Barbie Botox refers to the targeted use of botulinum toxin in the trapezius muscles (trap tox), designed to create a longer, more elegant neck, a softened shoulder profile, and improved posture. Popularised by its “Barbie-like” effect, this procedure is both cosmetic and functional, reducing muscle bulk and tension in the upper back region.

Botulinum toxin (a neuromodulator) blocks nerve signals to the targeted trapezius muscle, reducing overactivity. The result is muscular relaxation, which leads to visible slimming of the shoulders and elongation of the neck. Additionally, it can reduce chronic tension, headaches, or shoulder discomfort in some patients.

• Avoid alcohol and anti-inflammatory medications (e.g. ibuprofen, aspirin) 48 hours prior, to reduce bruising risk.
• Ensure you are well-hydrated and have eaten beforehand to reduce risk of vasovagal symptoms.
• Arrive without makeup, perfume or body lotions on the treatment area.
• Notify your practitioner of any recent vaccinations, infections, or medications.
• You will undergo a full consultation, assessment, and photographic documentation prior to treatment.

• Duration: 15–30 minutes.
• Position: You will be seated or lying forward.
• The practitioner will clean and mark the trapezius muscle.
• 4–6 injections will be placed per side using a fine needle.
• The procedure is generally well tolerated, with minor discomfort.
• You will receive verbal and written aftercare guidance before leaving.

Before:

• Avoid caffeine, alcohol, and strenuous exercise on the day of treatment.
• Do not use active skincare (e.g. retinol) over the shoulders prior to treatment.

After:

• Avoid lying flat or applying pressure to the treated area for 4 hours.
• No strenuous exercise or massage of the area for 24–48 hours.
• Avoid heat exposure (saunas, hot yoga) for 48 hours.
• Minor bruising or tenderness may occur and typically resolves within days.
• Results will begin within 5–7 days, peaking at 3–4 weeks.

• Slimmer, more elegant neckline and shoulder contour
• Improved aesthetic posture and upper body proportions
• Relief from trapezius tension or stress-related discomfort
• Subtle enhancement without invasive surgery
• Boost in body confidence and comfort

You may benefit if you:

• Experience bulky or tense trapezius muscles
• Feel your shoulders dominate your upper body aesthetic
• Seek a more feminine, sculpted neckline
• Want relief from posture-related discomfort or upper-back fatigue
• Are medically fit for botulinum toxin and not pregnant or breastfeeding

A detailed consultation ensures medical and aesthetic suitability.

• Progressive muscle slimming through disuse atrophy (safe and controlled)
• Sustained relief of shoulder and neck tightness
• Consistent refinement of posture and neck-to-shoulder proportions
• May reduce reliance on massage, pain relief, or physiotherapy
• Improved patient-reported outcomes in self-image and physical comfort

Maintenance is typically recommended every 3–5 months for optimal effect.

At Haus of Ästhetik, our treatments are:

• Performed by qualified medical professionals only
• Guided by anatomical precision and patient safety
• Informed by Save Face, GMC/NMC, and MHRA standards
• Delivered in a CQC-aligned clinical environment
• Bespoke to your anatomy, lifestyle, and long-term goals

We take a holistic, ethical, and results-driven approach – blending functional relief with aesthetic excellence.

• Gradual muscle atrophy, leading to longer-lasting slimming results

• Improved posture and neck alignment

• Reduced tension headaches and muscle fatigue

• Aesthetic contouring without surgery or recovery time

• Cumulative improvement with fewer units often required over time