Neck bands are in reality the medial edges of the platysma muscle--the muscle that is right underneath the neck skin. Some people, especially those with longer necks, can form these bands as the muscle is either tense or starts to droop with age. So does botox help? Depends. In bands that feel firm and tight botox can help. In neck bands that are loose and droopy botox rarely helps and might be a total waste of money. How do you know if it's worth doing? First, start off by going to a person who is experienced in dealing with this issue. He or she can use their best judgement to figure out whether botox is right for you. My rule of thumb is that if the bands are present at rest or with facial animation but the skin seems pretty firm, then botox will generally help. It will also help for people who have had a facelift or necklift in the past and the bands started showing up again.