![[Explained by Chairman Aihara] Everything you can do with Botox | From wrinkles, facial slimming, and hyperhidrosis to nose and gummy smile](https://www.elm-clinic.jp/wp-content/uploads/2026/06/botox-effect-by-area.png)
Introduction | Botox is not just for wrinkles, it's a versatile cosmetic treatment
Many people associate Botox with improving wrinkles around the eyes and forehead. However, it can actually be used to treat various parts of the body, such as the face, jawline, underarm hyperhidrosis, stiff shoulders, and calves, by utilizing its muscle-relaxing effect. Furthermore, injections into specific areas like the nostrils, aquiline nose, and gummy smiles have recently become increasingly popular.
In this article, Dr. Aihara, Chairman of Elm Clinic, provides a detailed explanation of what can be done with Botox, broken down by body part. It also covers the duration of effects, risks, and combinations with hyaluronic acid, making it a valuable resource for anyone considering Botox.
- The basic mechanism of Botox (differences between muscle injection and micro-Botox)
- What can be done for each body part (wrinkles, face slimming, underarm sweat, stiff shoulders, body, special areas)
- Duration and estimated risk/downtime
- Benefits of combining with hyaluronic acid
- Chin Botox and Masseter Botox Case Studies
*This article is a revised and expanded version of the content from the YouTube video.
- Introduction | Botox is not just for wrinkles, it's a versatile cosmetic treatment
- Botox Basics | Types that act on muscles and types that act on skin
- What can be done with Botox, by body part?
- Duration and risk/downtime
- Combination with hyaluronic acid | For a more natural finish
- Summary | Botox as an easy-to-try cosmetic medical treatment
Botox Basics | Types that act on muscles and types that act on skin
There are two main types of Botox injection methods. One isA type that is injected directly into the muscle.It is used to improve facial wrinkles, suppress excessive sweating, slim the face and adjust the jawline, and alleviate stiff shoulders. Another one isA type that is injected into the superficial layers of the skin (micro-Botox)Therefore, by acting on the skin rather than the muscles, it can be expected to tighten pores, improve firmness, and give a radiant glow.
Even with the same Botox,Where and at what depth should you hit it?The effects obtained vary greatly depending on the method. At Elm Clinic, we select the appropriate injection technique for each area based on anatomical knowledge and provide treatment tailored to your specific concerns.
What can be done with Botox, by body part?
Below is a summary of the main areas that can be treated with Botox and their effects.
| Body part/type | Main effect |
|---|---|
| Expression lines (crow's feet, forehead, and wrinkles around the eyes) | Improvement of wrinkles |
| side | Suppression of hyperhidrosis |
| Shoulders/neck (trapezius muscle) | Reduces shoulder stiffness and makes your neck look slimmer. |
| Calf muscles (gastrocnemius and soleus muscles) | Beautiful legs effect |
| Jawline | Smaller face, lifted jawline |
| chin | Reducing wrinkles caused by pickled plums |
| The sides of the nose (nasal alae muscle) | Tightening of the nostrils |
| inside the nose | Improvement of a hooked nose |
| Orbicularis oculi muscle (lateral) | Make your eyes look bigger |
| Levator labii superioris alaeque nasi muscle | Reducing nasolabial folds, improving gummy smile |
| Superficial skin layer (micro-Botox) | Tightens pores, improves firmness and radiance. |
Expression lines | Crow's feet, forehead wrinkles, and wrinkles around the eyes
The most common use of Botox is to improve expression lines such as crow's feet, forehead wrinkles, and chin lines. By relaxing muscle movement, it makes wrinkles caused by facial expressions less noticeable.
Underarms and Body | Underarm sweat, stiff shoulders, calves
It's surprisingly little known,Underarm Botox injections are popular for their ability to reduce sweating.This is a treatment. It's in demand year-round, not only for managing sweat in the summer, but also for those who tend to sweat easily indoors even in winter.
Shoulders and neckPhysical musclesThere is a large muscle called the neck, and if it is tense, it can make the neck appear less slender. By relaxing the muscle tension with Botox, you can expect to reduce shoulder stiffness and at the same time make the neck area appear smoother. Also,Gastrocnemius muscle and soleus muscle"Leg slimming Botox," which involves injecting Botox into the calf muscles to make legs appear slimmer, is also popular. However, because the body's muscles are large, it is generally more common to gradually improve them over multiple sessions rather than making a big change in one go.
Jawline, jawline, and chin | Face slimming effect
There are several approaches to tightening the jawline.PlatysmaInjecting Botox into the muscles that pull the neck downwards makes it easier to lift the face line, and for those with prominent jawlines...Botox for a smaller face that affects chewing powerIt can be expected to have the effect of making the jawline smaller. For chin wrinkleschin anti-wrinkle injectionThis is used to create a smooth facial contour.
Jawline/Jaw: Changes Seen Through Case Studies
This is a case study of a patient who was concerned about wrinkles on their chin, resembling a prune.Chin Botox can reduce wrinkles and create a smoother jawline.
