How safe is Botox for muscle reduction in deltoid muscles, biceps, and calves?

Question

MTF trans woman here and I have always hated my muscular build. I heard that Botox can help reduce the appearance of muscles and that it has been used to reduce calf, bicep, deltoid muscles. Wondering how safe it is (esp in deltoid since it’s close to carotid arteries). Any other options?

Camille Cash, MD · Answer

Yes Botox can safely be used to slim the appearance of muscles.  Be sure that you are having your treatment with an experienced injector.  Botox results fade gradually over three to four months typically but may last longer for some.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Botox can indeed be used to reduce the appearance of muscularity in areas like the calves, biceps, and deltoids by temporarily relaxing the muscles. This treatment can help create a softer, more feminine silhouette. When administered by a qualified and experienced professional, Botox is generally considered safe, even in areas close to major blood vessels like the carotid artery. As with any cosmetic procedure, it's essential to have a thorough consultation with your provider to discuss your goals, any concerns you may have, and to receive a detailed explanation of the procedure, including potential side effects. I hope this helps and best of luck!

Anna Chacon, MD, FAAD · Answer

Hello,

Botox (Botulinum toxin) injections are commonly used in cosmetic and medical treatments to reduce muscle activity. When it comes to using Botox for muscle reduction in areas such as the deltoid muscles, biceps, and calves, it is generally considered safe when performed by an experienced and qualified healthcare provider.

For muscle reduction, Botox works by temporarily paralyzing the targeted muscles, leading to a decrease in muscle size over time. This technique can be used for aesthetic purposes, including the reduction of muscle bulk in various areas of the body.

Safety and Considerations:
Deltoid Muscles:

The deltoid muscle is close to important structures such as the carotid arteries; however, Botox injections focus on the muscle tissue itself, away from these critical structures. Proper anatomical knowledge and injection technique are crucial to avoid complications.
Biceps and Calves:

Botox can also be used to reduce the size of the biceps and calf muscles. The procedure involves careful placement of the injections to ensure the desired effect without affecting other muscle functions.
Potential Risks:
Localized Pain or Discomfort: Some discomfort at the injection site is common but usually temporary.
Weakness in Treated Muscles: Since Botox reduces muscle activity, treated muscles may feel weaker. This effect is temporary and typically resolves as the Botox wears off.
Bruising or Swelling: Minor bruising or swelling can occur at the injection sites.
Rare Complications: In rare cases, there could be unintended effects on nearby muscles or other tissues.
Alternatives:
Physical Therapy and Exercise: A tailored exercise program can sometimes help in reshaping muscle bulk.
Surgery: Procedures like muscle reduction surgery are more invasive but provide a permanent solution.
Hormone Therapy: For MTF trans women, hormone therapy can also lead to changes in muscle mass and distribution over time.
Conclusion:
Botox for muscle reduction is a viable and relatively safe option when performed by a trained specialist. It is essential to have a thorough consultation with a board-certified dermatologist or plastic surgeon to discuss your goals, evaluate your suitability for the procedure, and understand the potential risks and benefits.

If you have any further questions or would like to schedule a consultation, please feel free to contact my office.

Viva Eve Dermatology - New York · Answer

Hi!
This is a great question! Botox (or any neuromodulator) can be used off label in the right candidate for slimming of muscles. It works over time by reducing the muscle's activity, thus weakening it, for that slimming/debulking effect over time. When injected properly into the appropriate muscles by an experienced injector, any FDA approved neuromodulator is safe and indicated for use.
As always, an in depth, in person consultation is required for full assessment and proper recommendation and curation of an appropriate, individualized treatment plan. 
Best,Eleni SgantzosBoard-Certified Dermatology PA

How safe is Botox for muscle reduction in deltoid muscles, biceps, and calves?

Answers (4)

Answer: Botox for muscle slimming

Answer: Botox for muscle slimming

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How safe is Botox for muscle reduction in deltoid muscles, biceps, and calves?

Answers (4)

Answer: Botox for muscle slimming

Answer: Botox for muscle slimming

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Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.