Neck Decollete Botox

Fine lines, wrinkles, and changes in skin texture may develop in the neck and décolletage area with age. Various factors, including aging, sun exposure, skin structure, and the movement of the neck muscles, may contribute to these changes.

Botulinum toxin is one of the treatment options that may be considered for the appearance of neck bands associated particularly with increased activity of the platysma muscle. For wrinkles in the décolletage area, the suitability of the treatment is evaluated based on the underlying mechanism of wrinkle formation and the characteristics of the skin.

What Is Neck Botox and How Does It Work?

Neck Botox is a procedure performed by administering botulinum toxin to specific muscles in the neck area.

Platysma muscle activity may contribute to the prominence of vertical neck bands. Botulinum toxin temporarily reduces nerve-muscle communication in the treated muscles, resulting in decreased muscle activity.

Due to this mechanism, a reduction in the appearance of platysma bands may be considered in suitable cases where the bands are prominent. However, not all wrinkles in the neck area are caused by muscle movement. Skin quality, loss of elasticity, and other signs of aging should also be evaluated.

What Is Décolletage Botox?

Décolletage Botox refers to the use of botulinum toxin to address the appearance of fine lines and wrinkles in the upper chest area.

Various factors, including skin aging, sun exposure, and repetitive mechanical movements, may contribute to the formation of lines in the décolletage area.

Therefore, it is not appropriate to evaluate botulinum toxin in the same way for every type of wrinkle in the décolletage area. An individualized assessment should be performed, taking into account the mechanism of wrinkle formation and the characteristics of the skin in the area.

How Are Neck and Décolletage Wrinkles Evaluated?

Signs of aging in the neck and décolletage area may not be attributable to a single cause.

During the evaluation, factors such as the following may be considered:

• The prominence of neck bands,
• Platysma muscle activity,
• Whether the wrinkles are superficial or more pronounced,
• Skin elasticity,
• Sun damage,
• Skin quality,
• Anatomical characteristics of the area.

This assessment helps determine whether botulinum toxin alone may be appropriate or whether different treatment approaches should also be considered.

In Which Cases May Neck Botox Be Considered?

Neck Botox may be considered particularly for vertical neck bands that become prominent due to platysma muscle activity.

Systematic reviews examining the treatment of platysma bands with botulinum toxin have reported improvements in the appearance of the bands following treatment. However, the number of available studies and their sample sizes remain limited.

When wrinkles in the neck area are caused primarily by the skin rather than muscle activity, the effect of botulinum toxin may be limited. Therefore, the underlying cause of the wrinkles should be evaluated before treatment.

In Which Cases May Décolletage Botox Be Considered?

Fine lines and wrinkles in the décolletage area may develop for various reasons. Botulinum toxin may be considered particularly in cases where muscle movement is thought to contribute to wrinkle formation.

However, scientific evidence regarding botulinum toxin applications in the décolletage area is more limited compared with the available clinical evidence for platysma bands.

Therefore, it cannot be said that décolletage Botox will provide the same results in all individuals or for all types of décolletage wrinkles.

How Are Neck and Décolletage Botox Treatments Performed?

Before treatment, the anatomical structure of the neck and décolletage areas and the characteristics of wrinkle formation are evaluated.

In the neck area, appropriate injection sites may be determined by assessing platysma muscle activity and the distribution of the bands.

During the procedure, botulinum toxin is administered to the predetermined areas through small injections. The product used, dosage, and injection points may vary depending on the individual's anatomical characteristics and the purpose of the treatment. In the décolletage area, it is important to evaluate the treatment according to the characteristics of the wrinkles.

What Are the Possible Side Effects of Neck and Décolletage Botox?

As with any medical procedure, side effects may occur following botulinum toxin treatment.

Local effects at the injection site may include:

• Redness,
• Swelling,
• Tenderness,
• Bruising,
• Temporary pain.

In the neck area, temporary muscle weakness or changes associated with movement may occur due to reduced muscle activity. Clinical studies have reported that a significant proportion of the side effects are mild and temporary. Medical evaluation before the procedure is important, particularly with regard to rare or more pronounced adverse effects.

