Neck Botox
What Is It?
Neck Botox is aimed at temporarily reducing overactivity of the platysma, the muscle across the front of the neck. The platysma is thin and broad; as it contracts over the years it becomes visible as vertical bands and pulls the jawline downward.
When the muscle releases that backward pull, two things happen: the bands become less visible and the downward pull on the jawline eases. The approach known as the “Nefertiti lift” rests on that second effect — the aim is not to fill the neck but to reduce the force pulling it down.
How Is It Done?
Treatment begins with muscle analysis. You are asked to tense the neck muscles so that the line and prominence of the bands, the difference between the two sides and skin quality can be assessed. This distinction is critical: if the appearance of the neck comes mainly from skin laxity or fat tissue, the treatment will not meet the expectation, and that is stated at the outset.
Points are marked along the prominent bands and small volumes are placed into the muscle with a fine needle. Dose and depth are set carefully — muscles involved in swallowing and head control lie nearby, so the boundaries are respected. The procedure averages 15 minutes and needs no anaesthesia.
Who Is It For?
Suitable for people with vertical bands that become prominent on tensing, who describe a downward pull on the jawline, and who do not want surgery. Preserved skin quality makes the result more visible.
It will not meet expectations where the appearance comes mainly from excess skin or fat tissue. It is not recommended in people with cervical disc herniation or loss of cervical curvature. It is not performed during pregnancy or breastfeeding, in neuromuscular disease, in people who report difficulty swallowing, with active infection at the site, or with known allergy to the toxin. Current medication is reviewed at consultation.
Process & Recovery
Muscle analysis
With the neck muscles tensed, the line and prominence of the bands, the difference between the two sides and skin quality are assessed. Whether the appearance comes from muscle, skin or fat is established. Photographs are taken.
Treatment day
Points are marked along the bands and small volumes are placed into the muscle with a fine needle. It averages 15 minutes and needs no anaesthesia.
First 24 hours
Brief tenderness at the injection points is possible. The rules for this first day are set out in the “Aftercare Notes” section of this page; the aim is to prevent the product spreading beyond the intended muscle.
Days 3-7
The effect begins and settles gradually. The reduction in the visibility of the bands is noticed in this period; no assessment is made before the process completes.
Week 2 review
With the effect settled, the bands are reassessed while the neck is tensed. Symmetry is checked and a small top-up dose is added where a band remains prominent.
Results & Duration
On the neck the effect follows a timeline similar to facial treatments: it starts in the first days and settles by the end of the second week. The clearest result is the reduction in the visibility of the bands; change along the jawline may be more limited and varies between individuals.
The result is not permanent: nerve transmission returns over time and the effect fades on average within 4-6 months. Duration varies with muscle structure, dose and metabolism, and renewal at regular intervals is needed.
What Is Not Promised
Neck Botox is not a neck lift: it does not gather lax skin, does not dissolve fat under the chin and does not erase the horizontal lines across the neck (necklace lines). It has no effect on skin quality or surface problems such as pigmentation.
No particular neck appearance, dose or duration is guaranteed. If the appearance does not come from muscle, the treatment is not recommended and a different approach is discussed.
Key Benefits
- Tight neck tissue
- Sharp neck contour
- Young appearance
“The neck is what gives away the age of a face — but not every neck complaint is muscular. If muscle makes the band, Botox resolves it; if skin makes it, Botox will not gather that tissue. Treating without making the distinction is a wasted needle.”
— Dr. Sinan Akyürek
Frequently Asked Questions
What does Neck Botox do?
It temporarily reduces overactivity of the platysma muscle; the vertical bands become less visible and the downward pull on the jawline eases.
When does it start working?
Softening of the bands begins within the first few days and is complete by the end of the second week, which is when the result is reviewed.
How long does it last?
On average 4-6 months, varying between individuals with muscle structure, dose and metabolism.
I have a cervical disc problem — can I have it?
It is not recommended in people with cervical disc herniation or loss of cervical curvature. This is specifically asked at consultation.
Will it affect my swallowing?
Dose and depth are set carefully so that neighbouring muscle groups are not affected. It is not performed in people who report difficulty swallowing.
Will it tighten my sagging neck skin?
No. It does not gather excess skin and does not dissolve fat tissue. If the appearance does not come from muscle, a different approach is discussed.
Will it remove my necklace lines?
The horizontal lines across the neck are a separate problem and are not erased by this treatment; they need a separate plan.
Who is it not suitable for?
It is not recommended in cervical disc herniation or loss of cervical curvature; it is not performed during pregnancy or breastfeeding, in neuromuscular disease, in reported difficulty swallowing, with active infection at the site, or with known allergy to the toxin.