Botox: a non-surgical anti-aging treatment

The name “Botox” refers in fact to one of the Allergan’s commercial brand of the "Botulinum toxin A" used in neurology but is nowadays the generic term by which the public refers to the injectable solutions designed to diminish the muscular contractions responsible of some of the skin wrinkles and facial asymmetry.

More on Botox

By no doubt, the most famous technique in the prevention of facial aging is the injection of botulinum toxin in some areas of the face. Injections of botulinum toxin have been used since the mid-1970s, in the correction of strabismus. The diluted toxin works as a myorelaxant, that acts by blocking the releasing of the neurotransmitter acetylcholine wherever it is injected, allowing the muscle to de-contract and relax.

The first noticeable side effect of the botulinum toxin on a patient’s crow's feet, was a fortunate stroke of serendipity, as a couple of doctors observed the loss of creases in the part of the face of one of their patient, whom they were treated with botulinum toxin injections for some debilitating contraction of his eyelid.

Injections of botulinum toxin are now frequently used as a preventive procedure before the appearing of any signs of structural aging on the face as well as a solution to giving back the face its physical symmetry by avoiding the contraction of some facial nerves responsible for the tension of some parts of the face.

The expected results of quality of these injections depend on the quality of the product in use, the physician's touch and experience, and the intimate understanding of the patient's physiological peculiarities and commitment to the treatment are at the heart of smooth, natural and harmonious accomplishments. Metro Bangkok Clinic's holistic approach, choice of products, and deep understanding of the techniques is your best guarantee of a result of the highest standards.

The types of Botox used at Metro Bangkok Clinic

Metro Bangkok Clinic prides itself for solely using the Thai government's Food and Drug Administration authorized products. This ensures compliance with national laws and adherence to a protocol of quality and reliability that ensures superior and predictable results. The difference between the products used at the clinic comes from their ability to sustain their effect over a period of time, and this quality is reflected in their prices.

Metro Bangkok Clinic uses two brands, Botox of Allergan, from the USA and Hugel C. botulinum toxin extract from Korea. The clinic only charges you by the units, you therefore only pay for what is needed, and nothing more. Some other clinics may charge per area on the face, but depending on your skin condition, it may be disadvantageous to you and you may never know how many units have been used.

Botox is the trademark of Allergan and has effects lasting up to 5 to 6 months, Hugel is also an excellent product, but the effects of the injection last for 3 to 4 months.

The techniques

Without prior experience, less is best during the first injection of botulinum toxin, as it is necessary to evaluate the effects of the product upon the patient’s facial expressions.
For this use case, the lesser lasting product might be used, with a lower dose. Later on, with a better understanding of the patient’s reaction to the product, other products and dosages might be used.

Injection rates and schedules

Injections are scheduled to be administered depending on the lasting effects of the products used. As an example, Allergan Botox can safely be administered every 6 months and Hugel should be injected every 4 months. It is best to not skip the re-injection periods to ensure some stability in the results, but not lesser than every 3 months as it could lead to some counter-productive effects.

Post-injection care

Intensive efforts, sauna and steam bath, massages should be avoided within 2 days following the injections. If injections have been made around the eye contour, the administration of some artificial eye drops is a necessity to avoid complications.

Use cases and procedures

In structural aging

Before 30 years old, botulinum toxin injections have little to no effects on the appearance of the face, they can be, however, used in facial contouring at any age and are a great tool, used in aesthetic procedures for four major reasons, taken apart or in combination:

  • the toning down of skin wrinkles by the relaxing of the subjacent muscles
  • the balancing of the physical features of the face by the hampering of contraction of the muscles.
  • the better hydration of the epidermis by its anticholinergic action on the myofibroblasts, "pulping" the skin
  • the resting of specific muscles responsible for structural aging of the face by the displacement of fatty deposits.

A competent physician has an intimate understanding of the product, its best and possible uses on the human anatomy and after having listened to the expectations of the patient, is thus able to deliver the best results.

Metro Bangkok Clinic, by offering a tailored-combination of product excellence, a highly medically trained and dedicated team to understanding the needs and expectations of the patient and a fine understanding of the possible procedures is able to deliver the best realizations to its clientele.

In facial enhancement and contouring

Botulinum toxin injections can be used to correct facial asymmetries finding their origins in the involuntary contractions of some facial muscles by balancing their tension during the resting or working states. Over the years, these repeated contractions become responsible for the transformation of the face.

A good practitioner will evaluate your physical features and along with a keen understanding of the human anatomy, will be able to evaluate the needs for local injections to give back the desired balance to the face.


Aside of known hypersensitivity to the toxin (the product is not allergenic), the only contraindications are myasthenia gravis (a rare form of neuromuscular diseases), and it is not to be used in the event of pregnancy and during lactation.

Upon the first meeting with the medical team, regarding botulinum toxin injections, special attention should be given to you in the case you ever had partial or complete facial paralysis, if your blood coagulates with difficulty, if you are already been administered botulinum toxin for other medical purposes, if you are following a medical regimen involving certain types of antibiotics, or if you are possibly pregnant or nursing.

