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The natural aging process can wreak havoc on the surface of the skin, resulting in the appearance of fine lines, wrinkles, and sagging skin. These tell-tale signs of aging can appear anywhere on the body but are, perhaps, most apparent on the face and neck. Bands can develop on the neck as a result of tech neck, which is when wrinkles appear in horizontal lines when you look down at your phone or computer with great frequency. Vertical muscles in the neck, called platysma muscles, can pull at the skin on the neck, leading to loose, sagging skin and the appearance of jowls. Signs of the natural aging process can make patients feel self-conscious, but luckily, advances in dermatology mean that you no longer have to live with wrinkled, sagging skin on the neck. For patients looking to reverse these signs of the natural aging process, a Botox neck lift is a great solution.

Botox as a treatment option is often associated with erasing fine lines and wrinkles on the face, such as crow’s feet, and forehead lines. However, Botox injections are an extremely effective treatment for removing the fine lines and wrinkles on the neck. A Botox neck lift can help to eliminate dynamic wrinkles, tighten the skin, and improve the contour of the jaw and reduce the appearance of jowls. Botox is even FDA approved to treat neck pain resulting from medical conditions such as cervical dystonia. Cervical dystonia is a condition in which involuntary neck muscle spasms create pain and discomfort in the neck. When Botox works to “freeze” the muscles, the treatment helps to eliminate the pain.

When looking for an expert in Botox® cosmetic injections, look no further than experienced, board-certified dermatologist, Dr. Michele Green. Dr. Green has been performing Botox injections and other procedures such as dermal fillers, chemical peels, and laser treatment in her Upper East Side New York City office for over 25 years. As an Allergan Platinum Provider, Dr. Green was one of the first dermatologists in NYC to utilize Botox injections to rejuvenate her Upper East side patients to reverse the visible signs of aging. Whether you are concerned with a sagging neck or wrinkles, Dr. Green will provide you with the very best treatment options to help you achieve your cosmetic goals.

What is Botox?

Botulinum toxin type A, commonly known by the brand name Botox, has been FDA approved to treat a variety of conditions and cosmetic concerns since 2002. Created by the company Allergan, Botox injections serve a variety of functions from eliminating the appearance of fine lines and wrinkles, to alleviating the symptoms of medical conditions such as cervical dystonia, chronic migraines, and hyperhidrosis. The treatment is composed of a the neurotoxin onabotulinumtoxinA and works by essentially “freezing” the muscle at the injection site. Botox is the most popular non-invasive injectable treatment that is performed in the United States and is a safe and effective alternative to more invasive procedures, such as plastic surgery. When used on the neck, Botox can eliminate horizontal wrinkles, reduce the appearance of fine lines, ameliorate turkey neck, and slim the jaw line. The procedure can also reduce muscle pain or spasms in the treatment area.

How does Botox work?

As we age, our skin starts to become loose and sagging, and fine lines and wrinkles begin to become etched into the skin. Many of the wrinkles found on the face and neck are dynamic wrinkles, which are wrinkles that are caused by the repeated contraction of muscles. On the face, this manifests most commonly as crows feet, which are wrinkles at the corner of the eye that appear as a result of crinkling your eyes, or forehead lines, the horizontal lines that form on the forehead. When it comes to neck muscles, dynamic wrinkles can occur as a result of the platysma muscles, which pull on the skin, causing the skin to appear lined and sagging. Horizontal bands can also occur from issues such as “tech neck,” which are the lines that form as a result of frequently looking down at phones and computers. An injection of Botox into the neck muscles can help to reduce the signs of these dynamic wrinkles.

The active ingredient in Botox is the neurotoxin onabotulinumtoxinA, which is injected in liquid form into the treatment area. When injected into the muscle, the botulinum toxin type A works by inhibiting the neurotransmitter called acetylcholine. Neurotransmitters are chemical messengers that “tell” the muscles when to contract. When the acetylcholine is blocked by the Botox injection, the muscles no longer contract, causing them to relax. Cosmetically, this leads to the relaxation of the dynamic muscles, such as the platysma muscle, that are responsible for the creation of fine lines and wrinkles. As such, the wrinkles become smoothed out and disappear, erasing the signs of aging from the treatment area. If Botox is being used to treat a medical condition such as cervical dystonia, which is characterized by chronic neck spasms, the injection blocks the neurotransmitters that cause the muscles to contract thereby eliminating the spasms.

