What Is ‘Barbie Botox’? The New Injectable Trend Taking Over TikTok

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TikTok: 40 units of Dysport injected on either side of her trapezius muscle, in the dense triangles of tissue between her shoulders and neck. Doctors have long used wrinkle-diminishing neurotoxins such as Dysport and Botox off-label to treat pain by partially paralyzing and relaxing certain muscles. Now, trapezius-muscle Botox—commonly known as “Barbie Botox" and “trap tox"—has become a cosmetic trend in the U.S., thanks to social-media posts by influencers and providers who say the treatment can also create the illusion of a slender, elongated neck.

Injectors, plastic surgeons and cosmetic dermatologists are seeing spikes in patients asking for the injections for both pain relief and aesthetic reasons. A spokesperson for Allergan, the maker of Botox, declined to comment. Galderma, the maker of Dysport, didn’t respond to a request for comment.

Treuille, a TikTok influencer, partnered with Dr. Alonso Martin, an injector in Miami Beach, Fla., in June. He injected her with $1,500 of Dysport in exchange for her making content about the procedure.

“Your typical influencer marketing," Martin said of the deal. He said he works with three influencers a month on similar promotions for various treatments. “Demand has surged significantly," said Martin, who is now seeing eight to 10 trap-tox patients a week.

He said he previously saw between four and six annually. After the treatment, Treuille said she was pleased with her improved mobility and pain relief. She also said her shoulder muscles had shrunk, making her neck look slimmer and longer.