BOTOX® Cosmetic for Platysmal Bands:
The Non-Surgical Neckline Treatment
R+H Aesthetic Medicine · Roseville · West Sacramento · Lake Tahoe
Treatment Education
Can Botox Lift Your Jawline and Neck? Platysmal Bands and the Nefertiti Lift in Roseville, West Sacramento and Lake Tahoe
BOTOX® Cosmetic (onabotulinumtoxinA) has been FDA-approved since October 2024 to treat platysmal bands, the vertical neck bands created by muscle activity. Relaxing the platysma, a technique also known as the Nefertiti lift, smooths the neck and sharpens the jawline, with full results typically at two weeks. It is not designed to correct significant loose skin.
Last updated: October 2026 · Reviewed by the R+H Aesthetic Medicine clinical team
Many patients tell us the same thing at consultation: they feel confident about their face, then catch their neck in a photo or a video call and feel ten years older. The neck gives away age in a way the face often does not, and until recently the serious options for it were surgical. That has changed.
The FDA approval of BOTOX® Cosmetic for platysmal bands brought a true non-surgical option to the neckline, and it has quickly become one of the most requested additions to treatment plans at R+H Aesthetic Medicine. Here is what the treatment actually does, who it serves best, where its limits are, and how we price it, including our Neurotoxin High-Dose Price Adjustment Protocol designed specifically for treatments like this one.
What Are Platysmal Bands?
The platysma is a thin, broad sheet of muscle that extends from the collarbone up to the jawline. Every time it contracts, through speaking, expression, tension, or simply habit, it can pull the neck into visible vertical bands. Over time, as the muscle works and the overlying skin thins with natural collagen loss, those bands become more defined at rest, changing the contour of the neck and softening the definition of the jawline.
This is a normal part of aging, and it is muscular in origin. That distinction matters, because a muscle-driven concern responds to a muscle-targeted treatment. This is exactly the mechanism BOTOX® Cosmetic was built on.
Why Does the Platysma Pull Your Face Down?
Your face is held in a constant balance between two groups of muscles: elevators, which lift, and depressors, which pull down. The platysma is one of the strongest depressors of the lower face, and with age it tends to win that tug of war.
"The platysmal muscles are depressor muscles. They pull down, they get stronger as we age, and they work with gravity to pull everything on the face downward. When we relax them with Botox, we get the opposite effect, and everything is elevated."
Heidi, PA-C, Founder of R+H Aesthetic Medicine
That is why patients often notice more than smoother neck bands after treatment. With the platysma relaxed, the elevator muscles are no longer fighting the same downward pull, and the jawline looks sharper and the lower face more lifted.
What Is the Nefertiti Lift?
The Nefertiti lift is the name for using Botox along the jawline and the platysma to lift and define the jaw. It is named after Queen Nefertiti of ancient Egypt, whose famous sculpted portrait is known for its elegant, defined jawline. The technique was first described by Dr. Phillip Levy, who reported his experience in 130 patients, with noticeable re-contouring and elevation of the jawline and very high patient satisfaction (Levy, 2007).
In practice, the Nefertiti lift and Botox for neck bands target the same muscle. The difference is emphasis: neck band treatment focuses on the vertical cords, while the Nefertiti lift focuses on the platysma's pull along the jawline. At R+H, your provider plans both together based on what your neck and jawline actually need.
How BOTOX® Cosmetic Works for the Neck
BOTOX® Cosmetic works by temporarily reducing the activity of targeted muscles. In the neck, a series of precisely placed injections relaxes the platysmal bands, allowing the neck to appear sleeker, firmer, and more contoured. Because the platysma also exerts a downward pull on the lower face, relaxing it can enhance jawline definition and soften the appearance of early jowls, creating harmony between the lower face and neck.
The FDA approved BOTOX® Cosmetic for moderate to severe platysma bands in October 2024, at doses of 26, 31, or 36 units depending on severity (Mraz et al., 2026). Individual results vary with anatomy, muscle strength, dose, and treatment plan, which your provider reviews with you before anything is injected.
What Does the Research Show?
In the Phase 3 randomized, placebo-controlled trial published in the Aesthetic Surgery Journal, 76.7% of patients treated with BOTOX® Cosmetic achieved at least a 1-grade improvement in their neck bands at Day 14, compared to 21.2% on placebo, and 41.0% achieved at least a 2-grade improvement, compared to 2.2% on placebo. Treated patients also reported better jawline definition, higher satisfaction, and less bother from their neck bands, and the treatment was well tolerated (Shridharani et al., 2024). A follow-up repeat treatment study found the effect lasts about 3 to 4 months per treatment cycle (Mraz et al., 2026).
