What Is Botox?
Botox is a cosmetic injectable that’s become the gold standard for smoothing wrinkles and fine lines. It’s the brand name for onabotulinumtoxinA—a purified protein that temporarily relaxes the facial muscles responsible for expression lines.
Here’s how it works: Botox gently blocks the signals between nerves and muscles, preventing them from contracting. This creates a smoother, more refreshed appearance without freezing your natural expressions when done skillfully.
It’s FDA-approved for treating:
- Frown lines between the brows
- Forehead lines
- Crow’s feet around the eyes
Beyond these areas, experienced practitioners also use it for jawline slimming, lifting the brow, softening a gummy smile, and even reducing neck bands—though these are considered off-label uses.
What to expect: Results gradually appear over 7-10 days, peaking around 2 weeks, and typically last 3-4 months. The treatment itself is quick—often called a “lunchtime procedure”—with minimal downtime.
While “Botox” has become synonymous with wrinkle relaxers, other quality brands like Dysport® and Xeomin® work similarly, though they’re not interchangeable due to different formulations and potency profiles.
The key to natural-looking results? Finding an experienced injector who understands facial anatomy and aesthetic balance.
How Does Botox Work?
How Botox Works: The Science Behind Smoother Skin
At its core, Botox temporarily interrupts the signal between your nerves and muscles, creating a controlled relaxation that smooths dynamic wrinkles—those lines created by repetitive facial expressions.
The Journey of the Molecule:
- Binding & Entry: Once injected, Botox’s active ingredient (onabotulinumtoxinA) binds to nerve endings and enters the nerve cell through a process called endocytosis.
- The Key Action: Inside the nerve terminal, Botox acts like molecular scissors, precisely cleaving a protein called SNAP-25. This protein is essential for releasing acetylcholine—the chemical messenger that tells muscles to contract.
- The Result: Without acetylcholine release, the nerve signal is blocked. The targeted muscle can’t contract fully, creating a softer, smoother appearance while preserving natural facial expression when done artfully.
What This Means for Your Skin:
- For dynamic wrinkles (forehead lines, crow’s feet, frown lines): The muscles relax, allowing overlying skin to smooth out
- The effect builds gradually over 7-10 days as the molecular process unfolds
- It’s temporary: Your body naturally regenerates the SNAP-25 protein and develops new nerve connections over 3-4 months, which is why maintenance treatments are needed
Interestingly, Botox also affects sweat glands (which also use acetylcholine), making it effective for treating excessive sweating—with results lasting 6-9 months in those areas.
The beauty of this mechanism is its precision and reversibility, allowing skilled practitioners to sculpt and refine facial aesthetics predictably and safely.
Who Should Get Botox?
Botox can benefit a wide range of people, but the key is matching the treatment to your specific needs and ensuring you’re a safe candidate.
Ideal Aesthetic Candidates:
- Adults with dynamic wrinkles: If you have moderate to severe lines caused by facial expressions—frown lines, forehead creases, or crow’s feet—you’re likely a good candidate
- Preventative seekers: Starting around age 25+, some people use Botox proactively to delay the formation of deep-set wrinkles
- Facial contouring goals: Those seeking jawline slimming (masseter reduction), brow lifting, or softening of neck bands
- Realistic expectations: Understanding that Botox relaxes muscles and smooths expression lines, but doesn’t add volume or address skin texture issues
Medical Candidates:
Beyond aesthetics, Botox treats conditions like chronic migraines, excessive sweating (hyperhidrosis), muscle spasticity, and overactive bladder—all FDA-approved therapeutic uses.
Who Should Avoid Botox:
- Pregnant or breastfeeding individuals
- Those with neuromuscular disorders (myasthenia gravis, ALS, MS)
- Active infections or inflammation at injection sites
- Allergies to botulinum toxin or formulation ingredients
- Those taking certain medications (aminoglycosides, muscle relaxants)
- Professionals requiring precise mouth control (wind instrument players, singers) for lower face treatments
A thorough consultation with an experienced injector is essential. They’ll assess your facial anatomy, muscle mass, skin quality, and medical history to create a personalized treatment plan that aligns with your aesthetic goals while prioritizing safety.
Types of Botox
Botox® (Allergan) – 🇺🇸 USA
BOTOX® by Allergan: What You Need to Know
BOTOX® by Allergan is the original botulinum toxin product that most people are familiar with. It’s been used since 2002 for cosmetic purposes and holds about 85% of the global market.
