Neck cords - stringy neck. Any suggestions for treatment options? (Photo)

You are seeing bands of the platysma muscles.  Some people have more banding than others, but in your case it shows much more because you have such a think neck.  Usually that's considered a good thing, but in your case there is less fat under the skin to hide the muscle bands.Botox is a good first step to relax the muscle in that area.  It is worth a try to see how much improvement you get.  The problem is that Botox for neck bands is temporary, and the cost really adds up over time.  A surgical procedure is your long-lasting and more thorough option, but at 39 you may not be ready or that yet.  It would take a better in person exam and getting to know you and your goals before making any decisions about suggesting surgery.

The bending on your neck is more moderate than simply mild. As such, Botox may offer some softening, but may not be the home-run you are looking for. As well, the doses can be hefty and need repeating every three or four months. The cost over the years will be substantial, in the thousands. So, it can't hurt to try Botox first to see how effective it is to help you decide whether or not this is the long-term solution for you. However, I suspect a more adequate solution will be surgical. Yes, this means increased cost, at least initially, but over time this will balance out quickly. And, the results are much more dramatic. Discussed this further with a board certified plastic surgeon.Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA