Can Botox injections help crepey neck skin?

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

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.

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.

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

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.

Hello LouMig,Botox can help with bands in the neck (platysmal bands) but it will not help with the crepey skin.  This is best addressed with either topical treatments like creams and lotions when not too severe, energy based treatments like Ulthera for mild to moderate lax skin, and a neck lift for moderate to severe lax skin (which could also address the neck bands).  I'd recommend you consult with either a facial plastic surgeon or plastic surgeon to learn about your non surgical and surgical options.  I hope this helps and good luck.  

Dear LouMig,Botox will not be the best for crepey skin. Laser can significantly help crepey skin. ALso a good skin care product with retinol will help over time as well as daily sunscreen.Best of Luck,Dr. R

Crepey skin is more an issue of laxity due to loss of collagen, which is why Botox would not be very effective in addressing your concerns. In my office we have the newest, cutting-edge technology for collagen building neck tightening, our 3D laser. 3D laser uses a combination of Collagenesis and Vbeam, both used to build collagen in different ways, tightening skin on a deeper and more superficial level for an overall three-dimensional tightening effect. This procedure involves minimal discomfort and zero downtime but has produced incredible results for our patients, particularly when performed in a series. The neck bands you mention could possibly be improved with a dermal filler, however an in-person consultation would be necessary to determine the best treatment plan to achieve the results you desire.

Unfortunately, if the issue is not related to muscle activity or to the platysma, Botox is likely not the best choice for you.  Skin tightening and collagen thickening would likely be the best treatment course for your issue.  There are a wide variety of treatment options available.  So much so, that it can be dizzying.  To name a few: Thermi RF, Ulthera, Fractionated CO2 laser, and chemical peels.  It would be best to speak to a surgeon who is well trained in the area, and explore your options.

Botox can help muscle bands in your skin but will not do anything for crepey skin.   You can look at ipl and consult in that area and in good skin care products.  It is a tough problem.     My Best Dr Commons