A truly elegant back silhouette is defined by one key feature:

the shoulder blades projecting backward, not upward.

To wear an off-shoulder dress beautifully, you need both

slim upper arms and a thin, sculpted back.

However, the back is one of the most challenging areas for women, because:

• Female hormones make the upper arms and back accumulate fat easily
• Long hours of desk work enlarge the trapezius and neck muscles
• Posture issues make the shoulder blades flare upward, creating a “bulky” look

Common Causes of a Thick or Bulky Back

1. Subcutaneous fat around the back, axilla, and shoulder blade area

Excess fat hides the contours of the scapula.

2. Hypertrophy of the trapezius and SCM muscles

Daily posture leads to muscular thickening and a heavy upper-body appearance.

3. Upward-flared shoulder blades

Typical in wave-type body frames or people with rounded shoulders.

AVAN TOKYO Approach to Sculpting the Ideal Back

Creating a beautiful back requires a combined strategy of fat reduction, muscle control, and skeletal balance.

✔ For excess fat:

Upper-arm, shoulder blade area, and axillary liposuction

→ Reveals the natural bone structure and creates definition

✔ For muscle hypertrophy:

Botox to trapezius / SCM

→ Slims the neck and shoulder volume

✔ For upward shoulder blade projection:

Posture correction + levator scapulae Botox

→ Encourages the scapula to settle backward for a more elegant silhouette

A Thin Back Transforms the Entire Body Line

When the back becomes slim:

• The upper body looks sharper and more refined
• Dresses and off-shoulder tops fit beautifully
• Shoulder–arm–back lines become seamless
• Overall posture becomes more elegant

A beautiful back is one of the strongest indicators of overall beauty.

Why AVAN TOKYO?

Our clinic focuses on designing the entire upper-body line as one aesthetic unit:

• Sculpting the scapular shadow
• Reducing neck/shoulder bulk through precise Botox
• Removing axillary fat for a narrower upper body
• Engineering the ideal contour based on individual anatomy

We do not “just remove fat.”

We engineer a beautifully balanced upper body.