Emerging research also explores what Heidi describes: a lift beyond the neck. In a study of 75 patients, neuromodulator injections along the lower face and jawline repositioned facial soft tissue upward within 30 days, with 3D scans showing more volume in the midface and less in the lower face (Hernandez et al., 2022). A follow-up study of 35 patients using the same approach found improvement in the tear trough and lid-cheek junction, which the researchers explained by the elevator muscles gaining a stronger upward pull once the platysma was relaxed (Germani et al., 2023). A separate study of 512 women with facial sagging also reported a very high degree of midface improvement after regional platysma injections (Zhou et al., 2019).
These findings come with important limits. The changes in the 75-patient study were promising but did not reach statistical significance, the under-eye study was small with no placebo group and used a different neurotoxin, the 512-patient study was conducted in Asian women using a different injection technique, and midface and under-eye improvement are not FDA-approved uses. We share this research because it explains what many patients notice, not as a promise. Your provider will tell you honestly what to expect for your face.
Helps achieve a smoother, more youthful neckline by relaxing the bands at their muscular source
Reduces the platysma's downward pull, supporting lower face contour and harmony with the neck
Results begin within days, with full results typically visible at two weeks
No incisions and no downtime, a refreshed look without the recovery of a surgical procedure
Who This Treatment Is For, and Who It Is Not
The best candidates are patients whose neck concern is driven primarily by muscle activity: visible vertical bands, a neck that looks tighter at rest than in motion, and early softening of the jawline connected to platysmal pull. Patients in the Sacramento region often ask about this treatment after noticing bands in video calls or photographs, and for the muscle-driven version of that concern, it is an excellent fit.
BOTOX® Cosmetic relaxes muscle. It does not remove significant excess skin, tighten severe laxity, or reduce fat beneath the chin. Patients whose primary concern is loose or crepey neck skin may be better served by skin-directed treatments such as Morpheus8, or by a combination plan, and some anatomies are best referred for a surgical opinion. Treatment is also not appropriate during pregnancy or breastfeeding per our current clinical policy, and candidacy is always confirmed against your medical history at consultation. An honest assessment of which category your neck falls into is the first thing our providers establish, because the right treatment matters more than any single product.
Neck BOTOX® Cosmetic vs. Other Neck Options
Patients comparing options usually weigh three paths. Relaxing the muscle with BOTOX® Cosmetic is the right tool when bands are the concern: it is non-surgical, fast, and FDA-approved for exactly this use. Remodeling the skin with Morpheus8 is the stronger choice when texture, crepiness, or laxity dominates, because radiofrequency microneedling works on the skin itself rather than the muscle beneath it. Surgery remains the most complete answer for advanced laxity and significant excess skin, at the cost of incisions and recovery. Many R+H patients ultimately combine muscle and skin approaches, and your consultation determines which path, or which sequence, fits your anatomy.
The R+H Standard Behind Every Neck Treatment
The neck is anatomically intricate, and precision matters here even more than in most facial areas. Every injectable treatment at R+H is performed by a licensed medical provider from our team of Master Artist Injectors: Heidi, PA-C; Alicia, PA-C; Katie, NP-BC; Tiffany, PA-C; and Joni, RN, bringing a combined 47 years of aesthetic medicine experience. Our practice also maintains ultrasound capability, a safety standard very few practices in the region offer, allowing our providers to visualize anatomy beneath the skin when precision or safety calls for it.
- MD-owned medical practice with more than seven years in medical aesthetics and over 900,000 neurotoxin units administered since 2019
- Official Allergan Diamond Partner and Allergan Top 250 Award recipient for 2026, placing R+H in the top 1% of practices nationally for the BOTOX® Cosmetic portfolio
- Best of Sierra Nevada Gold Winner 2025, Sacramento Favorites winner 2023, 2024, and 2025, and Morpheus8 Top Provider recognized by InMode
- 1,500+ five-star reviews across our Roseville, West Sacramento, and Lake Tahoe locations
Pricing: Our Neurotoxin High-Dose Price Adjustment Protocol
Neck treatment often brings a patient's total unit count higher than facial treatment alone, especially when the two are combined in one appointment. We built our Neurotoxin High-Dose Price Adjustment Protocol for exactly this situation, so patients who require higher doses for optimal results are priced fairly for the full treatment.
Neurotoxin High-Dose Price Adjustment Protocol
Price adjustment on all units purchased if purchasing 71+ units of Botox or 211+ units of Dysport.
In practice, this means a patient combining neck and facial treatment who crosses the threshold receives the adjusted rate on every unit in the appointment, not only the units above the line. Your provider maps your exact dose, and therefore your exact pricing, during consultation, since dosing varies with muscle strength, anatomy, and goals.
Safety. Comfort. Results. Luxury.
Look Your Best and Most Refreshed.
