Botox injection

BOTOX

By relieving muscle tension, it reduces wrinkles, improves facial contours, and even slims the face.

Reduce wrinkles while maintaining a natural expression
A versatile beauty treatment effective for various concerns
You can feel the effects within 2 to 3 days after treatment.

Supervising Physician

board chairman Kazuaki Hotta

He is also a leader outside of the clinic, serving as president of Creation Labo, producer of cutting edge, and board member of the Japanese Society of Cosmetic Internal Medicine. She is also active as a leader outside the clinic, serving as the president of Creation Labo, producer of Cutting Edge, and board member of the Japanese Society of Aesthetic Internal Medicine. She aims to go beyond satisfaction to inspiration. He is a game changer in the world of aesthetic medicine, proposing Lifestyle Beauty that transcends the boundaries of aesthetic medicine.

Botox injection Case

CASES

Botox injections (between the eyebrows)

Treatment Period and Number of Sessions: Top: Before injection / Bottom: One month after injection
Side Effects and Risks: Swelling, internal bleeding, facial tightness, infection, etc.
Cost: Botox between eyebrows: 4,620 yen
Treatment fee: 24,200 yen
Total: 28,820 yen
BOTOX VISTA: 770 yen per unit (between eyebrows: 6 units)

Botox (forehead)

Treatment Period and Number of Sessions: Top: Before injection Bottom: 2 weeks after injection
Side Effects and Risks: Swelling, internal bleeding, facial tightness, infection, etc.
Cost: Forehead Botox: 6,160 yen
Treatment fee: 24,200 yen
Total: 30,360 yen
BOTOX VISTA 770 yen per unit (10 units used)

Botox injections (outer corners of the eyes)

Treatment Period and Number of Sessions: Top: Before treatment / Bottom: One month after treatment
Side Effects and Risks: Bruising: Approximately one week
Overdoing it makes your expression stiffen.
Cost: BOTOX VISTA: Treatment Fee: ¥20,000 Product Fee: ¥600 per unit

Botox injections (forehead)

Treatment Period and Number of Sessions: Top: Before injection / Bottom: One month after injection
Side Effects and Risks: Bruising for a few days
If too much is injected, facial expressions become stiff.
Cost: BOTOX VISTA Forehead & Glabella: Treatment Fee ¥20,000 / Product Fee ¥600 per unit

Botox injections (outer corners of the eyes)

Treatment Period and Number of Sessions: Top: Before injection / Bottom: One month after injection
Side Effects and Risks: Bruising for a few days
If too much is injected, facial expressions become stiff.
Cost: BOTOX VISTA: Treatment Fee: ¥20,000 Product Fee: ¥600 per unit

Botox injections (calves)

Treatment Period and Number of Sessions: Left: Before treatment / Right: After 2 treatments, 1 month later
Side Effects and Risks: Bruising: Approximately 10 days
Cost: Regenox 400U: Treatment Fee ¥20,000 Preparation Fee ¥300 per unit

Botox injection

Treatment Period and Number of Sessions: Upper: Preoperative, Lower: Postoperative
Twice
Side Effects and Risks: Swelling, internal bleeding, facial tightness, infection, etc.
Cost: Botox injection 38,500 yen
Treatment fee 24,200 yen
Total 62,700 yen
BOTOX VISTA 770 yen per unit
(50 units used)

Botox (between the eyebrows and forehead)

Treatment Period and Number of Sessions: Upper: Preoperative, Lower: Postoperative
Side Effects and Risks: Swelling, internal bleeding, facial tightness, infection, etc.
Cost: Botox between eyebrows: 4,620 yen
Forehead Botox: 6,160 yen
Treatment fee: 24,200 yen
Total: 34980 yen
BOTOX VISTA 770 yen per unit ( 8 units on forehead and 6 units between eyebrows)

Botox (between the eyebrows and forehead)

