When the lower face starts to look softer, the obvious assumption is often that the problem is loose skin.
Sometimes it is. But not always.
The platysma — a broad, thin muscle extending from the upper chest and neck towards the jaw and lower face — can also influence the appearance of the jawline. As it contracts, it can create visible vertical neck bands and contribute to downward pull through the lower face.
The Nefertiti Lift uses carefully positioned botulinum toxin injections around selected areas of the platysma and lower jaw to reduce this muscular pull.
A Nefertiti Lift is a non-surgical injectable treatment designed to relax selected platysma muscle activity. In suitable patients, this may soften visible neck bands and create a subtle improvement in the contour of the jawline and lower face. It does not remove excess skin, reduce significant neck fat or reproduce a surgical neck lift.
That distinction is essential.
At DRV Clinic in Baker Street, patients considering a Nefertiti lift London treatment are assessed to determine whether muscle activity is actually contributing to the concern. If the main issue is skin laxity, submental fat or skeletal structure, another treatment may be more appropriate.
What Is a Nefertiti Lift?
The Nefertiti Lift is a botulinum toxin treatment focused on the lower face and neck.
The name refers to Queen Nefertiti, whose profile is traditionally associated with an elongated neck and defined mandibular contour.
In aesthetic medicine, the technique generally involves treating selected areas of the platysma muscle, including visible platysmal bands and areas beneath the lower border of the jaw.
The aim is to reduce the downward muscular pull exerted by the platysma.
This can potentially create:
A smoother appearance to visible platysmal bands.
A more relaxed-looking neck.
Subtle improvement in jawline definition.
A mild lifting effect through the lower face in carefully selected patients.
It is fundamentally a muscle-modulating treatment.
It does not physically pull loose skin upwards.
DRV Clinic offers the Nefertiti Lift as part of its wider anti-wrinkle injection treatments in London.
What Is the Platysma Muscle?
Understanding the platysma explains why the treatment works.
The platysma is a thin superficial muscle that covers much of the front and sides of the neck.
It extends upwards towards the lower face and mandible.
When the platysma contracts, it can pull parts of the lower face downwards while also creating visible vertical bands through the neck.
Those vertical cords become increasingly noticeable in some people with age.
However, visible neck ageing is not caused by the platysma alone.
Other factors include:
Loss of skin elasticity.
Reduced collagen.
Submental fat.
Jowling.
Changes in facial fat compartments.
Loss of bone support.
Skin excess.
Changes to the deeper structures of the neck.
A Nefertiti Lift only addresses the muscular component.
That is why identifying the cause of the concern matters more than simply choosing the treatment name.
How Does the Nefertiti Lift Work?
Botulinum toxin temporarily reduces signalling between nerves and the muscles being treated.
When carefully injected into selected regions of the platysma, muscular contraction becomes weaker.
This can reduce prominent neck bands and decrease some of the downward muscular force acting around the mandibular border.
The visual effect may be a smoother neck and slightly cleaner lower-face contour.
A clinical study specifically investigating the Nefertiti Lift found statistically significant improvement in platysmal bands, while other aspects of lower-face ageing showed less consistent improvement.
That finding is useful because it highlights what the procedure does best.
It is particularly relevant for dynamic platysma activity.
It is much less predictable for problems caused primarily by loose skin, jowls or substantial structural ageing.
Does the Nefertiti Lift Actually Lift the Jawline?
It can create a subtle visual lifting effect in appropriate patients.
It does not mechanically lift the tissues in the same way as surgery or a thread lift.
The effect comes from changing muscular balance.
If strong platysma contraction is pulling the tissues around the lower jaw downwards, reducing that contraction can allow the opposing forces to dominate slightly more.
The resulting change is usually measured in subtle improvements rather than dramatic repositioning.
The original description of the Nefertiti technique reported high patient satisfaction following botulinum toxin treatment along the mandibular border.
Later clinical research suggested that the strongest candidates tended to have less severe baseline ageing and retained skin elasticity.
This makes patient selection particularly important.
Who Is Most Suitable for a Nefertiti Lift?
A Nefertiti neck lift may be worth considering when the concern involves muscle activity rather than substantial excess skin.
Potentially suitable patients may have:
Visible vertical platysmal bands.