What is a Botox Neck Lift?

Neck botox, which is sometimes referred to as a Nefertiti Lift, is when Botox is injected into the neck to eliminate neck lines, horizontal wrinkles, and improve sagging jowls. The muscles found in the neck have a tendency to pull downwards, which causes sagging along the jawline and contributes to the prevalence of jowls. As such, Botox in the neck can help to improve the jawline for a tighter, more contoured look. A neck lift will also help with “turkey neck,” which is when the neck skin starts to sag, leading to loose skin that is unflatteringly compared to the neck flap of a turkey. Botox can help to tighten the skin and can be paired with Thermage treatment for skin tightening.

Neck Botox can also help with pain relief and pain management for certain conditions that affect the neck, including cervical dystonia. Cervical dystonia, a condition also known as spasmodic torticollis, is characterized by frequent, involuntary muscle spasms in the neck, which cause the head to be pulled forward, backward, or to the side. These spasms and uncomfortable head position can cause pain and discomfort in the neck. When Botox is injected into the muscle, it blocks the neurotransmitters that tell the muscle to contract, thereby reducing the involuntary, painful spasms. As such, neck Botox can serve both cosmetic and medical functions.

LL 35 44 before after thermage and injectables jan 2018 FRONT 2 MGwatermark

Thermage (lower face & neck), with Voluma & Restylane Lyft

How to prepare for Botox treatment for your neck?

You will begin the treatment process by having a consultation appointment with Dr. Green. In the appointment, Dr. Green will be able to examine the treatment area and determine the treatment options that are best suited for your individual needs and aesthetic goals. If Botox is one of the treatments in your plan, there is very little preparation that you will need to do before your treatment. Dr. Green asks that you arrive on the day of the procedure with a clean, product-free treatment area on the neck and that you avoid taking any anti-inflammatory medications such as Advil or Aleve. These products can increase your risk of bruising or bleeding following the treatment. Board-certified dermatologist, Dr. Green, is an expert injector who has been performing Botox injections for over 25 years.

What is the procedure for Botox treatment?

When you arrive at the office for treatment, Dr. Green will first ensure that the treatment area is clean and prepared for the injection. The exact dosage that each patient receives for neck Botox is dependent upon the size and scope of the treatment area, as well as each patient’s individual aesthetic goals. The procedure itself is very fast and can take as few as ten minutes to complete. Patients typically do not feel any discomfort during the injections themselves but may request the use of a topical anesthetic in order to further decrease any feelings of discomfort. Botox treatment is truly a lunchtime procedure, as there is no downtime following the treatment and you can immediately return to your regularly scheduled activities.

What is the aftercare following Botox treatment?

Botox treatment is a safe and effective treatment for fine lines, wrinkles, and neck pain that requires no recovery time following the procedure. While there is no downtime after the treatment, there are certain activities that should be avoided directly following the treatment. Dr. Green recommends that you do not lay down on the treatment for several hours after the treatment nor should you massage the treatment area for approximately two days. This is so that the injection does not migrate to any other part of your body, which can be potentially dangerous. Further, you should stay away from intense physical activity for 24 hours after your Botox injections.

How long does the treatment last?

Botox treatment is very effective in the rejuvenation of the appearance of the neck through the elimination of fine lines, wrinkles, and jowls. Once the treatment has been administered, the effects of the procedure generally become apparent within ten days. After that, the results of Botox may be visible for between 3 and 4 months. Though the results are temporary, Botox treatment can be repeated once the effects begin to wear off. When you have your consultation with Dr. Green, she will help to determine the treatment schedule that is best for you needs and ensures consistent, effective skincare.

How do Botox injections treat neck pain?

Botox treatment has been FDA approved to treat neck pain in the form of cervical dystonia, which is a condition characterized by frequent, involuntary spasms that cause pain and discomfort in the neck. The Botox injections are a very effective way to treat this neck pain, as the botulinum toxin type A found in the Botox injection blocks the neurotransmitters that are responsible for the muscle contractions causing the spasms. As such, the muscles relax and the spasms stop. For many patients, combining Botox treatment with physical therapy is extremely effective in reducing pain and discomfort.