Treatment Period and Number of Sessions: Upper: Preoperative, Lower: Postoperative
Side Effects and Risks: Swelling, internal bleeding, facial tightness, infection, etc.
Cost: Botox between eyebrows: 4,620 yen
Forehead Botox: 6,160 yen
Treatment fee: 24,200 yen
Total: 34980 yen
BOTOX VISTA 770 yen per unit ( 8 units on forehead and 6 units between eyebrows)

Botox (gills)

Treatment Period and Number of Sessions: Upper: Preoperative, Lower: Postoperative
Side Effects and Risks: Swelling, internal bleeding, facial tightness, infection, etc.
Cost: Erabotox: 7,700 yen
Treatment fee: 24,200 yen
Total ：31,900 yen
BOTOX VISTA 770 yen per unit (10 units used)

Botox (gills and chin)

Treatment Period and Number of Sessions: Top: Before treatment / Bottom: One month after treatment
Side Effects and Risks: Swelling, internal bleeding, facial tightness, infection, etc.
Cost: Erabotox ¥23,100
Botox for the chin ¥7,700
Treatment fee ¥24,200
Total 55,000 yen
BOTOX VISTA 1 unit: 770 yen
(gills: 30 credits, chin: 10 credits)

To Case List

Types of BIANCA Botox Products

Botox

BOTOX Vista® (BOTOX Vista)

Botulinum toxin product manufactured by Allergan. It is the only product approved by the Ministry of Health, Labour and Welfare in Japan and has been used for cosmetic medicine and anti-aging care in the world for more than 25 years.
Unlike other botulinum toxin type A products, which are not approved in Japan, the efficacy and safety of Botox injections for Japanese patients have been confirmed. It is also recommended for those who have never had Botox injections before and for those who wish to have a more uniform effect.

CORETOX®

A botulinum toxin formulation developed by Medytox of South Korea. It features a highly purified formula in which complex proteins that are believed to cause resistance have been removed in order to reduce the risk of weakening of the effect due to antibody production. It is also suitable for those who regularly receive Botox injections and feel that the effects are becoming weaker or less lasting.
Designed without human serum albumin or animal-derived ingredients to minimize allergy risk, this next-generation botulinum toxin product was approved by the Korean MFDS in 2016.

INNOTOX®

A liquid type botulinum toxin preparation developed by Medytox of South Korea. The product is pre-liquidized, eliminating the need for dilution and reducing the risk of infection during dilution and variation in drug concentration.
Designed without human serum albumin or animal-derived ingredients to avoid allergies and side effects. Phase III clinical trials conducted by the Korea Food and Drug Safety Administration (MFDS) have also reported a longer duration of efficacy than other formulations.

Unique Initiatives at BIANCA CLINIC

To achieve meticulous treatments
The same doctor handles routine maintenance.

Botox injections are a delicate treatment where the final result varies based on the doctor's skill and experience. Muscle structure and movement differ from person to person, so even injecting the same amount using the same technique will yield varying degrees of effect. If the dosage or injection site is mistaken, the face can become stiff, resulting in unnatural-looking expressions around the eyes or across the entire face. Furthermore, determining whether Botox injections are the appropriate treatment for the patient is crucial. For patients concerned about forehead wrinkles who also exhibit eyelid drooping or ptosis, administering Botox can sometimes cause the eyelids to feel heavy, potentially leading to headaches or stiff shoulders. Therefore, a thorough examination is essential.

At BIANCA CLINIC, our procedures are performed by doctors with skilled techniques and extensive experience. For patients requiring ongoing Botox injections, the same doctor will be assigned from the initial treatment through all subsequent maintenance sessions.

"How effective was the last one?"
"What is the appropriate dosage for that patient?"

To achieve a high-quality result tailored to your preferences, we meticulously adjust the injection site, depth, and precise dosage for each patient based on their individual symptoms, comparing it to previous treatments. Our signature technique preserves natural muscle movement, creating a relaxed, gentle expression that looks as if no treatment was performed—a point of pride at BIANCA CLINIC. Whether you're anxious about your first Botox injection or have been dissatisfied with results from other clinics, we invite you to experience BIANCA CLINIC's renowned, customized Botox treatment.