Strong platysma contraction.
Early lower-face heaviness related partly to muscular pull.
Mild reduction in jawline definition.
Reasonably good skin elasticity.
A preference for a non-surgical, temporary treatment.
One clinical study concluded that the technique was particularly helpful in younger patients with platysma hyperactivity and retained skin elasticity.
Age itself is not the deciding factor.
The more important question is what is producing the appearance.
Who May Not Get a Good Result?
A Nefertiti Lift has clear limitations.
Significant Loose Neck Skin
Botulinum toxin does not remove excess skin.
Someone with substantial skin laxity may require a skin-tightening or surgical approach if they want a meaningful change.
Significant Jowling
Advanced jowls involve more than muscular contraction.
Changes in fat compartments, ligaments, skin and skeletal support can all contribute.
Relaxing the platysma alone may therefore provide limited improvement.
A Double Chin Caused by Fat
A Nefertiti Lift does not dissolve submental fat.
Patients whose main concern is fullness beneath the chin may need a different approach.
DRV Clinic provides a dedicated double chin treatment in London for patients whose concern is primarily localised under-chin fat.
Weak Chin or Jaw Projection
Someone with a poorly defined jawline because of limited skeletal projection may require structural enhancement rather than muscle relaxation.
Depending on anatomy, dermal filler or facial harmonisation may be more relevant.
Advanced Neck Ageing
When skin excess, fat, muscle separation and deeper structural ageing are all significant, a non-surgical injection may simply not be powerful enough.
Being honest about that limitation is better than trying to make every patient suitable for the procedure.
Nefertiti Lift vs Jawline Filler
These treatments can both improve the appearance of the lower face, but their mechanisms are completely different.
Nefertiti Lift | Jawline Filler |
Changes muscle activity | Adds structural volume |
Targets selected platysma contraction | Targets jaw or chin contour |
Does not increase bone-like projection | Can create greater projection |
Results develop gradually | Structural change is visible immediately |
Best for selected muscular downward pull | Best for selected structural deficiencies |
Temporary | Temporary |
If the jawline is already structurally strong but muscular activity is affecting its definition, Nefertiti Botox may be considered.
If the mandible or chin lacks projection, dermal filler treatment may offer greater structural control.
Some patients have both issues.
That does not automatically mean both treatments should be performed.
The face should be assessed as a whole first.
Nefertiti Lift vs Thread Lift
The difference here is even more significant.
A PDO thread lift involves introducing threads beneath the skin to provide mechanical support and lifting.
A Nefertiti Lift does not place a physical support structure into the face.
Instead:
Nefertiti Lift: reduces selected muscle activity.
Thread lift: mechanically repositions or supports soft tissue.
Threads are therefore more invasive and involve different risks and recovery.
A patient with mild muscular downward pull may not need threads.
Someone with actual tissue descent may obtain little benefit from muscle relaxation alone.
Nefertiti Lift vs HIFU
HIFU targets a completely different component of the ageing process.
High-intensity focused ultrasound delivers controlled ultrasound energy below the skin to stimulate tissue remodelling.
A Nefertiti Lift works on muscle.
This makes the comparison relatively straightforward:
HIFU: primarily targets tissue laxity and collagen remodelling.
Nefertiti Lift: primarily targets platysma muscle activity.
A patient whose neck appears soft because of mild skin laxity may be better suited to an energy-based tightening treatment.
Someone with visible dynamic platysmal bands may benefit more from botulinum toxin.
In some patients, both factors coexist.
Nefertiti Lift vs Surgical Neck Lift
These treatments should not be presented as equivalent.
A surgical neck lift can physically address anatomical structures that injections cannot.
Depending on the surgical technique, this may include:
Excess skin.
Platysma position.
Deeper neck tissues.
Fat.
Jowling.
A Nefertiti Lift cannot reproduce that degree of correction.
Its appeal lies elsewhere.
There are no surgical incisions, the treatment is temporary and recovery is substantially lighter.
For someone with early muscular neck ageing, that may be entirely appropriate.
For significant structural ageing, it may not be.
Does a Nefertiti Lift Help Platysmal Bands?
This is where the evidence is strongest.
A systematic review examining botulinum tox
