Trap Tox: Botox in the Trapezius for Neck Slimming and Tension: Evidence and Risks

Scroll through any feed this spring and you will find the same short clip: someone in a ribbed tank top turning sideways to the camera, shoulders dropping a finger-width lower than in the “before” frame, the caption promising a longer neck and a lighter head. The procedure behind those clips is trap tox, and as of March 2025 it is one of the most searched aesthetic injectables in the United States.

Two things pushed it back into the news. In October 2024 the FDA approved Botox Cosmetic for vertical neck bands, the first cosmetic neck indication for the product, and headlines about “Botox for the neck” quietly folded the shoulder trend into the same conversation. A year earlier, the CDC had investigated a cluster of botulism-like illnesses linked to counterfeit and mishandled botulinum toxin injections, a reminder that the product’s safety record depends heavily on who is holding the syringe.

Here is what the medical evidence supports, where it thins out, and how to tell a reasonable expectation from a marketing frame.

What is trap tox, exactly?

The trapezius is the large, kite-shaped muscle that runs from the base of the skull across the top of each shoulder and down between the shoulder blades; it lifts the shoulders, steadies the neck and helps you turn your head. Trap tox is the informal name for injecting botulinum toxin into the upper portion of that muscle. Botulinum toxin is a purified protein that blocks the chemical signal telling a muscle to contract, so the treated fibers relax and, over weeks, get slightly smaller from underuse.

The product most people mean when they say Botox is onabotulinumtoxinA, one of several botulinum toxin type A brands. Regulators have approved it for conditions such as cervical dystonia (a neurological disorder that causes involuntary neck muscle contractions and abnormal head postures), chronic migraine, certain forms of muscle spasticity and, on the cosmetic side, frown lines, crow’s feet, forehead lines and, since October 2024, vertical neck bands. Slimming the trapezius for looks is not on that list. When a clinician injects it for that purpose, the use is off-label: legal for a licensed prescriber to offer using clinical judgment, but not reviewed by the FDA for that indication.

Two motives drive the trend. One is aesthetic: a lower, longer-looking neck-to-shoulder line, sometimes nicknamed after a fashion doll. The other is functional: people who carry stress in their shoulders hope a relaxed trapezius will ache less. Those two goals share a mechanism but not the same evidence base, and separating them is the honest way to read everything that follows.

What changed recently

Nothing about the trapezius itself has changed; the context around the injection has. Three dated developments explain the current spike.

First, the neck approval. On October 2024’s regulatory calendar, onabotulinumtoxinA gained an FDA cosmetic indication for platysma bands, the vertical cords that stand out on the front of the neck when the platysma muscle tightens. That approval rested on randomized, placebo-controlled trials in the neck, and it is easy to see why the public blurred it with shoulder injections. The trapezius sits inches away and was not part of those trials.

Second, the counterfeit warning. In spring 2024 the CDC reported that people in multiple states had developed symptoms resembling botulism, including blurred vision, drooping eyelids, trouble swallowing and generalized weakness, after receiving botulinum toxin injections in non-medical settings or from unlicensed providers, in several cases with counterfeit or improperly handled product. Some needed hospital care. The CDC’s botulism pages now flag cosmetic injections as a recognized exposure route.

Third, the trend’s own momentum. The shoulder-slimming hashtag surged in the summer of 2023 alongside a blockbuster film about a famous doll and has never fully receded; each new wave of videos generates a new wave of searches for pain, price and side effects.

One older fact matters as much as any of these. Since 2009 every botulinum toxin product in the United States has carried a boxed warning, the FDA’s strongest label caution, about the possibility of the toxin spreading beyond the injection site and causing swallowing or breathing problems. That warning applies whether the target is a frown line or a shoulder.

How botulinum toxin makes a muscle smaller

Think of a muscle as a light on a switch. The nerve ending releases acetylcholine, a chemical messenger, into the tiny gap where nerve meets muscle, and the fibers contract. Botulinum toxin enters the nerve terminal and disables the machinery that packages and releases acetylcholine. The switch still exists; the wire behind it has been cut.

Relaxation is the first thing people notice, usually within the first week. Shrinkage takes longer. Muscle fibers that are not being asked to work slowly lose bulk, a process called disuse atrophy, the same reason a forearm looks thinner when a cast comes off. In the trapezius that thinning becomes visible over several weeks and is the effect the “before and after” videos are selling.