Features

CHARACTERISTICS

What is Botox injection?

Botox injections are a treatment that relaxes muscle tension to improve expression lines. The substance used in the treatment is a type of protein called botulinum toxin (botulinum toxin), produced by the bacterium Clostridium botulinum. By injecting this botulinum toxin at the junction between muscles and nerves, it is expected to temporarily paralyze muscle movement or suppress the secretion of neurotransmitters involved in muscle movement.

Botox injections were first approved for cosmetic purposes in the United States and have been used in the field of cosmetic dermatology for over a decade. It is now approved in over 80 countries, including the UK, and in Japan, its safety was established with approval by the Ministry of Health, Labour and Welfare in April 1997. Furthermore, as it is administered via injection and the cost is relatively reasonable compared to other cosmetic procedures, Botox injections are an accessible treatment even for those who are hesitant about surgical procedures or are new to cosmetic medicine. However, on the other hand, the results can vary significantly depending on the skill of the practitioner.

In addition to reducing expression lines, it offers a wide range of benefits.

Botox injections work by inhibiting the release of a neurotransmitter called acetylcholine. This mechanism allows for treatment applications in various areas. The effects of Botox injections are as follows:

・Reduction of expression lines that appear on the forehead, between the eyebrows, at the corners of the eyes, under the eyes, around the mouth, and on the chin
・Reduced jawline volume due to teeth clenching
・Lifting the corners of the mouth
・Improvement of gummy smile*
・Targeted weight loss for areas like calves and arms
・Relief of stiff shoulders
・Shaping the collarbone and décolleté line
・Treatment for hyperhidrosis and body odor
・Suppression of excessive sebum secretion, etc.

Botox injections offer a wide range of benefits beyond those mentioned above and are used not only in cosmetic surgery and dermatology but also in dentistry. While procedures for cosmetic purposes, such as reducing wrinkles or targeted fat reduction, are generally not covered by insurance, Botox injections for therapeutic purposes—such as treating severe hyperhidrosis or body odor—may be covered in some cases. If you are unsure whether your procedure is eligible for insurance coverage or have questions about costs, please feel free to consult with us.

Gummy smile... a condition where more gum tissue is visible than usual when smiling.

Duration of Botox injections

The effects of Botox injections begin to appear as early as three days after the procedure and stabilize in about two weeks, when a firm change can be felt. Thereafter, the effects last for approximately three months, gradually diminishing and returning to their original state in approximately six months overall.

However, the appearance and duration of the effects vary from person to person and depend on the injection site, the degree of muscle development, and body constitution. In addition, as the treatment is continued, the movement of the muscles injected with Botox will gradually weaken and the recovery speed will slow down. This creates a state in which the Botox action is more likely to be sustained. For this reason, the effects of Botox tend to last longer in patients who continue to receive treatment on a regular basis than in those who receive Botox for the first time.

Recommended Features

RECOMMENDED POINTS

To help first-time patients avoid Botox injection mistakes

If Botox injections result in an unnatural appearance due to excessive dosage, there are injections available to reduce the effect. However, it is impossible to completely remove the medication, making corrective procedures to restore the pre-treatment state difficult. Therefore, the only option is to wait for the effect to diminish over time.

The effects of Botox injections typically last about 3 to 4 months. To avoid having to endure this period without treatment, it's important not to overdo the dosage. While there are general guidelines for Botox dosage based on the treatment area, symptoms like wrinkle depth vary from patient to patient. For those receiving Botox injections for the first time, it's crucial to start with a small amount of Botox and gradually adjust the dosage and treatment areas.

At BIANCA CLINIC, the same doctor will be responsible for your care from your initial treatment through regular maintenance. Please feel free to share any requests or concerns you may have based on your previous treatment. We will propose the optimal injection volume after considering various factors, including your past treatments, your requests, and your skin condition.

