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Lobby of Dear Clinic Cheongdam — stone reception counter, bouclé lounge seating and glass-walled consultation rooms
Dear Clinic · Body Botox · Trapezius
The Upper Trapezius, Shoulder By Shoulder

Trapezius Botox in Cheongdam, Gangnam, Seoul

The ridge running from the base of the neck out to the shoulder is the upper trapezius. Where that ridge is built of overworked muscle, quieting it lets the slope drop and the neckline read longer. Listed on the 100-unit body line from ₩150,000.

Each side mapped apart Listed per 100 units Open 365 days
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The Anatomy

Which part of the trapezius makes the slope you photograph

The trapezius is one large muscle spread like a cape across the upper back, working in three portions with three different jobs. Only the upper portion, running from the base of the skull and the neck out toward the point of the shoulder, produces the raised ridge that shortens a neckline in photographs. The middle and lower portions hold the shoulder blade to the back and are left alone.

That upper band shrugs. Every time you lift a bag onto your shoulder, hold a phone against your ear, type at a desk set too high or brace against cold, it shortens and the girdle rises with it. A band recruited that often thickens under repeated load, and the visible result is a slope climbing from the collarbone toward the neck instead of running flat away from it.

Botulinum toxin type A placed into that band reduces the signal reaching the fibres around each point, so the band contracts with less force over the following weeks and the ridge softens as a consequence. Nothing is removed, drained or dissolved, and the middle and lower portions carry on holding your shoulder blade as before. The published line this sits on, shared with the calf, is set out on the body botox page.

What Builds The Ridge

Four things raise a shoulder line and an injection reaches one of them

Your director works through these by hand before any figure is quoted, because the answer decides whether there is a treatment here at all.

The two sides are assessed one at a time. A dominant arm, the shoulder you always carry a bag on or an old collarbone injury leaves a real difference between them, and copying one map onto the other side is how that difference survives treatment. Where the complaint runs the other way and the line reads bony or hollow, the route is shoulder filler.

Tightness And Scope

What a shoulder dose is offered for here and what it is not offered for

Most people who ask about this arrive with two complaints at once: a shoulder line they dislike in photographs, and shoulders that feel constantly braced. Dear Clinic offers this treatment for the first of those. It is a contour plan addressed to the shape of the ridge.

Patients whose main reason for coming is neck pain, recurring headache or a long-standing musculoskeletal problem are better served by a clinician who treats that directly, and we say so at the consultation. Where a shape complaint and a feeling of tightness sit in the same shoulder, they are discussed separately so that what you are paying for is clear.

A plan aimed at the slope is judged on photographs taken from the front in the same top and the same stance, weeks apart. Anything you notice about how the shoulder feels is recorded at the review and is not what the plan was written against.

The Functional Question

What a treated shoulder still has to lift while the dose settles

EVERYDAY LOAD

Bags, children and the top shelf

Shrugging power is what the band supplies, so a heavy tote on one shoulder, a toddler on a hip or a case hoisted into an overhead locker are the moments people notice first. A first plan is written conservatively for that reason.

TRAINING LOAD

Overhead pressing, swimming, climbing

Work finishing above the head leans on the upper band harder than anything else you do. Lifters, swimmers, climbers and anyone with a physical trade should say so at the consultation, because it changes the map and the total before treatment instead of at a later review.

POSTURE WORK

Desk height, straps and the weeks after

Moving a screen, switching to a two-strap bag or adding mid-back strength work while the dose settles protects the result. A shoulder returned to the same load pattern tends to rebuild the same ridge.

Tell your director what your week actually contains. Competitive lifting, a season in a court sport, a job spent carrying, an instrument held against the shoulder or a wedding date two months out all change how much is placed and when to start. Sometimes the answer is that this is not the month for it. Any comfort measures during the session are confirmed with you at the consultation.

Reading The Result

What quieting the trapezius will not do for a neckline

It will not lengthen your neck. The neck stays as it was; the slope beside it flattens, and a flatter slope is what reads as a longer neck in a photograph
It will not move bone. Collarbone length and shoulder width are unchanged, and they set the ceiling on what any plan here can deliver
It will not remove the soft layer. Where fat carries the height, the ridge softens far less than expected, and the reading should catch that before you pay
It will not correct a posture habit. A shoulder held up by a forward-rolled blade goes on being held up by it
It carries no centimetre figure, because a number of that kind before an examination would be a guess

Nothing changes on the day, and very little in the first week. The softening arrives gradually, which is why the result is judged against standing photographs taken from the front and from behind in matched light and clothing. Individual results vary with muscle bulk, training load and how the shoulder is used between visits.

Who Is Turned Away

When a trapezius consultation ends without an injection

The commonest refusal has nothing to do with safety. It is a shoulder whose height is carried by the soft layer, by a forward-parked blade or by the frame itself, where the shrug test finds little cord under the hand. We do not recommend a trapezius dose on that reading, and you are shown what the examination found before money is discussed. A second refusal is timing: anyone whose next weeks depend on the shoulder performing at maximum is better served starting later.

