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2025.07.21
Botox Without Fail: Common Mistakes Explained
A dual-specialty doctor with a background in plastic surgery, bridging cosmetic surgery and ophthalmology. At the university hospital, he performed numerous high-difficulty cases, primarily focusing on eye and facial bone surgeries, cultivating precise techniques grounded in anatomy. He prioritizes achieving both aesthetic beauty and functional safety, offering customized treatments around the eyes that incorporate ophthalmological expertise. He actively utilizes not only incisional surgery but also non-invasive procedures like hyaluronic acid injections. By carefully assessing each individual's condition and unique appeal, he provides bespoke treatments that guide patients toward naturally harmonious, well-defined eyes.
Hello, I'm Ryutaro Natsume, a plastic surgeon who shapes impressions!

Essential to forming impressions is,composing one's expressionis.
Laughing so hard that you get a gummy smile or wrinkles form at the bridge of your nose—rich expressions are wonderful and full of humanity, and I personally love them, but
For example, it gives a bold impression like ”Kochikame's Ryōsan.”

If you're aiming for an elegant and sophisticated impression, this might change your image a bit.
If your smile naturally forms a downward curve, it can give the impression of a forced smile, and in customer service roles, it can affect your work.
That's where Botox comes in handy for smoothing out facial expressions!Like tuning a pianoas if to do,Examining the balance of each facial muscleWe fine-tune the impression to match what the patient desires.
Summer effectively suppresses sweat and sebum, and when used skillfully, Botox becomes a powerful ally.
However, stories of Botox mishaps keep coming. It's truly unfortunate that people avoid getting Botox because of this.
This time, we'll explain common Botox mistakes and their causes!
・His expression froze stiff as a board
BotoxThe dosage is too high.This is the reason.
The recommended dosage is generally determined by body part.
With extensive experience administering Botox injections, I can predict just how much movement can be reduced with a given dosage simply by observing facial expressions.
However,It is important to start with a low dose.is.
If it's not enough, you can add more, but if it's too strong, you may experience discomfort for about three months.
Therefore, we recommend continuing your Botox treatments at the same facility! Each time you visit for maintenance, we will fine-tune the dosage to suit you.
I inject in a way that preserves the natural movement of each facial muscle to an appropriate degree.
・Botox no longer works
IndeedProlonged use may lead to the production of neutralizing antibodies.andEffect becomes weaker, duration of effect becomes shorterThere may be cases.
However, it doesn't seem to lose its effectiveness entirely.
”The neutralizing antibody prevention method...
Leave a 3-month interval between doses:
Do not administer small additional doses or inject into other areas. When administering Botox, do it all at once.
Use a botulinum toxin formulation free of complex proteins:
”Causes of neutralizing antibody productionis,The complex protein contained in BotoxIt is thought that...
With composite protein-free Botox,Core ToxThis applies to that.The effect is the same as existing formulations.。
Recommended for those like me who require high total doses, those who repeat treatments every 3-6 months, and those for whom Botox is already less effective.That's it!
・My eyes have become difficult to open
PtosisorUpper eyelid drooping(Many people with single eyelids also have this) originallyPeople who have a habit of raising their eyebrowsoccurs.
When drooping eyelids or sagging skin make it difficult to open the eyes, the forehead muscles compensate by raising the eyebrows. Therefore, overworking the forehead muscles can disrupt this compensatory mechanism, making the difficulty in opening the eyes more pronounced.
In such cases, avoid injecting below the center of the forehead, and do not inject into the dermis to directly affect the frontalis muscle, etc.
A hitting technique that minimizes unnecessary movements to avoid creating discomfort is essential.is.
By the way, I also find that if I apply too much, it becomes difficult to open, so I apply it mildly to prevent deep wrinkles.
Fundamental treatment involves improving difficulty opening the eyes through procedures such as blepharoplasty, suture-based methods, or brow lift surgery.will become.
・Sunken cheeks
It occurs with jaw Botox.
(Left: Before treatment, Right: After treatment Treatment details: VOLUMA 2ml)
If the cheekbone above is sunken, even a slightly prominent jawline can create unevenness, making the jaw appear more pronounced.
Here's the catch!If you think the jawline is prominent and increase the dosage, the volume in the jawline itself decreases, creating the impression of a sunken cheek.will become.
In that case,By administering only a small amount of Botox to the masseter muscle and enhancing volume in the sunken cheek area with hyaluronic acid, a beautiful facial contour is achieved.。
You tend to fall into this trap when you see coupons like "Jaw Botox 50U for ◯◯ yen!" and decide to get the treatment.
・Water spills out, straw won't suck
It happens from overdoing Botox injections in the philtrum.
It is used to shorten the philtrum and refine the upper lip contour, but this is also due to the high dosage administered from the first session.
The basics of the first dose: Start small!
When administered correctly and in the appropriate dosage, Botox for the philtrum is an effective treatment.
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・Summary
This time, we explained common Botox treatment failures, their causes, and prevention methods.
Botox is your ultimate ally for refining your facial expressions with elegance.
Start with a low dose, especially for the first time! Find the dosage that works best for you.
Prevention with neutralizing antibodies is possible using protein-free formulations such as Coretox.
Common Botox complications can be avoided by an experienced physician.
Please feel free to come in for a consultation.
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※There are various approaches to aesthetic medicine, and opinions and practices may differ among physicians. Please consider the information provided here as one reference only, and we hope you will choose medical care that suits you and meets your expectations.
We apologize if any unintended inaccuracies or misleading expressions were included. In such cases, we will make appropriate corrections or additions.
【Profile】
Plastic Surgeon Dr. Ryutaro Natsume
https://biancaclinic.jp/doctor/natsume/
Performed numerous facial surgeries, particularly focusing on the eye area and facial bones, in the field of plastic surgery.
Regarding treatments for the eye area, I believe that not only aesthetic appearance but also ophthalmic functionality is extremely important. To provide safer and more reliable treatments, I am currently deepening my expertise as an ophthalmologist.
We actively incorporate non-surgical procedures such as hyaluronic acid injections, in addition to treatments requiring surgical instruments.
From a multifaceted professional perspective encompassing cosmetic surgery, cosmetic dermatology, reconstructive surgery, and ophthalmology
BIANCA CLINIC, a leading Japanese clinic specializing in beauty and regenerative medicine, provides the latest aesthetic treatments.
【Career】
2020: Graduated from Tokyo Medical University Tokyo Metropolitan Saiseikai Central Hospital
2022 Jikei University Hospital Department of Plastic Surgery
2023 Department of Plastic Surgery Jikei University School of Medicine Kashiwa Hospital
2024 BIANCA CLINIC
【Professional Affiliations/Qualifications】
Japanese Society of Aesthetic Surgery (JSAS)
Full Member of the Japan Society of Plastic and Reconstructive Surgery
Full Member of the Japanese Society of Craniofacial Surgery
Full Member of the Japanese Ophthalmological Society
【SNS】
Instagram account
https://www.instagram.com/dr.natsume?igsh=OHBvd3VtajV1bmY1&utm_source=qr