What It Does:
For cosmetics:
- Relaxes muscles that cause wrinkles from facial expressions
- FDA-approved for frown lines, crow’s feet, and forehead lines
- Results last about 3-4 months
For medical conditions:
- Treats chronic migraines
- Reduces excessive sweating
- Helps with muscle spasticity and overactive bladder
What to Expect:
- Treatment: Quick injections, usually takes 10-15 minutes
- Results: Start showing in 7-10 days, full effect at 2 weeks
- Duration: Typically 3-4 months before you need another treatment
- Frequency: Should wait at least 3 months between treatments
Important Facts:
- BOTOX® units are specific to this brand—they’re measured differently than Dysport® or Xeomin®, so they can’t be directly compared
- It comes as a powder that your provider mixes with saline before injecting
- Maximum recommended dose is 400 units within any 3-month period
BOTOX® has been extensively studied and used millions of times. When done by a qualified provider, it has a well-established safety profile.
Xeomin® (Merz) – 🇩🇪 Germany
Xeomin® (incobotulinumtoxinA): What You Need to Know
Xeomin® is a botulinum toxin type A made by Merz Pharmaceuticals in Germany. It was FDA-approved in the US in 2011 for treating frown lines between the eyebrows.
What Makes It Different:
- “Naked” formula: Xeomin® contains only the pure botulinum toxin without extra proteins that other brands have
- Lower antibody risk: Because it lacks these extra proteins, your body may be less likely to develop resistance to it over time
- Room temperature storage: Unlike other brands, it doesn’t need refrigeration before mixing (though some providers still refrigerate it)
What It Does:
For cosmetics:
- Relaxes muscles that cause frown lines
- Works the same way as BOTOX® and Dysport®
- Results last about 3-4 months
For medical conditions:
- Treats cervical dystonia (neck muscle spasms)
- Treats blepharospasm (eyelid twitching)
What to Expect:
- Dosing: Uses approximately the same units as BOTOX® (1:1 ratio)
- Available sizes: 50 or 100 unit vials
- Results: Similar timeline to other brands—7-10 days to see effects, full results at 2 weeks
- Duration: Lasts about 3-4 months
Who Might Choose Xeomin®:
- Patients who have used BOTOX® or Dysport® frequently and want to minimize long-term antibody formation risk
- Those looking for a “cleaner” formulation without extra proteins
Xeomin® works just as effectively as other botulinum toxins. The main difference is its purer formulation, which may offer advantages for long-term users. Your results should be comparable to other brands when dosed appropriately.
Nabota® (Daewoong) – 🇰🇷 Korea
Nabota® (Daewoong) – Korea: What You Need to Know
Nabota® is a botulinum toxin type A made by Daewoong Pharmaceuticals in South Korea. In the US, it’s sold under the name Jeuveau™.
What It Does:
- Relaxes muscles that cause wrinkles
- Works similarly to BOTOX®, Xeomin®, and other botulinum toxins
- Results last about 3-4 months
Key Facts:
- Korean quality: Approved by Korea’s FDA (KFDA) and meets international standards
- Effectiveness: Clinical studies show it works comparably to BOTOX®
- Spread: Has consistent, predictable diffusion in the treated area
- Available size: 100 unit vials
- Storage: Needs refrigeration at 2°C to 8°C
- Formula: Contains the active toxin plus human serum albumin and salt
What to Expect:
- Same treatment process as other botulinum toxins
- Results appear in 7-10 days, full effect at 2 weeks
- Duration is about 3-4 months
Why Some Choose Nabota®:
- International quality at a more accessible price point
- Good option for those looking for cost-effective treatment without compromising results
- Backed by Korean pharmaceutical manufacturing standards
Nabota® is a quality botulinum toxin from South Korea that performs similarly to more established brands. It offers a reliable alternative at a competitive price.
Aestox® (Huons) – 🇰🇷 Korea
Aestox® is a botulinum toxin type A made by Huons in South Korea. It’s approved by Korea’s FDA (KFDA).
What It Does:
- Relaxes muscles that cause wrinkles
- Works similarly to other botulinum toxins like BOTOX® and Nabota®
- Results last about 3-4 months
Key Facts:
- Korean quality: Meets Korean FDA standards
- Effectiveness: Clinical studies show it works comparably to BOTOX®
- Spread: Has consistent, predictable diffusion in the treated area
- Price: More accessible pricing while maintaining quality standards
What to Expect:
- Same treatment process as other botulinum toxins
- Results appear in 7-10 days, full effect at 2 weeks
- Duration is about 3-4 months
Why Some Choose Aestox®:
- Quality comparable to international brands at a more affordable price
- Good option for cost-conscious patients who don’t want to compromise on results
- Backed by Korean pharmaceutical manufacturing
Aestox® is a reliable Korean botulinum toxin that performs similarly to established brands. It offers effective results at a competitive price point.
Botulax® (Hugel) – 🇰🇷 Korea
Botulax® is a botulinum toxin type A made by Hugel in South Korea. It’s approved by Korea’s FDA (KFDA) and popular throughout Asia.