Treatment is declined outright in pregnancy and while breastfeeding, where a neuromuscular condition appears in your history, and where there is infection, inflamed skin or an open wound inside the field to be mapped. Mention blood-thinning medication or supplements, any previous reaction to a toxin and any medication affecting neuromuscular transmission, since each of those changes what can be offered to you.

The risks belong in the same conversation. Bruising and swelling at the entry points and tenderness for a day or two are the common ones. Some patients report the shoulder feeling weak or unreliable during overhead work while the dose settles, and occasionally an ache through the neck and upper back appears as the girdle adjusts to being held differently. Asymmetry between the two sides is the thing a review most often corrects. A headache in the first days happens. Where a dose has been placed too broadly the arm can feel heavy for a period; it is temporary, it wears off on the product's schedule instead of yours, and it is why the first plan here is written with room to add.

Listed Rates

What a 100-unit session is listed at for the trapezius in Cheongdam

Body toxin is published per 100 units. A session on the Korean tier is ₩150,000 (≈ $105) and the same 100 units on the imported tier is ₩650,000 (≈ $465). How many units your shoulders take is decided at the examination and approved by you before the first point is marked, and the rate is identical for residents and for visitors.
SessionWhat the listed line coversRate
100 units — Korean tierA domestically manufactured botulinum toxin type A, both shoulders assessed and mapped on separate patterns in one sitting₩150,000 (≈ $105)
100 units — imported tierAn imported premium-tier type A product, same examination and the same sitting, for patients who prefer it₩650,000 (≈ $465)

Korean pharmaceutical advertising rules keep prescription toxin product names off public pages, so the column above is a tier and not a manufacturer; your director names the product and shows you the vial before it is drawn. A shoulder needing more than the listed session is quoted before treatment, and consultation or aftercare charges are confirmed at the appointment. Every published body rate sits on the price list, with the wider picture on the botox price page.

The Review Visit

How a shoulder plan is finished at the second appointment

Skip the gym and heavy carrying for the rest of the day, and leave deep massage on the shoulders for at least the first week
No sauna, no hot yoga and no lying face-down on a treatment bed until the following day
Take the same standing photograph from the front every week in the same top, since the slope changes too slowly to notice in a mirror
Report a shoulder that feels unreliable overhead, a heavy arm or two sides behaving differently while it is developing
Come to the review even when you are pleased, because a first shoulder plan is written to be added to

At the review your director sets the new standing frames beside the ones taken before treatment, checks whether one side has responded ahead of the other and decides whether the map should extend along the band or stay where it is. With the clinic open 365 days a year, that appointment can sit on a weekend when a working week has no room in it.

Director explaining a body plan on a tablet during a consultation at Dear Clinic
The shrug test, the standing frames and the totals given on each side are kept together and opened again at the review.
3
Portions of the trapezius, one of them treated
2
Shoulders, mapped on separate patterns
100
Units in the listed body session
0
Centimetre figures promised in advance
Dear, Knowhow

How a shoulder ridge is examined before a trapezius total is written at Dear

01 — THE FULL ARSENAL

Saying your ridge is soft tissue costs us nothing

Body devices, fillers and injectables share these floors, so a shoulder that turns out to be fat or frame is handed to the route that suits it.

02 — DIAGNOSIS FIRST

EVE Muse 3D + AI sets the habit the shoulders are measured with

The three-dimensional imaging and AI analysis used on faces here set the standard applied to the body by hand: each shoulder is palpated relaxed and then shrugging, the cord traced with a pen, both sides compared and the difference written down, so the review has something on paper to argue with.

03 — DIRECTOR-PERFORMED

One shoulder marked, then the other

Sessions are director-performed. Each side gets its own pattern drawn while you are seated upright and shrugging, the totals usually differ, and the record is kept so the next visit begins from what was actually given.

In the clinic

The devices and hands behind this treatment

BOTOX (onabotulinumtoxinA) 50-unit carton
BOTOX (onabotulinumtoxinA) 50-unit carton
BOTOX (onabotulinumtoxinA) 50-unit carton, shown at an angle
BOTOX (onabotulinumtoxinA) 50-unit carton, shown at an angle
Medical Team

Five doctors, one standard

Director-performed treatment is a Dear promise — your procedure is planned and performed by the doctors below.

Dr. Jemin Kim — Medical Director and Founder, Dear Clinic
Dr. Jemin Kim
Yonsei University College of Medicine
Medical Director · Founder
Dr. Sanghyun Lee — Director, Dear Clinic
Dr. Sanghyun Lee
Seoul National University College of Medicine
Director
Board-certified · Family Medicine
Dr. Seonhaeng Lee — Director of Aesthetic Medicine, Dear Clinic
Dr. Seonhaeng Lee
Chosun University College of Medicine · Residency, Samsung Medical Center
Director, Aesthetic Medicine
Dr. Daeun Jung — Director, Dear Clinic
Dr. Daeun Jung
Ajou University College of Medicine
Director
Board-certified · Family Medicine
Dr. Woojae Jung — Director of Aesthetic Medicine, Dear Clinic
Dr. Woojae Jung
Seoul National University — B.S. in Medicine
Director, Aesthetic Medicine
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What our patients say

