Botox - Just the right amount for natural-looking expressions.
Surgery timeApproximately 20 minutes
Anesthesia methodsNo anesthesia required
Suture removal timeNo need to remove stitches
Postoperative recoveryNo recovery period
Frowning lines, forehead wrinkles, and crow's feet are all common dynamic expression lines. As facial muscles contract repeatedly over a long period of time, these lines may gradually become more noticeable.
BOTOX®With over 20 years of experience in cosmetic medicine application and research, it is one of the world's most widely used brands of type A botulinum toxin. By injecting it into specific muscle areas, it temporarily blocks the transmission of signals between nerves and muscles, allowing over-contracted muscles to relax appropriately, thereby improving dynamic lines such as frown lines, forehead wrinkles, and crow's feet caused by repetitive facial expressions.
The key to Botox treatment is not "the more the better," but rather accurate assessment and appropriate dosage. Everyone's muscle strength, facial proportions, and expression habits are different. Therefore, before the treatment, a doctor needs to observe facial dynamics and muscle direction, and plan the appropriate injection sites and dosages according to different areas and individual needs, so as to manage wrinkles while also ensuring a natural expression.
BOTOX®With over 20 years of experience in cosmetic medicine application and research, it is one of the world's most widely used brands of type A botulinum toxin. By injecting it into specific muscle areas, it temporarily blocks the transmission of signals between nerves and muscles, allowing over-contracted muscles to relax appropriately, thereby improving dynamic lines such as frown lines, forehead wrinkles, and crow's feet caused by repetitive facial expressions.
The key to Botox treatment is not "the more the better," but rather accurate assessment and appropriate dosage. Everyone's muscle strength, facial proportions, and expression habits are different. Therefore, before the treatment, a doctor needs to observe facial dynamics and muscle direction, and plan the appropriate injection sites and dosages according to different areas and individual needs, so as to manage wrinkles while also ensuring a natural expression.
What is Botox?
BOTOX®It is a botulinum toxin type A formulation, which was approved by the US FDA for cosmetic indications in 2002. It was initially used for moderate to severe frown lines, and subsequently approved for cosmetic indications such as crow's feet and forehead wrinkles. In 2024, the US FDA further approved its use for the temporary improvement of moderate to severe platysma bands.
In Taiwan, BOTOX is also an A-type botulinum toxin preparation approved by the Ministry of Health and Welfare. Due to its brand development background, BOTOX is often referred to as "Botox" in the Taiwanese medical aesthetics market.American BotoxHowever, the actual treatment should still be conducted by identifying the legal source and product label, and the evaluation and administration should be carried out by a qualified physician.
In Taiwan, BOTOX is also an A-type botulinum toxin preparation approved by the Ministry of Health and Welfare. Due to its brand development background, BOTOX is often referred to as "Botox" in the Taiwanese medical aesthetics market.American BotoxHowever, the actual treatment should still be conducted by identifying the legal source and product label, and the evaluation and administration should be carried out by a qualified physician.
How does Botox work?
When we make facial expressions such as frowning, raising our eyebrows, or squinting, nerves release neurotransmitters that send "contraction" signals to the muscles. Therefore, when specific facial muscles contract repeatedly over a long period, distinct dynamic lines will eventually form.
When Botox is injected into the target muscle, it temporarily inhibits the release of acetylcholine at the neuromuscular junction, reducing the contractile activity of the specific muscle. As the activity of the muscles that cause wrinkles decreases, the wrinkles formed by facial expressions become less noticeable.
Therefore, the focus of Botox treatment is not simply "filling in wrinkles," but rather on addressing the muscle activity that creates dynamic wrinkles. This is the main difference between Botox and fillers such as hyaluronic acid in their mode of action.
When Botox is injected into the target muscle, it temporarily inhibits the release of acetylcholine at the neuromuscular junction, reducing the contractile activity of the specific muscle. As the activity of the muscles that cause wrinkles decreases, the wrinkles formed by facial expressions become less noticeable.
Therefore, the focus of Botox treatment is not simply "filling in wrinkles," but rather on addressing the muscle activity that creates dynamic wrinkles. This is the main difference between Botox and fillers such as hyaluronic acid in their mode of action.
What problems can Botox improve?
Botulinum toxin is commonly used in the field of cosmetic medicine, as...Dynamic lines caused by facial muscle activityThis is the most representative approach. Doctors will also plan different treatment programs based on the degree of muscle development, facial proportions, and individual needs.