Frequently Asked Questions: BOTOX® Cosmetic for the Neck
Is Botox FDA-approved for the neck?
Yes. In October 2024, the FDA approved BOTOX® Cosmetic (onabotulinumtoxinA) for moderate to severe platysma bands, the vertical bands connecting the jaw and neck (Mraz et al., 2026). In the Phase 3 trial, 76.7% of treated patients improved by at least one grade at Day 14, compared to 21.2% on placebo (Shridharani et al., 2024).
What are platysmal bands and why do they appear?
Platysmal bands are the vertical cords that become visible on the neck when the platysma, a thin muscle running from the collarbone to the jawline, contracts. With age, repeated muscle activity and natural thinning of the overlying skin make the bands more defined, including at rest. Because the cause is muscular, a muscle-relaxing treatment addresses it at the source.
How fast will I see results from neck Botox?
Results begin to appear within days as the platysma relaxes, with full results typically visible at two weeks. Clinical studies demonstrated significant improvement as early as 14 days after treatment. Your provider may schedule a follow-up around that point to assess your result.
How long does neck Botox last?
A Phase 3 repeat treatment study found results last about 3 to 4 months per treatment cycle (Mraz et al., 2026). Duration varies with anatomy, dose, and muscle strength, so your provider will recommend a maintenance schedule based on how your platysma responds to your first treatment.
Does treating the neck also improve the jawline and jowls?
It can. The platysma exerts a downward pull on the lower face, so relaxing it often enhances jawline contour and softens the appearance of early jowls, creating better harmony between the lower face and neck. The degree of improvement depends on how much of your lower-face change is driven by platysmal pull versus skin laxity or volume loss, which your provider evaluates at consultation.
What is a Nefertiti lift?
A Nefertiti lift uses Botox along the jawline and platysma muscle to lift and define the jaw. It is named after Queen Nefertiti of ancient Egypt, known for her defined jawline, and was first described by Dr. Phillip Levy (Levy, 2007). It targets the same muscle as FDA-approved Botox for neck bands, with the focus on the jawline.
Can neck Botox lift the midface or improve under-eye hollows?
Emerging research suggests it may. Studies have reported midface improvement and better under-eye appearance after platysma injections, explained by the elevator muscles lifting more freely once the platysma relaxes (Germani et al., 2023; Hernandez et al., 2022; Zhou et al., 2019). These studies have limits, and midface and under-eye improvement are not FDA-approved uses, so results vary and are never guaranteed.
Is there downtime after neck Botox?
No significant downtime. There are no incisions, and most patients return to normal activity the same day. Mild tenderness or small marks at injection sites can occur and resolve quickly. Your provider will review simple aftercare guidance at your appointment.
How many units does neck Botox require?
Neck treatment generally requires more units than a single facial area because the platysma is a broad muscle treated at multiple points along each band. Exact dosing varies with band prominence, muscle strength, and whether facial areas are treated in the same appointment. This is why we built our Neurotoxin High-Dose Price Adjustment Protocol: patients purchasing 71 or more units of Botox, or 211 or more units of Dysport, receive the adjusted rate of $12 per unit for Botox or $4.00 per unit for Dysport on all units purchased. Your specific dose and price are confirmed at consultation.
What does neck Botox cost at R+H?
Botox is $14 per unit for 1 to 70 units and $12 per unit at 71 units or more. Dysport is $4.70 per unit for 1 to 210 units and $4.00 per unit at 211 units or more, with the price adjustment applied to all units purchased when the threshold is reached. Total cost depends on your dose, which your provider maps to your anatomy and goals. BEAUTY BANK members receive VIP pricing of $11 per unit for Botox and $3.70 per unit for Dysport, and flexible financing is available through CareCredit and Allē Payment Plans powered by Cherry.
Neck Botox vs. Morpheus8: which is right for my neck?
It depends on what is driving your concern. BOTOX® Cosmetic treats the muscle, so it is the right tool for visible platysmal bands. Morpheus8 treats the skin, so it is the stronger choice for crepiness, texture, and laxity. Many necks show both patterns, and a combination plan treating muscle and skin at their respective sources often produces the most complete non-surgical result. Your consultation determines which pattern dominates in your neck.
Can neck Botox replace a neck lift?
No, and we will tell you honestly when it cannot. Neck BOTOX® Cosmetic relaxes muscle-driven bands. It does not remove significant excess skin or correct advanced laxity, which remain surgical territory. For the right candidate it delivers a refreshed, contoured neckline without incisions or recovery. For patients whose primary issue is loose skin, we recommend the treatment path that will actually serve them, even when that means a different plan than the one they came in asking about.
Can I combine neck treatment with my regular facial Botox appointment?