In clinical studies done to examine the effects of Botox on cervical dystonia, researchers found that patients began feeling the pain relief from the treatment within two weeks of receiving the first treatment. The pain relief peaked for most patients at six weeks after receiving the Botox injection. While the pain management effects of the treatment did wear off approximately three months after receiving the Botox injections, the treatment can be repeated approximately every three months for continued relief. With many repeated treatments, there is the potential that the body will build up anti-bodies against the Botox rendering it less effective. If this occurs, there are alternative treatments such as dysport and xeomin.

Can Botox be combined with other procedures to rejuvenate the neck?

Yes! Botox for neck lift can be combined with other procedure for increased rejuvenation of the skin for a smooth, firm, and youthful look. Botox is particularly effective for eliminating dynamic wrinkles by relaxing the muscles so for patients who are dealing with particularly lax skin, submental fat, or rough textured skin, Botox can be combined with other treatments such as Thermage radiofrequency, Kybella, and Fraxel lasers.

Thermage – Thermage® is the gold standard treatment when it comes to skin tightening. While Botox is very effective at eliminating wrinkles and can help to tighten the skin somewhat, for patients dealing with particularly lax and sagging skin, an additional skin tightening treatment will be necessary. Thermage uses radiofrequency (RF) technology to tighten the skin by heating the inner layer of the tissue. This heating creates controlled damage to the tissue so that the body’s healing response is activated. The natural healing process involves the creation of the protein collagen and stimulates cell turnover for smooth, tight, youthful-looking skin.

Kybella – For patients who have a high amount of submental fat, or fat and fullness just under the chin, Botox can be paired with a fat reduction treatment, such as Kybella. Kybella is an injectable treatment that eliminates fat cells around the jowls and neck. The treatment works by injecting a synthetic form of deoxycholic acid, which is naturally found in the body, and works to break down fat cells. The treatment can be used to “de-bulk” the area under the chin, which eliminates excess fat and improves the jawline. Kybella® can then be paired with Botox to further eliminate fine lines and wrinkles.

Fraxel laser – For patients looking to improve the texture of their skin along with eliminating fine lines and wrinkles, Dr. Green recommends pairing Botox with Fraxel® laser treatments. The Fraxel laser works to “resurface” the skin by creating micro-injuries, which trigger the body’s natural healing process. This process triggers the production of collagen, which leads to smooth, firm skin for improved skin texture.

CoolSculpting® – Patients who have a significant amount of submental fat, under the neck, can have this fat “frozen” by CoolSculpting. With a unique applicator, the CoolMini, the excess fat under the neck can be “frozen” and is slowly eliminated through your own body’s metabolism. Depending on the amount of fat under the neck, two or more Cool-mini treatments may be necessary with this painless, non-invasive treatment.

fraxel nyc

Is Botox in the neck dangerous?

Botox® is an FDA approved treatment that is both safe and effective. There are mild side effects associated with the treatment that are more common, such as redness and bruising at the injection site. The risk of developing more serious side effects, however, increases if you seek treatment from a less experience practitioner or a medical spa. That is why it is important to seek out a board-certified, experienced dermatologist, such as Dr. Green.

How much does Botox cost in the neck?

The cost of Botox in the neck depends on a variety of factors, including the size and scope of the treatment area, your geographic location, and the type of institution at which you are receiving treatment. When making a determination about how many units are necessary to treat an individual patient, Dr. Green takes into account the surface area that needs to be treated, the muscles necessary to address in treatment, and whether or not there is pain and the severity of that neck pain.

Patients who require more units of Botox for treatment will typically need to pay more for treatment. You should inquire at the time of your consultation if there are any Botox specials. Further, the type of institution where you are receiving your treatment plays a part in determining the price. A medical spa, for example, may be less expensive than receiving treatment from a board-certified dermatologist. However, the risk of developing more serious side effects can increase if you receive treatment from someone other than a board-certified, expert dermatologist. When you arrive at Dr. Green’s office for treatment, the office will be able to make an estimate of the cost of treatment based on your treatment plan.

Can Botox cause neck pain?

