How Many Units of Botox and at Which Points I Should Inject for Neck Creases?

Doctor Answers 9

Botox for vertical neck bands

Thank you for your question. Botox can be a very safe and effective way in helping to soften the appearance of neck bands by relaxing the muscles. You may need anywear from a couple units to 10 units depending the length and caliber of the neck band.  I would recommend visiting with a board certified plastic surgeon or dermatologist in your area to address your concern as it is an advanced area to treat. And in addition, there may be alternatives that can be used as a standalone or in conjunction with Botox to provide an even more effective treatment.

Houston Plastic Surgeon
4.8 out of 5 stars 38 reviews

Botox and neck creases

Botox can help flatten the sagging neck vertical bands. The treatment never gives the same good result as a surgical neck lift. The horizontal creases may or may not respond to Botox treatment.

Patients are evaluated in person by a board-certified physician to determine how many units they would need. Every patient is different, and in fact, the same patient may need more or less on successive treatments and are reevaluated each time.

The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Botox for the neck

You should consult an experienced dermatologist or plastic surgeon for assessment to see how much Botox you require for your neck bands.  The amount of Botox and placement is individualized for each patient.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 22 reviews

Botox and Neck lines

It's difficult to answer this question without seeing a photograph of specifically which lines you are referring to, however Botox can address age-related hypertrophy of the platysma and its downward pull on the sub-muscular plane to soften horizontal neck lines. Meeting with a well-trained and experienced injector will help to determine how many units you would need and they'll know and be able to address the important injection points.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Botox and neck creases

Botox is a great treatment to help lessen neck creases; however, there is not a "set" amount used in a patient.  Each patient's treatment should be individualized to their specific needs.  This is also an advanced treatment technique, so find a provider with a lot of experience in this area.  On average, I will use 20 units to the neck.  Again, some will take less and some will need more.  I also discuss in depth the potential complications of treating this area.  As with any Botox treatment, your  provider should provide you a Black Box Warning.  Be sure to fully understand the potential risks associated with treating this area.  Hope this helps.

Cheryl A. Hull, MD
Rogers Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Microinjections of Botox for wrinkles in the neck

For the neck, microinjections of Botox between 1-2 units at each site works extremely well at smoothing those wrinkles.  Each neck is different, so the total amount will vary and would be at the discretion of the injector.   

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 58 reviews

How Many Units of Botox and at Which Points I Should Inject for Neck Creases?

20-30 units is usually sufficient for treatment of banding in the neck. However, you would require an in person evaluation to determine the best approach. I hope this information is helpful.

Stephen Weber MD, FACS

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
4.9 out of 5 stars 129 reviews

Botox in the neck

Botox in the neck should only be done by an advanced injector so make sure your doctor is well qualified.  Necks are tricky, and there is no way to tell what you need without seeing the situation.  Find a great doctor, you can get a second opinion if you want before the procedure is done. 

Rebecca Baxt, MD
Paramus Dermatologic Surgeon
4.8 out of 5 stars 27 reviews

How much botox needed for neck creases

Its hard to say how many units are required to treat your neck without seeing it. I would typically treat each side of the neck with between 10 and 20 units, depending on the size of the neck, extent of wrinkling etc.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon
4.8 out of 5 stars 53 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.