Yes, and many patients do. Combining facial and neck treatment in one appointment is efficient, keeps results on a single maintenance schedule, and frequently brings the total unit count into the high-dose tier, where the adjusted per-unit rate applies to every unit purchased. Your provider will plan the combined dosing safely across all treated areas.
Is there an offer for new patients?
New patients can receive $65 off their first BOTOX® Cosmetic treatment through Allē. The offer is claimed through the official Allē program at alle.com, subject to Allē's current terms and availability. Mention it when booking and our team will confirm the details for your appointment.
Where can I get FDA-approved neck Botox near Roseville, West Sacramento, or Lake Tahoe?
R+H Aesthetic Medicine offers BOTOX® Cosmetic for platysmal bands at all three of our locations in Roseville, West Sacramento, and Lake Tahoe. Every treatment is performed by a licensed medical provider at an MD-owned practice recognized in the top 1% nationally through the Allergan Top 250 Award 2026, with ultrasound capability supporting our injection safety standards and more than 1,500 five-star reviews across our locations.
BEAUTY BANK members receive Botox at $11 per unit and Dysport at $3.70 per unit, one complimentary ZO Skin Health Stimulator Peel per year, and 20% off medical-grade skincare and supplements annually. Flexible financing is available through CareCredit and Allē Payment Plans powered by Cherry, and points can be earned through the Allē Rewards Program and ASPIRE Rewards on qualifying treatments.
View Our Current Promotions Explore BEAUTY BANK Membership Learn About Financing
A Refined Neckline, Without Surgery
At R+H Aesthetic Medicine, our philosophy is built on Safety, Comfort, Results, and Luxury, and this treatment reflects all four: an FDA-approved option, delivered by experienced medical providers, producing a refreshed result with no downtime. We believe in THE BEST YOU at every stage of life, and for many patients the neck is the final piece that brings the whole picture into harmony.
Your journey to a beautifully refined neckline starts here. Empowering you to LOOK YOUR BEST AND MOST REFRESHED.
Book Your Neck Treatment Consultation
Our providers will assess your platysmal bands, confirm your candidacy, and map your exact dose and pricing. New patients can save $65 on their first treatment through Allē.
Self-Book Online NowCall or Text Us to Book Your Appointment:
Lake Tahoe: (530) 237-4730
Roseville: (916) 209-0545
West Sacramento: (916) 617-2331
Germani, M., Almeida, C. C. M. S., Muñoz-Lora, V. R. M., Rogerio, V., Moelhoff, N., Freytag, D., Green, J. B., Alfertshofer, M. G., Davidovic, K., & Cotofana, S. (2023). How to improve infraorbital hollows with neuromodulators: A clinical prospective interventional study about the application of facial biomechanics. Journal of Cosmetic Dermatology, 22(11), 2950–2956. https://doi.org/10.1111/jocd.15970
Hernandez, C. A., Davidovic, K., Avelar, L. E. T., Alfertshofer, M., Freytag, D. L., Frank, K., Moellhoff, N., Bihun, R., Green, J. B., & Cotofana, S. (2022). Facial soft tissue repositioning with neuromodulators: Lessons learned from facial biomechanics. Aesthetic Surgery Journal, 42(10), 1163–1171. https://doi.org/10.1093/asj/sjac090
Levy, P. M. (2007). The 'Nefertiti lift': A new technique for specific re-contouring of the jawline. Journal of Cosmetic and Laser Therapy, 9(4), 249–252. https://doi.org/10.1080/14764170701545657
Mraz, D., Hanke, C. W., Papel, I., Beer, K., Yoelin, S., Weinkle, S., Keaney, T., Rohrich, R. J., McCaskill, R., Shimoga, S. V., Park, G. S., Tong, W., & Hopfinger, R. (2026). OnabotulinumtoxinA for platysma prominence: Safety and efficacy results from a phase 3 open-label repeat treatment study. Plastic and Reconstructive Surgery, 158(1), 78–87. https://doi.org/10.1097/PRS.0000000000012629
Shridharani, S. M., Ogilvie, P., Couvillion, M., Pavicic, T., Lain, E., Jierjian, E., Lee, E., Park, G. S., Shimoga, S. V., Tong, W., & Hopfinger, R. M. (2024). Improving neck and jawline aesthetics with onabotulinumtoxinA by minimizing platysma muscle contraction effects: Efficacy and safety results in a phase 3 randomized, placebo-controlled study. Aesthetic Surgery Journal, 45, 194–201. https://doi.org/10.1093/asj/sjae220
Zhou, R., Fei, Y., Sun, L., Guo, J., Zhou, X., & Zhang, X. (2019). BTX-A rejuvenation: Regional botulinum toxin-A injection of the platysma in patients with facial sagging. Aesthetic Plastic Surgery, 43(4), 1044–1053. https://doi.org/10.1007/s00266-019-01396-4
BOTOX® Cosmetic for Platysmal Bands:
The Non-Surgical Neckline Treatment
R+H Aesthetic Medicine · Roseville · West Sacramento · Lake Tahoe
Treatment Education
Can Botox Lift Your Jawline and Neck? Platysmal Bands and the Nefertiti Lift in Roseville, West Sacramento and Lake Tahoe
BOTOX® Cosmetic (onabotulinumtoxinA) has been FDA-approved since October 2024 to treat platysmal bands, the vertical neck bands created by muscle activity. Relaxing the platysma, a technique also known as the Nefertiti lift, smooths the neck and sharpens the jawline, with full results typically at two weeks. It is not designed to correct significant loose skin.
