When sculpting the upper body, especially the shoulder area, beauty is not defined only by the amount of fat. True refinement requires considering how the body looks both at rest and during movement.

At AVAN TOKYO Ginza Liposuction Clinic, we combine upper-arm liposuction with shoulder and arm Botox to create elegant, dynamic lines.

Why the shoulders look bulky (4 major reasons)

✔ Skin laxity

Weight fluctuations or aging create sagging and shadows around the shoulders.

✔ Bone frame structure

Some people—especially those with a “straight type” skeletal frame—naturally appear broader due to scapular projection.

✔ Muscle hypertrophy

Desk work, tension, or training can cause hypertrophy in the trapezius and deltoid muscles, creating bulk.

✔ Subcutaneous fat

Hormonal factors make women prone to fat accumulation around the upper arms and upper back.

Why liposuction × Botox is the strongest combination

Liposuction alone improves the static silhouette,

but movement can still reveal muscular bulging.

Botox weakens overactive muscles such as:

• Trapezius
• Deltoid
• Forearm flexors/extensors

allowing the shoulders to appear slimmer even during motion.

The synergy produces:

✔ Clean, straight shoulder lines

✔ Smooth deltoid–upper arm transitions

✔ Balanced 360° upper-arm contour

✔ Better posture and neckline appearance

AVAN TOKYO’s Dynamic Design Approach

We place special focus on:

The continuous line from bust → shoulder → upper arm
Removing unwanted fat while strategically preserving essential volume
Sculpting the deltoid groove for an athletic yet feminine contour
Precise injection placement to control dynamic muscle activity
Minimizing risks (irregularity, tethering, fibrosis) through multi-layered fat removal


This level of detail creates an upper body that remains beautiful in motion and stillness.

Case Example: 900cc liposuction + 350 units Botox

This patient underwent:

900cc of pure fat removal from the upper arm, axilla, and forearm
350 units of Botox to the shoulders, upper arms, and forearms

Result: a dramatically slimmer, straighter shoulder contour with improved movement aesthetics.

Conclusion

The combination of arm liposuction and dynamic Botox provides unmatched refinement for patients who want:

✔ Slimmer shoulders

✔ A sharper upper-body silhouette

✔ Better proportion between the bust and arms

✔ Elegant posture and neckline

✔ Natural, feminine definition

At AVAN TOKYO Ginza Liposuction Clinic, we create beautifully balanced upper-body lines by analyzing not just shape—but movement.