutting them. See 3 boarded plastic surgeons in your area to evaluate.

From MIAMI Dr. B

Neck bands

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The vertical bands of the platysma muscle need to be tightened together with a neck/facelfit. For those patients who are adamant not to undergo surgery, Botox or Dysport can help flatten them slightly but this is temporary and the treatment ongoing, and there are risks that you would need to discuss with your doctor such as weakness of the neck and even swallowing if very rare cases.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.