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Face Cosmetic Surgery

Botox Neck Lift

Nonsurgical neck rejuvenation

Mini Facelift

Not all patients will need surgery to rejuvenate the neck. Botox is a nonsurgical option that can help address the appearance of minor vertical neck bands.

Vertical neck bands are the result of the aging of the platysma muscle that normally runs between the jaw line, the neck angle, and the clavicle.  It is a paired muscle that normally joins in the midline and functions in several functions including chewing, frowning, turning, and even speaking.  Over-use and age will  result in the splitting of the muscle in the midline as well as detaching the muscle from the angle of the neck.  The split platysma appears as two parallel vertical bands.

Minor changes banding can be addressed with botox.  Major splitting with sagging of the neck skin will require a surgical platysmaplasty.

The split platysma muscle in the neck can be seen as two parallel vertical bands in the midline of the neck.  As they separate, they also separate from their attachments to the underlying structures of the neck.  The result is that the nice right angle that defines the an elegant neck is lost.  Instead, the muscle appear to extend directly from the chin to the collar bone.  The muscle becomes less efficient and contracts more to become more efficient.  Tension in the muscle not only appears more visibly, but it causes the neck skin to stretch and fall faster.    

Botox is a nonsurgical injection product that reduces muscle tension.  The result is less visibility of the vertical platysma edges and a smoother neck.  Botox also has the ability to slow down the aging of the neck because the platysma muscle no longer pulls and stretches the neck skin.

Because botox reduces the tension in the platysma muscle, the platysma muscle is no longer to inefficiently pull and stretch the neck skin. 

There is a normal tug of war between the muscles in the face and the muscles of the neck.  The platysma normally aids in some facial movements that help the jaw move down and side to side.  This is a downward movement.  

Because the action of botox in the neck is to weaken the platysma muscle, the muscles of the face become relatively stronger.  These muscles pull up on the face.  Botox in the neck therefore results in elevation of the facial muscles and jowls.

  • There is no down-time.  Patients can immediately return to work


  • Botox takes 3-5 days to begin to work


  • Botox does not reach maximum effect for about 2 weeks
  • Botox lasts for about 3-4 months


  • Patients who prepay every 3 months are offered a discount

As with any surgery, there are associated risks.  Only you can decide whether a platysmaplasty can achieve your goals and whether the recovery and risk profile are acceptable to you.  Complications are rare.

  • Bruising
  • Asymmetry (unevenness between two sides)
  • Alergic reaction
  • Under-correction
  • Over-correction

Unsatisfactory results that may require additional injections.  Patients will generally be responsible for any associated fees

We charge botox by the units used.  On average, each area of the face requires about 20-25 units.  Common areas include the forehead, the glabella lines between the brows, the crow’s feet lines, and the neck.  See the price card below.

  • Horizontal forehead lines
  • Vertical glabellar lines between the brows
  • Crow’s feet lines
  • Neck vertical bands
  • Horizontal line below the nose
  • Vertical lines around the lips
  • Relieve tension and some migraine headaches
  • Relieve the pain from TMJ
  • Lift the corners of the lip
  • Provide a mild facelift
  • Lift the lateral brow
  • Reduce muscle spasms

According to Allergan, the manufacturer of Botox, 
Botox will last an average of 3 to 4 months.

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$14 / unit

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Botox Neck Lift in Northern Virginia

Dr. Phillip Chang Plastic Surgeon in Loudoun VA

Dr. Phillip Chang is a leading plastic surgeon in Loudoun County who specializes in surgical and nonsurgical cosmetic procedures for the breast, body, face, and skin. He is board certified in plastic surgery by the American Board of Plastic Surgery and is the founder of Aesthetica Cosmetic Surgery & Laser Center in Leesburg, VA. Dr. Chang is dedicated to providing high-quality service that concentrates on the unique needs and concerns of his patients. He believes combining attentive care and minimally invasive techniques is the best avenue for achieving beautiful, natural-looking results. Dr. Chang is thrilled to be serving the greater northwest area of Washington, D.C. with top cosmetic care that is dependable and trustworthy.

Interested in learning more about Dr. Chang? Click here.

We are based in Leesburg, VA. Located as part of the Lansdowne medical complex, you have access to our 24-7 state-of-the-art facility as well as access to Lansdowne hospital. We are based directly across the road from INOVA hospital. There is ample parking, elevators to bring you to our third floor offices, and welcoming staff to sign you in.

We are proud of our surgeries and cosmetic procedures and love that our patients are happy too. They like to shout it out on Google, Yell, Facebook, and right here on our website. Check out our reviews here.

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All potential patients receive either a phone, virtual, or in-consultation for free.

During the consultation we will discuss your treatment wishes and expectations. This is the time to ask us lots of questions to really understand what is involved, what the costs will be, and what is expected of you. This is also a great time to get to know Dr. Chang.

Aesthetica has received numerous awards from the Loudoun County Chamber of Commerce, New Beauty, Best of Loudoun, Posh 7 Top Picks, and Dr. Chang is internationally known for his lectures and advances in precise surgical technique as demonstrated through his unique mini-facelift procedure.

We have three execeptionally talents cosmetic nurses:

  • Melanie Schwarz, RN, BSN
  • Katy Down, RN, BSN
  • Angela Westbrook, RN, BSN

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