WHAT IS NECK LIFT BOTOX INJECTION?

Early Botox treatments focused on the upper and mid-face and created an imbalance in the lower face and neck. One of the most common and dreaded signs of aging is vertically protruding patches of skin and deep horizontal lines around the neck. Botox injections can prevent these unsightly skin bands from developing in the first place and can release tension in the muscles that have already occurred. 

Neck Botox procedure, also called Nefertiti neck lift is a treatment that involves neurotoxin injections into the platysmal bands – aesthetically unattractive skin chords located in the intermediate layer of the neck made of platysma muscle sections located vertically along the neck both in the medial and lateral compartments. The etiology of this problem lies in the constant downward pulling of the platysma muscle that it exerts on the overlying skin over the decades. With time, the platysma muscle remains in the permanently contracted state that becomes present not only when flexed (dynamic) but at rest (static), producing the visible manifestations and laxity that patients present with. Relaxing these muscle chords causes a reduction of vertical neck bands and horizontal wrinkles, and prevents the formation of turkey neck and jawline sagging over time. This treatment has become very popular to maintain cervicofacial beauty due to an almost instant effect and no recuperation time. 

Botox injections in the platysmal bands are clinically proven to be effective and safe to treat neck wrinkles, sagging skin, and other age-related concerns located around the neck and jawline.

botox for neck

WHY DO I HAVE NECK WRINKLES?

Neck wrinkles are both similar and yet different from most common wrinkles in the face.

Most cutaneous rhytids form along the lines of muscular contractions and always form perpendicular to the direction of muscular contraction. This is easily illustrated in frown lines where the corrugators contract medially (sideways toward the middle of the nose) and the deep frown furrows also known as 11’s lines form vertical to that muscle movement. These cosmetic disadvantages may occur due to congenital or acquired etiologies and can be successfully treated with proper examination and appropriate diagnosis of the anatomical root of the problem.

How platysmal bands form:

This pattern is seen in the formation of neck lines that can become deeply etched as the platysma muscle contracts vertically and the lines form horizontally. An additional component unique to neck anatomy is that overtime unhindered action of platysma leads to a state of permanent muscular spasm resulting in vertical chords protruding along the neck and producing a classic “saggy neck” look. In some circumstances, herniation of the subplatysmal fat pad through the muscle borders leads to additional fullness in the neck and contributes to the loss of mandibular and submandibular definition.

How platysmal chords are treated:

These vertical chords also contribute to development of the turkey neck, and are usually a tell-tale sign of one’s advanced age. Once fully evolved the chords are irreversible with Botox or other minimally invasive interventions and can only be addressed by surgical platysmaplasty.

The goal of Botox neck treatment is to maintain the platysma in a state of semi-permanent or permanent relaxation so that those unsightly chords don’t have the opportunity to develop in the first place, avoiding the future need for neck recontouring.

HOW DOES NECK BOTOX WORK?

Neck lines – The primary signs of aging along the neck are deep horizontal neck lines that circle around a mature neck, and protruding chords that run from the chin and jawline down the neck. Both develop over the course of time as the platysma neck muscle, which runs vertically from the bottom of the face to your clavicle continuously contracts, gradually stretching the skin, which then undergoes senescent changes including cutaneous thinning, increased laxity and ptosis coupled with volume depletion and gravity, all of which decrease cervicomental and submandibular definition and sharpness.

Botox for neck wrinkles – When injected, Botox works by blocking neurotransmitters and stopping platysmal contractions. In turn, the formation of lax skin and its accompanying horizontal rhytids in the neck are diminished. 

Botox neck lift, also known as Nefertiti neck lift, is most effective on patients that haven’t yet developed excessive saggy skin, as the neurotoxin does not reverse loose skin, but prevents it from forming in the neck.

WHY PEOPLE GET BOTOX FOR NECK REJUVENATION?

Neck-specific botox injections have grown to become a very popular minimally invasive cosmetic treatment to prevent unflattering signs of aging in the neck. The psychosocial burden that natural and unopposed aging of this area produces on patients has long been recognized.  The influence of mature celebrities, who miraculously maintain flawless looking tight necks and jawlines that are both youthful and unaged is undeniable. 

The success of this approach is due to manipulation of the opposing effects of the platysmal complex with Botox. In that area, the jawline is basically separated into levator and depressor movements or tensions. Over time, the platysma muscle contracts and pulls down on the cheeks and jawline (depressor effect). This effect creates an ill-defined jawline and angle. Botox injections release the downward tension on the jawline by alleviating the depressor effect. This in turn removes the pull-down depressor effect on the cheek and releases the skin to levator muscles lifting action.