The body does not accept the cut wire permanently. Nerve terminals sprout new connections, acetylcholine release resumes, and the muscle rebuilds. For most people function returns over three to four months, which is why every botulinum toxin indication on the label involves repeat treatment.

Two consequences follow from this biology. Because the upper trapezius shares the job of lifting and stabilizing the shoulder blade with smaller neighbors, the levator scapulae and rhomboids, weakening it shifts some load onto those muscles. Some people experience that as relief; others report new stiffness or fatigue at the side of the neck. And because the effect is dose- and placement-dependent, the outcome varies with the injector’s anatomical judgment, not just the product. Those details are deliberately absent from this article; they belong in a consultation, not a magazine.

Botox for neck slimming: what actually changes in the mirror

The most useful question to ask before an aesthetic trapezius injection is the one social media skips: what is making my shoulders look the way they look?

Muscle is only one possibility. A rounded shoulder line can come from a genuinely thick upper trapezius, common in people who lift weights, swim or carry heavy loads for work. It can also come from a layer of fat over the muscle, from a forward-head posture that hunches the shoulders toward the ears, or from the way a photograph is lit and angled. Botulinum toxin acts on the first cause. It cannot dissolve fat, and it will not straighten a posture that has been shaped by years at a desk, though a relaxed muscle can make it easier to let the shoulders drop.

When muscle bulk is the driver, the published aesthetic reports, mostly small before-and-after case series from East Asian clinics where the procedure has been offered for two decades, describe a modest lowering of the slope between neck and shoulder and a longer visual line. Modest is the operative word. Clinicians who perform the injection typically describe the change as noticeable in a tank top or off-the-shoulder neckline and invisible under a jacket.

Symmetry deserves a sentence of its own. Almost everyone has one trapezius larger than the other, often the dominant side. Skilled injectors account for that; the videos rarely mention it. And because the muscle regrows as the toxin wears off, the mirror change is a rental, not a purchase. Anyone weighing this for appearance alone should expect subtle, temporary, and technique-dependent, in that order.

Shoulder Botox for tension: does trap tox relieve pain?

The pain claim is where hope and evidence diverge most sharply.

Botulinum toxin does have a strong track record in the neck for one specific diagnosis. In cervical dystonia, randomized placebo-controlled trials showed meaningful reductions in involuntary contraction and pain, and that indication has been FDA-approved since 2000. The chronic migraine protocol, approved in 2010 after two large randomized trials, also includes injection sites in the trapezius as part of a fixed pattern across the head and neck. So clinicians have been injecting this muscle for approved medical reasons for years.

Everyday shoulder tension is a different condition. Most people describing “tight traps” have muscle tension from posture, stress or overuse, sometimes with tender knots called trigger points, a pattern known as myofascial pain syndrome (persistent pain arising from taut bands within a muscle). Randomized trials of botulinum toxin for myofascial pain in the neck and shoulder have produced conflicting results: some small studies reported less pain than a saline placebo, others found no difference, and systematic reviews have generally concluded that the evidence is inconsistent and of low to moderate quality. Trials in tension-type headache, the headache most linked to tight shoulder muscles, have been largely negative.

Why the gap? Trigger-point pain seems to involve the nervous system’s processing as much as the muscle itself, and a relaxed trapezius does not reset a sensitized pain pathway. Placebo effects in injection studies are also large.

The fair summary is this: some people with tension-dominant shoulder pain report relief after trapezius injections, but the trials do not establish that the toxin, rather than the needle, the attention or the passage of time, is what helped. Whether that uncertain benefit justifies an off-label injection is a judgment for the treating clinician, made after other options have been considered.

What the evidence actually says, graded by strength

Grading evidence sounds academic, but it answers the practical question: how confident should I be that this will do what I have been told?

Strong evidence (multiple randomized controlled trials). The safety profile of onabotulinumtoxinA in the head and neck is well characterized from decades of trials in cervical dystonia, chronic migraine, spasticity and cosmetic facial use. Relaxation of the injected muscle is not in doubt. The 2024 neck-band approval added randomized cosmetic data for the platysma specifically.

Weak evidence (observational data, case series, expert opinion). Aesthetic slimming of the trapezius rests on small, mostly uncontrolled before-and-after reports and on the clinical experience of injectors. These studies document that the muscle shrinks, which the biology predicts, but they rarely use blinded assessors, standardized photography or validated satisfaction measures, and they seldom follow patients through several cycles.

