Neck Botox, also known in medical literature as the Nefertiti Lift, is a botulinum toxin treatment applied to the platysma muscle in the jawline and neck area. As the platysma muscle loosens with age, it can present as sagging under the chin and vertical bands in the neck (platysmal bands); this treatment aims to relax those muscle bands to give the jawline a more defined appearance.
The procedure is not a surgical intervention but a medical aesthetic treatment administered by injection. Botulinum toxin is injected into specific points in the chin and neck area to reduce the downward pull of the platysma muscle, which can help the jawline appear relatively more lifted. As results vary from person to person, a thorough assessment of the neck and chin area by a doctor is important before the treatment.


The neck Botox procedure begins with the doctor marking the platysma bands in the chin and neck area. During the treatment, botulinum toxin is injected in small doses into specific points of the muscle using fine needles. The application is usually carried out in a clinical setting and can be completed in a short time, generally without the need for local anaesthetic, or with only a light topical anaesthetic.
The number of injection points and the dosage are determined according to the individual’s muscle structure, the density of the platysmal bands, and the doctor’s assessment. Patients can usually return to their daily routine shortly after the procedure; however, it is recommended that the treatment be carried out by an experienced doctor to ensure effectiveness and safety.
The Nefertiti Lift is a method typically considered for people with mild to moderate sagging under the chin and visible platysmal banding in the neck. It can be an option for those who are not yet ready for a surgical facelift and wish to manage earlier signs of ageing.
In cases of significant skin laxity or noticeable fat accumulation, Botox alone may not provide a sufficient result; in such cases, the doctor may recommend complementary methods such as thread lift treatments, dermal fillers, or surgical options. In addition, in cases such as pregnancy, breastfeeding, or a history of neuromuscular disease, it is essential to discuss the treatment in detail with a doctor before proceeding.
The effects of botulinum toxin generally begin to appear a few days after the treatment, with the full effect typically taking around one to two weeks to develop. This timeframe can vary depending on the individual’s muscle structure and metabolism.
In terms of longevity, the effects of neck Botox are temporary, similar to other Botox applications, and muscle activity may gradually return to its previous state over time. For this reason, if the appearance is to be maintained, repeat treatments may be required at the intervals recommended by the doctor. As the duration of the results can differ from person to person, a precise timeframe should be determined by the doctor following an in-person consultation.
Mild redness, tenderness, or small bruises may occur at the injection site after the procedure; these effects generally resolve on their own within a short period. It is recommended to avoid massaging or rubbing the treated area firmly in the first few hours, and to refrain from intense physical activity for the period advised by the doctor.
It is also advisable to avoid prolonged forward-bending positions, as well as environments involving high heat exposure such as saunas or sunbeds, during the first day after treatment. If any unusual symptoms occur (such as excessive swelling, difficulty breathing, or difficulty swallowing), a doctor should be contacted immediately without delay. Following the specific aftercare instructions given by the treating doctor is the safest approach for personalised care.