Revolutionary Advances in Neck Rejuvenation: FDA Approval of Platysmal Band BOTOX®

Hannah Calvo • February 10, 2025

Fresh from the Allergan Medical Institute Training Summit, I'm thrilled to share some groundbreaking developments in aesthetic medicine. The recent FDA approval of BOTOX® for platysmal bands marks a significant milestone in our field, validating what many of us have known and practiced for years.

A Historic Moment in Aesthetic Medicine

Before diving into this exciting advancement, let's take a moment to appreciate the revolutionary journey of BOTOX® in cosmetic medicine. The story begins with Dr. Jean Carruthers' serendipitous discovery in the late 1980s. While treating patients for blepharospasm, she noticed the remarkable aesthetic improvements in the glabellar lines. This observation, shared with her dermatologist husband, Dr. Alastair Carruthers, led to the first published study on BOTOX® for cosmetic use in 1992. Their pioneering work transformed aesthetic medicine, making BOTOX® the most popular cosmetic treatment worldwide.

The Next Frontier: FDA Approval for Platysmal Bands

While we've been successfully treating platysmal bands "off-label" for years, the recent FDA approval represents more than just regulatory acceptance. It validates years of clinical experience and opens doors for more practitioners to incorporate this treatment into their practices confidently. The approval comes after extensive clinical studies demonstrating both the safety and efficacy of BOTOX® in treating these prominent neck bands.

A Holistic Approach to Facial Aesthetics

At our practice, we've always understood that true facial rejuvenation requires a comprehensive approach. The neck isn't just an isolated area – it's an integral part of our overall facial appearance. Treating platysmal bands with BOTOX® offers benefits that extend beyond the neck:

  • Improved definition of the jawline
  • Enhanced lower face contours
  • More harmonious facial proportions
  • Reduced appearance of neck tension
  • Better overall facial balance

The Science Behind the Results

When we treat platysmal bands, we're not just addressing surface aesthetics. These vertical bands become more prominent with age as our platysma muscle loses its natural elasticity and begins to separate. BOTOX® works by precisely targeting these muscle bands, reducing their contractile force and creating a smoother, more youthful neck appearance.

Combining Treatments for Optimal Results

One of the most exciting aspects of modern aesthetic medicine is our ability to combine treatments for enhanced outcomes. Our practice has seen remarkable results pairing platysmal band BOTOX® with hyperdilute Radiesse. This powerful combination addresses both muscular and structural aspects of neck aging:

  1. BOTOX® relaxes the platysmal bands, creating immediate improvement in neck contours
  2. Hyperdilute Radiesse works as a nio stimulator to:
  • Trigger natural collagen production
  • Improve skin quality and texture
  • Enhance structural support
  • Promote long-term skin remodeling

The Future of Neck Rejuvenation

This FDA approval signals a growing recognition of the importance of the neck in aesthetic medicine. We're moving away from treating isolated areas and toward a more sophisticated understanding of facial aging as an interconnected process. The neck, often called the "tell-tale" sign of aging, deserves the same attention and precision we give to facial treatments.

Expert Treatment Matters

While the FDA approval makes this treatment more accessible, it's crucial to remember that optimal results depend on expert administration. Proper technique, thorough understanding of anatomy, and experience in combining treatments are essential for achieving natural-looking results.

Conclusion

The FDA approval of BOTOX® for platysmal bands represents more than just a new indication – it's a validation of our comprehensive approach to facial aesthetics. As we continue to advance in our understanding of facial aging and rejuvenation, properly treating the neck becomes increasingly crucial for achieving natural, harmonious results.


For those considering neck rejuvenation, this development offers an exciting, clinically proven option. Combined with treatments like hyper dilute Radiesse, we can offer more comprehensive solutions for this challenging area than ever.


Ready to explore your options for neck rejuvenation? Schedule a consultation to learn how these revolutionary treatments can help you achieve your aesthetic goals.

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