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About an hour before my first-ever Botox consultation at GoodSkin, the L.A. anti-aging clinic known for its "untouched" approach to injectables, I mournfully looked at our editorial calendar before deleting a future story titled "Natural TMJ Remedies That Worked for Me." This rough headline had been pushed again and again for months as I exhaustedly tried to address the chronic tension in my jaw—ultimately to no avail. I was bummed, to be sure, that after months of self-massage, aromatherapy, and tackling the source of my stress in meaningful ways, I hadn't found the noninvasive solution I was looking for. At the same time, while the prospect of getting Botox in my jaw was my Hail Mary, I had a sneaking suspicion that it would be the technique that would finally give me the relief I craved. What I didn't know was that it was going to be life-changing for my shoulders and posture, as well.
As I sat opposite Lauren Pack at GoodSkin and she expertly ran her fingers along my jaw and chin, noting the anatomy of my face, she lobbed a question that seemed only slightly out of left field. "Do you have any issues with your posture?" she asked. I laughed in response because my perpetually slumped shoulders might be even more irksome than my stiff jaw.
What Is Botox?
Before getting into the benefits of Botox on shoulders, it's important to first understand what Botox is. According to the Cleveland Clinic, the injectable is a neurotoxic protein that, when used in small amounts (typically on the face), can cause controlled muscle relaxation. As a result, Botox has been used for years and is (thankfully) FDA-approved.
Benefits of Getting Botox on Your Neck and Shoulders
"I can give you jaw Botox," Pack said. "But I'd like to put some in your neck as well." I sat there, riveted, as she explained that by dosing my neck, she'd prevent those muscles from overcompensating for my jaw, something that could actually worsen my so-called "text neck." What's more, she said that it would encourage me to shift that work to my core muscles and pull my shoulders back, correcting my posture and even potentially giving my abs a nice workout in the process. "So, in a way, you could almost say that Botox can give you a toned stomach," she half-joked.
My intrigue took over, and I wasted no time in making a follow-up appointment. Two weeks later, I was sitting in the exact same chair, wincing slightly as Pack plunged syringes into my jaw, neck, and finally my shoulders.
What to Expect While Getting Botox on Shoulders
In terms of the actual injections, you'll feel a slight pinch with each needle injection. Beyond that, however, it's important to think about the big picture of getting Botox on your shoulders.
Pack clarified that this wasn't a magic potion that would relieve everything that ailed me (including, apparently, un-toned abs). I'd also have to engage in what she called retraining exercises, simple tips, and movements that would help me work the right muscles as the injected ones began to relax. When I was driving, for example, she recommended that I focus on pressing my tongue to the roof of my mouth to relax my jaw and to roll my shoulders back so that my neck would follow—basically, the antithesis of being hunched over my phone. In other words, the Botox would give me a head start, but I'd still have to put a little effort in to fix years of jaw-clenching and terrible posture. Fair enough.
A week later, I was breathlessly waiting for any kind of indication that the Botox had kicked in. Then I began to feel it in twinges and aches. My neck began to feel exponentially sorer as I scrolled through Instagram. Slouching, in general, began to feel uncomfortable, and I was shocked to feel relief as I sat up straight and rolled my shoulders back. This, Pack reiterated over email, was all very normal.
"When the muscle is weakened, and you are in that position, you will become sore quicker, which is a good thing," she wrote. "It will remind you to not be in that position. [And ultimately], it can definitely provide relief for muscles that are radiating into the back or head and causing muscle aches or headaches."
Something else I learned was that getting Botox injections in your neck and shoulders can also benefit people with chronic migraines—and that soreness following the injections is to be expected. According to the American Migraine Foundation, "While Botox-A is a remarkably 'clean' treatment for the prevention and suppression of headache, side effects can occur. The most common of these is neck pain and stiffness, often accompanied by what has become known as 'wobbly neck' or 'bobble head.' Injection of Botox-A into the muscles of the neck and upper shoulders may cause temporary partial weakness in those muscles…but will resolve within days to weeks."
Just as with facial Botox, after getting injections in your neck and shoulders, it's best to avoid strenuous exercise for at least an hour. Additionally, to avoid bruising, it's recommended that you don't drink for 24 hours post-treatment. Believe it or not, many dermatologists even recommend laying off the beer, vino, and spirits a day beforehand for the same reason. Other than that, you're just not supposed to touch or massage the injection sites for the next six hours to avoid accidentally reshaping the Botox and potentially causing an adverse appearance.
Appeased to know that things were working beneath the surface, I turned my attention to aesthetics: specifically, that my jawline had grown subtly sharper over the course of a few days. The red dress image above was taken about a week after my appointment, and while it's apparent that my shoulders are still overdeveloped from slouching (and my posture still needs work), it was while posting this photo that I noticed more definition in the lower half of my face. Then, I instinctively tried to relax my jaw before noticing that it wasn't clenched in the first place—a sensation that felt completely foreign to me.
I'd have to wait a few more weeks to see changes in my shoulders, posture, and core, during which Pack advised me to continue my fitness regimen as usual to see the biggest impact. "If your neck isn't recruiting while working out, then your core will have a better chance of activating," she explained. "A stronger core also equals better posture."
The Final Takeaway
While I can't exactly claim that Botox gave me a six-pack, I ultimately realized just how true it is that the quickest, cheapest way to look longer and leaner is to stand up straight. As my shoulder muscles began to lose their bulk and my neck learned to stop pitching forward, suddenly it was easier to see definition in my midsection—not because I was hitting the gym any harder but because I was carrying myself differently.
The visual gratification has been undeniably nice, especially after years of critiquing my hunched appearance in photos. (I was sure I was standing up straight!) But to me, addressing my physical manifestations of stress was the end goal I hadn't necessarily anticipated reaching. I certainly couldn't have imagined it in the hours before that initial consultation, when I wondered if my clenched jaw was a hopeless case.
I have read studies that illustrate just how much we "store" and internalize tension (and even emotion) in our physical bodies, which in turn feeds back into our mental state, an endless loop of psychosomatic pressure. It's a topic that fascinates me, but to truly experience the flip side of this—what happens when we invert this tension into relaxation—has been a salient reminder that often, addressing chronic stress from a purely physical place is a promising first step to feeling better all around.
Is it a shortcut to use Botox as a means to this end rather than, say, yoga? Perhaps—and not a cheap one, at that. But I also stand by the notion that when offered a tool to find potential relief, there's no use in continuing to suffer on principle.
And good posture? Well, that's just a sweet bonus.