But Nefertiti lift offers a variety of benefits, including the reduction of both horizontal neck wrinkles and halts the progression of the turkey neck. Additionally, it helps create a more pronounced and angular definition of the jaw, all while being non-surgical, without any of the risks and side effects associated with invasive surgery.

Botox Nefertiti Neck Lift

WHAT SHOULD YOU EXPECT DURING NEFERTITI LIFT PROCEDURE?

You will first have a consultation with Dr. Schwarzburg, in which he will examine your neck and complete a full cervicofacial analysis to establish a custom treatment plan. During this time you will also have the opportunity to discuss any questions or concerns about your neck lift treatment with Botox.

You will then be asked to pull down hard on the platysma muscle to cause its maximum contraction. Using a fine needle, Dr. Schwarzburg will grasp and inject your platysmal bands and neck muscles in the marked injection sites. The injection process will take 10 – 20 minutes and once complete you are provided with an ice pack and sent home.

HOW MANY UNITS OF BOTOX ARE USUALLY NEEDED TO TREAT NECK BANDS?

The number of Botox units needed to treat protruding neck bands is completely variable and is based on multiple factors. The major ones are the length and the strength of the individual neck chord, and the underlying platysmal muscle. The distribution also depends on the individual patient goals, their lifestyle, and the overall anatomy of craniocervical region. Anywhere from 40 – 100 units of Botox are usually injected into the neck area to achieve cosmetically acceptable outcomes.

CAN BOTOX INJECTIONS TREAT NECK PAIN?

In some cases, Botox is used medically to treat cervical dystonia, also known as spasmodic torticollis, which is a condition in which the patient experiences muscle stiffness and involuntary muscle spasms in the neck pulling the head in various directions.

Chronic neck pain and discomfort in the neck ensue, which can be significantly reduced using Botox injections, as they paralyze the muscle minimizing the occurrence of these muscle spasms. This is often combined with physical therapy and other treatment options to resolve neck stiffness.

ARE THERE ANY RISKS OR SIDE EFFECTS ASSOCIATED WITH BOTOX IN THE NECK?

Botox aesthetic is an FDA-approved minimally invasive treatment and has been clinically deemed safe. However, just like any medical procedure, this minimally invasive neck lift does come with potential risks and side effects such as bruising, and in more serious cases weakness in your neck, difficulty swallowing, and headaches. 

A very well-known and described Botox side effect involves unintended paralysis of the depressor anguli oris and depressor labii inferioris muscles. By following an imaginary lines that continues inferiorly past the nasolabial fold as it crosses the mandible and injecting posteriorly to it, chemo-denervation of the depressor labii inferioris and lower lip asymmetry can be completely avoided. 

All of the above-mentioned and other unforeseen side-effects can be completely avoided by seeing Dr. Schwarzburg who has undergone extensive and profound training in minimally invasive procedures and is an active member of multiple cosmetic surgery societies. 

WHEN WILL I SEE MY NECK LIFT RESULTS?

Your neck Botox injection results will become evident within 7 – 14 days post-treatment as the platysmal muscle gradually relaxes with the neck having fewer wrinkles and looking tighter and lifted. If the results are suboptimal, you may need additional units of Botox. Compared with delivery in the other areas of the face response to Botox in the neck and submandibular regions is greater and longer-lasting. The duration of the effects can be maintained with regular visits to your botox clinic.

WHAT SHOULD I EXPECT MY BOTOX NECK LIFT RESULTS TO LOOK LIKE?

Before your Botox injections in neck muscles you will likely have signs of aging around your neck region, such as deep horizontal creases, or protruding vertical chords, all secondary to hypertrophied and unopposed platysmal muscle. After your neck Botox treatment, these unattractive visual signs will be minimized as the platysmal tension is significantly released and the skin wraps tighter along the jawline and the neck for a beautiful snatched and draped look. After precise dosing and administration there will be lifting and improved definition of the mandibular border and angle, the elevation of the corners of the mouth and draping the skin of the jawline contour to give the visual effect of a neck minilift. 

CAN BOTOX TIGHTEN YOUR NECK?

Botox treatment can tighten your neck by restricting platysma muscle contractions that would otherwise stretch out your skin. However, in severe cases of skin laxity, the injections will not help on their own and must be combined with other neck skin tightening treatments, such as Fraxel Dual laser treatments, or a surgical neck lift. Because it relaxes the muscle, Botox is often used to treat muscle stiffness and “tech neck”.

CAN BOTOX HELP A CREPEY NECK?

