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2024.06.03
Did Botox Overdo It?! A Doctor Explains the Causes and Solutions
With deep medical insight cultivated as an internal medicine specialist, I bridge aesthetic surgery, dermatology, and internal medicine. Having spent my childhood in China, I communicate fluently in Japanese, Chinese, English, and Korean. Possessing an international perspective—evidenced by invitations to present at overseas conferences—I actively promote techniques as a Key Opinion Leader (KOL) for GOURI and REJURAN®. My specialty procedures include double eyelid surgery, skin-nurturing boosters, and body hyaluronic acid treatments. My approach leverages the holistic understanding of the body cultivated through internal medicine to guide patients toward natural, healthy beauty.

For those wondering, "What if Botox works too well?" before getting the treatment.
Dr. Senki Akashi of BIANCA CLINIC explains how to handle situations where Botox has been over-administered and key points for preventing excessive effects.
BIANCA Akashi Senki, MD Profile
Spent childhood in China and is trilingual in Chinese, Korean, and Japanese. After graduating from Nagoya University School of Medicine, she specialized in internal medicine with a focus on diabetes and endocrinology, becoming a board-certified internist. Subsequently, she gained experience performing over 5,000 surgical procedures and injectable treatments at a major cosmetic surgery clinic, later serving as director of a clinic in central Tokyo. She specializes in eye area surgeries, particularly double eyelid suture procedures and dark circle treatments. Currently at BIANCA Clinic, he supports patients in achieving a naturally beautiful glow from the inside out, encompassing all aspects of cosmetic surgery, medical aesthetics, and cosmetic dermatology.
<Professional Affiliations and Qualifications>
・Japanese Society of Internal Medicine Board-Certified Internist
・Japanese Diabetes Society
・Japanese Society of Aesthetic Plastic Surgery
・Japanese Society of Anti-Aging Medicine
<Check out more information about Dr. Akashi Senki's Aesthetic Medicine here>
Dr. Akashi Senki's Instagram account isHere
The official Instagram account for BIANCA isHere
The official YouTube account for BIANCA isHere
What happens if Botox is too effective?

Botox is a treatment that reduces the appearance of expression lines by suppressing muscle movement.
However, if muscle movement is excessively restricted, the following symptoms may occur.
・eyebrows arch upward
・My eyes feel heavy and hard to open
・Their expression looks stiff
・Your smile looks unnatural
These conditions result from excessive blockage of facial muscle movement due to overstimulation.
Why does Botox work too well?
Several factors contribute to Botox being too strong.
Cause 1|Too much was injected
The effect of Botox is proportional to the dosage administered.
Injecting more than the necessary amount appears to cause excessive inhibition of muscle movement, leading to a sensation of overstimulation.
Cause ②|The injection site was not appropriate.
Even a slight misalignment at the injection site can have a significant impact.
Injecting without a thorough understanding of the structure and movement of facial muscles can lead to results that differ from expectations.
Cause ④|Injection into a new area
During the initial treatment session, the patient's muscle response is difficult to predict, and the effect may be stronger than anticipated.
Judgment based on knowledge and experience is crucial.
What to Do When Botox Works Too Well
For those wondering, "What should I do if it works too well?", here are the countermeasures currently being considered.
Solution ①|Wait for time to pass
It is not an immediate solution, but it is a common and reliable method.
The effects of Botox are not permanent.
It usually takes 3 to 6 months to gradually return to its original state, so let's wait and see for a while.
Treatment Method ②|Injection of Acetylcholine Chloride
Another option is to supplement acetylcholine, the neurotransmitter whose release is suppressed by Botox, through injection.
However, due to its lack of immediate effectiveness and reliability, it is considered only a supplementary measure.
Countermeasure ③|Warm
Botox is sensitive to high temperatures.
Therefore, raising your body temperature with saunas or heat packs may also mitigate the effects.
However, if a significant amount of time has passed since the treatment, the desired effect may not be achieved.
What You Can Do to Prevent Botox from Working Too Strongly

To prevent overuse of Botox and ensure you can continue your treatments with peace of mind, keep the following points in mind.
・Start with a small amount the first time...At Bianca Clinic, we start with a small amount for treatments on new areas and adjust as we monitor your response.
・Consult a trusted doctor...It is important to choose a doctor who carefully designs treatments with a thorough understanding of facial muscle structure.
・Leave appropriate spacing...When repeating injections, allow at least three months between doses. Injecting too frequently may increase the risk of excessive effects or antibody formation.
“Just the right amount of Botox for natural beauty
If you're worried about Botox being too strong, it's important to start by learning the facts.
To receive treatment with peace of mind, it's crucial to consult with an experienced physician to determine the appropriate dosage and treatment areas for you.
At Bianca Clinic, we carefully administer injections tailored to each individual's facial muscle movements and preferences to achieve a natural-looking result.
If you're new to Botox, feel free to schedule a consultation.
HerePlease also see ▼
https://biancaclinic.jp/treatment_category/lips/lips_01/botox/
※This article is intended for general informational purposes only and is not intended to diagnose, treat, or prevent any specific disease. If you have health concerns, please consult your physician.