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By Dr. Alex Eshaghian, MD, PhD
October 07, 2018
Category: Services
Tags: Botox   neck  

Botox before and after for neck bandsVertical bands on the neck can often be seen slowly over time as we mature. Botox is an easy solution for these bands.

What is Botox?

Botox is a purified protein used to address wrinkles that are associated with facial expressions. These include the horizontal lines seen on the upper forehead when we raise our eyebrows, the vertical lines seen between the eyebrows when we frown, and the crow’s feet seen around the eyes when we smile or quint. When placed in the skin, Botox will relax the muscles and smoothen out the overlying wrinkles.

How does Botox work on the neck?

A common concern on the neck is what are called vertical neck bands. These are caused by contraction of a muscled in the neck just under the skin called the platysma. They can be seen or accentuated when the neck is contracted, often times by slightly lifting the chin and moving the lips to show your lower teeth as seen in the photograph shown here. Just like any other muscle on the body, over time the more it is used the stronger it gets. This leads to muscle definition, which is seen as neck bands. Botox works for neck bands in the same way it works for frown lines, forehead wrinkles, and crow’s feet: by relaxing muscles. In this case Botox relaxes the platysma muscle in the neck, preventing it from contracting and forming the bands. The results from a Botox treatment for neck bands are outstanding. Usually 10 units of Botox are used in each of the four bands, for a total of 40 units of Botox.

Additionally, Botox can be used in the neck for what is called the Nefertiti neck lift. Nefertiti was an Egyptian queen known for her long and beautiful neck. In the Nefertiti neck lift Botox is placed just under the jawline from one side to the other side. This relaxes the upper part of the same platysma muscle that is treated for vertical neck bands. When this part of the muscle contracts it pulls down on the lower face. Once it is relaxed with Botox it is unable to pull down on the lower face. This provides a subtle lift of the lower face and improves jawline definition. Sometimes a small amount of Botox is placed in a muscle called the DAO in the lower face. This muscle goes from the corners of the mouth to the jawline and when it contracts it pulls down the corners of the mouth. When the DAO muscle is relaxed with Botox the corners of the mouth are elevated about one or two millimeters. This really helps with a sad face appearance. The Nefertiti neck lift can be complemented by placing fillers in the mid-face, laser skin tightening, and Kybella for the double chin.

Botox for Neck Bands

When will I see the results of by Botox treatment?

Although some people notice the results of their Botox treatment in a few days, it can take up to two weeks to see the full results of your Botox treatment. Therefore, patience is important. We take baseline photographs of you making facial expressions before your Botox treatment and have you return tow to three weeks later to take the same pictures. If you receive the recommended dose of Botox and the results are not perfect, we provide complimentary additional Botox units. This way you don’t have to worry about the possibility of diluted Botox.

How long does Botox last?

Most people enjoy the results of their Botox treatment for three to four months. Dr. Alex recommends a maintenance Botox treatment at that time. We participate in the Brilliant Distinctions Program. This is a rewards program designed by Allergan, makers of Botox, Juvederm, Voluma, Vollure, Volbella, Kybella, and Latisse, where you get points for each treatment. These points are then used toward discounts at your next Botox (or other) treatment.

What are the side effects of Botox?

With any injection there are risks including pain, bleeding, bruising, redness, swelling, infection, and tenderness. We take special precautions to minimize these risks. Dr. Alex uses a painless Botox injection technique where cold air is blown on the skin to numb the skin. We also place a vibrating distractor called the Beauty Bar nearby for further comfort during your Botox treatment. Bruising is rare with Botox treatments and bruises can last up to two weeks after a Botox treatment. If you get a bruise after a Botox or other treatment we are able to treat it with a laser as early as the next business day. This makes the bruise go away much faster, typically in one to three days, although it may still last two weeks and sometimes it gets darker before getting lighter. Headaches can occur for up to a few days after a Botox treatment. Dr. Alex recommends taking over-the-counter strength Tylenol for pain relief. There is also a very small risk (less than one percent) that some of the Botox spreads to nearby muscles. Depending on the area treatment, the spread of Botox make lead to things like droopy eyelids or an asymmetric smile. Such side effects are always temporary and often times treatable.

What should I do after a Botox treatment?

After a Botox treatment, Dr. Alex recommends avoiding heat exposure, alcohol consumption, and strenuous exercise for 24 hours and maintaining an upright posture without bending forward or lying flat for four hours. These activities can lead to the movement of Botox, leading to side effects, and/or increase the risk of bruising.

Patient Review - Botox

Patient Review - Botox


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[Dr.] Alex was my first and only Botox doctor and he was very good to let me know know it was OK and to not be nervous. He did a great job and my Botox has laster well over 3 months. And now I am hooked. 

    — Victoria S.


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Real SelfI had a wonderful experience I'm 33 years old and I had Botox for the very first time I was so scared but after he explained it to me the painless procedure, NOW that was quite the experience I highly recommend Dr.Alex he is amazing and trustworthy not only that the stuff is very friendly. Thank you so much Dr. Alex

    — Iris Sanchez

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GoogleI was referred to Dr. Alex by friend. At first I was afraid of getting Botox injections because I thought it would make me look weird. But Dr. Alex and his wonderful staff explained that it is a purified protein and the results will be natural. And they were right. It looks completely natural, the treatment was painless, and I did not even get a bruise. If you want great results and outstanding service I highly recommend A E Skin.

    — Rod Fani

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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule an appointment for a free consultation with Dr. Alex in our Encino, CA office.


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