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You are correct that Botox is typically used for the frown lines between the eyebrows. Overuse of the muscles between the eyebrows causes deep vertical lines which we call frown lines. If we look aging necks in the population, people with thinner necks with minimal fat tend to have "muscle bands" or platysmal muscle bands. This is a thin sheet-like muscle under the neck skin. The front edge of the muscle is what forms the edge of the muscle band. If we lay a bed sheet on the ground with a clothes line under the bed sheet, then we pull on the clothes line, the clothesline will tent the bed sheet. This is what happens with neck muscle bands. As the platysmal muscle band contracts, it is very similar to the clothes line tenting the bed sheet. Botox is a neurotoxin, or a poison which selectively paralyzes or weakens the muscle that it is injected into. The effects of Botox are temporary, and the strongest effect of paralysis last only about a month, but residual weakness of the muscle persists for up to 4-5 months. The muscle strength gradually returns over the months after injection. Even when the Botox completely paralyzes the platysmal muscle bands, sometimes the muscle already has skin wrapped around it, and the muscle bands look the same. Maybe less "tense" but still there all the same. The only way it really works is if the muscle bands protrude when the person "clenches" their jaw or flexes their neck muscles, but the neck profile is perfect when the person is relaxed. Only in these people does the botox on the muscle bands prevent the neck band from forming. I hope this explanation makes some sense. Best, Dr. Yang
"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"
Botox is used to relax muscles. If you have platysmal bands that contribute to your neck concerns, then Botox can work very well to soften these muscle bands. In addition Botox may soften some of the transverse folds by relaxing the underlying platysmal muscles. I would visit with a board certified plastic surgeon or dermatologist to discuss your concerns and develop a treatment plan for you.
Thank you for your question! It does not produce a true neck lift but but can temporaly take some of the "spring" out of the platysmal bands (ie- paired neck cords). For significant neck skin laxity, a facelift should be considered. For lasting correction of platysmal bands, a medial or lateral platysmaplasty can be performed depending upon certain patient factors. I hope this helps!
Botox can relax the platysma muscles, the visible bands in your neck. This would help smooth out the neck contour. The treatment is off-label.
Botoxinjections are effective at softening the neck bands (also known as platysmalbands which are muscles). By relaxing the neck bands, they become less prominent thereby rejuvenating the appearance of your neck.
The Botox® neck lift refers to the use of an off-label FDA usage of a muscle Toxin like Botox to relax Platysmal bands (midline muscular bands (Platysmal bands). It is not a true neck lift. In the right hands it is effective in temporarily relaxing these muscle bands which causes the skin to be less stretched in appearance. The treatment is temporary and needs to be repeated every 3-4 months for most.Risks include if injected too deeply or using too much - swallowing difficulties, or head movement from weak neck muscles.
Botoxhas significant benefits for patients who experience facial aging.Unfortunately Botox doesn’t lift the neck and for this reason the term “BotoxNeck Lift” is misleading. Botoxhas the ability to relax muscles and make them and their effects less apparent.It’s not unusual for patients to develop platysmal bands during the agingprocess. This occurs when a separation exists between the paired muscles in themidline and there’s loose skin present as well. Under these circumstances,Botox might relax these muscles and make them less noticeable. UnfortunatelyBotox won’t address muscle separation, muscle laxity and loose skin and forthis reason, can’t be expected to provide a neck lift. When correction of neckskin sag is the patient’s aesthetic goal, a surgical neck lift will prove to benecessary. Ifyou’re considering surgical correction of neck skin sag, consultation with aboard certified plastic surgeon is appropriate. This surgeon should be able toformulate an appropriate treatment plan.
Botox can be used in the neck to decrease lines in the neck. It is not a "lift". That is a marketing term that is misleading in my opinion.
Botulinumtoxin is a muscle relaxantthat can be used to reduce the neck platysma muscle contracting. The platysmamuscle is a thin sheet-like muscle under the neck skin that with facial ageingbecomes lax and results in vertical bands. Botox is a neurotoxin that weakensthe platysma muscle from contracting.Non-surgicaltreatments including the use ofBotulinum Toxinhave been used totreat platysma bands in the neck, it does have limitation in that it is onlyeffective for early bands, relatively short duration of 4-6months andineffective to treat skin laxity. The limitations with non-surgical treatmentsis with increased laxity of the skin, excess soft tissue below the neck andvertical bands in the neck (laxity in underlying platysma muscle).
Botox (as well as the other two FDA-approved neuromodulators Dysport & Xeomin) may be used to improve some degrees of neck sagging, vertical (playsmal) bands, and "necklace" lines. The Nefertiti Lift (named after the stepmother of King Tut whose famous statue possesses the paradigmatic perfectly straight and tight jawline) has been used successfully to lift the lowest portion of the face and secondarily the uppermost portion of the neck. With this technique, microdroplets of Botox (or the others) are injected along the jawline as well as into the vertical neckbands that become accentuated upon gritting the teeth. Injected in this fashion, Botox slighten weakens the downward pull of the muscles thereby giving a competitive advantage to the muscles above the jaw, which then pull the lower jawline and upper neck slightly upward straightening them. Mild degrees of jowling and neck laxity can be treated easily in this fashion and the results, as with all Botox injections, may be seen within one week following treatment. Treating platysmal banding with Botox is certainly nothing new. I have personally been doing this since the mid-1990s. Platysmal bands are those long vertical ropey bands on the front of the neck. Microdroplets of Botox injected up and down the bands can weaken the muscle tension sufficiently to allow the overlying skin to redrape itself more smoothly. Botox treatment of the so-called "necklace" lines, those parallel arrays of horizontal wrinkles that encircle the neck, is also not new having been introduced about the same time as the treatment for platysmal bands. The major downside of Botox neck rejuvenation is that not everyone responds, not everyone responds to the same degree, and the results generally last about six months for those that do. The concomitant use of volumizing fillers, however, such as Radiesse to straighten the jawline can further enhance the effects of Botox and prolong the results significantly. Likewise, the use of microdroplets of Juvederm Ultra XC along with Botox is an excellent treatment for the necklace lines. And, more recently, I have found that the addition of Juvederm UltraPlus XC injected along a horizontal line extending across the border between the neckline and chin line, as well as within certain areas directly under the chin, can supplement the "Nefertiti Lift" by stretching some of the laxity and by providing the visual illusion of a more well defined cervico-mental (neck-chin) angle.
Ultherapy would be a great option for you. This is a non-surgical technique that uses ultrasonic energy to tighten neck and facial skin. Results are gradual, but there is no down time and no incision.
Unlike other tightening treatments, Ultherapy only requires a single treatment every one to two years and has long-term effects in skin stimulation and collagen production. Ultherapy is ideal for men and women who are experiencing mild to moderate skin laxity and desire a noticeable and...
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...