Can Botox injections help crepey neck skin?

Question

The crepey skin on my neck has come on really fast and looks awful and I am only 40 - None of my friends my age seem to have it! It's really bothering me and making me very self conscious. Could botox injections help or are they really just for prominent bands? My bands are not overly prominent yet. Thanks.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Jed H. Horowitz, MD, FACS · Answer

An off label use of Botox would be to inject a small amount into your Platysmal bands. This will tighten the appearance of your neck. Temporarily. Botox lasts about 3-4 months, and needs to be repeated. I hope this answers your questions.

Mariusz Sapijaszko, MD, FRCPC · Answer

Crapey neck skin is a result of sun damage, weight loss, genetics and, sometimes, overactive muscles. Most of the changes are in the skin and not necessary in the muscles of deeper structures.Generally speaking, the skin itself needs the most attention including epidermis and dermis. There are many excellent treatments available such as Selphyl (activated PRP), and multiple lasers.The first think that I would suggest is a consultation with a doctor specializing in cosmetic skin treatments. Since you are talking about the skin, I would recommend skin experts - Dermatologists.I hope that helps and best regards, Dr. Sapijaszko.

Michele S. Green, MD · Answer

A combination of lasers such as Fraxel, microneedling and PRP and small amounts of Botox can all help this area. Please post a photo to best help you.  Best, Dr. Green

Martie Gidon, MD, FRCPC, FAAD · Answer

Crepey neck skin is always a challenge to treat.  Combination treatments work best.  Radio frequency treatment such as Thermage, laser treatment such as Fraxel, Selphyl PRP, fillers and Botox all work together to give the best results.  Consult a cosmetic dermatologist who offers all of these treatments and who can assess what would work best for you.

Can Botox injections help crepey neck skin?

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Answer: Creepy Skin on Neck

Answer: Creepy Skin on Neck

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Answer: Botox for crepey neck skin

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Can Botox injections help crepey neck skin?

Answers (10)

Answer: Creepy Skin on Neck

Answer: Creepy Skin on Neck

Answer: Botox for crepey neck skin

Answer: Botox for crepey neck skin

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.