The Difference Between Botox Injections and Hyaluronic Acid Injections and How to Choose

Botox injections and hyaluronic acid injections are both highly popular treatment options. Both are representative methods for wrinkle treatment and share the commonality of involving the injection of a substance. Consequently, we often hear patients ask questions like, "I don't understand the difference in their effects," or "Which treatment is better?"

First, as mentioned earlier, Botox injections are a treatment that temporarily relaxes muscle movement, effectively addressing wrinkles formed during facial expressions. Hyaluronic acid, on the other hand, is a naturally occurring moisturizing component in the body. When injected into areas with wrinkles, it replenishes the skin's hyaluronic acid deficiency. This plumps the skin from within, lifting it and helping to reduce the appearance of wrinkles. Therefore, it is particularly useful for wrinkles not caused by facial expressions, such as nasolabial folds. Furthermore, it not only hydrates the skin but also helps restore volume to areas that have lost it. For this reason, it is also used as a treatment to enhance the tear troughs, plump the lips, and create a more rounded forehead.

Considering these factors, when deciding between Botox injections and hyaluronic acid fillers, it's crucial to base your choice on the cause of your wrinkles. Are your wrinkles caused by muscle activity, or by volume loss due to aging? If you're unsure about the cause of your skin concerns, please feel free to consult with us. At BIANCA CLINIC, we utilize the high-performance skin diagnostic device VISIA. During your consultation, we will professionally analyze your current skin condition and propose the optimal treatment plan for you.

For details on VISIA,HereYou can view it from here.

Will stopping Botox injections make you look older? The truth behind the intriguing rumor

Stopping Botox injections does not make wrinkles, sagging, or other symptoms worse than they were before the treatment or cause any repercussions. Botox injections are a treatment that temporarily suppresses muscle movement and makes them less noticeable, rather than a fundamental solution to wrinkles and gills. Therefore, when the injections are stopped, the effect will eventually fade and the skin will return to its pre-treatment state over time.

You may become accustomed to seeing the state of Botox during the period when it is working, and you may feel that your wrinkles have worsened after you stop treatment, but this means that the effects of Botox have disappeared. If you want to maintain the effects of Botox, we recommend that you have another treatment before the wrinkles completely return to their original state. If you are looking for a permanent effect, we also recommend that you consider a surgical procedure.

Benefits

MERIT

Scar-free treatment requiring no scalpel

Botox injections are performed without making any incisions in the skin, so there is no need to worry about scars. Only a slight needle mark may remain immediately after the injection, but it will disappear within half a day to one day.

The treatment takes a short amount of time.

Botox injections take only about 10 to 20 minutes to complete as a standalone treatment. This makes it a recommended cosmetic procedure for busy individuals with limited time.

Minimal downtime with little impact on personal life

Botox injections have relatively short downtime compared to other cosmetic procedures, typically improving within 1 to 3 days, or up to about a week at most. Therefore, it is a treatment that minimally impacts your personal life.

Treatment area

TREATMENT AREA

Forehead, between the eyebrows, corner of the eyes, root of the nose (bunny line), corners of the mouth, gummies, chin, gills, shoulders, neck (broad neck muscles), palms, calves, underarms, soles of feet, etc.

Treatment Process

CONTENT OF TREATMENT

Physician's examination and counseling

Before proceeding with the treatment, we first conduct a consultation and examination by a physician. We will listen carefully to your concerns and requests, assess the condition of your wrinkles and muscles, and propose the appropriate injection volume. During the consultation, we will also explain post-treatment precautions and aftercare. Please feel free to ask any questions, no matter how minor, if you have any uncertainties.

Makeup removal at the injection site

Since we need to thoroughly examine your facial contours and skin condition, if you arrive wearing makeup, we ask that you remove it from the injection sites before treatment. After makeup removal, we will disinfect the injection areas.

treatment

The injection site is confirmed, and Botox is injected in small amounts using an extremely fine needle. Depending on the injection site and dosage, the procedure typically takes about 10 to 20 minutes.

After the treatment

After confirming the treatment area, cooling will be applied as needed, and the procedure will be complete. On the day of treatment, please avoid vigorously rubbing or massaging the injected area.