Last updated: October 2026 · Reviewed by the R+H Aesthetic Medicine clinical team
Many patients tell us the same thing at consultation: they feel confident about their face, then catch their neck in a photo or a video call and feel ten years older. The neck gives away age in a way the face often does not, and until recently the serious options for it were surgical. That has changed.
The FDA approval of BOTOX® Cosmetic for platysmal bands brought a true non-surgical option to the neckline, and it has quickly become one of the most requested additions to treatment plans at R+H Aesthetic Medicine. Here is what the treatment actually does, who it serves best, where its limits are, and how we price it, including our Neurotoxin High-Dose Price Adjustment Protocol designed specifically for treatments like this one.
What Are Platysmal Bands?
The platysma is a thin, broad sheet of muscle that extends from the collarbone up to the jawline. Every time it contracts, through speaking, expression, tension, or simply habit, it can pull the neck into visible vertical bands. Over time, as the muscle works and the overlying skin thins with natural collagen loss, those bands become more defined at rest, changing the contour of the neck and softening the definition of the jawline.
This is a normal part of aging, and it is muscular in origin. That distinction matters, because a muscle-driven concern responds to a muscle-targeted treatment. This is exactly the mechanism BOTOX® Cosmetic was built on.
Why Does the Platysma Pull Your Face Down?
Your face is held in a constant balance between two groups of muscles: elevators, which lift, and depressors, which pull down. The platysma is one of the strongest depressors of the lower face, and with age it tends to win that tug of war.
"The platysmal muscles are depressor muscles. They pull down, they get stronger as we age, and they work with gravity to pull everything on the face downward. When we relax them with Botox, we get the opposite effect, and everything is elevated."
Heidi, PA-C, Founder of R+H Aesthetic Medicine
That is why patients often notice more than smoother neck bands after treatment. With the platysma relaxed, the elevator muscles are no longer fighting the same downward pull, and the jawline looks sharper and the lower face more lifted.
What Is the Nefertiti Lift?
The Nefertiti lift is the name for using Botox along the jawline and the platysma to lift and define the jaw. It is named after Queen Nefertiti of ancient Egypt, whose famous sculpted portrait is known for its elegant, defined jawline. The technique was first described by Dr. Phillip Levy, who reported his experience in 130 patients, with noticeable re-contouring and elevation of the jawline and very high patient satisfaction (Levy, 2007).
In practice, the Nefertiti lift and Botox for neck bands target the same muscle. The difference is emphasis: neck band treatment focuses on the vertical cords, while the Nefertiti lift focuses on the platysma's pull along the jawline. At R+H, your provider plans both together based on what your neck and jawline actually need.
How BOTOX® Cosmetic Works for the Neck
BOTOX® Cosmetic works by temporarily reducing the activity of targeted muscles. In the neck, a series of precisely placed injections relaxes the platysmal bands, allowing the neck to appear sleeker, firmer, and more contoured. Because the platysma also exerts a downward pull on the lower face, relaxing it can enhance jawline definition and soften the appearance of early jowls, creating harmony between the lower face and neck.
The FDA approved BOTOX® Cosmetic for moderate to severe platysma bands in October 2024, at doses of 26, 31, or 36 units depending on severity (Mraz et al., 2026). Individual results vary with anatomy, muscle strength, dose, and treatment plan, which your provider reviews with you before anything is injected.
What Does the Research Show?
In the Phase 3 randomized, placebo-controlled trial published in the Aesthetic Surgery Journal, 76.7% of patients treated with BOTOX® Cosmetic achieved at least a 1-grade improvement in their neck bands at Day 14, compared to 21.2% on placebo, and 41.0% achieved at least a 2-grade improvement, compared to 2.2% on placebo. Treated patients also reported better jawline definition, higher satisfaction, and less bother from their neck bands, and the treatment was well tolerated (Shridharani et al., 2024). A follow-up repeat treatment study found the effect lasts about 3 to 4 months per treatment cycle (Mraz et al., 2026).
