Open Access
CC BY 4.0 · Arch Plast Surg 2024; 51(05): 447-458
DOI: 10.1055/s-0044-1788284
Cosmetic: Special Topic

Anatomical Guidelines and Technical Tips for Neck Aesthetics with Botulinum Toxin

Hyewon Hu    *
1   Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, Seoul, Korea
,
Soo-Bin Kim    *
1   Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, Seoul, Korea
,
Jovian Wan 
2   Asia Pacific Aesthetic Academy, Hong Kong
,
Lisa Kwin Wah Chan 
3   EverKeen Medical Centre, Hong Kong
,
Alvin Kar Wai Lee 
3   EverKeen Medical Centre, Hong Kong
,
Olena Sydorchuk 
4   Wlabel, Seoul, Korea
,
Arash Jalali 
5   One Clinic MD, Vancouver, Canada
,
Mariana César Corrêa 
6   Clinic Dr Mariana Correa, Brazil
,
Jong-Seo Kim 
7   Kimjongseo Plastic Surgery Clinic, Seoul, Korea
,
Kyu-Ho Yi 
1   Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, Seoul, Korea
8   Maylin Clinic (Apgujeong), Seoul, Korea
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Funding None.
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Abstract

Botulinum toxin can be used for various purposes to enhance neck aesthetics, addressing concerns such as platysmal bands, optimizing the cervicomental angle, preventing worsening of horizontal neckline and decolletage lines during aging, submandibular gland hypertrophy, and hypertrophied superior trapezius muscle. Understanding the anatomy of muscles such as the trapezius, platysma, and submandibular gland is crucial for achieving desirable outcomes with botulinum toxin administration. Techniques for injecting botulinum toxin into these muscles are discussed, emphasizing safety and efficacy. Specific injection points and methods are detailed for treating platysmal bands, optimizing the cervicomental angle, addressing submandibular gland hypertrophy, and managing hypertrophied superior trapezius muscle. Careful consideration of anatomical landmarks and potential complications is essential for successful botulinum toxin injections in these areas.

Keywords

neck aesthetics - botulinum toxin - beautiful neck - trapezius muscle - submandibular gland - platysma muscle

Authors' Contributions

All authors have reviewed and approved the article for submission.


Conceptualization: K-H.Y.


Writing—original draft preparation: H.H., S-B.K., J.W., L.K.W.C., K.W.A.L.


Writing—review and editing: O.S., A.J., M.C.C., J-S.K.


Visualization: H.H., S-B.K., J.W.


Supervision: K-H.Y.


Ethical Approval

This study was conducted in compliance with the Declaration of Helsinki.


Patient Consent

Consent was received from donors and the families of the deceased patients before beginning the dissection.


* These authors contributed as first authors.




Publication History

Received: 17 April 2024

Accepted: 16 June 2024

Article published online:
09 August 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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