Neck bands are vertical cords that can become more visible as the skin and underlying muscles change with age. They are caused by the platysma muscle contracting and pulling downwards, rather than by skin quality alone. This distinction is often overlooked, making it difficult to determine whether skincare, devices, injectables, or no treatment at all is the most appropriate approach. Botox for neck bands is frequently discussed online, but explanations vary in clarity and accuracy.

A careful understanding matters because treating the neck is more complex than treating many facial areas. The anatomy is different, movement patterns are stronger, and results depend heavily on practitioner skill, dosing, and patient selection. Botox does not tighten skin or replace surgical options, and it is not suitable for every type of neck concern. Knowing what it can and cannot do helps prevent unrealistic expectations and supports safer decision-making.

This guide explains how Botox is used to address neck bands, who may or may not be suitable for treatment, how treatment is typically planned, and what limitations to be aware of. It also outlines common considerations around safety, longevity, and professional assessment, so you can decide whether this information applies to you before taking things further.

What Are Neck Bands/Neck Wrinkles and How Are They Caused?

Neck bands are the horizontal fine lines that appear on our necks as we age causing the neck skin to become loose which leads to sagging skin. You may also have very apparent platysmal bands – the neck muscles that run vertically down your neck area – which become more prominent as you get older. Sometimes, platysmal bands are described as causing a 'turkey neck' appearance.

A decline in collagen and elastin contributes to fine lines and wrinkles, alongside excessive sun exposure and pollution. Additionally, thinning skin makes the platysmal bands more visible over time. Weight loss and teeth clenching associated with stress can also mean your platysmal bands are more noticeable.

Can You Get Rid of Neck Bands With Botox Treatment?

Botox treatment (or other brands of botulinum toxin such as Bocouture, Azzalure, Letybo, or Nuceiva) can be a great way to reduce the appearance of your necklines and wrinkles. As a muscle relaxant, botulinum toxin will reduce the pulling platysma muscle movement which will then reduce their appearance.

Treatment with neck Botox is not a permanent solution though; you'll need top-ups every three to six months.

What Should I Expect From Neck Band Treatment?

Your practitioner reduces your neck lines by injecting Botox along the neck muscles and sometimes it can be combined with a low-face treatment. The total amount of injections will depend on the size and severity of your concerns. Treatment is not painful and you will only feel a sharp scratch as the needle goes in.

You may notice some redness and swelling around the injected area, which will subside after a few hours.

After two weeks, the results of your neck band treatment will be fully visible.

How Much Does It Cost to Treat Neck Bands?

It all depends on the severity of your neck lines and/or platysmal bands, along with the experience of your practitioner and the location of their clinic.

The cost of neck Botox can vary from £200 to more than £400. Always see someone with experience in Botox treatments over getting a cheap deal!

Are there side effects to treating neck bands with Botox?

Side effects to neck Botox and other brands of botulinum toxin are rare, but can include:

  • Headaches

  • Swelling and redness around injection sites

  • Allergic reaction

  • Muscle weakness in the neck

The most dangerous complications are double vision and difficulty breathing, but these are thankfully extremely rare.

If you experience any side effects or complications due to your neck Botox, contact your practitioner immediately.

Who Should You Trust to Treat Your Neck Bands?

Not all practitioners will have training and experience in treating horizontal fine neck lines and wrinkles with Botox so choose your practitioner carefully.

We highly recommend that you only undergo neck Botox treatment with a medically-qualified professional, who will have undergone training in anatomy and physiology, as well as being accountable to a regulatory body such as the General Medical Council (GMC), Nursing and Midwifery Council (NMC) or General Dental Council (GDC).

They should also be able to advise you of the risks of injectable treatment and be confident in handling complications if they arise.

Check out our handy guide for finding a practitioner you can trust.

Book a consultation for neck Botox today!

As always, if you have any questions you can use our Botox Q&A where you can ask for more advice direct from a trusted, experienced medical practitioner.

Not sure Botox treatment is right for you? We have lots of Botox FAQs, Botox videos, Botox reviews, and Botox before and after images for you to do more research if you are not ready to speak to a medically trained Botox injector yet.
 
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