Emerging research also explores what Heidi describes: a lift beyond the neck. In a study of 75 patients, neuromodulator injections along the lower face and jawline repositioned facial soft tissue upward within 30 days, with 3D scans showing more volume in the midface and less in the lower face (Hernandez et al., 2022). A follow-up study of 35 patients using the same approach found improvement in the tear trough and lid-cheek junction, which the researchers explained by the elevator muscles gaining a stronger upward pull once the platysma was relaxed (Germani et al., 2023). A separate study of 512 women with facial sagging also reported a very high degree of midface improvement after regional platysma injections (Zhou et al., 2019).
These findings come with important limits. The changes in the 75-patient study were promising but did not reach statistical significance, the under-eye study was small with no placebo group and used a different neurotoxin, the 512-patient study was conducted in Asian women using a different injection technique, and midface and under-eye improvement are not FDA-approved uses. We share this research because it explains what many patients notice, not as a promise. Your provider will tell you honestly what to expect for your face.
Helps achieve a smoother, more youthful neckline by relaxing the bands at their muscular source
Reduces the platysma's downward pull, supporting lower face contour and harmony with the neck
Results begin within days, with full results typically visible at two weeks
No incisions and no downtime, a refreshed look without the recovery of a surgical procedure
Who This Treatment Is For, and Who It Is Not
The best candidates are patients whose neck concern is driven primarily by muscle activity: visible vertical bands, a neck that looks tighter at rest than in motion, and early softening of the jawline connected to platysmal pull. Patients in the Sacramento region often ask about this treatment after noticing bands in video calls or photographs, and for the muscle-driven version of that concern, it is an excellent fit.
BOTOX® Cosmetic relaxes muscle. It does not remove significant excess skin, tighten severe laxity, or reduce fat beneath the chin. Patients whose primary concern is loose or crepey neck skin may be better served by skin-directed treatments such as Morpheus8, or by a combination plan, and some anatomies are best referred for a surgical opinion. Treatment is also not appropriate during pregnancy or breastfeeding per our current clinical policy, and candidacy is always confirmed against your medical history at consultation. An honest assessment of which category your neck falls into is the first thing our providers establish, because the right treatment matters more than any single product.
Neck BOTOX® Cosmetic vs. Other Neck Options
Patients comparing options usually weigh three paths. Relaxing the muscle with BOTOX® Cosmetic is the right tool when bands are the concern: it is non-surgical, fast, and FDA-approved for exactly this use. Remodeling the skin with Morpheus8 is the stronger choice when texture, crepiness, or laxity dominates, because radiofrequency microneedling works on the skin itself rather than the muscle beneath it. Surgery remains the most complete answer for advanced laxity and significant excess skin, at the cost of incisions and recovery. Many R+H patients ultimately combine muscle and skin approaches, and your consultation determines which path, or which sequence, fits your anatomy.
The R+H Standard Behind Every Neck Treatment
The neck is anatomically intricate, and precision matters here even more than in most facial areas. Every injectable treatment at R+H is performed by a licensed medical provider from our team of Master Artist Injectors: Heidi, PA-C; Alicia, PA-C; Katie, NP-BC; Tiffany, PA-C; and Joni, RN, bringing a combined 47 years of aesthetic medicine experience. Our practice also maintains ultrasound capability, a safety standard very few practices in the region offer, allowing our providers to visualize anatomy beneath the skin when precision or safety calls for it.
- MD-owned medical practice with more than seven years in medical aesthetics and over 900,000 neurotoxin units administered since 2019
- Official Allergan Diamond Partner and Allergan Top 250 Award recipient for 2026, placing R+H in the top 1% of practices nationally for the BOTOX® Cosmetic portfolio
- Best of Sierra Nevada Gold Winner 2025, Sacramento Favorites winner 2023, 2024, and 2025, and Morpheus8 Top Provider recognized by InMode
- 1,500+ five-star reviews across our Roseville, West Sacramento, and Lake Tahoe locations
Pricing: Our Neurotoxin High-Dose Price Adjustment Protocol
Neck treatment often brings a patient's total unit count higher than facial treatment alone, especially when the two are combined in one appointment. We built our Neurotoxin High-Dose Price Adjustment Protocol for exactly this situation, so patients who require higher doses for optimal results are priced fairly for the full treatment.
Neurotoxin High-Dose Price Adjustment Protocol
Price adjustment on all units purchased if purchasing 71+ units of Botox or 211+ units of Dysport.
In practice, this means a patient combining neck and facial treatment who crosses the threshold receives the adjusted rate on every unit in the appointment, not only the units above the line. Your provider maps your exact dose, and therefore your exact pricing, during consultation, since dosing varies with muscle strength, anatomy, and goals.
Safety. Comfort. Results. Luxury.
Look Your Best and Most Refreshed.
