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2026.08.17
What Is Susobotox? A Clear Explanation of Its Expected Effects, Benefits, and Drawbacks
After engaging in general obstetrics and gynecology practice, including infertility treatment, perinatal care, and other insured treatments, I decided to shift my career to free practice and gynecological aesthetics, with the hope of “supporting women to enjoy their life as a woman” after my own experience fighting against illness. Today, while still being involved in insured medical care as an obstetrician/gynecologist, I am facing women's health issues based on medical evidence through "real femtec" such as gynecologic plastic surgery, Vaginal Growth® injections, and vaginal hyaluronic acid injections, based on my deep anatomical knowledge and skills. We are a leading provider of gynecological services in Japan.
She is also committed to social activities related to the dissemination of sex education, HPV vaccine awareness, and the improvement of women's quality of life. He is also actively involved in educating the public about medical knowledge, such as writing Chapter 7, "Vaginal Hyaluronic Acid Injection," in his specialty book, "The Basics of Cosmetic Surgery," which is the first book he reads when he becomes a cosmetic surgeon.
"Vulvar Botox" is a procedure that involves injecting a botulinum toxin solution into the sweat glands of the vulva to suppress the activity of the apocrine glands, with the goal of reducing odor caused by vulvar bromhidrosis.
Concerns such as “I wash properly, but I’m still worried about odor in my intimate area” or “I’ve been feeling anxious ever since my partner pointed it out” are often difficult to discuss with others.
"Suso Botox" is a procedure that involves injecting a botulinum toxin solution into the sweat glands of the vulva to address the odor associated with vulvar bromhidrosis (Suso-ga). At BIANCA CLINIC, our female doctors and staff are here to help address concerns related to the feminine area, including odor.
In this article, a doctor provides an easy-to-understand explanation of how Susobotox works, the results you can expect, its pros and cons, the causes of genital body odor, and when to consider seeking treatment.
What kind of procedure is Susobotox?
Susobotox is a procedure in which a botulinum toxin solution is injected into the sweat glands of the vulva to suppress the activity of the apocrine glands and reduce odor.
Targets odor by suppressing the activity of apocrine glands
Vulvar Botox is a procedure that involves injecting a botulinum toxin solution into the sweat glands of the vulva. By suppressing the activity of the apocrine glands—a type of sweat gland—and preventing the growth of bacteria, the procedure aims to reduce odor caused by vulvar bromhidrosis.
The odor associated with underarm body odor is caused by sweat secreted by the apocrine glands. This sweat contains high levels of fat and protein, and when it is broken down by bacteria on the skin, it produces a distinctive odor.
Another key feature of Susobotox is that it is administered via injection without the use of a scalpel. While surgery is also an option for treating underarm odor, the characteristics and downtime vary depending on the treatment method. You should consult with a doctor to determine which method is right for you.
The cause of underarm odor cannot be determined based on the smell alone
Since apocrine glands are also present in the pubic area, this can sometimes produce a distinctive odor similar to that of underarm odor. Additionally, when the genital area becomes damp due to menstrual blood or vaginal discharge, it can create an environment conducive to bacterial growth.
On the other hand, the genital area naturally has a certain amount of odor. Therefore, it’s important not to jump to the conclusion on your own that “an odor means I have genital body odor.”
If you can't figure out the cause of the odor or if it continues to bother you even after trying self-care measures, seeing a doctor is an option worth considering.
You don't have to just put up with it, thinking, "It's not serious enough to see a doctor."
Odor in the intimate area is a very private concern, isn’t it? Some people hesitate, wondering, “Is it okay to see a doctor about something like this?” and end up dealing with it alone for a long time.
For example,
- I'm concerned about the smell of my underwear
- The odor is particularly noticeable after going out or exercising
- My partner pointed this out to me
- Such as feeling self-conscious about body odor and being reluctant to engage in sexual activity, etc.
If you find yourself becoming increasingly concerned about certain situations in your daily life, please consider consulting a doctor.
At Bianca Clinic, feminine care treatments—including vaginal Botox—are performed by female doctors and staff, and we ensure your privacy throughout your visit. Even if you haven’t decided to undergo treatment yet, we warmly welcome you to visit us for a consultation to discuss the causes of your concerns and your treatment options.
What results can I expect from Susobotox?
With Susobotox, by suppressing the activity of apocrine glands, we can help reduce the odor caused by underarm body odor, as well as the associated discomfort and psychological distress.
The main changes you can expect from Susobotox are as follows:
- Reducing Odor Caused by Underarm Body Odor
- Relief from Discomfort in the Intimate Area
- Reducing anxiety and psychological stress related to odors
Aiming to reduce unpleasant odors caused by underarm odor
At Susobotox, we address the odor associated with underarm body odor by injecting botulinum toxin to suppress the activity of apocrine glands, thereby preventing the growth of bacteria that cause odor.
If you're concerned about odor in your intimate area, you may feel anxious in various situations—such as when you're out and about, after exercising, or when changing clothes. Reducing this odor may help alleviate such everyday discomfort.
However, the causes and severity of odor vary from person to person. Susobotox is not suitable for all types of feminine area odor.