What It Does:
- Relaxes muscles that cause wrinkles
- Works like other botulinum toxins
- Results last about 3-4 months
Key Facts:
- Korean quality: Approved by Korean FDA
- Spread: Has appropriate, controlled diffusion in treated areas
- Available size: 100 unit vials
- Storage: Needs refrigeration at 2°C to 8°C
- Formula: Contains the active toxin plus human serum albumin and salt
- Price: Known for reasonable pricing in the Asian market
What to Expect:
- Same treatment process as other botulinum toxins
- Results appear in 7-10 days, full effect at 2 weeks
- Duration is about 3-4 months
Who Might Choose Botulax®:
- First-time botulinum toxin users looking for a cost-effective option
- Those seeking maintenance treatments at an accessible price
- Patients who want reliable results without premium pricing
Botulax® is a well-established Korean botulinum toxin that’s particularly popular in Asia. It offers dependable results at a reasonable price, making it a good choice for both new users and those maintaining regular treatments.
Dysport® (Ipsen) – 🇬🇧 UK
Dysport® is a botulinum toxin type A (abobotulinumtoxinA) made by Ipsen in the UK. It was developed at the Porton Down laboratories and has been used in over 65 countries. The name comes from “dystonia” and “Porton.”
What It Does:
- Relaxes muscles that cause wrinkles
- Works similarly to BOTOX® but with some differences
- Results last about 3-4 months
Key Differences:
- Dosing: Uses different units than BOTOX® — you need about 3 units of Dysport® for every 1 unit of BOTOX®
- Spread: Tends to spread more widely in the treated area, which can be good for larger areas like the forehead
- Onset: Results may appear slightly faster, often within 2-3 days (vs 7-10 days for BOTOX®)
- Available sizes: 300 or 500 unit vials
What to Expect:
- Similar treatment process to other botulinum toxins
- Results appear in 2-3 days, full effect at 2 weeks
- Duration is about 3-4 months
- Storage: Needs refrigeration at 2°C to 8°C
FDA Approvals:
- Cervical dystonia (neck muscle spasms)
- Frown lines between the eyebrows
Who Might Choose Dysport®:
- Those treating larger areas like the forehead (wider spread can be beneficial)
- Patients who want results slightly faster
- People switching from BOTOX® for variety or personal preference
Important to Know:
- Because it spreads more, your provider needs to be precise with placement
- Units are NOT the same as BOTOX® — never compare doses directly between brands
- Like other formulations with extra proteins, there’s a small risk of antibody formation with repeated use over time
The Bottom Line:
Dysport® is a well-established European botulinum toxin that works effectively. Its wider spread and faster onset make it particularly suitable for certain areas and patient preferences. Just remember the dosing is different from BOTOX®.
What Are the Benefits of Botox
Botox offers both cosmetic and medical benefits by temporarily relaxing specific muscles or reducing gland activity.
Cosmetic Benefits:
FDA-Approved Areas:
- Smooths frown lines between eyebrows
- Reduces forehead wrinkles
- Softens crow’s feet around eyes
Additional Aesthetic Uses:
- Jawline slimming – reduces masseter muscle bulk for a slimmer face shape
- Brow lift – creates a subtle eye-opening effect
- Neck smoothing – softens visible neck bands
- Gummy smile – reduces excessive gum visibility when smiling
- Lip lines – softens wrinkles around the mouth
- Bunny lines – reduces nose wrinkles when scrunching
Preventative Benefits:
- Helps prevent deep wrinkles from forming by relaxing muscles before lines become permanent
- Works best when started before wrinkles set in
Enhanced Results:
- Can extend the life of dermal fillers when used together
- Complements other treatments like laser procedures
- May make skin appear brighter as smoother surfaces reflect light better
Medical Benefits:
Botox treats several medical conditions:
- Chronic migraines
- Excessive sweating (lasts 6-7 months, longer than wrinkle treatment)
- Overactive bladder
- Muscle spasms and dystonia
- TMJ and jaw tension
The Bottom Line:
Botox is versatile – it smooths existing wrinkles, prevents new ones, contours facial features, and treats medical conditions. The key is working with a skilled injector who can tailor treatment to your specific goals.
What to Prepare Before Injecting Botox
What to Prepare Before Injecting Botox
Proper preparation helps minimize bruising, swelling, and ensures the best results. Here’s what you need to do:
1-2 Weeks Before:
Stop These Medications/Supplements (unless prescribed):
- Blood thinners: Aspirin, Warfarin, Clopidogrel
- Anti-inflammatories: Ibuprofen, Naproxen
- Supplements: Vitamin E, Fish Oil, Garlic, Ginger, Ginseng, Ginkgo Biloba
Important: If taking prescription medications, consult your doctor before stopping anything.