Frequently Asked Questions: BOTOX® Cosmetic for the Neck
Is Botox FDA-approved for the neck?
Yes. In October 2024, the FDA approved BOTOX® Cosmetic (onabotulinumtoxinA) for moderate to severe platysma bands, the vertical bands connecting the jaw and neck (Mraz et al., 2026). In the Phase 3 trial, 76.7% of treated patients improved by at least one grade at Day 14, compared to 21.2% on placebo (Shridharani et al., 2024).
What are platysmal bands and why do they appear?
Platysmal bands are the vertical cords that become visible on the neck when the platysma, a thin muscle running from the collarbone to the jawline, contracts. With age, repeated muscle activity and natural thinning of the overlying skin make the bands more defined, including at rest. Because the cause is muscular, a muscle-relaxing treatment addresses it at the source.
How fast will I see results from neck Botox?
Results begin to appear within days as the platysma relaxes, with full results typically visible at two weeks. Clinical studies demonstrated significant improvement as early as 14 days after treatment. Your provider may schedule a follow-up around that point to assess your result.
How long does neck Botox last?
A Phase 3 repeat treatment study found results last about 3 to 4 months per treatment cycle (Mraz et al., 2026). Duration varies with anatomy, dose, and muscle strength, so your provider will recommend a maintenance schedule based on how your platysma responds to your first treatment.
Does treating the neck also improve the jawline and jowls?
It can. The platysma exerts a downward pull on the lower face, so relaxing it often enhances jawline contour and softens the appearance of early jowls, creating better harmony between the lower face and neck. The degree of improvement depends on how much of your lower-face change is driven by platysmal pull versus skin laxity or volume loss, which your provider evaluates at consultation.
What is a Nefertiti lift?
A Nefertiti lift uses Botox along the jawline and platysma muscle to lift and define the jaw. It is named after Queen Nefertiti of ancient Egypt, known for her defined jawline, and was first described by Dr. Phillip Levy (Levy, 2007). It targets the same muscle as FDA-approved Botox for neck bands, with the focus on the jawline.
Can neck Botox lift the midface or improve under-eye hollows?
Emerging research suggests it may. Studies have reported midface improvement and better under-eye appearance after platysma injections, explained by the elevator muscles lifting more freely once the platysma relaxes (Germani et al., 2023; Hernandez et al., 2022; Zhou et al., 2019). These studies have limits, and midface and under-eye improvement are not FDA-approved uses, so results vary and are never guaranteed.
Is there downtime after neck Botox?
No significant downtime. There are no incisions, and most patients return to normal activity the same day. Mild tenderness or small marks at injection sites can occur and resolve quickly. Your provider will review simple aftercare guidance at your appointment.
How many units does neck Botox require?
Neck treatment generally requires more units than a single facial area because the platysma is a broad muscle treated at multiple points along each band. Exact dosing varies with band prominence, muscle strength, and whether facial areas are treated in the same appointment. This is why we built our Neurotoxin High-Dose Price Adjustment Protocol: patients purchasing 71 or more units of Botox, or 211 or more units of Dysport, receive the adjusted rate of $12 per unit for Botox or $4.00 per unit for Dysport on all units purchased. Your specific dose and price are confirmed at consultation.
What does neck Botox cost at R+H?
Botox is $14 per unit for 1 to 70 units and $12 per unit at 71 units or more. Dysport is $4.70 per unit for 1 to 210 units and $4.00 per unit at 211 units or more, with the price adjustment applied to all units purchased when the threshold is reached. Total cost depends on your dose, which your provider maps to your anatomy and goals. BEAUTY BANK members receive VIP pricing of $11 per unit for Botox and $3.70 per unit for Dysport, and flexible financing is available through CareCredit and Allē Payment Plans powered by Cherry.
Neck Botox vs. Morpheus8: which is right for my neck?
It depends on what is driving your concern. BOTOX® Cosmetic treats the muscle, so it is the right tool for visible platysmal bands. Morpheus8 treats the skin, so it is the stronger choice for crepiness, texture, and laxity. Many necks show both patterns, and a combination plan treating muscle and skin at their respective sources often produces the most complete non-surgical result. Your consultation determines which pattern dominates in your neck.
Can neck Botox replace a neck lift?
No, and we will tell you honestly when it cannot. Neck BOTOX® Cosmetic relaxes muscle-driven bands. It does not remove significant excess skin or correct advanced laxity, which remain surgical territory. For the right candidate it delivers a refreshed, contoured neckline without incisions or recovery. For patients whose primary issue is loose skin, we recommend the treatment path that will actually serve them, even when that means a different plan than the one they came in asking about.
Can I combine neck treatment with my regular facial Botox appointment?