Conflicting evidence (mixed randomized trials). Pain relief for myofascial neck and shoulder tension has been tested in randomized trials, but the results point in different directions, samples are small, and reviews grade certainty as low.

No direct evidence. Claims that trap tox improves posture, reduces stress, helps sleep or promotes weight loss have not been studied in trials. They are extrapolations from the relaxation effect.

Notice what this grading does not say. It does not say the aesthetic effect is imaginary; the muscle really does get smaller. It says the effect has not been measured rigorously enough to promise how much, for whom, or with what long-term consequences. A trend can be real and still be under-evidenced. This one is both.

Approved uses vs. trap tox: a side-by-side summary

The table below sets the shoulder injection beside the uses it borrows credibility from. Reading across the rows makes clear why “Botox is FDA-approved” is true and “trap tox is FDA-approved” is not.

Use	Regulatory status (US)	Evidence strength	Goal
Cervical dystonia	Approved (2000)	Strong: randomized placebo-controlled trials	Reduce involuntary neck contractions and pain
Chronic migraine (includes trapezius sites)	Approved (2010)	Strong: two large randomized trials	Fewer headache days per month
Platysma (neck) bands	Approved (October 2024)	Strong: randomized cosmetic trials	Soften vertical neck cords
Trapezius for shoulder slimming	Off-label	Weak: small observational case series	Lower, longer neck-to-shoulder line
Trapezius for tension or myofascial pain	Off-label	Conflicting: small mixed randomized trials	Less muscle tension and ache
Posture, stress, weight loss	Off-label	None: no trials	Unproven

Two clarifications keep the table honest. Off-label is not a synonym for improper; prescribing a licensed medicine for an unapproved use is common, legal and sometimes well supported by evidence. In this case the support is thin. And “strong” evidence for cervical dystonia does not transfer to ordinary tension, because dystonia is a disorder of the brain’s motor control, while everyday tightness is largely a postural and stress phenomenon in a normally functioning muscle.

If a consultation begins by describing trap tox as an approved treatment, that is a signal to slow the conversation down, not necessarily to walk away.

Trapezius Botox side effects and downsides people underestimate

Facial botulinum toxin has a reassuring safety record because the muscles involved are small and do little heavy lifting. The trapezius is neither. It is one of the largest muscles in the upper body and it works every time you carry groceries, lift a child, reach overhead or hold your head up at a desk. Weakening it has consequences that a forehead never faces.

Common, short-lived effects are what you would expect from any injection: pinpoint soreness, small bruises, a dull ache for a day or two, occasionally a headache or flu-like tiredness in the first week.

Functional effects are the ones the videos leave out. People report:

• A “heavy head” or neck fatigue by late afternoon, because the trapezius normally shares the work of holding the skull upright.
• Difficulty with overhead reaching, heavy bags or a backpack, sometimes noticed only on the first hike or gym session after treatment.
• New tightness at the side or back of the neck as the levator scapulae and rhomboids pick up the slack.
• Asymmetry if one side responds more than the other, or contour irregularities if the muscle thins unevenly.

Rare but serious effects are the reason for the boxed warning. Toxin can diffuse into neighboring muscles or, very rarely, spread more widely, producing trouble swallowing, hoarseness, drooping eyelids, blurred or double vision, or generalized weakness. Swallowing and breathing problems have been reported most often at higher medical doses and in people with underlying neuromuscular conditions, but the warning applies to every use.

Allergic reactions, including rash, itching and, exceptionally, difficulty breathing, have been reported with all botulinum toxin products. None of these are reasons to panic; they are reasons to treat a shoulder injection with the seriousness of a medical procedure rather than a beauty add-on.

Who should think twice before trap tox

Some people are told no; others should ask themselves harder questions than the consultation will.

The medical cautions come straight from the product label. Botulinum toxin is generally avoided in people with neuromuscular disorders such as myasthenia gravis, Lambert-Eaton syndrome or amyotrophic lateral sclerosis, because weakened nerve-to-muscle signaling can be dangerously amplified. Anyone with existing swallowing or breathing difficulty falls in the same category. Certain medicines, including aminoglycoside antibiotics and some muscle relaxants, can intensify the toxin’s effect and must be disclosed. Pregnancy and breastfeeding are situations where safety has not been established, and most clinicians decline cosmetic treatment during both. A skin infection at the injection site, a known allergy to any ingredient, including the human albumin used as a stabilizer, or a prior reaction to any botulinum toxin product all count as reasons to stop.

