The Art of a Sculpted Back: Why “Scapular Positioning” Defines Your Silhouette2025.12.25
When aiming to slim down the upper body, many focus solely on the upper arms. However, the secret to a truly sophisticated silhouette lies in the “Back (Scapula).”
Medically speaking, a beautiful back isn’t just about being thin. It is defined by the position of the shoulder blades: “The scapulae should not be raised upward, but should project backward.” When shoulder blades rise, the neck looks short and the shoulders look bulky. Conversely, when they project backward at the correct height, the entire back looks thinner and elegant.
At AVAN TOKYO Ginza Liposuction Clinic, we propose a comprehensive medical approach combining four methods to achieve this “Angel Wing” aesthetic.
1. [Surgery] Removing Subcutaneous Fat (Liposuction)
If there is a thick layer of fat above and below the scapula, the bone definition will remain hidden. We physically remove this thickness through precision liposuction. Combining this with Upper Arm Liposuction dramatically reduces the overall volume of the upper torso.

2. [Dermatology] Skin Tightening (InMode Morpheus8)
Even after fat loss, loose skin can hide your results. We utilize powerful RF (Radio Frequency) treatments like Morpheus8 to tighten the dermis. This helps the skin adhere tightly to the skeletal structure, revealing a sharper contour.

3. [Injection] Lowering the Scapula (Botox)
For those with “shrugged” shoulders (elevated scapulae), the upper trapezius and levator scapulae muscles are often overactive. Botox injections relax these muscles, allowing the shoulder blades to drop to their natural, lower position, elongating the neck.

4. [Exercise] Strengthening the Rhomboids
Finally, conscious engagement of the Rhomboid muscles helps pull the shoulder blades inward. Maintaining good posture after removing fat and tension ensures your new silhouette lasts.

We don’t just “remove fat.” We tighten the skin and control the muscles. This holistic approach is the signature of AVAN TOKYO’s body design.