Yes, and many patients do. Combining facial and neck treatment in one appointment is efficient, keeps results on a single maintenance schedule, and frequently brings the total unit count into the high-dose tier, where the adjusted per-unit rate applies to every unit purchased. Your provider will plan the combined dosing safely across all treated areas.
Is there an offer for new patients?
New patients can receive $65 off their first BOTOX® Cosmetic treatment through Allē. The offer is claimed through the official Allē program at alle.com, subject to Allē's current terms and availability. Mention it when booking and our team will confirm the details for your appointment.
Where can I get FDA-approved neck Botox near Roseville, West Sacramento, or Lake Tahoe?
R+H Aesthetic Medicine offers BOTOX® Cosmetic for platysmal bands at all three of our locations in Roseville, West Sacramento, and Lake Tahoe. Every treatment is performed by a licensed medical provider at an MD-owned practice recognized in the top 1% nationally through the Allergan Top 250 Award 2026, with ultrasound capability supporting our injection safety standards and more than 1,500 five-star reviews across our locations.
BEAUTY BANK members receive Botox at $11 per unit and Dysport at $3.70 per unit, one complimentary ZO Skin Health Stimulator Peel per year, and 20% off medical-grade skincare and supplements annually. Flexible financing is available through CareCredit and Allē Payment Plans powered by Cherry, and points can be earned through the Allē Rewards Program and ASPIRE Rewards on qualifying treatments.
View Our Current Promotions Explore BEAUTY BANK Membership Learn About Financing
A Refined Neckline, Without Surgery
At R+H Aesthetic Medicine, our philosophy is built on Safety, Comfort, Results, and Luxury, and this treatment reflects all four: an FDA-approved option, delivered by experienced medical providers, producing a refreshed result with no downtime. We believe in THE BEST YOU at every stage of life, and for many patients the neck is the final piece that brings the whole picture into harmony.
Your journey to a beautifully refined neckline starts here. Empowering you to LOOK YOUR BEST AND MOST REFRESHED.
Book Your Neck Treatment Consultation
Our providers will assess your platysmal bands, confirm your candidacy, and map your exact dose and pricing. New patients can save $65 on their first treatment through Allē.
Self-Book Online NowCall or Text Us to Book Your Appointment:
Lake Tahoe: (530) 237-4730
Roseville: (916) 209-0545
West Sacramento: (916) 617-2331
Germani, M., Almeida, C. C. M. S., Muñoz-Lora, V. R. M., Rogerio, V., Moelhoff, N., Freytag, D., Green, J. B., Alfertshofer, M. G., Davidovic, K., & Cotofana, S. (2023). How to improve infraorbital hollows with neuromodulators: A clinical prospective interventional study about the application of facial biomechanics. Journal of Cosmetic Dermatology, 22(11), 2950–2956. https://doi.org/10.1111/jocd.15970
Hernandez, C. A., Davidovic, K., Avelar, L. E. T., Alfertshofer, M., Freytag, D. L., Frank, K., Moellhoff, N., Bihun, R., Green, J. B., & Cotofana, S. (2022). Facial soft tissue repositioning with neuromodulators: Lessons learned from facial biomechanics. Aesthetic Surgery Journal, 42(10), 1163–1171. https://doi.org/10.1093/asj/sjac090
Levy, P. M. (2007). The 'Nefertiti lift': A new technique for specific re-contouring of the jawline. Journal of Cosmetic and Laser Therapy, 9(4), 249–252. https://doi.org/10.1080/14764170701545657
Mraz, D., Hanke, C. W., Papel, I., Beer, K., Yoelin, S., Weinkle, S., Keaney, T., Rohrich, R. J., McCaskill, R., Shimoga, S. V., Park, G. S., Tong, W., & Hopfinger, R. (2026). OnabotulinumtoxinA for platysma prominence: Safety and efficacy results from a phase 3 open-label repeat treatment study. Plastic and Reconstructive Surgery, 158(1), 78–87. https://doi.org/10.1097/PRS.0000000000012629
Shridharani, S. M., Ogilvie, P., Couvillion, M., Pavicic, T., Lain, E., Jierjian, E., Lee, E., Park, G. S., Shimoga, S. V., Tong, W., & Hopfinger, R. M. (2024). Improving neck and jawline aesthetics with onabotulinumtoxinA by minimizing platysma muscle contraction effects: Efficacy and safety results in a phase 3 randomized, placebo-controlled study. Aesthetic Surgery Journal, 45, 194–201. https://doi.org/10.1093/asj/sjae220
Zhou, R., Fei, Y., Sun, L., Guo, J., Zhou, X., & Zhang, X. (2019). BTX-A rejuvenation: Regional botulinum toxin-A injection of the platysma in patients with facial sagging. Aesthetic Plastic Surgery, 43(4), 1044–1053. https://doi.org/10.1007/s00266-019-01396-4