Then there are the lifestyle cautions, which no label spells out. If your job or sport depends on shoulder strength, think of nurses and caregivers who transfer patients, swimmers, climbers, weightlifters, hairdressers holding arms up all day, a weaker trapezius is a working handicap for a season, not a cosmetic footnote. People with a history of shoulder instability or rotator cuff problems rely on the trapezius to keep the shoulder blade positioned; loosening it can change mechanics in ways worth discussing with an orthopedic or physical therapy professional first.

Finally, expectation. If the wish for narrower shoulders is part of a broader, distressing preoccupation with a perceived flaw, a pattern clinicians call body dysmorphic disorder, injections tend to relieve nothing for long. A thoughtful injector will ask about this. A thoughtful patient will answer honestly.

How painful is trap tox, and what happens at the appointment?

People who have had facial injections usually describe the trapezius as easier. The skin over the shoulder is thicker and less densely supplied with nerves than the forehead or the delicate area around the eyes, and the muscle is large, so the injector is not working near anything that blinks or smiles.

The sensation is a series of quick pinches followed by brief pressure as the fluid enters the muscle, repeated at intervals along the top of each shoulder. Most people rate it as mild; a few find the deeper placements briefly sharp. Numbing cream is rarely needed. The injecting itself takes minutes. Afterward, expect a dull, worked-out soreness for a day or two, like the aftermath of an awkward night’s sleep, and possibly a few small bruises. Relaxation arrives over the first week, the visual change several weeks later.

The appointment should be longer than the injection. A responsible visit includes a medical history covering neuromuscular conditions, medications, pregnancy and previous toxin treatments; a physical examination to judge whether the shoulder contour is muscle, fat or posture; a frank conversation about the off-label status and the functional trade-offs; and written consent that names those things. Photographs from consistent angles help both of you judge the result.

Who holds the syringe matters. In the United States botulinum toxin is a prescription medicine that must be administered by, or under the supervision of, an appropriately licensed clinician according to state rules, using product supplied through the manufacturer’s authorized channels. The CDC’s 2024 investigation traced serious harm to injections given in homes and spas by people without licenses, sometimes with counterfeit vials. Asking to see the product’s packaging and the injector’s credentials is not rude. It is the single most protective question of the visit.

How long does trap tox last?

The honest answer has two clocks running at different speeds.

The relaxation clock runs on the toxin. Muscle activity begins returning as nerve endings regrow, typically over three to four months, the same window described for every approved use of onabotulinumtoxinA. Some people notice their shoulders creeping upward again around the ten-week mark; others feel little change until month four. Metabolism, muscle size and how hard the shoulders are worked all shift the timing.

The appearance clock lags. Because the visible effect comes from disuse atrophy rather than relaxation alone, the muscle needs weeks to thin and, once nerve signals return, weeks more to rebuild. In practice that means the slimmer contour often persists for a while after the muscle has started working again, and the return to baseline is gradual rather than abrupt. Nothing about it is permanent. Stop treatment and the trapezius regains its prior size; there is no evidence of lasting damage in healthy muscle, and no evidence of lasting slimming either.

Repeat cycles raise two questions patients rarely ask. One is whether the interval can be shortened to keep the look steady; product labels caution against treating more frequently than every three months, partly because repeated exposure can, uncommonly, prompt the immune system to form neutralizing antibodies that blunt future responses. The other is cumulative function: no study has followed people through years of trapezius injections to measure strength, posture or neck pain, so long-term repetition is an experiment each person runs on themselves.

For a one-time event, a wedding or a season of sleeveless dresses, the duration is convenient. As a standing maintenance habit, it deserves periodic re-evaluation with the clinician rather than automatic renewal.

Common myths about trap tox, corrected

Viral formats reward confidence over nuance. These are the claims that circulate most, set beside what the evidence supports.

“It’s just Botox, so it’s FDA-approved.” The product is approved; this use of it is not. Every trapezius injection for slimming or tension is off-label, which is why the consent form should say so.

“Trap tox helps you lose weight” or “burns shoulder fat.” Botulinum toxin acts on nerve signaling to muscle. It has no effect on fat cells and no effect on body weight. A shoulder that looks smaller because a muscle has thinned has not lost fat.