Schedule of Charges

PRICE LIST

Botox Injection Price List

Botox injection

Product Name	Standard rate
BOTOX VISTA 1 unit	¥770
CORETOX 1 unit	¥770
INNOTOX 1 unit	440 yen

A separate treatment fee of 24,200 yen per session will be added.

Injection Guidelines

Part	Unit
Botox Lift	40 to 60 credits
額	6 to 10 credits
outer corner of the eye	6 to 10 credits
Almond Eye	2 to 4 credits
between the eyebrows	6 to 10 credits
Bunny Line	6 to 10 credits
nasion	4 credits
nostrils	4 to 6 credits
philtrum	4 to 6 credits
mouth corners	4 to 6 credits
Gummy smile	4 credits
Gill	10 to 100 units
顎	10 units
salivary gland	20 to 40 credits
首	40 to 100 units
肩	100 to 200 units
calf	100 to 400 units
underarm	40 to 120 credits
Barbie Botox	200 units
Scalp (Head-tox) CORETOX only	100 units
Scalp (Exo-tox) CORETOX only Separate charge for 1 vial of exosomes: ¥100,000	100 units

※This is merely a guideline. We will determine the appropriate number of units for each individual based on their examination and perform the treatment accordingly.

Downtime

DOWNTIME

Bruising may occur for a few days.
If too much is injected, facial expressions become stiff.
Infection, hematoma, etc.

Frequently Asked Questions About Botox Injections

Q&A

When can I start wearing makeup after treatment?

You may wear makeup when leaving on the day of your treatment.

Is there any swelling or redness after treatment?

After treatment, side effects such as bruising, pain, swelling, or redness may occur at the injection site. These symptoms typically subside within a few days to a week. If symptoms persist, please consult your physician.

When can I take a bath or shower after treatment?

Both baths and showers are permitted starting the day of your procedure. However, as the botulinum toxin contained in Botox injections is sensitive to heat, please refrain from prolonged bathing, saunas, or hot stone baths. Activities that excessively warm the body may cause bruising at the treatment site. Additionally, please avoid rubbing or massaging the treated area.

When can I resume exercise after Botox injections?

It is possible starting the next day. On the day of your Botox injection, please refrain from strenuous exercise that causes your body temperature to rise and induces sweating.

Is it okay to drink alcohol on the day of my treatment?

Please refrain from drinking alcohol on the day of your Botox injection. Alcohol increases blood flow, raising the risk of side effects such as bruising and redness.

Does the Botox injection procedure hurt?

Injection needles used for general blood draws typically have a diameter of about 0.4 to 0.7 mm, whereas the needles used for Botox injections are extremely fine, with a diameter of approximately 0.2 to 0.3 mm. You may feel a slight prick, but unlike procedures involving incisions, anesthesia is not essential. Therefore, there is no need to be overly concerned about the pain associated with the treatment.

When do the effects of Botox injections start to appear after treatment?

Botox injections do not begin relaxing muscles immediately after treatment. While individual results vary depending on the injection site, dosage, and body type, effects generally start to appear 2 to 3 days after treatment, stabilize around 2 weeks, and take about 1 month for the jawline. Additionally, first-time Botox recipients tend to see effects more readily.

Can you feel sufficient results after just one session?

Botox injections can provide noticeable results and changes even after just one treatment. Since the effects are not permanent, we recommend receiving regular treatments to maintain the results.

How long do the effects of Botox injections last?

The effects of Botox injections are limited because the ingredients break down in the body. The duration varies from person to person, but generally lasts about 3 to 4 months. The effects gradually fade over time, eventually returning to the original state. If you plan to schedule Botox injections, it's best to have the procedure done about half a month to one month beforehand.

How often should Botox injections be administered?

Generally, it's best to schedule your next treatment when you feel the effects have worn off. However, please ensure at least three months have passed since your previous Botox injection. Frequent injections can cause your body to develop antibodies to botulinum toxin, potentially reducing its effectiveness. Please consult your treating physician regarding the timing and frequency of your injections.