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Neck Lift
Treatment for Neck Bands when Botox and Neck Lift Aren't Options?
In my practice, patients that are not facelift candidates because they have a minimal amount of lower face skin excess can benefit from Botox treatments. In my experience, Total Fx treatments will not correct these issues. Platysmal plication with a neck lift may be an option. Of course it is difficult to assess without a consultation but many times patients can have excellent results with a combination of a neck lift and platysmal plication. The scars would be similar for a facelift in this case. Outside of these options there really isn't a great answer.
Clinical Context
Neck banding can come from muscle laxity, skin laxity, or fat under the chin, and each responds differently. Skin-tightening devices help mild skin laxity, and Kybella can reduce submental fat, but neither corrects true muscle banding. Muscle bands usually need surgical repair (platysmaplasty), often paired with skin tightening for the best result. Your surgeon can determine which factor is driving your bands and whether a limited procedure or full neck lift is more appropriate.
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