Recommended Botulinum Toxin Dosage for Nefertiti Neck Lift
For a Nefertiti neck lift procedure, the recommended dose of Botulinum toxin is 2-4 units per injection site along the inferior border of the mandible and platysmal bands, with a total dose typically ranging from 40-60 units per treatment session.
Understanding the Nefertiti Lift Technique
The Nefertiti lift is a minimally invasive procedure that uses botulinum toxin to:
- Redefine the jawline contour
- Reduce platysmal banding
- Create a lifting effect of the lower face and neck
- Provide a "mini-lift" effect without surgery
Anatomical Considerations
The primary target for injection is:
- The platysma muscle, particularly along the inferior border of the mandible
- Platysmal bands in the neck region
Recommended Injection Protocol
Dosage Guidelines:
- Per injection site: 2-4 units of botulinum toxin
- Total dose: 40-60 units distributed across multiple sites
- Concentration: Typically prepared as 20-28 units per mL of solution 1
Injection Pattern:
- Mandibular Border: 4-5 injection points along each side of the jawline
- Platysmal Bands: 4-6 injection points per band
- Injection Technique: Intradermal or immediate subdermal plane using a 30- or 32-gauge needle
Patient Selection Factors
Best results are typically seen in:
- Younger patients with platysma muscle hyperactivity
- Patients with retained skin elasticity
- Patients with visible platysmal bands
- Patients seeking jawline definition without surgery
Efficacy and Outcomes
Research shows that the Nefertiti lift technique:
- Achieves significant improvement in platysmal bands both at rest and with maximal tension 2
- Results in high patient satisfaction rates (96.6% in clinical studies) 2
- Provides temporary results lasting approximately 3-4 months
Safety Considerations
- Healthcare providers should have epinephrine and antihistamine treatments available during administration
- The risk of anaphylaxis is less than 2%
- Avoid excessive dosing which can lead to dysphagia, dysphonia, or weakness of neck muscles 3
- Proper anatomical knowledge is essential to prevent adverse effects
Precautions
- Botulinum toxin should not be used as an intraprostatic injection for male LUTS (unrelated to the Nefertiti lift but mentioned in guidelines) 4
- Careful injection technique is required to avoid migration to adjacent muscles
- Lower doses are typically used compared to upper face treatments to minimize risk of adverse effects
The Nefertiti lift provides a non-surgical option for jawline definition with high patient satisfaction when performed with appropriate technique and dosing.