“It fixes posture.” No trial has tested this. A relaxed trapezius may make it easier to lower the shoulders, but posture is a habit of many muscles and of the workstation, not a single overactive one. Some people report feeling more slumped, not less.

“Results are permanent after a few rounds.” Muscle rebuilds once signaling returns. Longer-lasting appearance after repeated cycles is plausible because of cumulative atrophy, but it is not permanent and has not been quantified.

“It’s proven for tension headaches.” Randomized trials of botulinum toxin in tension-type headache have mostly failed to beat placebo. The approved headache indication is chronic migraine, using a specific whole-head protocol, not shoulder injections alone.

“No downtime means no risk.” You can return to work the same afternoon and still carry a boxed-warning medicine in a muscle you use to hold up your head. Convenience and safety are different variables.

“The nickname means it’s designed for women.” The trapezius is the same muscle in everyone. Men with occupational or athletic bulk ask about it too, and the functional trade-offs are identical.

What else helps tight, bulky-feeling traps

Most people searching for shoulder Botox are not chasing a doll’s silhouette. They are tired of shoulders that feel like they are wearing a coat hanger. For that complaint, the guideline-level advice from neck-pain evidence is conservative first, and it works more often than social media suggests.

Movement beats stillness. Systematic reviews of exercise for chronic neck and shoulder tension consistently show that regular strengthening of the neck, shoulder blade and upper back muscles reduces pain more reliably than rest or passive treatments. That sounds paradoxical for a muscle that already feels overworked, but the upper trapezius usually overworks because its partners, the lower trapezius, serratus anterior and deep neck flexors, are underworking. A physical therapist can identify that imbalance in one visit.

Workstation changes have modest but real effects in trials: a screen at eye level, elbows supported, and, crucially, standing up every half hour. Short, frequent breaks outperform one long stretch at the end of the day.

Stress management is not a platitude here. Tension in the upper trapezius rises measurably during mental strain, and brief relaxation or breathing practices lower it. Sleep quality, too, tracks closely with morning neck stiffness.

Heat, massage and foam rolling offer short-term relief with little downside. Over-the-counter pain relievers can help a flare, used as directed on the label and reviewed with a pharmacist or clinician if you take other medicines.

None of this rules out injections. It does mean that if a clinician proposes trap tox for tension before any of the above has been tried, the order of operations deserves a question. The trapezius is trying to tell you something about how you sit, lift, breathe and rest. Silencing it chemically is one option; listening first is the better-supported one.

When to see a doctor

Botulinum toxin injections, in any muscle, come with a short list of symptoms that should never be waited out.

Seek emergency care immediately, by calling emergency services, if in the hours to weeks after a trapezius injection you develop:

• Difficulty swallowing, a sensation of food or liquid going down the wrong way, or new hoarseness.
• Trouble breathing, shortness of breath or a weak cough.
• Slurred or muffled speech.
• Drooping eyelids, blurred or double vision.
• Weakness spreading beyond the shoulders, especially to the face, arms or legs.
• Signs of a serious allergic reaction: swelling of the lips, tongue or throat, widespread hives, wheezing or fainting.

These can indicate spread of the toxin, the effect described in the boxed warning, or, if the product was counterfeit or contaminated, botulism itself. Both are treatable medical emergencies, and early recognition matters.

Contact the injecting clinician promptly, though less urgently, for persistent neck pain that worsens rather than settles, a head that feels too heavy to hold up comfortably by day’s end, marked asymmetry between shoulders, fever or spreading redness at an injection site, or any new symptom you cannot explain. Bring the product lot number if you have it; a licensed provider will have recorded it.

Before treatment, a conversation with your primary care clinician is worthwhile if you have a neuromuscular condition, take antibiotics or muscle relaxants, are pregnant or breastfeeding, have shoulder or neck injuries, or have persistent headaches, which deserve a diagnosis rather than a cosmetic workaround.

Every decision about whether to start, repeat, adjust or stop trapezius injections rests with the prescribing clinician, informed by your history and your goals. This article can sharpen the questions you ask. It cannot answer them for you, and it should not be used to change any treatment you are already receiving.

Frequently asked questions

How painful is trap tox?

