Dr. Sam Lam Plastic Surgery Forum

Hi, I have overdeveloped trapezius muscles particularly above the shoulder line. The enhanced musculature is not the result of working out; I've always been this way. I have noticed for many years that this area is always tense, and as much as I try to consciously keep these muscles relaxed - I find in the next moment they are tense again. I have also noticed that when I'm doing any sort of action which really requires muscles in the arm to flex that I, instead, am using my trapezius muscles to exert force. I also suffer from frequent headaches which seem to originate from tension in this area. Massage helps, but before I know it these muscles are tense again. I am a woman, and I have received some comments / questions over the years like "Are you a swimmer"? When I've responded by asking why they might have this idea, I've been told that it is due to the developed look of these muscles. I am a shapely, attractive woman who appears feminine overall, but I do find these muscles to be somewhat masculinising. Could botox help?

I have not done botox into the trapezius but imagine that it could help. it is certainly used for muscle dystonias. my suggestion is to consider rolfing or structural integration which is a method of releasing fascial adhesions. i have found it to be a miracle for my body. sometimes that can correct muscle issues because the muscles are flared or unbalanced.
best,
sml