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FAQ

Trapezius toxin, shoulder by shoulder

How do I know whether my shoulder ridge is muscle?
Rest a hand on the top of the shoulder and shrug lightly against it. A defined cord that hardens and melts away when you relax is contractile tissue and can be addressed; height that stays soft through the whole movement is a different problem. Your director runs that test on both sides before any total is written.
How much is a trapezius session here?
It is published per 100 units: ₩150,000 (≈ $105) on the Korean tier and ₩650,000 (≈ $465) on the imported tier. The unit total your shoulders need is set at the examination and approved by you beforehand, and anything beyond the listed session is quoted before treatment, never added during it.
Will my neck actually look longer?
Your neck stays the length it always was. What changes is the slope running out from it, and a flatter slope is what the eye reads as a longer neck from the front. How much is available to you depends on how much of the ridge is muscle, which is what the shrug test settles.
How many centimetres will my shoulder line drop?
No figure of that kind is published here, and none is promised at a consultation either. A measurement made before an examination would be a guess with a decimal point on it. The result is judged from standing photographs taken in matched clothing and matched light, and results vary between individuals.
Will I be weaker at the gym?
Shrugging force is what is being reduced, so overhead work is where a difference is most likely to show while the dose settles. Some patients report the shoulder feeling less reliable during pressing or a heavy carry. It is temporary. If you train seriously, say so at the consultation, because it changes the total and the timing.
Can this treat my neck and shoulder pain?
This is offered here as a contour plan for the shape of the shoulder line. Where pain, stiffness or recurring headache is the main reason you are booking, the right destination is a clinician who treats that problem directly, and your director will say so instead of writing a cosmetic plan around it.
When will I see a change, and how long does it hold?
Nothing on the day, and little in the first week. The softening arrives gradually as the band is used more gently. How long it lasts differs with the dose, with how heavily you load the shoulder afterwards and with your own metabolism, so the pattern to expect for your plan is given at the consultation instead of printed as a number.
Does it hurt, and can I go straight back to work?
Fine needles into a large muscle, and the sitting is short. Small marks settle quickly, a bruise is possible and tenderness for a day or two is normal. Ordinary activity resumes straight away; we ask you to skip heavy carrying and the gym that day and leave deep massage for the first week.
Do both shoulders have to be treated?
Almost always, in unequal amounts. Treating one leaves two shoulders behaving differently under load, which is more noticeable than the asymmetry you arrived with. The two are mapped on separate patterns, and the totals on each side are recorded for the next visit.
My shoulders look high because I sit at a desk all day. Does that change anything?
It changes how much the injection can deliver and what protects the result. A blade parked high and rolled forward lifts the whole ridge without the muscle being especially bulky, and where the examination finds that pattern we say so. A plan supported by desk height, bag straps and mid-back strength work holds far better.
Can the shoulders and the calves be treated in the same visit?
They can be discussed in the same consultation, and the published line covers both muscles. Whether both are treated on one day depends on the totals each needs and on what your director considers sensible to place at once, which is decided at the examination and quoted before anything begins.
Who should not have this, and is the rate the same for visitors?
It is declined in pregnancy and while breastfeeding, where a neuromuscular condition sits in your history, and where there is infection or inflamed skin in the field. Blood-thinning medication, supplements and any previous reaction to a toxin must be mentioned. Visitors pay what residents pay, Dear Clinic is open 365 days a year including Sundays and public holidays, and treatment can follow the consultation in the same visit once you have approved the figure.
Consultation

Ask whether your shoulder ridge is muscle worth treating

Send one standing photograph from the front and one from behind, shoulders relaxed — answered in English as soon as possible.

Scientific Evidence

Peer-reviewed sources behind unit-based toxin dosing

Three references sit behind the clinical use of botulinum toxin type A: the original published report of treating a facial muscle group with it, an international consensus education initiative on its aesthetic application, and a laboratory account of how the licensed type A products differ from one another.

They describe the mechanism and the product science that a body dose rests on. They do not describe your shoulders, set no unit total for them and attach no timeline to them; that comes from the examination carried out on you.

  1. CARRUTHERS J et al. Treatment of Glabellar Frown Lines with C. Botulinum‐A Exotoxin. The Journal of Dermatologic Surgery and Oncology. 1992. doi:10.1111/j.1524-4725.1992.tb03295.x
  2. Carruthers J et al. The Convergence of Medicine and Neurotoxins: A Focus on Botulinum Toxin Type A and Its Application in Aesthetic Medicine—A Global, Evidence-Based Botulinum Toxin Consensus Education Initiative. Dermatologic Surgery. 2013. doi:10.1111/dsu.12148
  3. Frevert J. Pharmaceutical, Biological, and Clinical Properties of Botulinum Neurotoxin Type A Products. Drugs in R&D. 2015. doi:10.1007/s40268-014-0077-1

References are provided for information — outcomes vary by individual and are assessed at your diagnosis.

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