Most people describe trapezius injections as mild, easier than forehead or eye-area treatment, because the skin over the shoulder is thicker and less nerve-dense. Expect a series of quick pinches with brief pressure along the top of each shoulder, followed by a dull soreness for a day or two and possibly small bruises. Numbing cream is rarely needed. Sharp, spreading or worsening pain afterward is not typical and should be reported to the injecting clinician.

What are the potential downsides of trapezius Botox injections?

The main downsides are functional: temporary weakness lifting overhead or carrying heavy loads, neck fatigue or a heavy-head feeling, compensatory tightness in neighboring muscles, and asymmetry between shoulders. Short-lived soreness, bruising and headache are common. Rarely, toxin can spread and cause swallowing, speech, vision or breathing problems, the subject of the FDA boxed warning. Long-term effects of repeated trapezius injections on strength and posture have not been studied.

Will insurance cover trap tox?

Almost never for cosmetic shoulder slimming, because insurers exclude aesthetic procedures and the trapezius use is off-label. Botulinum toxin may be covered for approved medical diagnoses such as cervical dystonia or chronic migraine when a prescriber documents that specific criteria are met, and the migraine protocol happens to include trapezius sites. Coverage decisions rest with the insurer and prescribing clinician, not the injector’s marketing, so ask for the diagnosis code being submitted.

How much does trap tox cost?

This article deliberately publishes no prices, because cosmetic trapezius treatment is paid out of pocket and varies widely with the amount of product a given muscle needs, the injector’s credentials and geography. Any reputable practice should give you a written estimate before treatment and name the exact product being used. Unusually cheap offers, especially outside medical settings, were a common thread in the CDC’s 2024 counterfeit toxin investigation and warrant caution.

How long does trap tox last?

Muscle relaxation typically lasts three to four months, matching every approved use of onabotulinumtoxinA, as nerve endings regrow and signaling resumes. The slimmer appearance often lingers a little longer because the thinned muscle needs time to rebuild, then fades gradually rather than overnight. Nothing about the change is permanent; stopping treatment returns the trapezius to its prior size. Labels caution against retreating more often than every three months.

Is botox for neck slimming FDA-approved?

Only one neck use is approved. In October 2024 the FDA cleared onabotulinumtoxinA for platysma bands, the vertical cords on the front of the neck, based on randomized trials in that muscle. Injecting the trapezius to lower the shoulder line and lengthen the neck’s appearance remains off-label, supported by small observational studies rather than controlled trials. A licensed clinician may legally offer it, but it has not been reviewed for that purpose.

Does shoulder botox for tension actually work?

The evidence is genuinely mixed. Randomized trials of botulinum toxin for myofascial neck and shoulder pain have shown benefit in some small studies and no advantage over saline in others, and systematic reviews rate the certainty as low. Strong results exist for cervical dystonia, a neurological disorder, but they do not transfer to ordinary tension. Some people report relief; whether the toxin or the placebo effect is responsible is unresolved. The decision belongs with your clinician.

Can trap tox help with tension headaches?

Probably not, based on current trials. Studies of botulinum toxin for tension-type headache have largely failed to outperform placebo, and shoulder injections alone have not been shown to reduce headache days. The approved headache indication is chronic migraine, which uses a fixed whole-head-and-neck protocol that includes trapezius sites among many others. Frequent headaches deserve a proper diagnosis from a clinician before any injectable is considered.

Does trap tox cause weight loss or burn shoulder fat?

No. Botulinum toxin blocks nerve signals to muscle; it has no action on fat cells and no effect on body weight. A shoulder that looks smaller after treatment has a thinner muscle, not less fat. If the rounded contour you dislike is mostly fat or posture rather than trapezius bulk, an injection will change little, which is why a physical examination should precede any treatment.

Can I exercise after trapezius Botox?

Light activity is generally fine within a day, but expect the treated shoulders to feel weaker for overhead lifts, heavy carries, swimming and climbing for the duration of the effect. Most injectors advise avoiding strenuous upper-body training and deep massage of the area for the first day or two while the product settles. Athletes and people with physically demanding jobs should raise this trade-off before treatment, and follow their clinician’s specific instructions afterward.

References

• MedlinePlus: Botox
• MedlinePlus Drug Information: OnabotulinumtoxinA Injection
• Cleveland Clinic: Botulinum Toxin Injections

This article is for general information only and is not a substitute for professional medical advice. Please consult a qualified doctor about your individual situation.