Why did Botox not work on my platysmal muscle spasm? (photos)

Question

I got a chin implant and neck liposuction 7 weeks ago. Three weeks after my surgery I started noticing this vertical band appear on my neck. I went back to see my PS and he said it was my platysmal muscle having a spasm. It's tender when I push on it, and it's very tight when I extend my neck back. He injected it with 20 units of botox 7 days ago. I still see no change? Could it be the dose is to low? What can I do ?

Jason Emer, MD · Answer

This may be a combination of scarring and/banding.  I suggest you try more botox and venus legacy treatments to break apart the tissue and tighten it.  If this does not resolve in 3-6 months then you may need addtional surgery.  I suggest being evaluated as a second opinion.  Best, Dr. Emer.

John M. Anastasatos, MD, FACS · Answer

You may not have platysma spam. That is unlikely frankly.What you have is that you had liposuction of your neck and now you see the prominence of the platysma bands. The removal of the fat uncovered your platysma bands.Also liposuction of the neck has caused some irritation and trauma to the neck. That does not mean something wrongful occurred by your doctor. It means that structures adjacent to where surgery is done can get irritated.You should try higher dose of botox. If that does not work then the effective treatment for your bands and whole neck is a neck lift with platysma plication.

Robert Whitfield, MD · Answer

It is an area that has inflammation and swelling after surgery.  I encourage patents to have a gentle facial and neck massage to encourage lymphatic drainage after facial procedures.

Inessa Fishman, MD · Answer

Botox takes up to 2 weeks to work 100%.  Touch base with your surgeon in another week to see if things are better, or more Botox is required.  Best of luck.

Why did Botox not work on my platysmal muscle spasm? (photos)

Answers (4)

Answer: Platysmal band

Answer: Platysmal band

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Why did Botox not work on my platysmal muscle spasm? (photos)

Answers (4)

Answer: Platysmal band

Answer: Platysmal band

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Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.