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2025.03.06
How to Avoid Botox Mistakes? A Doctor Explains Causes and Countermeasures
“Confident women are beautiful” is the core belief driving our pursuit of aesthetic medicine that positively transforms lives. Our specialty treatments include custom-designed hyaluronic acid injections and thread lift procedures that deliver natural-looking lifting results. We are also highly skilled in breast augmentation surgery that achieves a natural and beautiful bust line. As a KOL for Purreal Tri-Fill Pro, I actively promote advanced technologies, characterized by a meticulous approach to identifying only the necessary treatments. I strive to support each individual in rediscovering confidence in their inherent beauty and taking steps toward a life filled with happiness.

Treatment Name: Botox Injection (Glabella) Treatment Details: Top: Before Injection Bottom: 1 Month After Injection 💉 BOTOX VISTA 💴 Treatment Fee: ¥20,000 Product Fee: ¥600/U 😷 DT: Bruising (lasting a few days) ⚠️ Excessive dosage may cause facial stiffness.
For those concerned about Botox complications.
This time, Dr. Yuu Okubo of BIANCA CLINIC explains the typical symptoms that can occur when Botox fails, their causes, and countermeasures.
Many people are interested in Botox but worry about risks like “looking unnatural” or “having trouble chewing,” aren't they?
jawline, forehead, calves, etc.We'll also cover key points to note for each body part and tips to avoid regrets.
If you're anxious about your first Botox treatment or have had a bad experience in the past, please read on.
What is Botox injection?

Botox injections are a treatment that involves injecting botulinum toxin type A to suppress muscle movement, aiming to improve wrinkles and tighten facial contours.
The application areas vary, including the jawline, forehead, brow area, chin, calves, shoulders, and underarms.
We perform treatments for a wide range of purposes, including facial slimming, hyperhidrosis management, and shoulder stiffness relief.
Please also see this.
https://biancaclinic.jp/treatment_category/lips/lips_01/botox/
When do the effects of Botox injections start to appear?

Treatment Name: Botox Injection (Calf) Treatment Details: Left: Before Treatment Right: After 2 Treatments (1 month later) 📍Calf: Regenox 400U 💴Treatment Fee: ¥20,000 Product Fee: ¥300/U 😷DT: Bruising (approx. 10 days)
The effects of Botox typically begin to appear 2 to 3 days after treatment and stabilize within 1 to 2 weeks.
The timing of Botox results varies from person to person, but changes tend to be noticeable relatively quickly in larger muscle areas like the jawline.
The maximum effect lasts for about three months, after which it gradually diminishes.
For subsequent treatments, some individuals may experience longer-lasting effects.
What is the recovery process after Botox injections?

Although individual results may vary, it takes several days for the effects of Botox injections to begin appearing.
Here is an example of the progression when treating wrinkles with Botox injections.
■Botox Injections│Day of Treatment to Day 2・Day 3
Although no noticeable changes appear on the day of treatment, the effects of Botox injections begin to show within 2 to 3 days, gradually making it harder for wrinkles to form.
■Botox Injections│Day 4・Day 5
After 4 to 5 days, clear changes tend to appear, such as wrinkles disappearing completely.
■Botox Injections│1–2 weeks later
The effects of Botox injections typically stabilize within about one to two weeks.
■Botox Injections│3 Months Later
The duration of the peak effect varies from person to person, but generally lasts for about 3 to 4 months before gradually diminishing over several weeks.
To maintain the effects of Botox injections, it is necessary to receive treatment again at the appropriate time.
Please consult your physician regarding the interval between treatments.
For important events like weddings, it's recommended to get Botox injections about half a month to one month before the event.
Common Examples and Causes of Botox Failures
Botox treatments are generally considered safe, but in very rare cases, the following symptoms may occur.
■After getting Botox in my forehead and between my eyebrows, the outer corners of my eyebrows lifted (Spock brow).
This is caused by asymmetry in the frontalis muscle or insufficient adjustment of the injection volume.
To avoid regretting forehead Botox, injection skills that account for muscle movement are essential.
■Her expression froze unnaturally.
Cases caused by factors such as "excessive injection volume" or "spread of the drug."
This also applies to cases where the corners of the mouth droop after receiving Botox injections.
■Difficulty chewing / Unnatural appearance of the philtrum
Difficulty chewing after Botox injections can occur because the muscles used for chewing, such as the masseter muscle, become weaker.
The reason the philtrum looks unnatural is because the movement of the muscles around the mouth is restricted.
As a countermeasure, it is crucial to entrust the procedure to an experienced physician who can accurately determine the injection site and appropriate dosage.
■I don't feel any effect.
This is caused by the injection site or wrinkle type being unsuitable, or by the injection volume being too low.
However, you may not feel the effects after the first treatment.
Which areas are most prone to regret after Botox?

