A smoother, stronger neckline.
Botox for platysmal neck bands, also known as the Nefertiti Lift, is one of the most effective non-surgical ways to smooth vertical neck bands and refine the jawline. It relaxes overactive neck muscles for a softer, more youthful neck, with no surgery and no downtime.
Understanding platysmal neck bands.
Platysmal neck bands are the vertical cords that run from the neck toward the jawline and tend to become more noticeable with age. They are caused by the platysma, a thin sheet of muscle that covers the neck and extends into the lower face.
As skin elasticity decreases and the muscle stays active, these bands can create a tense or aged look, pull downward on the jawline, and make the neck appear stringy even at rest. They are one of the most common early signs of aging in the lower face and neck, often while the face still looks youthful.
Relaxing the muscle that pulls the neck down.
Botox temporarily relaxes the platysma muscle, reducing its pull and softening the appearance of vertical neck bands. As the muscle relaxes, the skin over it looks smoother and the neck appears more refined.
Your injector places a series of precise injections directly into the platysmal bands, and in some cases along the jawline, for balanced, natural-looking results. Treatment takes about 15 to 30 minutes, with minimal discomfort and no downtime.
One honest distinction before you book: Botox relaxes muscle, it does not tighten skin. If loose or crepey neck skin is your bigger concern, the Helix CO2 laser is the right tool for that job, and we break down who fits which further down this page.
Neck bands and the Nefertiti Lift are the same thing.
You will see this treatment called both Botox for platysmal neck bands and the Nefertiti Lift. They are two names for the same treatment, not two different procedures.
Here is why. The platysma is one large, sheet-like muscle that covers the front of the neck and connects up along the jawline. When it tightens with age, it does two things at once: it forms the vertical cords you see on the neck, and it pulls down on the jawline, softening its definition. Both come from the same muscle, so we treat them together. By relaxing the platysma along the bands and the jawline, we smooth the neck and let the jawline look a little crisper and gently lifted at the same time.
The name Nefertiti Lift is a nod to the Egyptian queen known for her elegant neck and defined jaw. Whatever you call it, your injector tailors the placement and dosing to your neck and your goals.
Who this treatment helps, and who it does not.
You may be a great candidate if you
- Notice vertical neck bands when talking or tensing the neck
- Feel your neck looks older than your face
- Have muscle-related banding rather than loose skin
- Want improvement without surgery
- Already get facial Botox and want to extend results to the neck
You may need a different treatment if
Neck Botox is not designed to tighten loose or crepey skin. If your main concern is skin laxity, crepey texture, or significant sagging, you may do better with laser resurfacing and skin tightening, or a combination approach. At your appointment we will guide you honestly toward what will actually get you the result you want.
Botox is also not appropriate during pregnancy or breastfeeding, with certain neuromuscular conditions, or with a known allergy to botulinum toxin. We review your full health history at your appointment.
Wondering which concern is really yours? Learn more about neck aging, sagging skin, and crepey skin.
Why patients love neck Botox.
Non-surgical
No incisions, no scarring, and an immediate return to daily activities.
Smooths neck bands
Softens vertical bands for a calmer, smoother neck appearance.
Defines the jawline
Reduces downward pull to enhance jawline definition and lift.
FDA-approved
The first and only neurotoxin FDA-approved for moderate to severe platysma bands, Botox’s first approved use beyond the face.
Fast and easy
A 15 to 30 minute treatment with minimal discomfort and no downtime.
Natural, refreshed
Relaxes overactive muscle without freezing, so you look like you.
Before & after at Renew.
Individual results may vary.
Pricing & dosing.
Love Your Skin Members pay $14 per unit.
Typical Dosing
- Mild to moderate bands: 25 to 30 units
- Moderate to severe bands: 40 to 50 units
- Strong platysmal muscle activity: up to 60 units (less common)
Your injector customizes your dosage based on your anatomy and muscle strength for safe, balanced results.
Neck Botox, answered.
Initial results appear in about 5 to 7 days, with full results developing in roughly 2 weeks. Results typically last 4 to 5 months, and maintenance treatments keep your neck looking smooth year-round.
Yes. Done correctly, neck Botox does not look frozen or stiff. The goal is to relax overactive muscle, not eliminate natural movement. Most patients describe their neck as looking smoother, softer, and more relaxed. The neck is an advanced area to inject, which is why experience and technique matter.
Yes. In October 2024, Botox became the first and only neurotoxin FDA-approved for moderate to severe platysma bands, its first approved use beyond the face. In the clinical studies behind that approval, a majority of patients, 65 percent and 62 percent across two studies, reported being satisfied or very satisfied with their neck and jawline appearance two weeks after treatment. It is considered safe when administered by trained, experienced injectors.
Yes. Relaxing the platysma muscle can reduce downward pull on the jawline, subtly improving its definition. This is the heart of the Nefertiti Lift technique.
Most patients repeat treatment every 3 to 4 months for consistent results.
Absolutely. Neck Botox is often combined with laser treatments, skin tightening, or facial Botox for comprehensive neck and jawline rejuvenation. We will help you sequence everything safely.
No, they are two names for the same treatment. The platysma muscle creates both the vertical neck bands and the downward pull on the jawline, so we treat them together. Whether you have heard it called neck Botox, platysmal band treatment, or the Nefertiti Lift, it is the same approach, tailored to your neck and your goals at your appointment.
Smooth neck bands, refresh your neckline.
Ready to soften vertical neck bands and refine your jawline? Book your appointment and we will build the right approach for your neck and your goals.