TrapTox: Your Solution to Neck and Shoulder Pain, Endorsed by Dermatologists

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Is there anything Botox can’t achieve? With its FDA approval for wrinkle reduction, sweat control, and migraine prevention, Botox has become a versatile treatment. But its benefits extend even further.

You may have stumbled upon viral TikTok videos singing the praises of TrapTox—a groundbreaking technique that involves injecting Botox into the trapezius muscles. This procedure promises a slender, elongated neck and well-defined shoulders.

By injecting Botox into these expansive muscles—the ones that span from the base of the neck, across the shoulders, and down the upper back—we induce relaxation. This, in turn, improves posture, reduces neck and shoulder stiffness, alleviates pain, and imparts a contoured and elongated appearance to the neck. In this comprehensive overview, two esteemed dermatologists will delve into all the essential details about TrapTox.


Dr. Amy Wechsler: A distinguished board-certified dermatologist and psychiatrist based in New York. Dr. Macrene Alexiades: A renowned board-certified dermatologist and the founder of Macrene Actives.

Understanding Trapezius Botox

Traptox Your Solution To Neck And Shoulder Pain Endorsed By Dermatologists (2)

While TrapTox may be the latest trend, Dr. Amy Wechsler highlights that Botox has long been utilized to relax overused muscles. The trapezius muscles, crucial for daily movements, stabilize the neck and shoulders to maintain proper posture. However, certain weightlifting exercises, reaching overhead, poor sleeping positions, and slouching can lead to inflammation and enlargement of these muscles. By treating the trapezius with Botox, we can create the illusion of a lengthened neck, especially if it appears shortened due to overuse, Dr. Wechsler explains.

Dr. Macrene Alexiades adds that using Botox on the trapezius muscles not only relieves muscle contractions but also reduces their size. This method has proven effective in treating stubborn muscle knots and chronic migraines.

The Advantages of Trapezius Botox

The benefits of Trapezius Botox extend beyond muscle relaxation. Consider the following advantages:

  1. Relaxation of the trapezius muscles
  2. Reduction of pain and stiffness
  3. Alleviation of excessive muscle contractions
  4. Achieving an elongated and lean neck and shoulder appearance

According to Dr. Wechsler, the most significant benefit of this treatment is pain relief resulting from the partial relaxation of overused muscles. Many individuals experience tension in their trapezius muscles, leading to shoulder pain and stiffness. Injecting Botox into the extensive trapezius muscle group—alongside other neuromodulators—releases tension in the area, effectively reducing tension headaches and “tech neck.”

From an aesthetic perspective, TrapTox can sculpt an elongated neck and more balanced shoulders. Dr. Macrene explains that Botox relaxes and partially deactivates the injected muscles, causing them to shrink in size and volume. By injecting the trapezius muscles with Botox, excessive muscle contractions can be alleviated, enhancing posture by restoring balance to the front and back of the upper body. Clinical studies have demonstrated statistically significant reductions in trapezius hypertrophy with the use of Botox.

Is Trapezius Botox Painful?

The discomfort associated with injecting Botox into the trapezius muscles is comparable to that experienced when injecting it into the face or other body areas. Each injection may cause a slight pricking sensation as the needle penetrates the skin. However, apart from this sensation, the treatment itself is relatively painless. To enhance your comfort, your dermatologist can apply topical numbing cream prior to the injections.

Preparing for Trapezius Botox

Preparation for Trapezius Botox aligns with the standard protocol for any Botox treatment. While major pre-treatment preparations are unnecessary, adhering to a few do’s and don’ts leading up to the injections can enhance the treatment’s effectiveness. Firstly, endeavor to relax your muscles as much as possible, reducing stress and tension in the targeted area. Dr. Macrene advises avoiding exercise for at least two hours before TrapTox and refraining from workouts for the remainder of the day.

Additionally, our experts recommend abstaining from alcohol consumption for up to one week before the injections, as it may lead to bruising and swelling at the injection site. It is also advisable to avoid blood thinners for a week, as well as aspirin or other anti-inflammatory medications a few days before your Botox appointment, as they can increase the risk of bleeding.

What to Expect

Traptox Your Solution To Neck And Shoulder Pain Endorsed By Dermatologists (3)

While various types of neuromodulators are available at dermatology practices—such as Botox, Dysport, Jeuveau, Xeomin, and Daxiffy—Dr. Wechsler emphasizes that no specific brand yields superior results for trapezius muscle treatment. Therefore, stick with the brand that you personally prefer.

Trapezius Botox is a quick and straightforward procedure, typically lasting between 10 to 20 minutes. On average, 50 units of Botox are injected into the left and right trapezius muscles, although some individuals may require more based on muscle size. Dr. Macrene recommends evaluating each person on a case-by-case basis to ensure a customized treatment approach.

The procedure begins with your dermatologist marking the areas along the shoulders for injection. They will then swiftly administer the Botox into each marked area. The beauty of TrapTox lies in its lack of downtime, although the results take time to manifest. Typically, improvements become noticeable two to three days after the injections and continue to develop over the course of two weeks. As the Botox weakens the muscles, you will experience reduced tightness and pain in the shoulders, neck, and back, along with an enhanced range of motion. On average, the results last approximately four months, with some individuals noting prolonged effects.

Potential Side Effects

Trapezius Botox is a relatively straightforward procedure, with rare potential side effects that mirror those experienced with Botox injections for wrinkles and lines. Temporary redness, mild swelling, and bruising at the injection site are common. Inappropriately injected toxin may cause diffusion, resulting in flu-like symptoms and muscle weakness. It is crucial, therefore, that your injector possesses the necessary skill and experience to reduce the likelihood of such unwanted side effects, as affirmed by Dr. Wechsler.

During the treatment, it may be more challenging and require additional effort to extend the neck and shrug the shoulders due to temporary muscle weakness. However, these movements will gradually regain their strength as the Botox begins to wear off.

The Cost

The price range for TrapTox typically falls between $10 and $25 per unit. This equates to an average cost of $500 to $1000 per session, varying based on the required number of Botox units. Unless your Botox treatment is deemed medically necessary—a determination that necessitates examination and diagnosis—your health insurance is unlikely to cover the expense.


Post-treatment, your dermatologist will advise following the same aftercare protocol as you would for facial Botox. This entails refraining from exercise, particularly strenuous activities, and avoiding lying down for eight hours. Dr. Macrene recommends abstaining from alcohol consumption for the first 24 hours and avoiding hot baths and saunas, as they can elevate body temperature and impede results.

Mild redness and soreness in the treated area are common after a TrapTox session. If you experience any discomfort, applying ice to the area can help alleviate it. It is important to note that maintaining good posture, sitting up without slouching, and walking with a straight posture are crucial. Failing to practice proper posture can lead to a rapid re-strengthening of the trapezius muscles.

The Final Takeaway

Dermatologists are observing a rise in patients seeking trapezius Botox, and the reasons are clear: it aids in reducing tension-related pain while creating a more contoured appearance around the neck and shoulders. Similar to Botox injections for the face, the results of TrapTox take a few days to a few weeks to fully manifest but are not permanent. To ensure long-lasting effects, it is advisable to schedule appointments with your dermatologist two to three times per year.

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