- Our Treatments
- chin anti-wrinkle injection
- Purpose of the treatment
- Reduces wrinkles resembling those caused by prune (plum syrup) and creates a smoother facial contour.
- Treatment amount
- 15,800 JPY (TAX+)
- Side effects/risks
- Redness, swelling, itching, pain, tightness, bruising, and pregnancy are not permitted.
*The effects may vary from person to person.
This is a case study of a patient who was concerned about the prominence of their jawline.After four sessions of Botox injections in the jawline, the prominence of my jawline has been reduced, and my face now has a more defined and refined appearance.It changed to this.
- Our Treatments
- Masseter Botox (4 sessions)
- Purpose of the treatment
- Reduce jawline prominence, create a smaller face.
- Treatment amount
- 139,800 JPY (TAX+)
- Side effects/risks
- Redness, swelling, itching, pain, tightness, bruising, and pregnancy are not permitted.
*The effects may vary from person to person.
Specialized areas | Nose, aquiline nose, eye area, gummy smile
At Elm Clinic, we also offer injections to specialized areas based on anatomical knowledge.
- Botox for the nostrilsIt is injected into the alaex muscles (muscles that widen the nose) to tighten the nostrils.
- Improvement of a hooked noseThis works on the muscles inside the nose that pull the nose down, softening the pronounced downward slant of an aquiline nose.
- Botox to make eyes look biggerIt is injected into the outer part of the orbicularis oculi muscle to make it easier to open the eyes, which tend to droop with age.
- Nasolabial folds and gummy smileInjecting it into the levator labii superioris alaeque nasi muscle can slightly reduce the appearance of nasolabial folds and improve gummy smiles (a condition where too much gum is visible when smiling).
Micro-Botox | Pore tightening, firmness, and radiance
Micro-Botox is a treatment that becomes increasingly popular depending on the season. By injecting it into the superficial layers of the skin rather than the muscles, it is expected to tighten pores and improve firmness and radiance. Since it involves injecting into dozens of spots across the entire face at 1cm intervals, multiple treatment sessions are required, but in return, pores become tighter and the overall radiance of the skin improves.
Duration and risk/downtime
The duration of Botox effects varies from person to person, but generally...Every 3 to 4 monthsThis treatment is recommended. The fact that the effects always revert to their original state is an advantage in terms of safety.
- Applying too much under the eyes can make your face appear expressionless.
- Applying too much to the forehead can make your eyelids feel heavy.
- In areas with multiple injections, bruising may occur (for about 2-3 days to 1 week).
- Because micro-Botox involves multiple injection sites, it's crucial to explain the risk of bruising beforehand.
Combination with hyaluronic acid | For a more natural finish
Treatments combining Botox and hyaluronic acid are also gaining popularity. For example, Botox not only relaxes muscle movement,The E-line from the nose to the lipsUsing hyaluronic acid to refine the jawline will give it a more defined appearance.Midface (around the zygomatic arch)For those concerned about hollowness, hyaluronic acid can be used to add volume, creating a more youthful, rounded appearance.
When injecting micro-Botox into the dermis of the skin, a topical anesthetic is used.It's becoming more common to combine injections such as hyaluronic acid on the same day.Considering the risk of internal bleeding with each anesthesia injection, being able to receive all procedures on the same day is a benefit for the patient.
- Compared to thread lifts and hyaluronic acid injections, it is less expensive and easier to receive regularly.
- With proper technique, the risk is minimal, mainly limited to bruising, and downtime is short.
- It can accommodate various playing styles depending on the age group, from people in their 20s to those in their 60s.
- Because the effects always revert to their original state, it is highly safe and can be adjusted to suit the specific concerns at any given time.
Summary | Botox as an easy-to-try cosmetic medical treatment
- Botox can be used not only to improve facial wrinkles, but also to address a wide range of other issues such as underarm sweating, stiff shoulders, facial slimming, and calf slimming.
- It can also be applied to specific areas based on anatomical knowledge, such as the nostrils, aquiline nose, eye area, and gummy smile.
- Micro-Botox is a treatment that acts on the skin to tighten pores and improve firmness and radiance.
- The effects typically last 3-4 months. It's important to understand the risks, such as bruising, before undergoing the procedure.
- By combining it with hyaluronic acid, a more natural and balanced finish can be expected.
- Because it is relatively inexpensive and has minimal downtime, it is often chosen as an entry point into cosmetic medicine.
Botox is one of the most widely used cosmetic treatments in the world. When performed with the correct knowledge and technique, it is highly safe and can address a wide range of concerns, from wrinkle reduction and facial slimming to hyperhidrosis and treatment of specific areas. At Elm Clinic, we propose the optimal injection method tailored to each patient's individual concerns and requests. Please feel free to come in for a consultation.
*This article is a revised and expanded version based on a YouTube video. Individual results may vary. Please confirm the treatment details, fees, and risks during your consultation.