2-3 Days Before:
- Avoid laser treatments, chemical peels, or microdermabrasion
- Stop using retinoids or strong exfoliating acids
24 Hours Before:
- No alcohol – it increases bruising and swelling risk
- Get adequate rest (7-8 hours of sleep)
- Drink plenty of water (2-3 liters)
Day of Treatment:
- Wash your face thoroughly
- Come with a clean, makeup-free face
- No topical retinoids or acids
- Stay well-hydrated
Medical Information to Share:
Tell your provider if you have:
- Neurological or muscle disorders (myasthenia gravis, ALS, MS)
- Are pregnant or breastfeeding
- Have allergies to botulinum toxin
- Previous Botox or filler history
- Any current medications
During Consultation:
- Discuss your aesthetic goals clearly
- Set realistic expectations with your provider
- Allow photos to be taken for comparison
Optional Comfort Measures:
- Ice or topical numbing cream can be applied before injection to reduce discomfort
Most preparation focuses on reducing bruising risk and ensuring safety. The cleaner and more prepared your skin is, and the more transparent you are about your medical history, the better your results will be.
What to Expect During Botox Treatment at Rattinan Clinic
What to Expect During Botox Treatment at Rattinan Clinic
We understand that trying Botox for the first time can feel uncertain, so we’ve designed our process to be thorough, safe, and comfortable. Your entire visit will take about 45-60 minutes, and we follow AACI international standards for safety and quality.
Phase 1: Personalized Consultation (15-30 minutes)
We take time to understand you and your goals:
- Review your health history and any allergies
- Analyze your facial structure and muscle movement
- Discuss which areas concern you most
- Explain how Botox works and what results to realistically expect
- Recommend the appropriate brand and dosage for your needs
- Take “before” photos from different angles for comparison later
Phase 2: The Treatment (15-30 minutes)
Preparation:
- We thoroughly cleanse your face with gentle antiseptic
- Numbing cream is available if you’d like, though most patients find it unnecessary due to our very small needles
The Injection:
- We use only Thai FDA-certified (อย.) genuine Botox, properly stored and freshly prepared
- Your doctor carefully marks injection points based on your unique facial anatomy
- Using a very fine needle, precise amounts are injected at specific depths and angles
- You may be asked to make facial expressions (frown, smile) so we can accurately target the right muscles
- You’ll feel small, brief pinpricks—most describe it as quite tolerable
What Makes Our Approach Different: We don’t rush. We carefully assess your muscle structure and adjust our technique to suit your individual face, not a one-size-fits-all approach.
Phase 3: Aftercare & Follow-Up
Immediately After:
- We clean the treated areas and check all injection points
- You’ll receive clear aftercare instructions
- You can typically resume most normal activities
Required Follow-Up (2 weeks later):
- We schedule an official follow-up appointment because results take about 14 days to fully develop
- We’ll take “after” photos for comparison
- Your doctor evaluates the results and your satisfaction
- If needed, minor adjustments or touch-ups can be made
- We’ll discuss your maintenance plan (typically treatments every 3-6 months)
We’re here to guide you through every step with care and expertise. If you have questions during or after treatment, we’re always available. Your comfort and natural-looking results are our priorities.
Botox After Care
Botox Aftercare: What to Do for Best Results
Proper aftercare helps maximize your results and minimize any side effects. Here’s what you need to know:
First 4-6 Hours (Most Critical):
- Stay upright – don’t lie down or bend your head low for at least 4 hours
- No touching – don’t massage, rub, or press the treated areas
- Gentle muscle movement – you may gently contract the treated muscles (smile, frown, raise eyebrows) for 90 minutes to help the product settle properly
First 24 Hours:
- No alcohol – it increases bruising and swelling
- No heavy exercise – avoid running, weightlifting, or intense workouts
- Avoid heat – no saunas, steam rooms, hot showers, or prolonged sun exposure
- Don’t sleep face-down
First Week:
- Avoid facial treatments – no lasers, chemical peels, fillers, facials, or microdermabrasion
- Continue avoiding blood thinners – NSAIDs, Vitamin E, fish oil (if you stopped them before)
- Gentle cleansing only – use mild, non-irritating products
- Sun protection – wear SPF 30 or higher daily
- Stay hydrated – drink 2-3 liters of water daily
- Get adequate rest – aim for 7-8 hours of sleep
Managing Common Side Effects:
These are normal and usually temporary:
- Mild bruising, redness, or swelling at injection sites – apply cold compress for 10-15 minutes
- Slight headache – can take recommended pain medication
- Small bumps at injection sites – will resolve within hours
Important Follow-Up:
- Attend your 2-week appointment – this is when we assess full results (Botox takes about 14 days to reach peak effect)
- We’ll evaluate your results and make any necessary adjustments
Long-Term Care:
- Maintenance schedule – effects typically last 3-6 months
- Wait at least 3 months between treatments for safety
- Protect your investment – continue sun protection and good skincare
- Minimize repetitive expressions – this may help results last longer
When to Contact Us Immediately:
While rare, contact your doctor right away if you experience:
- Muscle weakness or loss of strength
- Vision problems (double vision, blurred vision, drooping eyelids)
- Difficulty swallowing or breathing
- Voice changes or hoarseness
- Signs of allergic reaction (rash, itching, wheezing)
The key rules are simple: stay upright, don’t touch the area, avoid heat and exercise for 24 hours, and be gentle with your face for the first week. Following these guidelines helps ensure the Botox stays where we want it and gives you the best possible results.
