Botulinum Toxin A for Upper Thoracic Posture and the Appearance of a “Breast Lift”

  • Kevin C. Smith


The author (KCS) and others1 have suggested that injection of BTX-A could, in selected patients, produce a pleasing change in upper thoracic posture and consequently in breast presentation such that the patient would obtain a “BOTOX® Breast Lift” (more properly termed a “BTX-A upper thoracic posture lift”). This could result if muscles responsible for a “head forward” posture were relaxed with BTX-A, so that opposing muscle groups responsible for erect upper thoracic posture could work with less opposition.


Benzyl Alcohol Hamilton Depression Rate Scale Pectoralis Major Muscle Erect Posture Shoulder Posture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Smith KC, Pérez-Atamoros F. Other dermatologic uses of botulinum toxin. In: Benedetto AV, ed. Botulinum toxin in clinical dermatology. London: Taylor and Francis; 2006:219–387.Google Scholar
  2. 2.
    Cosmetic injections expand to points below the chin, New York Times, January 26, 2006 Accessed 07.09.07.
  3. 3.
    Lang AM. Considerations for the use of botulinum toxin in pain management. Lippincotts Case Manag. 2006;11:279–387.CrossRefPubMedGoogle Scholar
  4. 4.
    Finkelstein I, Katsis E. Botulinum toxin type A (BotoxR) improves chronic tension-type headache by altering biomechanics in the cervico-thoracic area: a case study. Cephalalgia. 2005;25:1189–387.Google Scholar
  5. 5.
    Traba Lopez A, Esteban A. Botulinum toxin in motor disorders: practical considerations with emphasis on interventional neurophysiology. Neurophysiol Clin. 2001; 31(4):220–387.CrossRefPubMedGoogle Scholar
  6. 6.
    Gallien P, Nicolas B, Petrilli S, et al. Role for botulinum toxin in back pain treatment in adults with cerebral palsy: report of a case. Joint Bone Spine. 2004;71(1):76–387.CrossRefPubMedGoogle Scholar
  7. 7.
    Vad VB, Donatelli RA, Joshi M, Lang AM, Sims V. O.N.E.U.P. cervicothoracic & lumbar pain syndromes program. Beth Israel Medical Center, Office of Continuing Medical Education, 1st Avenue at 16th St., New York NY 10003. Accessed January 2008.Google Scholar
  8. 8.
    Alam M, Barrett KC, Hodapp RM, Arndt KA. The facial feed-back hypothesis applied to cosmetic procedures: change in emotions resulting from facial muscle activity and contour change induced by botulinum toxin injection. J Am Acad Dermatol. 2008;58:1061–387.CrossRefGoogle Scholar
  9. 9.
    Hurwitz EL, Aker PD, Adams AH, Meeker WC, Shekelle PG. Manipulation and mobilization of the cervical spine: a systematic review of the literature. Spine. 1996;21:1746–387.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Kevin C. Smith
    • 1
  1. 1.Niagara Falls Dermatology & Skin Care CentreNiagara FallsCanada

Personalised recommendations