Help- need advice on how to treat neck cords? (photos)

Its hard to tell from your photos what the exact problem is, however, If botox didn't work, the best option would be a neck lift via a small incision under your chin. Other than that, I would have to see more photos to see what is going on. There are non invasive options such as ulthera/kybella/thermage/sculptsure etc, however, they all have specific indications, such as loose skin, excess fat, etc. If you are otherwise thin and this is purely a muscle laxity (loosening) issue, then a neck lift is the best option. 

The neck can have deep horizontal wrinkles and rings from an early age (genetics play a key role) as well as from sun damage and aging in almost everyone. They can be super annoying and are hard to get rid of.
Surgically removing them is the best way to get rid of them but this can leave a lot of scars in very visible areas which most people don’t want.
These deep lines are usually at the skin level. There are several nonsurgical and surgical options to consider. Some can be done at the same time. Surgery combined with injections and laser treatments before or after surgery is usually the biggest difference.  For people not interested in surgery, the hyaluronic acid injections and laser treatments are the most reasonable options, maybe combined with a chemical peel.
These procedures can be done safely in the office and the results are often very satisfying. An in-office private consultation and examination with a board-certified plastic surgeon would be the best way to fully  address your specific concerns and determine the right treatment plan.
I hope this helps answer your question.  If it does, please take a moment to up vote this answer on the “respond” button on the top right.  

Neck bands could be secondary to either loose neck muscle or overactive neck muscle ( platysma muscle) and or loose neck skin.Small neck bands could appear in young patients as early as 30s since thats the time period where early signs of neck aging start to show up.There are multiple options to connect the neck bands. Permanent solutions usually require a surgical procedure ( platysma band correction, neck lift, etc). Temporary corrections are based on weakening the bands caused by the neck muscle with Botox injections.Patients with very important social events ahead like a weddings, et., that choose to get surgical correction of neck bands should schedule their surgery at least 6 weeks in advance of the event. Complications can always happen. Giving enough time to recover and to deal with any potential complication will prevent significant stress due to overlapping of the healing process with the social event. Patients interested in surgical or non surgical correction of neck bands should make a consolation with a Board Certified Plastic Surgeon specialized in neck procedures

It is difficult to accurately judge your neck with the picture you provided.  We all will have some banding in our necks when we turn from side to side.I can tell from your picture that it would be unlikely that you would need surgery.  You appear to be skinny with a good neck line.  You may want to consider non-surgical treatment to tighten the skin such as microneedling, ulthera, or titan laser.I hope this helps. 

Based on your age, desired results and short time window, I imagine the Laser Assisted Weekend Necklift is an ideal solution. This surgical procedure is intended for individuals 40-55 years old with early sagging of the upper neck and jowl area. Performed under local anesthesia with sedation,  a small hidden incision is created under the natural fold and a laser/liposuction/chin implant is utilized instead of a scalpel to improve the appearance of a sagging face, howls and neck. The recovery period is only several days at which point our patients return to normal activity with little evidence of any surgery. It is difficult to understand the extent and exact location of your neck cords with the current picture. I suggest you consult a board certified facial plastic surgeon to
receive the highest quality knowledge, treatment, care and skill available.
A consultation provides you the opportunity to relay your
concerns and desired outcome to the surgeon while the surgeon can assess your
health profile and discuss his/her pertinent advice.

The photo that you provided is not the best for evaluation since you are twisting your neck. Proper neck evaluation and photographs are on a neutral position. My suggestion would be to look for a consultation with a board certified Facial Plastic Surgeon. In this way all of the options will be offered to you depending on your concerns and physical exam.Hope this helps,Dr. Gus DiazNatural Beauty Plastic Surgery

 A full set of photographs taken in a chin neutral position are required to make a determination about how much excess skin is present in the neck.  This one photograph does not show cords due to the platysma muscle. When patients have significant laxity in the neck in a chin neutral position, a neck lift, or face neck lift is required.

When looking into a procedure like this, you need to see what is causing what you don't like in the mirror. The things that can be address surgically are the skin, the fat and the muscle. Definitely seek out a board certified plastic surgeon in your area with an expertise in Facial Aesthetics for a consultation and more details. From these pictures it is hard to say what your best options are. Dean Vistnes, M.D.Vistnes Plastic SurgerySan Francisco Bay Area#realself #necklift #drdeanvistnes

Those cords you are referring to are platysma bands. They are correctable, but does require a surgery. I would wait until after your wedding to have any surgery performed. Injecting the bands with Botox sometimes gives a small and temporary improvement. However, you have already done that. I would wait until the time is right and consult with an experienced facelift surgeon about your surgical options.

Thank you for your question. Unfortunately a neck lift with Platysmapasty (tightening of the neck muscles through an incision under the chin) is required to correct neck bands. I would not do this within two months of your wedding-that is inadequate time for full recovery and adequate healing of incisions.You are very attractive and in spite of your concerns you look very young. Again I would not recommend surgery unless you have 3 months for full healing. For more information please see below: