Botox for neck bands? 55 y/o female that read in Christy Brinkley's book you can get botox for neck bands to relax them. (photo)

Question

Hello. I was wondering if this is true and if it really works. I get botox around my eyes and forehead but have never had a doctor mention it for those bands in my neck. I'm tall and thin with a long skinny neck and they bother me almost more than anything at this age. I don't quite feel ready for a face lift. My face is red today and I have no makeup :)

Amit Bhrany, MD · Answer

Thank you for the question, and yes you can be treated with botulinum toxin (Botox) for softening neck platysmal bands.  The softening, as with all Botox treatments, is more noticeable upon contraction of the neck muscles with expression, but you appear to be a good candidate for Botox treatment for your neck bands since you have a slender neck.  If you do not have the impact that you desire with Botox treatment, you would be a very good candidate for a surgical neck lift especially because of your long, slender neck.  I hope that helps, and best wishes on your treatment.

David Hansen, MD · Answer

Botox injected into the neck bands does help soften them. Many patients want more improvement so they get a platysmaplasty where we make a little incision under the chin and stitch the bands together for more permanent effect. It is very easy to undergo and looks very natural.

Kenneth D. Steinsapir, MD · Answer

You need a good dose of Botox for this (probably 20-30 units).  Try it once, if it is great, fantastic.  If it is disappointing, save your money for a surgical neck lift.  The lower face/neck lift continues to be one of the most powerful options for improving face and neck issues.  However, it is great when there are nonsurgical options.  They are not as powerful as surgery and finding an injector who knows what they are doing can be challenging.

Monika Soni, MD · Answer

Thank you for your
question. From your photos, it appears you are a great candidate for Botox to
the neck bands. It typically takes 10 units of Botox to treat each band and it
can take 2 weeks to see your final results. Please remember Botox is temporary
and typically lasts 3-4 months. I recommend having a consultation with an
expert injector to determine the best treatment plan for you. Best of Luck!

William Portuese, MD · Answer

The neckbands can be relaxed with Botox which is the good news. The bad news is it takes a lot of Botox to make this happen which can be very cost prohibitive, and it will not last for long. The reason for this is that the platysma muscle is a large and dynamic muscle. A surgical platysma plasty with a neck lift procedure would be a much better option in the long-term. For many examples, please see the link and the video below

Chris Lowery, DO · Answer

Thank you for your question and photos. BOTOX® is a muscle relaxant and can indeed be applied to the neck bands, or platysmal bands, for a more youthful looking neck. Injecting BOTOX® into these muscles can help them settle into their previous position rather than protruding outward. You may wish to combine BOTOX® injections with a skin tightening treatment like Reaction™ by Viora. This nonsurgical procedure uses radiofrequency waves to gently tighten skin laxity and is commonly applied to the neck and décolletage. Best of luck!

Reza Tirgari, MD · Answer

Yes, if you have active muscles in the neck area that are causing neck bands, Botox will work.
It takes a specific technique however.  Make sure your practitioner has done this procedure many times and knows the appropriate dose.
If you still have loose skin afterwards, a skin tightening procedure can be a great addition to make your final results spectacular.
Hope that helps.

Hardik Soni, MD · Answer

Thank you for your
question. From your photos, it appears you are a great candidate for Botox to
the neck bands. It typically takes 10 units of Botox to treat each band and it
can take 2 weeks to see your final results. Please remember Botox is temporary
and typically lasts 3-4 months. I recommend having a consultation with an
expert injector to determine the best treatment plan for you. Best of Luck!

Praven Chetty, MD · Answer

Dear carriew:Looking at your photos, Botox would work effectively to soften your neck bands.  All the best.

Melvin Elson, MD · Answer

Neck bands can certainly be treated with Botox and you appear to be an excellent candidate. It is important to be sure your doctor is experienced in this treatment and keep the dose low and add more in a week or 2 if needed

Botox for neck bands? 55 y/o female that read in Christy Brinkley's book you can get botox for neck bands to relax them. (photo)

Answers (17)

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