Dynamic wrinkle improvement
- Frown lines / frown linesThe vertical lines that appear between the eyebrows when frowning
- Forehead wrinklesHorizontal lines formed when raising eyebrows due to the contraction of the frontalis muscle.
- crow's feetFine lines radiating from the corners of the eyes when smiling or squinting
It improves the unevenness and roughness of the skin surface, making the skin feel softer and more delicate.
Excessive sweating / Antiperspirant
Besides its application in treating dynamic skin wrinkles, botulinum toxin can also be used to treat hyperhidrosis. By injecting it into the areas where sweat glands are distributed, it temporarily blocks the nerve signals that control the sweat glands, reducing their ability to secrete sweat and thus improving the problem of excessive sweating in the affected area.
Common treatment sites include the armpits; whether other sites are suitable for injection depends on the actual situation and the product's approved indications, and requires further evaluation by a physician.
Other Botox Treatment Applications
Depending on the approved indications for different botulinum toxin products in the local area, and based on the professional evaluation of physicians, botulinum toxin may also be used clinically to adjust specific muscles, such as the masseter muscle, lower facial muscles, or neck muscles.
It is important to note thatThe approved indications for different brands of botulinum toxin are not entirely the same.Some common cosmetic injection sites may also be off-label use, and whether they are suitable for treatment, the dosage and risks should be assessed by a physician on an individual basis.
It is important to note thatThe approved indications for different brands of botulinum toxin are not entirely the same.Some common cosmetic injection sites may also be off-label use, and whether they are suitable for treatment, the dosage and risks should be assessed by a physician on an individual basis.
What are the differences between Korean and American Botox?
There are many brands of type A botulinum toxin on the market, and consumers most often hear about "American Botulinum Toxin" and "Korean Botulinum Toxin".
Taking the treatments offered by Pumei as an example, in addition to what is commonly known as American Botox... BOTOX®In addition, there are also Korean brands. LETYBO® BottiiraAlthough both are type A botulinum toxin preparations, they differ in terms of manufacturers, manufacturing processes, formulations, product specifications, and approved indications in various countries.
Therefore, when choosing Botox, it is not recommended to use "American" or "Korean" as the sole criterion, nor can one assume that a particular origin necessarily results in a more natural or longer-lasting product. More importantly, it is crucial to ensure the product has a legal origin and that the physician can select the appropriate product and dosage based on muscle strength, the treatment area, and the desired facial expression.
Taking the treatments offered by Pumei as an example, in addition to what is commonly known as American Botox... BOTOX®In addition, there are also Korean brands. LETYBO® BottiiraAlthough both are type A botulinum toxin preparations, they differ in terms of manufacturers, manufacturing processes, formulations, product specifications, and approved indications in various countries.
Therefore, when choosing Botox, it is not recommended to use "American" or "Korean" as the sole criterion, nor can one assume that a particular origin necessarily results in a more natural or longer-lasting product. More importantly, it is crucial to ensure the product has a legal origin and that the physician can select the appropriate product and dosage based on muscle strength, the treatment area, and the desired facial expression.
Botox Treatment Instructions
Pre-treatment | Physician Assessment
Before the treatment, the doctor will observe static and dynamic facial expressions, assess muscle location, muscle strength, bilateral symmetry, and areas to be improved, and then determine the injection site and dosage. Whether the treatment is suitable, the injection site, dosage, and treatment method still need to be evaluated by the doctor based on the individual's skin and tissue conditions.
During treatment | Targeted injection
After confirming the treatment area, inject an appropriate amount of Botox into the target muscle using a fine needle. The actual number of injection points and dosage will vary depending on the treatment site and individual muscle condition.
After the treatment | Waiting for the effects to gradually appear
The effects of Botox are not immediately apparent after injection. According to Botox® Cosmetic's US manufacturer, changes in forehead wrinkles, frown lines, and crow's feet may begin to appear 1-2 days after treatment. The actual speed of appearance and duration of effect are still affected by factors such as treatment site, dosage, muscle strength, and individual metabolism.
After the treatment, temporary injection-related reactions such as redness, swelling, pain, and bruising may occur at the treatment site, which will usually subside gradually. If there is significant or persistent discomfort, you should return for a doctor's evaluation.
Botox FAQs
Q: How long does it take for Botox to become effective?
A: According to the original manufacturer's data in the United States, for forehead wrinkles, frown lines and crow's feet, some patients begin to see changes in about 1 to 2 days after treatment. However, each person's muscle strength, treatment dosage and response are different, so the actual time still varies from person to person.
Q: How long does Botox last?
