Shoulder Botox | Trapezius Botox for Shoulder Pain

When botox is injected into the trapezius muscles, it blocks the signals between the nerva and muscles, whic can relaxes the trapezius muscles to achieve a slimmer shoulder frame and relieves shoulder pain caused by tight trapezius muscles. The trapezius muscle is a large muscle that extends from the back of the head and neck to the shoulders. When the trapezius muscles is enlarge or hypertrophic, the shoulders look bulky and more masculine, it might also cause pain in shoulder. Shoulder pain is one of the most common problems these days as many of us hunch over the computrer or mobile devices for hours each day and are developing a worsening of posture alongside increasing neck and shouldr pain. When it comes to pain in the shoulder that would not go away with another shoulder pain exercises, you may consider getting a shoulder botox. The botox effect takes 3-4 weeks to manifest and lasts for 4-6 months which the procedure needs to be repeated to maintain slimming and pain relieving effect.


Best Practices


  • Avoid alchohol 24 hours before treatment
  • Avoid having botox treatment during menstruation period
  • Please inform the practitioner if you have injected botulinum toxin within 3 months
  • Do not take aspirin, aminoglycoside antibiotics (such as gentamicin, kanamycin) within 2 weeks before injection of botulinum toxin


  • Do not drink alcohol within 24 hours, and avoid spicy food, shelled seafood and beef
  • No strenuous exercise for 24 hours
  • You can wash your face and take a bath on the same day
  • Do not apply skin care products to the needle eye within 24 hours, and do not rub the injection site


  • 2-3 days to start to have effect, Botox effect can last 3-6 months
  • Stove legs and shoulders: the best effect is one month

Follow-up visit

  • 2-4 weeks follow-up consultation
  • No follow-up consultation after the time

Who is suitable for Shoulder Slimming Treatment?

  • Male or female who wants to reduce size of trapezius muscle to achieve a slimmer look on the shoulder and collarbone.
  • Male or female who wishes to reduce the tension in the lower neck and shoulder.

You are not a suitable candidate for Toxin Treatment if you:

  • Are pregnant or breastfeeding
  • Have untreated epilepsy or porphyria
  • Tend to develop hypertrophic scarring
  • Are hypersensitivity to hyaluronic acid and/or to gram-positive bacterial proteins
  • Are hypersensitivity to lidocaine or to amide-type local anaesthetics, the product constituents or excipients
  • Have areas presenting cutaneous
  • Have active autoimmune disease
  • Have a history of anaphylactic shock 
  • Have acute rheumatic fever with heart complications
  • Are currently taking drugs that reduce or inhibit hepatic metabolism, such as cimetidine and beta-blockers
  • Have been treated with a permanent implant in the proposed treatment area

You will require a consultation with your respective doctor at Yuchi Medical before having a Toxin Treatment if you:

  • Have inflammatory and/or infectious process (acne, herpes, etc.)
  • Are currently undergoing laser, deep chemical peels or dermabrasion
  • Suffer from, or have a history of, autoimmune disease or autoimmune deficiency
  • Are undergoing immunosuppressive therapy
  • Have severe and/or multiple allergies
  • Are showing symptoms of cardiac conduction disorders
  • Have a history of streptococcal disease
  • Have body dysmorphic disorder
  • Have abnormally thin skin or skin atrophy
  • Patients on anti-coagulation medication or using substances that can prolong bleeding

Frequent Questions

1)   How many units of botox are required for shoulder slimming treatment?

150 – 300 units of botox are used for trapezius injections for shoulder contouring on each size.

2)   Is there any down time?

All botox treatments have minimal to no downtime. You are usually able to resume daily activities immediately after the treatment. There may be some redness and swelling immediately after the injection. You may also experience some mild soreness and muscle weakness in the shoulder for a few days. However, this will usually subside within a short period of time

Botulinum Toxin A (more commonly known as Botox) is the protein complex derived from the bacteria Clostridium Botulinum. Currently, there are quite a few types of Botulinum Toxin in use by practitioners all over the world. At Yuchi Medical, our primary choices of Botulinum Toxin are Bocouture and Botox.

Botox blocks signals from the nerves to the muscles. It interferes with the nerve stimulation of the muscles causing excess facial expressions. This relaxes the muscles in the injected part, helping to smooth out your skin and prevent wrinkle formation.

When Botox is appropriately used by a suitable qualitied practitioner, it is safe and has few side effects.

  • Forehead Lines
  • Frown Lines
  • Neck Lines
  • Crow’s feet
  • Lower-eyelid wrinkles
  • Eyebrow Lift
  • Square Jaw Reduction (Face Slimming)
  • Dimpled Chin
  • Bunny Lines
  • Sweaty Armpits and Palms (Hyperhidrosis)
  • Neck Lift  
  • If you are pregnant or breastfeeding
  • If you have had Botox injections in the same areas within the past 3 months.
  • If you have any neuromuscular conditions like myasthenia gravis
  • If you are taking medications such as antibiotics that are aminoglycosides. The botulinum toxin can interfere with these drugs.
  • If you had previous injuries or surgeries to the injected areas
  • If you are allergic to botulinum toxin type A

A consultation is necessary for our practitioners to discuss your treatment goals, study your facial features and to tailor a personalised treatment plan. The procedure takes only a few minutes. The practitioner uses a small needle to inject Botox into targeted muscles. This discomfort is minor. There is minimal downtime or recovery. You will be able to return to your normal routine immediately after the injection.

Procedure is bearable even without numbing cream. Ice pack may be applied.

All Botox injections have minimal to no downtime. You are usually able to resume daily activities immediately after the treatment. There may be some redness and swelling immediately after the injection. You may also experience some mild soreness and muscle weakness in the injected part for a few days. However, this will usually subside within a short period of time. Other possible side effects of the Botox treatment include:

  • Allergic reactions
  • Eyebrows may droop temporarily
  • Slight inflammation or skin discolouration
  • Slight numbing or prickling sensation
  • Symptoms similar to flu
  • Temporary headache
  • Temporary nausea
  • Unsuccessful treatment