It may also help reduce the psychological burden associated with odors.
The concerns surrounding underarm odor go beyond the smell itself. Some people worry, “Have those around me noticed?” or “What does my partner think of me?” and end up becoming reluctant to engage in sexual activity or go out.
If odor-related concerns are alleviated, such anxiety and stress may be eased, which could lead to an improvement in quality of life (QOL).
At Bianca Clinic, we believe that concerns regarding the feminine area—which aren’t always apparent just by looking—are an important issue that affects women’s quality of life. Please feel free to consult with us not only about odor but also about any difficulties you may be experiencing in your daily life or sex life.
The effects are not permanent, and the duration varies from person to person.
Susobotox is not a treatment whose effects last permanently after a single session.
The effects typically last about 3 to 6 months. However, the way you experience the effects and how long they last may vary from person to person.
In addition, repeated Botox injections over a short period of time can lead to the development of antibodies, which may reduce the treatment’s effectiveness. If you wish to undergo another treatment, it is important not to shorten the interval on your own, but to consult with your doctor to determine the appropriate timing.
What are the pros and cons of Botox for the lower body?
While Susobotox offers the advantage of addressing body odor without the need for surgery, it is important to be aware of potential side effects, such as bruising, and the fact that its effects are not permanent.
Benefits of Susobotox
- The procedure can be performed with injections, without the use of a scalpel
- Relatively little downtime
- Can help address the odor of underarm body odor
- We can manage pain using anesthesia
Susobotox is a treatment that involves injecting botulinum toxin without the use of a scalpel. Compared to surgical procedures, it places less strain on the body and offers the advantage of relatively minimal downtime.
Including the time needed for the anesthetic cream, the entire procedure takes just under an hour, and the Botox injections themselves are completed in less than 30 minutes. After the procedure, the doctor will check the injection sites, and if there are no issues, you can go home right away.
Some people may feel anxious about injections in sensitive areas. At Bianca Clinic, we use anesthetic cream, and we can also combine it with nitrous oxide anesthesia depending on your preferences and condition.
Disadvantages and Precautions of Thigh Botox
- The effects do not last forever.
- Redness, swelling, and pain may occur.
- Bruising may occur.
- There are certain activities you should avoid for a certain period of time after the procedure.
- People with a Botox allergy cannot undergo this procedure.
After the procedure, redness, swelling, or pain at the injection site may occasionally occur. If bruising develops, it typically subsides within about one week, although the healing process varies from person to person.
You may take a shower on the day of the procedure. However, you should wait one week after the procedure before engaging in exercise or sexual activity, and you must be careful not to massage or rub the injection site vigorously for several days following the procedure.
Even if you think you have inguinal body odor, the cause of the odor may actually be something else. First, schedule a consultation to determine whether Suso Botox is the right treatment for your specific concerns.
Frequently Asked Questions
Here are answers to common questions about pain, duration, downtime, side effects, and precautions before and after treatment for Susobotox.
Q. Please tell me about the effects and duration of Susobotox.
A. The effects typically last about 3 to 6 months. However, the way you experience the effects and how long they last may vary from person to person. Since the recommended treatment frequency is about once every 3 to 4 months, please consult your doctor to determine when to schedule your next treatment.
Q. Please tell me about the pain associated with Botox injections.
A. You may feel a slight prick when the injection is given. At Bianca Clinic, we apply an anesthetic cream before the procedure to minimize discomfort, and nitrous oxide anesthesia is also available. The degree of discomfort varies from person to person.
Q. I’d like to know about the downtime after a Susobotox treatment.
A. You may shower starting on the day of the procedure. Please refrain from exercise and sexual activity for one week after the procedure, and be careful not to massage or rub the injection site vigorously for a few days following the procedure.
Q. Please tell me more about the side effects and risks of Susobotox.
A. In rare cases, redness, swelling, or pain may occur at the injection site, and bruising may also occur. Additionally, individuals with an allergy to Botox cannot receive this treatment. If you have any concerns, please consult your doctor.
Q. Is there anything I need to do to prepare before getting Botox for my lower body?
A. If you prepare a list of any concerns you may have regarding the procedure, as well as information about your current medications and medical history, it will help ensure that the pre-procedure consultation and the doctor’s examination go smoothly.
Why not turn those “things you’re curious about but find hard to ask” into concerns you can discuss?
Vulvar Botox is a procedure that involves injecting a botulinum toxin solution into the sweat glands of the vulva to suppress the activity of the apocrine glands, thereby aiming to reduce odor caused by vulvar bromhidrosis. While the procedure is performed without the use of a scalpel, the effects are not permanent, and there is a possibility of redness, swelling, pain, or bruising.
Odor in the intimate area is a concern where it can be difficult to determine the cause on your own. You don’t need to put up with it, thinking, “It’s not serious enough to see a doctor.”
At BIANCA CLINIC, our female doctors and staff address concerns regarding the feminine area while respecting your privacy. Whether you’re unsure of the cause of an odor or are concerned about how it’s affecting your daily life or sex life, please feel free to consult with us during a counseling session or examination.
▶Please see the details of the Susobotox treatment.
▶Please contact us via the online reservation form.