Botox is a treatment that is FDA approved to relieve chronic neck pain. As such, it does not typically cause an further neck pain to occur. In some cases, a mild side effect of Botox treatment can be flu-like symptoms, headaches, and neck pain, which should resolve itself quickly following the treatment. If neck pain persists following Botox treatment, be sure to contact your healthcare provider.

Can Botox help with neck pain?

Yes! Botox is an FDA approved treatment for painful neck conditions such as cervical dystonia. Cervical dystonia is characterized by painful and uncomfortable spasms in the neck that are the result of repeated, involuntary muscle contractions. Botox can freeze the muscles responsible for the contractions, thereby reducing the pain from this condition.

Can Botox help turkey neck?

Turkey neck is an unflattering term for the loose, sagging skin that can appear along the neck as a result of the natural aging process. For those wishing to eliminate the appearance of turkey neck, a Botox neck lift can help to tighten the skin a bit but if there is too much skin laxity in the treatment area, patients will need to combine the Botox with a skin tightening laser, such as Thermage. For some patients, if there is an excess of loose skin, that may require a surgical neck lift or face lift to fully address the lax skin.

non surgical face lift 92376865

Does Botox help neck wrinkles?

Yes! Botox is the ideal treatment for eliminating dynamic wrinkles or bands on the neck. The injection works by freezing the muscles in the neck that are responsible for fine lines, wrinkles, and what is known as tech neck – when lines form as a result of looking down at a phone or computer. As such, the wrinkles become smoothed out for a youthful look.

Can Botox tighten your neck?

Yes – Botox can help to tighten the skin on the neck. However, for patients with particularly lax or loose skin, Botox may need to be combined with other treatments in order to achieve the ideal tight skin. For example, Botox can be combined with procedures such as Thermage, Vivace, and Fraxel lasers for tight, smooth skin.

How much Botox is needed to treat neck bands?

The number of units of Botox necessary to treat neck bands varies depending on the size of the patient’s neck and the severity of the dynamic wrinkles. When you arrive at Dr. Green’s office for your initial consultation, she will examine the treatment area and be able to make a determination about the number of units necessary for treatment. On average, Dr. Green will use between 25 and 50 units of Botox for a neck lift.

What are the side effects of Botox injections in the neck?

While Botox is a safe and effective treatment for neck bands, there is still a potential for the development of side effects following the procedure. Most patients only experience mild side effects such as swelling, redness, and tenderness at the injection site. Other mild side effects that may occur following treatment include flu-like symptoms, back pain, neck pain, headache, muscle weakness, dizziness, or trouble swallowing. In very rare cases, patients may develop more severe side effects, which can include allergic reaction to the Botox injection, or a migration of the toxin to other areas of the body. Should migration of the toxin occur, patients may experience trouble breathing and trouble swallowing. If patients begin to experience the severe side effects after receiving Botox treatment, they should contact their healthcare provider immediately.

Can Botox help a crepey neck?

Crepey skin occurs when the skin begins to feel thin, sagging, and fine lines develop along the surface. The resulting texture is skin that looks like crepe paper. Botox can help to eliminate the appearance of fine lines that develop on the surface of the skin and can be paired with other treatments such as Fraxel lasers or Thermage to help with the texture of the skin.

44 year old female, Botox for wrinkles around eyes

44 year old female, Botox for wrinkles 

How long does neck pain last after Botox?

If you are receiving Botox to mitigate neck pain that results from cervical dystonia, the pain relief can occur in as little as two weeks following treatment. In a clinical trial, researchers found that most patients experiences the peak amount of pain relief six weeks after receiving the Botox treatment. The treatment can be repeated every six months for continued relief from the pain of muscle spasms and involuntary contractions.

Who is a good candidate for a Botox Neck Lift?

If you are tired of living with fine lines, wrinkles, or sagging skin on your neck, Botox treatment can eliminate these issues and leave you smooth, firm, younger-looking skin. Dr. Michele Green has been a leader in non-invasive cosmetic dermatology for over 25 years in her private NYC office. Dr. Green is consistently voted as one of the best dermatologists in New York by New York Magazine Best Doctors, and Super Doctors. Please contact us online today or call 212-535-3088 to learn how New York City dermatologist Dr. Michele Green can help you with the best combination of treatments to rejuvenate your skin.

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