When Do the Effects of Neck and Décolletage Botox Become Visible?

The effects of botulinum toxin do not appear immediately after treatment. Changes in muscle activity develop over time.

Clinical studies investigating the platysma region have reported clinical changes becoming more noticeable during early follow-up assessments, particularly around two weeks after treatment.

The timing and degree of the effect may vary from person to person.

How Long Do the Effects of Neck and Décolletage Botox Last?

The effects of botulinum toxin are temporary. The duration of the effect may vary depending on several factors, including the product used, treatment area, dosage, muscle activity, and individual characteristics.

Clinical studies examining platysma prominence have reported that the treatment effect continued throughout the follow-up period, although a gradual reduction in the degree of response may occur over time.

Therefore, it would not be appropriate to provide one definitive duration of effect that applies to everyone.

Why Do Signs of Aging Develop in the Neck and Décolletage Area?

Signs of aging in the neck and décolletage area may develop as a result of multiple factors.

These may include:

• Age-related changes in skin structure,
• Loss of collagen and elasticity,
• Sun exposure,
• Repetitive muscle movements,
• Genetic characteristics,
• Factors related to skin type and lifestyle.

Platysma muscle activity may play a role particularly in the formation of vertical bands in the neck. However, not every neck line or wrinkle is caused by muscle activity.

Who May Be Considered for Neck and Décolletage Botox?

The treatment may be considered for individuals who are concerned about certain aesthetic changes in the neck or décolletage area and who are found to be suitable for botulinum toxin following a medical evaluation.

In particular, the presence of prominent bands associated with platysma activity in the neck area is one of the conditions that may be considered for botulinum toxin treatment.

However, the decision to proceed with treatment should not be based solely on the appearance of the wrinkles. The underlying causes and the individual's overall health should also be taken into consideration.

Who May Not Be Suitable for Neck and Décolletage Botox?

The suitability of botulinum toxin treatment is assessed based on the individual's health status.

In particular:

• Individuals with an active infection or significant skin problem in the treatment area,
• Individuals with a known hypersensitivity to botulinum toxin or any of its components,
• Individuals with certain neuromuscular disorders,
• Individuals who are pregnant or breastfeeding should undergo medical evaluation before treatment.

The product's prescribing information and the individual's current medications should also be taken into consideration during the assessment.

What Is a Nefertiti Lift?

A Nefertiti Lift refers to a technique involving the administration of botulinum toxin to specific muscle structures in the lower face, jawline, and neck area.

This approach particularly takes into account the effects of the platysma muscle on the lower face and neck.

Although studies examining the Nefertiti Lift have been published in the literature, the number of studies and the patient populations evaluated remain limited. Therefore, the results of the technique should not be generalized as being the same for every individual.

Can Neck and Décolletage Botox Be Considered Alongside Other Treatments?

Since signs of aging in the neck and décolletage area may result from multiple factors, different treatment approaches may be considered together in some individuals.

While botulinum toxin is primarily considered for changes associated with muscle activity, other treatments targeting skin quality and loss of elasticity may be evaluated separately.

The appropriate approach should be determined by a physician based on the individual's skin structure, signs of aging, anatomical characteristics, and expectations.

Why Is Neck and Décolletage Botox Preferred in Türkiye?

In recent years, Türkiye has become one of the world's leading countries in the fields of aesthetic medicine and medical aesthetics. With physicians specialized in these fields, qualified medical professionals, modern and well-equipped clinics, and competitive costs, Türkiye has become a preferred destination for patients from around the world. Every year, many medical tourists visit the country for medical aesthetic procedures, including neck and décolletage Botox.

What Are the Prices of Neck and Décolletage Botox?

The price of neck and décolletage Botox is determined based on the size of the treatment area and the amount of product used. The use of a high-quality product and the experience of the practitioner are among the most important factors for achieving safe and satisfactory results. For the most up-to-date and accurate information about neck and décolletage Botox prices, it is recommended to consult a medical aesthetics specialist or healthcare provider.

