Traptox (Trapezius Botox)

Traptox typically requires 50 to 100 units per side, for a total of 100 to 200 units per treatment. The exact dose depends on trapezius size, muscle density, tension level, and whether your priority is cosmetic slimming, pain relief, or both. Patients with larger or more hypertrophied traps generally need doses closer to the upper end of that range. A VRA injector assesses your muscle bulk at rest and under contraction during consultation and walks you through the dose before any injection, with conservative dosing preferred at the first treatment.

Traptox lasts 4 to 6 months. The large size of the trapezius means it often needs slightly higher doses for cosmetic slimming, but the therapeutic pain relief tends to be long-lasting with consistent treatment cycles.

Traptox begins working within 3 to 7 days, with most patients noticing reduced tension and early softening of the shoulder contour by week 2. Full cosmetic slimming and complete pain relief develop over 4 to 8 weeks as the trapezius gradually reduces in bulk. The slower timeline compared to facial Botox reflects the size and strength of the muscle. A complimentary 2-week follow-up assesses early response and adds small touch-ups if needed at no additional cost.

Yes. Injections into the trapezius are well-established in both therapeutic and aesthetic medicine. The main risk is unintended weakness in adjacent muscles if placement is not precise, which is why anatomical expertise matters. Treatment is dosed and placed by a VRA injector trained in therapeutic protocols, under medical oversight as required in Ontario.

Yes, Traptox can support better posture in patients whose shoulders are pulled upward and forward by chronically tight trapezius muscles. When the upper trapezius relaxes, the shoulders settle into a more neutral position, which often eases the rounded, hunched look. A VRA injector assesses your resting muscle tone, shoulder height, and tension pattern at consultation, and most patients notice gradual change over 4 to 8 weeks. Traptox is not a substitute for postural rehab or physiotherapy, but it removes the muscle pull that often undermines those efforts.

Traptox can reduce the appearance of a soft tissue neck hump caused by hypertrophied upper trapezius muscles, but it does not treat a true cervicothoracic bony hump. When the muscle bulk at the base of the neck softens over 4 to 8 weeks, the contour between neck and shoulders looks longer and smoother. A VRA injector palpates the area at consultation to identify whether your hump is muscular, postural, fatty, or skeletal. If it is primarily fat or bone-based, you will be pointed toward a more suitable referral rather than treated with Traptox.

You may notice a slight reduction in shoulder elevation strength in the first few weeks. This does not typically affect daily activities. Gym performance in exercises that involve the trapezius, such as shrugs, may be slightly reduced while the Botox is active.

A massage gives temporary relief from surface-level muscle tension. Traptox relaxes the muscle itself at the neuromuscular level, providing weeks to months of reduced resting tension without the need for ongoing manual therapy.