Botox for Neck Vertical Lines (Platysmal Bands)

Vertical neck lines, medically known as platysmal bands, result from age-related thinning of the skin and increased activity of the platysma muscle, a superficial muscle extending from the jawline to the collarbone. Over time, repetitive muscle contraction and loss of skin elasticity cause these bands to become more prominent, contributing to an aged or tense neck appearance.

Botulinum Toxin Type A—including Botox®, Xeomin®, and Dysport®—works by temporarily inhibiting acetylcholine release at the neuromuscular junction, leading to controlled relaxation of the platysma muscle. When performed by an experienced physician, this targeted relaxation results in a smoother neck contour, reduced band prominence, and improved lower face definition without compromising normal function.

Benefits of Botulinum Toxin for Neck Vertical Plastymal Bands

At RDYMD in Coral Gables, Dr. Rafael Diaz-Yoserev, MD, FACS, applies over 30 years of surgical expertise to precisely map and inject the platysmal bands, ensuring balanced muscle relaxation and natural-looking outcomes. Dr. Diaz-Yoserev often prefers Xeomin® for neck treatments due to its highly purified formulation without accessory proteins, allowing for consistent dosing, predictable diffusion, and reduced risk of treatment resistance—particularly important in delicate anatomical areas such as the neck.

''Turkey Neck "

“Turkey neck” is a common age-related concern characterized by loose skin, vertical neck bands, and muscle laxity caused by weakening of the platysma muscle, loss of collagen, and decreased skin elasticity. At RDYMD in Coral Gables, medically supervised treatments such as Botox® and Xeomin® are used to relax overactive neck muscles, soften visible bands, and improve overall neck contour without surgery. Under the expert care of Dr. Rafael Diaz-Yoserev, MD, FACS, patients receive personalized treatment plans designed to restore a smoother, more youthful neck appearance while preserving natural movement and expression.

we’re here to Answer all your questions

Vertical platysma bands are the visible vertical lines that form on the neck as the platysma muscle tightens or becomes more pronounced with age. Factors such as collagen loss, repetitive muscle activity, sun exposure, and natural aging can make these neck bands more noticeable.

Botox and Xeomin work by gently relaxing the platysma muscle, softening the appearance of neck bands and creating a smoother, more youthful-looking neck. The treatment targets muscle activity while preserving natural movement and expression.

Most clients begin noticing improvement within 3–7 days, with full results visible around 2 weeks. Effects typically last 3–4 months, though this may vary depending on individual muscle activity and treatment goals.

Yes—when performed by a trained medical professional, the treatment is considered safe and effective. At RDYMD Med Spa in Coral Gables, Miami, all injections are performed exclusively by Rafael Diaz-Yoserev, MD, FACS, a board-certified general, vascular, and cosmetic surgeon with over 30 years of experience, ensuring precision, safety, and natural results.

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