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Platysmal bands are those corded, vertical lines that appear on the neck, particularly when someone clenches their jaw or smiles. They are caused by a specific underlying muscle.


The platysma is a broad, flat muscle that runs down the front of the neck from the collarbone to the jawline. When it contracts, it can cause the overlying skin to bunch up, creating the appearance of vertical bands.

  • Aging: As we age, the platysma muscle can become looser and more prominent, making the bands more noticeable.
  • Genetics: Some people are naturally predisposed to having more defined platysmal bands.
  • Sun exposure: Sun damage can contribute to a loss of skin elasticity, making the platysmal bands appear more pronounced.


Similar to loose neck skin, platysmal bands are not a medical condition. However, there are cosmetic approaches to address them:

  • Botox injections: Injecting Botox into the platysma muscle can relax it and reduce the appearance of the bands.
  • Dermal fillers: Fillers can be used to plump up the areas between the bands, creating a smoother overall appearance.
  • Surgical procedures: A neck lift or platysmaplasty can tighten the platysma muscle and overlying skin for a more sculpted neck.


Please consult a board-certified dermatologist or plastic surgeon to discuss your concerns and explore treatment options.

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