If you have any questions or concerns during your recovery, please don’t hesitate to contact us.
Results and Maintenance
Botox Results and Maintenance: What to Expect
Understanding your timeline helps you plan and maintain your results effectively.
When Will You See Results?
Botox works gradually, not instantly:
- Days 2-3: You’ll start noticing initial changes as muscles begin relaxing
- Days 7-10: Results become clearly visible, wrinkles appear shallower
- Day 14: Full effect achieved – this is when we evaluate your final results at your follow-up appointment
Note: Dysport® may show results slightly faster (2-3 days)
How Long Do Results Last?
Duration depends on what’s being treated:
For Wrinkles (Cosmetic):
- Typically 3-4 months
- With regular treatments, some patients find effects extend to 5-6 months as muscles adapt
For Medical Conditions:
- Excessive sweating: 6-7 months (can last up to 1 year)
- Overactive bladder: 3-12 months
- Migraines and muscle conditions: varies by individual
What Affects How Long It Lasts?
- High metabolism/exercise: May metabolize Botox faster, shorter duration
- Muscle strength: Very strong muscles may need more frequent treatments
- Treatment area: Forehead/eyes may wear off faster than jawline
- Regular use: Muscles may weaken over time, potentially extending results
Maintenance Schedule:
Recommended Timing:
- Wait at least 3 months between treatments for safety
- Maximum safe dose: 400 units within any 3-month period
- Most patients return every 3-4 months initially
- With regular treatments, intervals may extend to 5-6 months
Your Follow-Up Plan:
- 2-week appointment (required): We assess full results and make adjustments if needed
- 3-4 month check-in: When you notice effects starting to fade, schedule your next treatment
- Ongoing maintenance: We’ll help you find your optimal treatment rhythm
Important: Preventing Treatment Resistance
With long-term use, there’s a small risk of developing antibodies that make Botox less effective. To minimize this:
- We use the lowest effective dose for your needs
- Maintain appropriate intervals between treatments (minimum 3 months)
- Consider Xeomin® if you’re a frequent user (it has lower antibody risk)
Factors That May Speed Up Fading:
- Heavy, regular exercise
- Very strong facial muscles
- Not following aftercare instructions
- Frequent intense facial expressions
Maximizing Your Results:
- Follow all aftercare instructions carefully
- Maintain good skincare with daily SPF
- Stay hydrated
- Minimize repetitive facial expressions when possible
- Attend all follow-up appointments
Special Treatments:
Jawline slimming may require 3-4 treatment cycles (about 1 year) to see full benefit as the masseter muscle gradually reduces in size.
Botox is a commitment to maintenance, not a one-time fix. Most patients find their ideal rhythm after 2-3 treatments. We’ll work with you to create a personalized maintenance schedule that keeps you looking your best while prioritizing safety and preventing resistance.
Your results are temporary but renewable—and with proper care and timing, you can maintain consistently beautiful, natural-looking results.
Side Effects of Botox
Side Effects of Botox: What You Should Know
Most patients experience only mild, temporary side effects that resolve on their own. Serious complications are rare when Botox is administered properly by an experienced provider. We want you to feel informed and confident about your treatment.
Common & Temporary (resolve within days to weeks):
- Mild pain, bruising, redness, or swelling at injection sites
- Temporary headache or flu-like symptoms
- Drooping eyelid or eyebrow (resolves in 3-4 months)
- Smile asymmetry or difficulty with certain expressions
Rare but Serious (seek immediate medical attention):
- Difficulty breathing or swallowing
- Generalized muscle weakness
- Severe vision problems or voice changes
Long-Term Consideration:
- 4-10% may develop antibodies making treatment less effective over time (minimized by using lowest doses with proper spacing)
We minimize risks by using precise techniques, appropriate doses, and genuine FDA-certified products. Most side effects are mild and temporary. If you have any concerns after treatment, we’re always here for you. Your safety and beautiful, natural results are our top priorities.
How to Choose Botox Clinic in Bangkok
How to Choose a Botox Clinic in Bangkok
Selecting the right clinic is crucial for your safety and results. Since Botox involves a potent neurotoxin, you need to ensure the clinic meets high standards for quality and expertise.
Check Clinic Credentials:
- Valid operating license from Ministry of Public Health (clearly displayed)
- International accreditation (like AACI standard for safety and sterilization)
- Proper infection control and equipment sterilization protocols
Verify Product Authenticity:
- Uses only genuine Botox certified by Thai FDA (อย.)