Botox injections in areas such as the shoulders, calves, forehead, and neck carry the risk of affecting daily activities if administered incorrectly.
For example, if shoulder Botox goes wrong, it can make it difficult to raise your arms, leading to regret.
Botox injections in the calves can reduce volume, but may also cause muscle weakness and discomfort while walking.
Dr. BIANCA Explains Key Points to Avoid Botox Mistakes

"How should I care for myself after Botox injections?" "What should I do if my Botox injections go wrong?" We'll answer these questions and more.
Q. How can I prevent my facial expressions from looking unnatural after Botox injections?
A. Even when treating the same area, the amount of Botox required varies from person to person.
Injecting too much can cause the face to stiffen and appear unnatural.
To prevent an unnatural finish, it's important to proceed gradually, starting with a small amount.
At Bianca Clinic, we tailor the injection volume to each patient's individual condition, aiming for a natural result.
Q. Will getting Botox injections in the same area at multiple clinics lead to complications?
A. As long as you wait an appropriate interval, such as 3 to 4 months, receiving Botox injections in the same area is unlikely to cause problems.
The benefit of consistently requesting Botox injections from the same doctor is that they gain a deeper understanding of the root cause of your concerns.
Based on the effects of previous injection volumes and sites, this time the precise adjustment of where and how much to inject will lead to more satisfying results.
At Bianca Clinic, the same doctor will perform your Botox injections each time.
Based on your condition and the details of your previous treatment, we aim to provide more meticulous adjustments. Please entrust us with your regular maintenance as well.
Q. How can I avoid complications after Botox injections?
A. For several days after treatment, avoid activities that promote blood circulation, such as drinking alcohol or taking long baths, as well as excessive stimulation like massage or spa treatments.
This is because applying pressure to the injection site may cause the medication to spread to surrounding areas, potentially resulting in an unnatural appearance.
If you experience any concerning symptoms after the treatment, consult a doctor immediately.
Q. If you think "Did I mess up?" after getting Botox injections, what should you do?
A. First, please consult the physician who performed the procedure.
In some cases, improvement can be achieved through adjusting the injection volume or re-injecting. However, depending on the condition, it may be necessary to wait for the effects to naturally diminish.
If you have any concerns, it's best to consult us early for peace of mind.
The key to preventing Botox complications lies in choosing the right doctor and post-treatment management.
Botox injections are a procedure where the final results can vary significantly depending on the doctor's skill and knowledge, as well as how you care for yourself after the treatment.
To avoid regret, it is important to entrust the procedure to an experienced physician.
At Bianca Clinic, we tailor injection sites and volumes to each patient's individual concerns.
If you're nervous about getting Botox injections for the first time, feel free to consult with us first.
Treatment Details
Type A botulinum toxin injection
Treatment time: Approximately 10 minutes
Recommended treatment frequency: Approximately once every 3 to 6 months *Individual results may vary.
Bathing and facial cleansing: Permitted starting the day of treatment
Makeup: Can be applied starting the same day after treatment.
Contraindications: The following individuals cannot receive treatment.
・Pregnant women, breastfeeding women, and those who may be pregnant
・Individuals with allergies to botulinum toxin or any components contained in the formulation used
・Individuals with systemic neuromuscular junction disorders or systemic muscle diseases (such as myasthenia gravis, Lambert-Eaton syndrome, amyotrophic lateral sclerosis, etc.)
※Please consult your physician for details.
Important Notice: If you fall under any of the following categories, you must inform your doctor before receiving treatment.
・Individuals receiving Botox injections at other medical facilities
・Chronic respiratory diseases such as asthma, or in cases of glaucoma
・Individuals currently taking medications for Parkinson's disease, antibiotics, tranquilizers, muscle relaxants, etc.
※Please consult your physician for details.
Side effects, swelling, bruising, facial stiffness, infection, etc. regarding the product used:
・Treatment involving the injection of type A botulinum toxin preparations may include the use of unapproved drugs in Japan or treatments for purposes other than those approved by the pharmaceutical regulatory authorities.
・Medicines and medical devices used for treatment are imported through personal import procedures under the judgment of our clinic's physicians. For information on medicines and other items requiring caution in personal import, please refer to the following.
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
・Information regarding safety and other matters in other countries
Botox Vista® is approved in Japan for "expression lines between the eyebrows or at the corners of the eyes in adults under 65 years of age."
-NABOTA has obtained approval from the U.S. FDA and the Korean KFDA
・In the unlikely event of serious side effects, this product is not covered by the national pharmaceutical adverse reaction victim relief system.