When botulinum toxin is injected into the muscle, it blocks the effects of a chemical messenger called acetylcholine that is released from the nerves to make the muscle contract. This helps the muscle to relax. The injection into the upper part of the trapezius is becoming a common procedure for making a smooth shoulder line.

As a result, the treatment can improve the appearance and tension of the neck and shoulder and back. This treatment has been also termed “Barbie Neck”.  At our clinic, we have been doing this treatment for many years, and in recent months we have seen a surge in its demand . This highly sought after treatments that gives an elongated, regal ,soft neck and shoulder line that is perfect enhancing your confidence. It also help to alleviate tension in the area, and patients often come to us after months of unsuccessful massage therapy.

How long does the treatment last?

For functional Botox treatments like masseter Botox, the results last approximately 6-12 months. This treatment can last longer than other areas because it takes a time for the muscle to relax fully, and when the Botox finally wears off around three months, it takes time for it to kick back in. We typically recommend patients to maintain their results at 6-9 months as it tends to make the next round of Botox last even longer.

Who is suitable?

There are two main types of patients that are suitable for this treatment. The first type is what we call the functional patients, who are seeking resolution to their upper back and shoulder pain. By relaxing the trapezius muscle it releases the tension and reduces the tight neck and shoulder pain. Our feedback from patients is that it is highly effective and long lasting when compared to repeated rounds of massage.

The second type of patient has the treatment for more cosmetic results. A strong trapezius muscle can shorten the neck line and make the shoulder / neck area appear wide. Summer dresses, wedding dresses and off the shoulder tops tend to expose the area and having a softer transition from neck to shoulder tends to elongate the neck line.

Is it safe?

Botulinum toxin therapy is one of the most popular cosmetic treatments available. Various clinical researchers have proven that botulinum toxin has been a useful ingredient in the treatment of muscle hypertrophy, including masseter, trapezius and calves. Botox is one of the most researched drug, and is a safe, trusted and proven treatment when used in the hands of a trained medical professional .

After the injection, temporary soreness, redness and bruising is normal. Botulinum toxin typically takes 1 month to start working, then you can achieve the goal of slim shoulder and neck line, together with well-defined collarbones.


How long until you see the result?

At the beginning, it takes 3 weeks to start working and you can find the results can be evident seen in approximately 4 to 6 weeks.

What are the side effects?

Just like all injections, sometimes bruising and pain. Temporary weakness of the muscles may cause weakness of lifting or upper arm function, however this is theoretical and unlikely. Usually the side effects are very minimal to nil.