- Can show FDA registration number and official import documents
- Stores products properly in refrigerator (2°C-8°C)
- Product should be white dry powder in clear glass bottle
- Beware extremely low prices – often indicates counterfeit or over-diluted products
Assess Physician Expertise:
- Valid medical license with specialization in aesthetic medicine
- Deep knowledge of facial anatomy (nerves, blood vessels, muscles)
- Conducts thorough consultation and personalized assessment
- Explains procedure, risks, and realistic expectations clearly
- Doesn’t pressure you into immediate decisions
- Uses lowest effective doses with proper treatment intervals
Quality Treatment Process:
- Takes before/after photos for documentation
- Uses single-use syringes and very small needles (like 32-gauge)
- Schedules mandatory 2-week follow-up appointment for evaluation and adjustments
- Provides clear aftercare instructions
- Available for contact if concerns arise
Red Flags to Avoid:
- No visible licensing or credentials
- Refuses to show product certification
- Prices significantly below market rate
- Rushed consultations without proper assessment
- No follow-up appointments offered
Our Commitment at Rattinan Clinic:
We meet all these standards with AACI international accreditation, Thai FDA-certified genuine products, experienced physicians with deep anatomical expertise, and comprehensive care including mandatory 2-week follow-ups. Your safety and natural-looking results are our priorities.
Choose a clinic that prioritizes transparency, uses certified products, employs skilled physicians, and provides complete care from consultation through follow-up. Quality matters more than price when it comes to your safety.
Choose Rattinan Clinic for Botox in Bangkok
Why Choose Rattinan Clinic for Botox in Bangkok
At Rattinan Clinic, your safety and natural results are our foundation. We’re one of the few clinics in Asia-Pacific with AACI international accreditation, ensuring world-class standards in every aspect of care. Our specialized dermatologists combine deep facial anatomy expertise with genuine attention to your unique needs, using only Thai FDA-certified (อย.) authentic Botox imported directly from official distributors—and we’ll gladly show you the documentation. What truly sets us apart is our commitment to comprehensive care: from personalized consultation and gentle technique to our mandatory 2-week follow-up for evaluation and adjustments, we’re with you throughout your journey.
What You Can Trust:
- AACI international certification along with Thai Ministry of Public Health license
- Experienced aesthetic physicians with advanced facial anatomy training
- Transparent product verification with FDA certificates available
- Personalized treatment planning tailored to your facial structure
- Required follow-up appointments for optimal results
- Emergency contact support whenever you need us
Our Philosophy:
We believe beautiful results come from combining medical expertise with genuine care. We won’t rush you, pressure you, or compromise on quality. Your safety, comfort, and natural-looking results are our highest priorities.
Frequently Asked Questions
How much does botox cost in Bangkok?
Great question! Bangkok offers excellent value for Botox, which is one reason many people choose to get their treatments here.
Typical Price Range: You’ll generally see Botox priced per unit, ranging from about 200-350 THB ($6-$10 USD) per unit. This is significantly more affordable than many Western countries while maintaining high quality standards.
What Affects Your Total Cost?
Brand Choice:
- Premium brands (Botox® by Allergan, Dysport®, Xeomin®): Higher end of the range
- Quality Korean brands (Nabota®, Aestox®, Botulax®): More accessible pricing without compromising results
- All brands we use are Thai FDA-certified and genuine
Treatment Area:
- Frown lines: typically 15-25 units
- Forehead: around 15-25 units
- Crow’s feet: about 10-15 units per side
- Jawline slimming: 40-60+ units (sometimes more for strong muscles)
Example Total Costs:
- Small area treatment: 3,000-6,000 THB
- Multiple areas: 8,000-15,000+ THB
- Jawline slimming: 10,000-20,000+ THB
At Rattinan Clinic
We believe in transparent pricing with no hidden costs. During your consultation, we’ll assess your needs and clearly explain the recommended dosage and total cost before proceeding. You’ll know exactly what you’re paying for and why.
Is Bangkok good for botox?
Yes, Bangkok is an excellent choice for Botox treatments when you select a reputable clinic. The city offers world-class medical expertise with specialists trained in advanced facial anatomy, international safety accreditation (like AACI standards), and full Thai Ministry of Public Health licensing. You’ll have access to diverse Thai FDA-certified (อย.) brands—from premium options like Botox®, Xeomin®, and Dysport® to quality Korean alternatives like Nabota® and Aestox®—all at competitive pricing (200-350 THB/$6-$10 per unit), which is significantly more affordable than Western countries without compromising quality. Leading clinics follow comprehensive protocols including personalized assessment, proper product storage, and mandatory follow-up appointments to ensure optimal results.
What Makes Bangkok Stand Out:
- International accreditation and rigorous safety standards
- Experienced aesthetic physicians with specialized training
- Wide selection of genuine, certified products at accessible prices
- Comprehensive care protocols from consultation through follow-up
- Cost-effective without sacrificing quality or safety
What is the 4-hour rule for botox?
