Yes, BOTOX® Cosmetic has received FDA approval for a new aesthetic indication: the temporary improvement of moderate to severe vertical neck bands, known as platysma bands. This approval, granted in October 2024, marks the first time a neurotoxin has been officially authorized to treat this area, expanding BOTOX® Cosmetic’s indications beyond the face to include the neck.
What Are Platysma Bands?
Platysma bands are vertical lines that appear on the neck due to the contraction of the platysma muscle—a thin sheet-like muscle extending from the chest up to the jawline. Over time, these bands can become more prominent, contributing to an aged or less defined neck and jawline appearance.
How Does BOTOX® Cosmetic Work for This Area?
BOTOX® Cosmetic is injected into the platysma muscle to temporarily reduce its activity. By relaxing this muscle, the treatment diminishes the appearance of the vertical neck bands, leading to a smoother and more youthful neck contour. Depending on the severity, doses of 26, 31, or 36 units are administered along the jawline and neck.
Clinical Trial Results
In two Phase III clinical studies, BOTOX® Cosmetic demonstrated significant improvements in the appearance of platysma bands compared to placebo. At 14 days post-treatment, 65% and 62% of patients reported being “Very Satisfied” or “Satisfied” with their neck and jawline appearance, compared to only 12% in the placebo groups.
Safety Profile
The safety profile for treating platysma bands with BOTOX® Cosmetic is consistent with its other aesthetic uses. Common side effects include localized pain, swelling, redness, and bruising at the injection site. No new adverse reactions were identified in the clinical trials.
Significance of the Approval
This FDA approval is notable as it extends BOTOX® Cosmetic’s aesthetic indications to four areas: forehead lines, frown lines, crow’s feet, and now platysma bands. It provides a non-surgical option for individuals seeking to improve the appearance of their neck and jawline, areas that previously had limited non-invasive treatment options.
For those interested in this treatment, consulting with our JDV Med Spa qualified healthcare providers is essential to determine suitability and to discuss potential benefits and risks. Schedule a virtual consultation, or in person at our Cuyahoga Falls or Canton, Ohio locations.
After Day 14—Devonna, 53
BOTOX® Cosmetic is FDA approved to temporarily improve the look of moderate to severe vertical bands connecting the jaw and neck (platysma bands) in adults.
IMPORTANT SAFETY INFORMATION
BOTOX® Cosmetic may cause serious side effects that can be life threatening. Get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX® Cosmetic:
- Problems swallowing, speaking, or breathing, due to weakening of associated muscles, which can be severe and result in loss of life. You are at the highest risk if these problems are preexisting before injection. Swallowing problems may last for several months.
- Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms, including loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, and trouble swallowing.
BOTOX® Cosmetic dosing units are not the same as, or comparable to, any other botulinum toxin product.
There has not been a confirmed serious case of spread of toxin effect when BOTOX® Cosmetic has been used at the recommended dose to treat frown lines, crow’s feet lines, forehead lines, and/or platysma bands.
BOTOX® Cosmetic may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of receiving BOTOX® Cosmetic. If this happens, do not drive a car, operate machinery, or do other dangerous activities.
Serious and/or immediate allergic reactions have been reported, including itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.
Do not receive BOTOX® Cosmetic if you are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc (rimabotulinumtoxinB), Dysport (abobotulinumtoxinA), Xeomin (incobotulinumtoxinA), Jeuveau (prabotulinumtoxinA-xvfs), Daxxify (daxibotulinumtoxinA-lanm), or Letybo (letibotulinumtoxinA-wlbg); or have a skin infection at the planned injection site. This list may not include all available botulinum toxin products.
Tell your doctor about all your muscle or nerve conditions, such as ALS or Lou Gehrig’s disease, myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects, including difficulty swallowing and difficulty breathing, from standard doses of BOTOX® Cosmetic.
Tell your doctor about all your medical conditions, including surgery or plans to have surgery on your face, trouble raising your eyebrows, drooping eyelids, any other abnormal facial change, are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby), or are breastfeeding or plan to (it is not known if BOTOX® Cosmetic passes into breast milk).
Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Using BOTOX® Cosmetic with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® Cosmetic in the past.
Tell your doctor if you have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin such as Myobloc, Dysport, Xeomin, Jeuveau, Daxxify, or Letybo in the past (tell your doctor exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; or take aspirin-like products or blood thinners.
Other side effects of BOTOX® Cosmetic include dry mouth; discomfort or pain at the injection site; tiredness; headache; neck pain; and eye problems, including double vision, blurred vision, decreased eyesight, drooping eyelids and eyebrows, swelling of eyelids, and dry eyes.
Approved Uses
BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to temporarily improve the look of moderate to severe forehead lines, crow’s feet lines, frown lines between the eyebrows, and vertical bands connecting the jaw and neck (platysma bands) in adults.
For more information, please call JDV Med Spa at (330) 752-7296 or book an appointment.