The Nefertiti Neck Lift and Platysmal Bands Injection Technique

What Does the Nefertiti Neck Lift or Platysmal Bands Injection Do?

The Nefertiti Neck Lift and Platysmal Bands injection is a non-surgical procedure that uses Botulinum toxin to rejuvenate and contour the neck and jawline. This procedure reduces the appearance of the neck “strap muscles” bulging out when the patient clenches their teeth.

Muscles Involved and Action

The primary muscles involved in the Nefertiti Neck Lift and Platysmal Bands injection are the platysma muscles. These are broad, thin muscles that extend from the collarbone up to the lower face. They are responsible for pulling down the lower face and jawline, contributing to the appearance of sagging skin and a less defined jawline as we age. The action of Botulinum toxin in this procedure is to relax these muscles, reducing downward pull and allowing the muscles of the upper face to lift the lower face more effectively.


The key landmarks for this procedure are the lower jawline, the edge of the platysma muscle, and the vertical platysmal bands which are often visible when the patient clenches their teeth or strains their neck. The injection points will be along these bands and at the edge of the platysma muscle.

Injection Technique for Nefertiti Neck Lift and Platysmal Bands

The injection technique for the Nefertiti Neck Lift and Platysmal Bands involves multiple small injections of Botulinum toxin along the lower jawline and down the side of the neck along the platysma muscle. The injections should be spaced about 1-2 cm apart. The needle should be inserted at a 30-45 degree angle to the skin, and the Botulinum toxin should be injected as the needle is withdrawn to ensure even distribution in the muscle.

The total units of Botulinum toxin used will depend on the individual patient’s muscle mass and the desired effect. However, typically, 2-4 units of Botulinum toxin are used per injection point, with a total of 25-50 units used for the entire procedure.

Complications and Solutions

Potential complications of the Nefertiti Neck Lift and Platysmal Bands injection include potential asymmetry or undesired aesthetic results. Rarely, patients may experience difficulty swallowing if the Botulinum toxin spreads to other muscles in the neck. To minimize these risks, it is important to use precise injection techniques, to understand the anatomy of the neck and jawline, and to individualize the procedure to the patient’s anatomy and desired results. Any complications should be managed promptly and appropriately, with referral to a specialist if necessary.

Additional Pearls

1. Patient Selection: The Nefertiti Neck Lift and Platysmal Bands injection is most effective in patients with mild to moderate skin laxity. Patients with significant skin excess or sagging may require surgical intervention for optimal results.

2. Combination Therapy: This procedure can be combined with other non-surgical treatments such as fillers or skin tightening procedures for enhanced results.

For more information about Comprehensive Guide to Botulinum Toxin Injection Training, contact us at or call us at (212) 470-8059.

Statement of Responsibility

Cosmetic Medical Training recognizes that many of the techniques and recommendations are for procedures that are considered off-label use.  Our recommendations are based on many textbooks, published articles, seminars, and practical knowledge and experience.  The authors have attempted to maintain up to date knowledge and information in this training manual with the current standard of care.  However, due to the continuing flow of new research and information relating to the drugs being used in this course, we recommend that you check with the manufacturer for any changes in the package inserts, warnings, and precautions.  All information and tools presented within this site are intended for educational purposes. We do not guarantee that the information will be completely accurate and up to date; therefore the authors will not be held responsible for any errors, omissions, or inaccuracies published.  Application of the knowledge is ultimately the responsibility of the practitioner.

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