After your Botox injection, you should stay upright for at least 4 hours. This means:
- Don’t lie down or bend your head low
- Don’t massage, rub, or press the treated areas
- Avoid sleeping or doing activities that require you to lean forward
Why? This prevents the toxin from migrating to unintended muscles, which could cause complications like drooping eyelids. Keeping upright helps the Botox settle precisely where it was injected.
Additional 24-Hour Precautions:
- Avoid heavy exercise
- No alcohol consumption
- Skip saunas, steam rooms, and hot showers
How long will a botox treatment last?
Botox results are temporary, and the duration depends on what area you’re treating and your individual body chemistry.
Typical Duration by Treatment Type:
Cosmetic/Facial Wrinkles:
- 3-4 months is standard for forehead lines, frown lines, and crow’s feet
- Results gradually fade as your body naturally breaks down the toxin
Medical/Therapeutic Uses:
- Excessive sweating (hyperhidrosis): 6-7 months (some patients up to 1 year)
- Overactive bladder: 3-12 months
- Muscle spasms/dystonia: typically 3+ months
Special Cases:
- Jawline slimming: Full results may take 3-4 treatment cycles (about 1 year) to achieve maximum muscle reduction
Timeline of Results:
- Days 2-3: Initial changes as muscles begin relaxing
- Days 7-10: Results become clearly visible
- Day 14: Full effect reached (your follow-up appointment timing)
- Months 3-4: Effects gradually diminish, time for next treatment
What Affects How Long It Lasts?
Shorter Duration:
- High metabolism or regular intense exercise
- Very strong facial muscles
- First-time treatment
Longer Duration:
- Regular treatments (muscles weaken over time)
- Lower metabolism
- Proper aftercare following
Maintenance Schedule:
For best results, plan to return every 3-4 months initially. Many patients find that with consistent treatments, they can extend intervals to 5-6 months as muscles adapt. However, it’s recommended to wait at least 3 months between treatments for safety and to minimize antibody resistance risk.
Most cosmetic Botox lasts 3-4 months, while therapeutic applications often last 6+ months. Your individual results may vary based on metabolism, muscle strength, and treatment consistency. We’ll help you find your optimal maintenance schedule during your follow-up appointments.
What happens if I stop botox?
If you stop Botox, nothing bad happens to you—your body simply returns to its natural state. The effects gradually wear off over 3-4 months, and everything goes back to how it was before treatment. Let’s break down what to expect.
For Cosmetic Treatments:
Wrinkles Return Naturally:
- Your muscle function gradually restores over 3-4 months
- Dynamic wrinkles (frown lines, forehead lines, crow’s feet) reappear as muscles regain full movement
- You won’t look worse than before—just back to baseline
- If you had jawline slimming, the masseter muscle may gradually increase in size again
Important: Your face doesn’t “get worse” from stopping Botox. This is a common myth. You simply return to your natural aging process.
For Medical Treatments:
Symptoms Return:
- Migraines: Headaches may return after effects wear off
- Excessive sweating: Hyperhidrosis symptoms return after 6-9 months
- Muscle spasms/dystonia: Involuntary contractions resume (cervical dystonia, blepharospasm, spasticity)
- Overactive bladder: Urinary symptoms return after 3-12 months
Timeline of Reversal:
- Months 1-2: Muscles gradually regain strength
- Months 3-4: Full muscle function restored, wrinkles/symptoms return
- After 4 months: Completely back to pre-treatment state
One Long-Term Consideration:
If you’ve had frequent, high-dose treatments over many years, there’s a small chance you developed antibodies (resistance) to Botox. If this happens and you later need Botox for medical reasons (like chronic migraines), it may be less effective. This is rare but worth knowing, especially if considering very long-term cosmetic use.
Stopping Botox is completely safe—you simply return to your natural state. There’s no withdrawal, no rebound effect, and you won’t look worse than before treatment. It’s a personal choice with no negative consequences beyond losing the cosmetic or therapeutic benefits you were enjoying.
What’s the difference between botox and filler?
What’s the Difference Between Botox and Filler?
Botox and fillers are both injectable treatments, but they work completely differently and solve different problems. Think of it this way: Botox relaxes muscles, while fillers add volume.