In Which Cities Do We Provide Neck and Décolletage Botox Services?

Medical Aesthetics Specialist Dr. Lida Çiteli provides neck and décolletage Botox treatments at her clinic in Istanbul to patients from various cities across Türkiye, as well as to international patients from different parts of the world as part of medical tourism.

Scientific Evidence on Neck and Décolletage Botox

Clinical studies, systematic reviews, and randomized controlled trials have investigated the use of botulinum toxin in the neck and décolletage areas. Current scientific evidence indicates that botulinum toxin can provide clinical improvement in the appearance of vertical neck bands, particularly when they are associated with prominent platysma muscle activity. However, it should be noted that studies differ in terms of patient characteristics, doses used, injection techniques, and assessment methods.

The evidence regarding fine lines and wrinkles in the décolletage area is more limited compared with the available data on the neck and platysma bands. Therefore, it would not be appropriate to conclude that botulinum toxin is equally effective for every type of neck or décolletage wrinkle.

2019 Systematic Review

A systematic review published in 2019 evaluated studies investigating the treatment of mild to moderate platysma bands with botulinum toxin. The review included a total of 3 studies and 78 patients. The studies reported improvements in the appearance of platysma bands following treatment, particularly at assessments performed on day 14 and at 3 months. However, the limited number of studies indicated a need for further research involving larger populations.

2024 Randomized Controlled Clinical Trial

A phase 2 randomized controlled trial published in 2024 compared onabotulinumtoxinA with placebo in patients with moderate to severe platysma prominence. The assessments reported improvement in platysma prominence in the treatment group as early as day 14, with follow-up continuing for approximately 4 months.

The study reported that a significant proportion of treatment-related adverse events were mild and temporary, while neck muscle weakness was among the adverse effects monitored during follow-up.

2024–2025 Phase 3 Clinical Trials

Later-stage randomized controlled trials also evaluated patients with moderate to severe platysma prominence.

Improvements in the appearance of the platysma were reported in the onabotulinumtoxinA group based on both investigator and patient assessments. The effect was reported to persist throughout the follow-up period, although a gradual reduction in the level of response could be observed over time.

2025 and 2026 Meta-Analyses

Meta-analyses published in 2025 and 2026 evaluated randomized controlled trials investigating the effects of botulinum toxin on platysma prominence collectively.

A 2026 meta-analysis evaluated 3 randomized controlled trials involving a total of 912 patients. It reported significant results for improvement in platysma appearance by at least one grade and at least two grades in the onabotulinumtoxinA group compared with placebo. Treatment-emergent adverse events were reported to be similar between the two groups, and most reported events were mild and temporary.

What Does the Evidence Say About Neck Wrinkles?

Systematic reviews have also investigated the use of botulinum toxin for the treatment of neck wrinkles.

Although the available studies have reported positive results, the limited sample sizes and differences in study methodologies mean that the current evidence cannot be considered conclusive for neck wrinkles.

Therefore, botulinum toxin should be considered more specifically for neck changes in which muscle activity plays a role, while other contributing factors should also be evaluated separately in skin-related wrinkles.

What Is the Scientific Evidence for the Décolletage Area?

Although studies have investigated the use of botulinum toxin for wrinkles in the décolletage area, the scientific evidence in this field is more limited than the research available on the neck and platysma bands.

Since factors such as sun exposure, skin structure, aging, and repetitive mechanical movements may contribute to the formation of décolletage lines, the suitability of botulinum toxin should be evaluated according to the underlying mechanism of wrinkle formation.

Is There a Standard Treatment Protocol?

The doses, injection points, target muscles, and assessment time points used for botulinum toxin treatment in the neck and décolletage areas vary between studies.

Although more recent clinical studies focusing on the platysma region have evaluated specific treatment protocols, there is no single standard protocol that applies to all neck and décolletage wrinkles. Therefore, the scientific literature supports planning treatment based on individual factors such as the cause of the wrinkles, platysma activity, skin characteristics, and anatomical structure.