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Botulinum Toxin on the Neck

  • Rodrigo Biagioni Ribeiro de Abreu MaiaEmail author
  • Adriana Biagioni de Almeida Magalhães Carneiro
Living reference work entry

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Part of the Clinical Approaches and Procedures in Cosmetic Dermatology book series (CAPCD)

Abstract

The use of toxin botulinum A (BTXA) for aesthetic indications continues to grow in popularity due to its safety, quick effects, and short recovery time. Its use on the neck to improve vertical and horizontal lines is becoming more common, due to the better understanding by physicians of the role of the contraction of the platysma muscle during the senescent changes seen in the neck. The downward pull of the platysma over time leads to a loss of the definition of the chin and the jawline, the jowls, the vertical bands, and the horizontal rhytides. The cervical treatment can also soften the melomental fold and improve the lateral cheek lines by weakening the downward force exerted by the platysma on the structures of the lower face. Knowledge of the anatomy of this region, familiarity with toxin botulinum injection, and technical experience are crucial for the best results. This chapter discourse about the treatment of the vertical bands and the horizontal lines of the neck using botulinum toxin.

Keywords

Botulinum toxin Neck Platysmal bands Necklace lines Jow Jawline Jowls Vertical bands Lower face Platysma Horizontal lines 

References

  1. Becker-Wegerich PM, Rauch L, Ruzicka T. Botulinum toxin A: successful décolleté rejuvenation. Dermatol Surg. 2002;28:168–71.CrossRefGoogle Scholar
  2. Carruthers A, Carruthers J. Aesthetic botulinum a toxin in the mid and lower face and neck. Dermatol Surg. 2003;29:468–76.PubMedPubMedCentralGoogle Scholar
  3. Cartee TV, Monheit GD. An overview of botulinum toxins: past, present and future. Clin Plast Surg. 2011;38:409–26.  https://doi.org/10.1016/j.cps.2011.03.010.CrossRefPubMedGoogle Scholar
  4. Kane MAC. Nonsurgical treatment of platysmal bands with injection of botulinum toxin a. Plast Reconstr Surg. 1999;103:656–63.CrossRefGoogle Scholar
  5. Klein AW. Complications, adverse reactions, and insights with the use of botulinum toxin. Dermatol Surg. 2003;29:549–56.PubMedGoogle Scholar
  6. Matarasso A, Matarasso SL, Brandt FS, Bellman B. Botulinum a exotoxin for the management of platysma bands. Plast Reconstr Surg. 1999;103:643–52.Google Scholar
  7. Sarrabayrose AMA. Indications and limitations for the use of botulinum toxin for the treatment of facial wrinkle. Aesthet Plast Surg. 2002;26:233–8.  https://doi.org/10.1007/s00266-002-2030-x.CrossRefGoogle Scholar
  8. Sorensen EP, Urman C. Cosmetic complications: rare and serious events following botulinum toxin and soft tissue filler administration. J Drugs Dermatol. 2015;14(5):486–91.PubMedGoogle Scholar
  9. Spósito MM. New indications for botulinum toxin type a in treating facial wrinkles of the mouth and neck. Aesthet Plast Surg. 2002;26:89–98.  https://doi.org/10.1007/s00266-002-1491-2.CrossRefGoogle Scholar
  10. Stephan S, Wang TD. Botulinum toxin: clinical techniques, applications, and complications. Facial Plast Surg. 2011;27:529–39.  https://doi.org/10.1055/s-0031-1298786.CrossRefPubMedGoogle Scholar
  11. Tamura B. The effect of botulinum toxin on platysma muscle. Curr Dermatol Rep. 2012;1(2):89–95.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Rodrigo Biagioni Ribeiro de Abreu Maia
    • 1
    • 2
    Email author
  • Adriana Biagioni de Almeida Magalhães Carneiro
    • 1
  1. 1.Clínica da Pele, Cabelos e UnhasBelo HorizonteBrazil
  2. 2.Clinical and Aesthetic DermatologyClinica da PeleBelo HorizonteBrazil

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