Botox (Botulinum Toxin Type A):
What it does: Temporarily relaxes muscles by blocking nerve signals Best for: Wrinkles caused by movement (dynamic wrinkles) Treats:
- Forehead lines
- Frown lines between eyebrows
- Crow’s feet
- Jawline slimming (masseter reduction)
- Neck bands
- Excessive sweating
Results: Gradual (7-10 days to see, full effect at 2 weeks) Duration: 3-4 months (cosmetic); 6-9 months (sweating) Effect: Smooths wrinkles by preventing muscle contraction—doesn’t add volume
Dermal Fillers (Hyaluronic Acid):
What it does: Adds volume and structure beneath the skin Best for: Wrinkles present even at rest (static wrinkles) and volume loss Treats:
- Deep folds (nasolabial folds, marionette lines)
- Hollow cheeks or temples
- Lip augmentation
- Under-eye hollows
- Non-surgical nose or chin reshaping
Results: Immediate—visible right after injection Duration: 6-18 months depending on type and area Effect: Lifts, plumps, and restores lost volume
Quick Comparison:
| Feature | Botox | Filler |
| Treats | Movement wrinkles | Volume loss & static wrinkles |
| How it works | Relaxes muscles | Adds volume |
| Results | Gradual (2 weeks) | Immediate |
| Lasts | 3-6 months | 6-18 months |
| Areas | Upper face mainly | Mid-lower face, lips, cheeks |
Can You Use Both Together?
Absolutely! They’re often combined for comprehensive facial rejuvenation. Botox addresses expression lines while fillers restore volume and lift—creating natural, balanced results. Using them together can even make filler results last longer by reducing muscle movement in treated areas.
Bottom Line:
- Botox = Freeze wrinkles caused by expressions
- Filler = Fill volume loss and deep lines
Choose Botox for forehead lines and crow’s feet; choose filler for cheek volume, lip enhancement, or deep folds. Your provider can recommend the best approach—or combination—for your specific concerns.
What is the best age to start botox?
There’s no one-size-fits-all answer, but most experts recommend starting Botox when you begin noticing dynamic wrinkles—typically in your mid-20s to early 30s. The decision depends more on your skin condition and goals than a specific number.
Age-Based Guidelines:
Ages 25-35 (Preventative Botox):
- Start when you notice fine lines forming from expressions
- Goal: Prevent deep wrinkles from developing by limiting repetitive muscle movements
- Uses smaller doses to maintain natural expression while preventing permanent lines
- Best time to start if you have strong facial expressions or family history of early wrinkles
Ages 35-45 (Active Treatment):
- Treat existing wrinkles that have become more visible
- Continue prevention of new lines
- May use moderate doses for both correction and prevention
Ages 45+ (Corrective Treatment):
- Focus on reducing established deep wrinkles
- Often combined with dermal fillers for comprehensive rejuvenation
- Addresses volume loss alongside dynamic wrinkles
When to Consider Starting:
- Dynamic wrinkles are visible when you make expressions (frown, smile, raise eyebrows)
- Fine lines are starting to linger even when your face is relaxed
- You want to prevent deeper wrinkles from forming
- You’re in generally good health with realistic expectations
Important Long-Term Considerations:
Starting younger means potentially decades of treatments, which comes with some considerations:
- Antibody risk: Long-term use may cause your body to develop resistance (4-10% of users)
- Future medical needs: If you later need Botox for medical conditions (migraines, muscle spasms), prior resistance could reduce effectiveness
- Best practices: Use lowest effective doses with proper spacing (minimum 3 months) to minimize these risks
The Real Answer:
The “best age” is when you notice wrinkles that bother you—whether that’s 25 or 45. Some key principles:
- Don’t start too early just because it’s trendy (if you have no wrinkles, you don’t need it)
- Prevention is easier than correction, so starting when lines first appear is ideal
- Quality matters more than timing—work with an experienced provider who uses appropriate doses
Our Recommendation:
Schedule a consultation to assess your specific situation. We’ll examine your skin, discuss your concerns and goals, explain realistic outcomes, and determine if now is the right time for you—or if you should wait. There’s no pressure, just honest guidance tailored to your needs.
Most people benefit from starting Botox in their late 20s to early 30s when dynamic wrinkles first appear, but the ideal timing is personal and should be based on your individual skin condition, not arbitrary age rules.
Do botox injections hurt?
Do Botox Injections Hurt?
Botox injections do involve some discomfort, but most patients describe it as mild and very tolerable—like a quick pinprick or tiny mosquito bite. The pain is brief and temporary, lasting only seconds per injection point.
What to Expect:
Pain Level: Mild discomfort, not true pain Sensation: Quick pinch or small needle prick Duration: Just a few seconds per injection site Overall: Most patients rate it 2-3 out of 10 on pain scale
Why It’s Usually Tolerable:
- We use very small needles (32-gauge—much thinner than standard needles)
- Quick injection technique minimizes discomfort
- Most treatment areas require only several small injections
- Entire procedure typically takes 10-15 minutes
Areas That May Be More Sensitive:
- Around eyes (crow’s feet) – thinner skin
- Lips or perioral area – more nerve endings
- First-time treatments (anxiety can amplify sensation)
Bottom Line:
Yes, there’s slight discomfort, but it’s brief, mild, and very manageable. Most patients are pleasantly surprised by how little it hurts. If you’re concerned about pain, we offer numbing options, but many find the quick pinch sensation perfectly tolerable without it. The results are worth the few seconds of minor discomfort!
M.D. (Hons), 1994 (Born 1970)