Botox made vertical platysmal bands worse. Will it resolve?

Question

I had 2 small vertical platysmal bands underneath my chin. Botox was injected by my cosmetic dermatologist -days after the bands became exaggerated. Now they are noticeable looking at me head on whereas before I would have to look upwards to see them. I went back and he injected more Botox directly into the bands and surrounding areas. It's been over a month . I'm 37. I want to know if my neck will return to its pre-Botox state after it wears off? Could this have caused permanent damage? .

Jason Emer, MD · Answer

This will resolve after 3-4 months if botox was injected.  Ultherapy/Thermage may help get this better.  Thread lifts can give some subtle improvement as well.  You can do weekly venus legacy or exilis to give improvement.  Best, Dr. Emer.

Matthew Brace, MD · Answer

The Botox injected into your vertical platysma bands will wear off in ~3 months. There will be no permanent damage. A definitive solution for these bands would be a plastysmaplasty, either by sewing the edges together or dividing the edge of the muscle.

All the best,

Dr. Brace

All the best,

Dr. Brace

Michael Kulick, MD, DDS · Answer

Absolutely - BoTox or other neurotoxins are temporary in terms of their effect. This is what make people that are happy with their result unhappy in that they need to have more neurotoxin injected.

Perhaps there was a miscommunication originally?

Andrew Campbell, MD · Answer

So sorry to hear about your problems. I'm not a huge fan of Botox for platysmal bands, but it does seem to help some patients. You, unfortunately, seem to be a patient that it doesn't. The good news is that Botox can never cause a permanent problem. The issues you are having will resolve as the Botox effect disappears. Unfortunately, you will still have your original problem with the bands. Consider seeing a facial plastic surgeon so all your options can be discussed.Andrew Campbell, M.D.

Facial Rejuvenation Specialist

Quintessa Aesthetic Centers

Facial Rejuvenation Specialist

Quintessa Aesthetic Centers

Michael A. Zadeh, MD, FACS · Answer

Before and After pictures would have been useful for a side by side comparison. Botox can work very well for vertical platysmal bands in the appropriate candidates. The effects will wear off after 3-4 months and everything should go back to how it was before treatment. See an expert next time. Best wishes.

Jose Barrera, MD · Answer

Botox can improve platysmal bands. However the results you are showing are atypical. Botox is not permanent. Consider a neck lift or mini-facelift to get a more permanent result.

Monika Soni, MD · Answer

Thank you for your question! I am sorry to hear about your experience. Botox will not cause any permanent damage to your platysmal bands. It takes 3-4 months for Botox to wear off. In the future I recommend seeing an expert injector and discussing your concerns and desires. Best of luck!

Hardik Soni, MD · Answer

I am sorry to hear about your experience. Botox will not cause any permanent damage to your platysmal bands. It takes 3-4 months for Botox to wear off. In the future I recommend seeing an expert injector and discussing your concerns and desires.

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question houston1979. I am sorry to hear about your situation. Botox is
a purified protein used to address wrinkles associated with facial expression. Botox can be placed in the platysma muscle on the neck to treat neck bands. The bands normally extend from the jawline down to the collar bone. If the lower area only was treated, the upper area may contract more forcefully in order to compensate. This is easily treated by placing some Botox in the upper area. Please consult with
a doctor for specific recommendations. Good luck!

Shaun Patel, MD · Answer

Sorry to hear about your experience. The Botox will not cause any permanent damage. The results will wear off in 3-4 months. I'm not sure exactly what happened here, but I find that Botox works well for vertical neck bands caused by platysmal contraction.

Botox made vertical platysmal bands worse. Will it resolve?

Answers (11)

More Botox Questions

WE SEND PRETTY
EMAILS

Answers (11)

More Botox Questions

Why is my entire forehead red after botox? (Photo)

I have a turkey neck since weight loss, what can be done & does botox work?

Do I need filler or Botox to lift up my mouth corners? (Photo)

How soon can I go back after Botox to fix Spock brows?

I had Botox injected on the crows feet of my eyes yesterday. Is this just swelling?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS