
Vertical neck bands and a softening jawline can come from a muscle that pulls down. Medical Director Dr Sin Yong checks whether relaxing it will help, or whether lifting treatment suits you better.
WhatsApp to Enquire →Key facts ↓A Nefertiti lift uses small doses of botulinum toxin, a prescription medicine, along the jawline and into visible platysmal bands in the neck. Relaxing this thin, sheet-like muscle reduces its downward pull on the lower face, softening bands and sharpening the jawline modestly. It suits mild laxity with active bands; heavier sagging needs lifting treatment or surgery.
The lower face is held between muscles that lift and muscles that pull down. The platysma is one of the main depressors: when it is strong or overactive, it drags the jawline and corners of the mouth downward and its front edges form cords in the neck. Relaxing the jawline and band portions with small doses of toxin lets the lifting muscles act with less resistance.
The name refers to the clean jaw-to-neck line of the Egyptian queen’s bust. The change in practice is subtle: a crisper jaw border and softer bands, not a lift of loose skin. Dr Sin Yong maps the bands while you clench and grimace, and chooses doses for each side. See anti-wrinkle injections.

It works well when the muscle is the main problem: visible bands on movement, a jawline that blurs mostly when the neck tenses, and skin that still has some spring. When the jawline has softened because skin and deeper tissue have descended, relaxing the muscle helps little.
In that case, collagen-tightening and lifting treatments are more relevant: VF Lift – Vertical Facelift on Volnewmer, focused ultrasound with HIFU, or Thermage FLX. Fullness under the chin from fat is a separate matter; see double chin treatment. Horizontal neck creases are skin lines and respond better to skin boosters; see neck lines treatment.
“A Nefertiti lift relaxes a muscle that pulls down. It cannot lift skin that has already fallen, and I will tell you which one you have.”
The platysma sits over the muscles used for swallowing and holding the head up. Large doses, or product placed too deep, can cause temporary difficulty swallowing, a weak-feeling neck when lifting the head from a pillow, or changes in the voice. Treatment near the mouth corners can occasionally affect the smile. Small, superficial doses and careful mapping keep these risks low, and effects that do occur wear off as the toxin does. People with neuromuscular disorders, and those who are pregnant or breastfeeding, are not treated.

The injections are shallow and quick, felt as a series of small pinpricks along the jaw and neck; most people do not need numbing, though cream can be applied if you prefer. The whole session usually takes ten to fifteen minutes. Small bumps at each point fade within an hour or so.
Day 0: assessment while you clench, grimace and talk; bands and jawline points are marked and injected. You can return to work straight away. Avoid lying flat, massaging the neck or strenuous exercise for the rest of the day.
Days 1–3: pinpoint marks fade; occasional small bruises can appear. No visible change yet.
Week 1: the bands begin to soften from around day three to five.
Weeks 2–4: the full effect is reached by about two weeks: softer bands, a slightly crisper jaw border.
Review at about two weeks: symmetry is checked and any small top-up discussed. Repeat treatment is planned only if you liked the result.
Most people find the effect lasts around three to four months, though it varies with dose, muscle strength and metabolism. The bands return gradually rather than suddenly. Treatment is repeated only if you were happy with the first result and the assessment still supports it.
Yes. Relaxing the platysma addresses the muscle; HIFU, Thermage FLX or VF Lift – Vertical Facelift address skin and tissue laxity. Combining them can suit people with both. Dr Sin Yong sequences them so the effect of each can be judged.
Common effects are small bumps and occasional bruises at injection points. Less commonly, toxin can affect nearby muscles, causing temporary difficulty swallowing, neck weakness, voice change or an uneven smile. These wear off. Small doses and careful placement reduce the risk.
Yes. Men also develop platysmal bands and a softening jaw border, often with stronger, bulkier muscles. Doses and injection points are adjusted for this, and the aim is a firmer, natural-looking jawline rather than a narrower or feminised one. The same safety limits on neck dosing apply.
Cost depends on the number of points and units needed along the jawline and bands, which varies with muscle strength and how many bands are visible. If lifting treatment is combined, that is planned separately. Dr Sin Yong explains the cost after mapping your neck and jaw.
No. A Nefertiti lift treats vertical bands and the downward pull on the jawline. Horizontal neck lines are creases in the skin and usually respond better to skin boosters and skin-quality treatments. Many people have both, and they are treated in different ways.
IN Eternity Clinic, 9 Scotts Road, #12-01 Pacific Plaza, Singapore 228210. By appointment with Medical Director Dr Sin Yong. Monday to Saturday, 11am to 8pm. WhatsApp or call +65 8815 3008.
These sources describe mechanisms and general evidence. They are not a promise of any individual result; suitability is decided at an in-person assessment.