Neck bands and very thin neck skin. Am I a good candidate for Botox? What other options do I have? (Photo)

Thank you for sharing your question and photographs. If the bands relax when you are not contracting your neck, then botox should improve their result. If they remain, your best option would be a neck lift procedure. Hope this helps.

"Injecting soft fillers like Belotero in this area can reduce lines, wrinkles and folds as well as improve skin texture with long-term collagen production. Fillers are being used more frequently to contour and lift rather than solely line fill. Of course, fillers are best used in combination with lasers and microneedling​ with PRP to get the optimal outcome.

I suggest getting a formal evaluation with a cosmetic dermatologist to create an individualized treatment plan that works for you. Best, Dr. Emer"

Thank you for your question and photo. Neuromodulators like Botox can improve horizontal banding in the neck by targeting the platysma muscle. However, your photo suggests a significant degree of skin laxity as well, which would be best treated with a surgical neck lift. I recommend scheduling a consultation with an experienced, board-certified facial plastic surgeon who can assess you in person and create a customized treatment plan based on your precise needs and goals.

Because of your 4 visible muscle bands, your best solution is a necklift. Botox provides a temporary solution and although volume restoration might be needed for a finishing touch, skin and muscle tightening is the key.

Neck Botox is a non-surgical cosmetic treatment that uses a purified form of botulinum toxin (also known as Botox) to temporarily relax the muscles in the neck. The procedure involves injecting small amounts of the toxin into specific muscles in the neck to reduce the appearance of horizontal neck bands, known as platysmal bands, and to tighten the skin in the neck area. The treatment typically takes about 15-30 minutes and results can last for several months.
Sculptra is a non-surgical injectable treatment that uses poly-L-lactic acid, a synthetic substance that stimulates the production of collagen, to restore volume and smooth out wrinkles and creases in the skin. It is often used to treat the neck area to improve the appearance of sagging or loose skin and to restore a more youthful contour. The treatment involves injecting the substance into the neck area and results may take several weeks to become visible, with the full effects typically seen after about three months. The results of Sculptra treatment can last for up to two years. Both Neck Botox and Sculptra can be used to improve the appearance of the neck and give it a more youthful, defined contour.

Hi Rose, yes botox is the easiest way to calm down your neck bands that appear when you are animated. Sometimes it can also help to soften them by placing filler on the jawline. It's nice to see you are looking after your skin health!

You are an excellent candidate for botox. You can also have smooth PDO threads to increase collagen production in the area. Consult with your doctor to know more about these procedures.

Yes, Botox is a good option to treat the vertical neck bands caused by the contraction of the platysmal muscles. Just like any other muscle, when Botox is injected it relaxes muscular contraction which diminishes the appearance of the vertical neck bands. Horizontal lines, or necklace lines, can be treated with skin boosters like Volite, and biostimulating fillers like Radiesse. Skin Tightening treatments like Ultherapy also benefit the neck area.

From your photos you will have the best results from a neck lift. This will address loose skin as well as the platysmal concerns. You may have some improvement with Botox depending on if the platysmal bands are present when your neck muscles are at rest. See a board certified plastic surgeon near you for a consultation to learn more.

If the platysmal bands are not present when your neck is relaxed, then botox will definitely help you. On the other hand if they're present at all times, that means that there's skin excess. Skin access in the neck can be treated in two ways. One ways is to have a face and neck lift and the second way is to restore the volume in the face and neck by means of fat grafting. In a thinner individual fat grafting works amazingly well, producing natural and practically permanent results. I hope this answers your question and good luck from New York City plastic surgery