It is recommended to cease the consumption of any blood thinner of any type during a couple of weeks preceding and following the procedure. Paracetamol can favorably replace aspirin in the case of need.

Metro Bangkok Clinic’s Botulinum toxin injections treatments in face rejuvenation

Wrinkles reduction

A combination of skin aging with underlying muscle activity will cause wrinkles. Glabellar lines (Frown), Lateral canthal lines (Crow’s feet) and Nasoglabellar lines (Bunny lines) can be addressed with botulinum toxin injections, that will act as muscles relaxant and will gradually stop (for 4 to 6 months time) the effects of the muscles movements on the skin, and therefore of the aspect of the creases.

Treatment takes only 5 minutes and those lines will be gradually gone. Injections should be repeated consistently 2-3 times a year to sustain the aesthetic effect.

Outer brow lifting or dropped brow correction

Metro Bangkok Clinic’s specialist doctors can either use the botulinum toxin injections on the depressor muscles or the erector muscles, both of which are either responsible for the contraction or the relaxation state of various parts of the face.
As we age, our outer brows and eyebrows tend to change from their original positions due to the underlying muscle tension and give us an unsatisfactory look. Some botulinum toxin injections can address and correct these issues and offer you a more relaxed, youthful face.

Lip angle lifting or correction

Botulinum toxin injections can be used to impair the action of the age marker fascicles responsible for the age bitterness folds at the corners of the mouth. Once the dropped lip angle corrected and stabilized, your face resting state will appear more at peace and rested, and rejuvenated. The expert medical doctors working for you at Metro Bangkok Clinic will be more than happy to help you with this.

Neck skin tightening

In some cases, neck surgery is not possible for the correction of creases, lines or dewlaps. In such cases, the injection of botulinum toxin solutions can address these issues favorably.
First of, these injections into the epidermis act on the myofibroblasts, cells responsible for the healing of damaged biological tissues in organs, giving them a younger structure, stimulating the production of collagen and retightening the skin, then by its myorelaxant action, botox is going to soothe the neckline and the dewlaps will be less apparent.
Metro Bangkok Clinic can turn your wrinkle and loose neck skin back into the stretch and smooth one once again. Feel free to rest your problems in our experts’ hands.

Botulinum toxin injections treatments in jaw width reduction V-Shape program

What is the Jaw Reduction procedure?

This procedure reduces the appearance of a wide jawline by weakening the masseter/chewing muscles. It gives a softer angle to the jaw and a more pleasing facial shape.

Who is an appropriate candidate for the Botox Jaw Reduction?

Any person who has excessively wide jaws due to large chewing muscles and who would like to slim his/her face is the candidate for this procedure. The most important factor is the thickness of your chewing muscle.
You can easily determine if your chewing muscle is enlarged by biting down hard and feeling the outer jawline near the ear. If the muscle appears to be very hard and enlarged when you clench your teeth, you may be a good candidate for the BT Jaw Line Reduction.

How does Botox reduce the size of my jaws?

When botox is injected into the muscle it partially relaxes it. Underused muscle eventually loses its mass and reduces its overall size. The aesthetic effect of reducing overly wide jawline is only truly appreciated in the right candidate. This is why Dr. Yagudin personally evaluates every candidate’s face in order to determine whether this procedure is right for the individual.

Will I have problems chewing my food?

Although rare, few people may experience some tiring after chewing for a while. This phenomenon is only temporary and will go away over time.

Is the procedure painful?

Since the smallest available needles are used, minimal to no discomfort is felt during the procedure.

What is the downtime after Botox Jaw reduction procedure?

As with any procedure involving needles, there is a small chance of mild bruising or mild transient redness at the area of injection. The procedure takes about 5 minutes and you may drive after it. There are no restrictions in your activity thereafter.

When will I see a difference and how long will the result last?

At the end of the first week, you may notice that your jawline feels softer. In about 6 weeks you will notice a reduction in your jawline that typically lasts between 3-6 months. Multiple treatments may increase the duration of the effect up to a year.

How much does the procedure cost?

The cost of the procedure is relative to the product used, its quality and the quantity. The exact dosage and price will be determined by the doctor during your initial evaluation and is based on the individual case.

Botulinum toxin injections treatments in body contouring: calf slandering

Injections of botulinum toxin in calves’ muscles will gradually and safely render the legs slender.


Botulinum toxin will be injected intramuscularly by our expert doctors. This process will take up to 20 minutes. You might feel a bit of pain, however, it is transitory and you may return home shortly after treatment as there is no need for hospitalization.


The treatment will achieve full results within 1-2 months. It then will slowly return to almost the same size as prior to injection. The overall size of the calf will be smaller in the next injections if the calf muscles have not been overused.

Side effects and precautions

Some patients may experience muscle fatigue, which is not a serious symptom. Driving and wearing high heels can be carried on as usual. However, physician consultation is recommended if you find the symptom intolerable.