The neurotoxin can help prevent the formation of rhytids around the neck which contribute to a crepey appearance. However, in order to truly treat a crepey neck, botox will likely be combined with other skin treatments such as Secret RF microneedling collagen enhancing treatment. Skin crepiness in the neck is the culmination of multiple decades of UV-related damage and age-related loss of collagen. This condition is hard to treat and requires a multi-layered approach with multiple treatment modalities to achieve measurable outcomes. 

DOES BOTOX NEFERTITI NECK LIFT REALLY WORK?

Yes, a Nefertiti lift works! If you want to keep your neck wrinkles under control and have a smooth skin then you should definitely consider this procedure as part of your beauty maintenance routine. By keeping the platysmal muscles relaxed for approximately 90 days the deep creases in the skin are replenished with collagen and fill in the lines. This process can be repeated every 3-4 months so that your lines don’t resurface and your neck looks flawless. Keep in mind that Nefertiti lift is considered an “off label” use for Botox, meaning that FDA hasn’t approved this specific application. However, multiple studies have provided evidence of this procedure being successful and Dr. Schwarzburg is one of the few physicians in New York performing this advanced procedure.

IS BOTOX IN THE NECK DANGEROUS?

Botox injections are off-label use for the neck area. If erroneously injected into laryngeal and pharyngeal muscles the side effects can be devastating, including the inability to swallow. Hence it is paramount to have a board-certified injector with extensive experience and complete understanding of the neck anatomy.

WHAT PROCEDURES COMPLEMENT BOTOX NECK LIFT?

There are several treatments that can be used in conjunction with a Nefertiti lift to tighten the neck and contour of the jawline.

Some of these treatments include collagen-enhancing skin tightening, using lasers and fractional energy devices such as Fraxel Dual laser and Secret RF radiofrequency microneedling. Fraxel laser and Secret RF target the derma-epidermal junction and superficial subcutaneous skin layers that induce intense collagen production through micro-scarring and the resultant cervical skin remodelling and contraction. Those energy-induced skin interventions make the skin appear tighter and denser. 

Treatments like Ultherapy utilize high energy focused ultrasound waves to tighten the skin around the neck and underlying soft tissues around the jawline by depositing high energy pulses along the SMAS layer to reverse skin sagging and laxity.

Kybella injections take advantage of deoxycholic acid fat melting properties, and CoolSculpting can enhance the chin and jawline by removing stubborn fat throught the process of cryolipolysis. Finally, dermal fillers such as Juvederm are used alongside Botox injections in the neck and jawline, to fill deeper static wrinkles that have lost too much collagen to be treatable using neuromodulator alone, and to contour the jawline for an overall more youthful and draped appearance.

For more dramatic neck lifting, the treatment is often combined with a PDO thread neck lift, which is a non surgical neck lift. This advanced process involves subcutaneous insertion of barbed sutures that allow suspension and repositioning of soft tissues along multiple SMAS layers in the neck to achieve a nearly surgical result without the surgery. 

Surgical management of the advanced platysmal bands is complex and involves either horizontal myotomy or wedge myectomy depending on the degree and visibility of the bands at rest and during animation. Horizontal myotomy is preferred for static bands and is placed low at the level of the cricoid to avoid effecting the lip depressor function and masculinization of the neck. Dynamic bands on the other hand are more effectively treated with wedge myectomy of medial platysmal muscle. Successful surgical treatment of platysmal bands remains a challenge as clinical recurrence happens in over ⅓ of cases. 

BOTOX INJECTIONS FOR NECK TAKEAWAY

Botox in the neck can be used to reduce deep circular creases and prevent the formation of skin ptosis or turkey neck. It is also commonly used to treat conditions causing chronic neck pain such as cervical dystonia, resulting not only in a more relaxed, but rejuvenated overall neck and jawline. Nefertiti neck lift is not permanent and requires maintenance every few months. Be sure to schedule your appointment with a board certified plastic surgeon to get the best solution to solve your neck concerns.

HOW DO I GET STARTED WITH MY NEFERTITI NECK LIFT?

If you want to schedule your Nefertiti lift in NYC, then you are in the perfect hands with Dr. Schwarzburg at Skinly Aesthetics. With over a decade of acquired expertise and a highly sought after board certification, Dr. Schwarzburg is a leading expert in the field of cosmetic medicine in New York. Located on the Upper East Side of Manhattan, Skinly Aesthetics is owned and operated by Dr. Schwarzburg himself, to ensure that all of his patients receive the quality treatment that they deserve.You can schedule your consultation today by calling (212) 774-4264, or by emailing us at info@skinlyaesthetics.com.