Consultation
Neck and jawline
The vertical bands that appear down the front of the neck, and the loss of a clean line along the jaw, are usually the same problem: a broad, flat muscle called the platysma pulling downwards.
Treating that muscle releases some of the downward pull. The jaw line becomes cleaner and the neck bands soften. This is a prescription treatment, so what we offer here is a consultation — the medicine is prescribed for you personally by Dr Badri after he has assessed you.
What the evidence shows
For the neck bands specifically, this is the best-evidenced treatment we offer. A 2026 analysis pooling three randomised controlled trials across 1,003 patients found significant, sustained improvement at two weeks, two months and four months, with no significant difference in side effects compared with placebo.
The jawline effect is less well evidenced. It is reported as a consequence of treating the neck bands, and the results in the literature are inconsistent. We would rather tell you that than sell you a jawline.
An important point about licensing
No medicine licensed in the UK for this purpose carries a licence for the neck. Treating this area is off-label. That is common, established practice, but it requires a prescriber's clinical justification and your explicit consent — and you should be told, which is why it is on this page rather than mentioned in passing on the day.
Onset and duration
First effects at three to five days, settling at two weeks. It typically lasts three to four months.
Risks
- Difficulty swallowing. This is the complication that matters here, and it is caused by the medicine spreading to the muscles used in swallowing. It is why the total dose is kept conservative and why we will not chase a bigger result with a bigger dose.
- Voice changes or a weaker voice.
- Neck weakness — difficulty holding your head up comfortably.
- Bruising, swelling, tenderness, and a transient feeling of heaviness in the neck.
- Asymmetry, or an altered smile if the muscles at the corners of the mouth are affected.
Who it does not suit
This treats a muscle. It does not treat loose skin or fat under the chin. If the problem is skin laxity or volume, this will disappoint you, and we will say so at consultation rather than after.
Not suitable in pregnancy or breastfeeding, with a neuromuscular condition, or with an infection at the treatment site.
Book an appointment
If you know what you want, book it. If you would rather talk it through first, a consultation is free — thirty minutes, no obligation, and the £15 deposit comes back to you when you attend.