Longer Neck. Softer Shoulders.No More Trapezius Tension.
Muscle-relaxing injections into the upper trapezius — relaxing the muscle responsible for both the bulked shoulder-to-neck line and the chronic tension, pain, and headaches experienced by so many people in a desk-based, high-stress working life. This treatment uses a prescription-only medicine; suitability is confirmed at a face-to-face consultation with a qualified prescriber.
Book Your Shoulder Slimming Treatment01
Panel
What's Covered
The trapezius is a large, diamond-shaped muscle spanning from the base of the skull to the mid-back and shoulder blades. When the upper trapezius is chronically contracted or hypertrophied, it produces two distinct but related problems — aesthetic and functional.
01Aesthetic — shoulder-to-neck line
Muscle bulk creates the sloping, thickened appearance of the shoulder-to-neck transition that many people find reduces perceived neck length and shoulder definition. The neck appears shorter, the shoulders more rounded, the silhouette heavier.
02Functional — chronic tension and pain
Chronically overactive or hypertrophied upper trapezius is one of the primary sources of neck tension, shoulder aching, tension headaches, and referred pain. In people who carry stress in their shoulders, the trapezius is frequently in near-constant contraction.
03Initial dose — £•,•••
The starting treatment, using a higher dose to achieve adequate muscle relaxation and the beginning of bulk reduction. The trapezius is a large, thick muscle — a meaningful initial dose is required to produce a significant functional and aesthetic response.
04Maintenance dose — £•••
Once the initial dose has produced the desired result, maintenance treatments at a lower dose sustain the relaxation and prevent the muscle from returning to its original bulk and tension. Maintenance interval typically 3–6 months.
05The treatment
Multiple precise injections across the upper trapezius on each side, taking approximately 20–30 minutes. The number of injection points and distribution pattern are determined by your clinician based on trapezius size and shape. Topical anaesthetic can be applied beforehand.
06The longevity connection
Chronic musculoskeletal tension is associated with elevated cortisol, disrupted sleep, and chronic pain sensitisation — significant drivers of accelerated biological ageing. Addressing trapezius dysfunction is a meaningful component of overall health optimisation.
Sometimes called the 'Nefertiti neck' treatment, it has become a popular non-surgical option for softening the neck-to-shoulder line.
02
Audience
Who It's For
The treatment serves both aesthetic goals and functional pain relief — many patients have both.
- Bulked or sloping upper trapezius shortening apparent neck length and rounding shoulder line
- Want a more defined, elongated neck-to-shoulder silhouette without surgery
- Chronic upper trapezius tension causing neck stiffness, shoulder aching, and restricted movement
- Frequent tension headaches — particularly those originating at the base of the skull
- High-stress, desk-based work where the upper trapezius is chronically overloaded
- Tried physiotherapy or massage with incomplete relief
03
Deliverable
Results and What to Expect
Aesthetic and functional results develop progressively:
- Days 1–7: Mild tenderness at injection sites; onset of reduced trapezius activity begins
- Weeks 2–4: Noticeable reduction in shoulder tension and pain; significant decrease in tension headaches
- Weeks 4–8: Visible reduction in trapezius bulk and improvement in neck-to-shoulder aesthetic
- Months 3–4: Full aesthetic and functional result
- Duration typically 3–6 months; maintenance doses sustain both benefits
04
Difference
Why This Treatment
At EGA, trapezius treatment is approached as both an aesthetic and functional intervention — the relief from chronic tension is often the more clinically significant outcome.
Larger doses than facial treatments
The trapezius is a large, thick muscle that requires significantly higher doses than facial treatments to achieve meaningful relaxation. A different clinical undertaking in terms of dose, technique, and anatomy.
Tension headache relief
Many patients report a significant decrease in tension headaches within 2–4 weeks.
Sleep and quality of life impact
Reduced trapezius tension often improves sleep quality, concentration, and daily function.
Maintenance pricing
Once the initial dose has produced the result, maintenance is lower-cost (£•••) because lower doses sustain the relaxation.
Doctor-administered
The trapezius requires careful dose and placement planning to achieve the desired result without affecting adjacent structures.
05
Questions
Common Questions
Will my shoulder and neck movement be affected?
The treatment targets the upper fibres of the trapezius specifically. Other shoulder and neck muscles are not affected. Normal range of movement is maintained, and upper body exercise can typically be resumed within a few days. Heavy trapezius loading (shrugging weights, heavy overhead lifting) is avoided for the first week.
How quickly will I notice relief from pain and tension?
Many patients notice reduced tension within 1–2 weeks. The full pain relief benefit develops over 3–4 weeks. Some people also find tension headaches become less frequent; results vary between individuals.
How long do results last?
Typically 3–6 months. Some patients find the interval lengthens with repeated treatment as the muscle gradually adapts. Maintenance doses are lower in volume than the initial dose and are priced accordingly.
Is this treatment safe?
When administered by an experienced clinician, the treatment is well established. The trapezius is a large muscle and the treatment requires careful dose and placement planning. All EGA injections are doctor-administered.
Is this different from facial anti-wrinkle treatment?
Yes. The trapezius treatment requires significantly higher doses than facial anti-wrinkle treatments. It is a different clinical undertaking in terms of dose, technique, and anatomy.
Can I exercise after treatment?
Light exercise can resume the same day. Avoid activities that heavily load the upper trapezius — shrugging, overhead pressing, or carrying heavy bags over the shoulder — for the first week.
Is there any downtime?
No. Mild tenderness at injection sites for 24–48 hours. Most patients return to all normal activities including desk work immediately after treatment.
06 · Next Step
Ready to book?
Longer Neck. Softer Shoulders.
- 01Book onlineReserve your treatment online or by phone.
- 02Trapezius assessmentYour clinician assesses trapezius anatomy and discusses aesthetic and functional goals.
- 03TreatmentApproximately 30 minutes — precise injections across the upper trapezius.
- 04Follow-upReturn at 2 weeks if needed; plan maintenance at 4–6 months.