A: BOTOX® Cosmetic is a temporary treatment. As neuromuscular transmission gradually recovers, muscle activity will slowly return to normal. Therefore, whether further treatment is needed can be assessed by a doctor based on individual circumstances.
Q: Will my facial expressions become stiff after getting Botox?
A: Whether it looks natural or not is closely related to the injection site, dosage, muscle strength, and the doctor's judgment of facial dynamics. Botox treatment doesn't completely stop all facial muscles from moving; rather, it targets specific muscles that need adjustment. A thorough pre-treatment assessment helps plan a treatment approach that better suits your individual facial expression habits.
Q: Which is better, Korean Botox or American Botox?
A: Both have their own product characteristics and approval information, and their quality cannot be judged solely by their place of origin. For example, both BOTOX and LETYBO are type A botulinum toxin preparations, but their active ingredient names, manufacturing processes, product specifications, and approved indications differ. Furthermore, the potency units of different products cannot be directly converted. It is recommended to choose based on the injection site, muscle condition, treatment needs, and physician evaluation.
Q: Who is not suitable to receive Botox injections?
A: If you have a history of allergic reactions to any product ingredient or other botulinum toxin preparations, or if you anticipate an infection at the injection site, you should not receive treatment. Furthermore, you should inform your doctor if you are pregnant, breastfeeding, have a specific neuromuscular disease, or are using medications that may affect neuromuscular transmission.
Botulinum toxin is a prescription drug. Before the treatment, you should fully inform your doctor about your current illness, medications, and past botulinum toxin treatment records so that a professional doctor can assess whether you are suitable for the treatment.
Botulinum toxin is a prescription drug. Before the treatment, you should fully inform your doctor about your current illness, medications, and past botulinum toxin treatment records so that a professional doctor can assess whether you are suitable for the treatment.
Preoperative precautions
- A complete evaluation by a physician should be conducted before the course of treatment.Proactively inform the doctor of your current health condition, allergy history, previous Botox injection experience, and any medications or health supplements you are currently using, so that the doctor can assess whether you are suitable for the treatment.
- If infection or inflammation occurs at the treatment site, the treatment course should be postponed.If there are pimples, rashes, wounds, or other infections or inflammations in the treatment area, a doctor should evaluate the condition after the symptoms have improved.
- Special medical conditions or medication use should be disclosed in advance.If you have neuromuscular diseases or are using medications that may affect neuromuscular transmission, you should inform your doctor before starting treatment.
- You should proactively inform others if you are pregnant, trying to conceive, or breastfeeding.Whether a patient is suitable for treatment will be assessed by a physician based on their individual circumstances.
- You should disclose in advance if you have received other cosmetic treatments.If you have recently received Botox, filler injections, laser treatments, or other cosmetic procedures, please inform us of the time and location of the treatment so that the doctor can arrange an appropriate treatment plan.
Postoperative precautions
- A transient local reaction may occur after injection.The injection site may experience slight redness, pain, bruising, or swelling, which usually subsides over time.
- Avoid pressing or kneading the treatment area yourself.After the treatment, please follow your doctor's instructions to care for the injection area, and avoid deliberately massaging, rubbing or pressing hard.
- Avoid strenuous exercise and high-temperature environments on that day.It is recommended to avoid strenuous exercise, hot springs, saunas, and other similar activities for a short period after the treatment. The actual time limit should be based on the doctor's instructions.
- Other cosmetic procedures should be spaced out appropriately.If you plan to receive a facial massage, laser treatment, electrotherapy, or other cosmetic procedures in the near future, it is recommended that you consult your doctor beforehand and arrange an appropriate interval.
- The effects will gradually appear over time.Botox does not provide an immediate full effect after injection. Patients should return for follow-up appointments as scheduled by their doctor to monitor muscle activity and changes in the treated area.
- If any unusual symptoms occur, seek medical attention as soon as possible.If you experience any unexpected symptoms such as difficulty swallowing, speaking or breathing, significant general weakness, or visual abnormalities, you should seek medical attention immediately and inform the doctor that you have received botulinum toxin injections.
* If you have cardiovascular disease, coagulation disorders, respiratory diseases, liver or kidney dysfunction, autoimmune diseases, psychosomatic medical history, infectious diseases, or are pregnant or breastfeeding, please inform us before the procedure so that we can fully understand your health condition and assess the suitability and safety of the treatment.
*The images and text are shared with the consent of the individuals involved. The pre- and post-operative photos are for educational purposes only. All rights reserved. Reproduction is prohibited. Results vary depending on individual constitution and should be based on a doctor's diagnosis.