Platysma band or loose skin? Was my Botox injected correctly? (photos)

The photo the skin band on your neck does not appear to be platysma-related. That being said, I have been treating necks with Botox for well over twenty years and have found the so-called  "Nefertiti lift" to be helpful when the platysma is involved and/or the amount of loose skin is minimal, as in this case. Properly performed, Botox (or Dysport or Xeomin) injected in precise locations within the neck, including directly into the band, as well as along the jawline can help to soften the downward pull of the platysma and hence give competitve advantage to the muscles of facial expression above, leading to a slight upward pull on the jawline and upper neck below resulting in improvement. Additionally, the use of  light biostimulatory filler injected either in a grid pattern in the skin surrounding the loose skin or along certain vectors can result in a tightening of the neck skin when new, nataive collagen and elastic fiber synthesis occurs in response to the biostimulation (usually within four weeks following treatment). In my NY office I prefer to use Belotero Balance or Restylane Silk for this purpose, whereas in my Israel satellite facility,where a far greater number of regulatory agency approved fillers are available I am able to use Restylane Skinboosters, a product specifically designated for this purpose. Make sure that you consult with a board certified aesthetic physician with experience and expertise in nonsurgical neck rejuvenation and be sure to ask to see his/her before and after photos before agreeing to proceed. Best of luck.

A combination approach would give the most improvement for this area with Botox and ultherapy, thermage and thread lifts. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Botox is a great use for addressing platymsa bands.  4u may not have been enough to relax it.  Best to see a board certified plastic surgeon/dermatologist.

Hello and thanks for your question! 
From what I can tell from the pictures- you look young and beautiful- you have a great neck otherwise and I wouldn't want to do a necklift on you... 
I cant tell from the picture if it's a platysmal band... but it likely is a tiny one... Botox can cure that- will take more than 4 units... Go see an experienced injector as botox in the neck can cause significant problems if it affects swallowing muscles... 
Good Luck and God Bless!
Dr. Robb

Thank you for your question Mas26. I understand your concern. Botox
is a purified protein used to address wrinkles associated with facial
expression. It can also be used to treat vertical platysmal bands in the neck. I usually use 10 units per band with 5 two-unit injection injections along the length of the band. Four units is a small dose. Additional units may be added if further enhancement is desired. Please consult with a doctor for specific recommendations. Good luck!

You need more Botox to get the desire improvement. The other option is neck liposuction with platysma band release. Please try More Botox and then consider more aggressive options.

Four units are too few to give much of an effect. You need 20-30 units to relax the Platysma (neck muscle). Best wishes Maurice Vick MD

Botox can be an excellent non-surgical option for treating the platysma band. It's definitely the right choice for you at this point in your life. My guess is that 4 units simply wasn't enough. So, return to your surgeon and discuss getting a bit more. Best of luck.

You can have your doctor inject 2 units of botox down the platysmal band. This will decrease the band. I would also consider adding a tightening device such as Ulthera to the neck for an added effect. 

Hello Mas26 and thank you for your question. From the pictures, it is difficult to say, but I think it is likely platysmal band formation. I would probably recommend a trial of Botox. For this condition, I generally use 20-50 units of botox, so I would not expect you to see a difference with 4 units. I also generally combine this with skin tightening treatments for my patients.