Botox Treatment Bangkok: Aesthetic & Medical Indications by Board-Certified Dermatologist

Botulinum toxin type A (Botox, onabotulinumtoxinA) is one of the most precise injectable treatments in modern medicine. At Siam Dermatology in Bangkok, all Botox treatments are performed by board-certified dermatologists — not aestheticians or non-medical staff. Botox is approved for both aesthetic and medical indications, and proper dosing, injection-point selection and after-care directly affect both the result and your safety.

Aesthetic Indications

Glabellar frown lines (typical 20-25 units), forehead horizontal lines (10-20 units, requires accurate frontalis mapping to avoid eyebrow ptosis), crow's feet / lateral orbicularis (6-12 units per side), masseter (jawline slimming — typical 25-50 units per side, multiple treatments for full effect), lip flip, gummy smile, platysmal bands. Typical duration is 3-4 months; with consistent re-treatment, muscle re-education can sometimes extend interval.

Medical Indications

Hyperhidrosis: Excessive axillary, palmar, or plantar sweating — typical 50 units per axilla, duration up to 6 months. Bruxism / TMJ pain: Masseter injection. Chronic migraine: FDA-approved 31-point protocol, 155 units total per cycle. Strabismus, blepharospasm, cervical dystonia: by neurology/ophthalmology referral. At Siam Dermatology our physicians perform aesthetic and dermatologic medical indications including hyperhidrosis and masseter for bruxism.

Why a Board-Certified Dermatologist Matters

Botox is a prescription medication. Complications — ptosis (drooping eyelid or eyebrow), dry eye, asymmetric smile, dysphagia (when treating neck/jaw) — are rare but real. A board-certified dermatologist understands facial anatomy in depth, recognises high-risk patients (myasthenia gravis, Eaton-Lambert, certain neuromuscular drugs), and can manage complications. Our injectors are MD-IV-certified. Beware non-physician injectors and ultra-low prices — the product may be diluted, expired, or counterfeit.

Frequently Asked Questions

Q: How long until I see results? A: Onset 2-3 days, peak 10-14 days. Q: Are there any post-treatment restrictions? A: Avoid lying flat 4 hours, no vigorous facial massage 24 hours, no heat/sauna 24 hours. Q: Does Botox build resistance? A: ~1-3% develop neutralising antibodies with frequent high-dose use. Q: Can I have Botox if I'm planning pregnancy? A: We recommend deferring during pregnancy and breastfeeding. Q: How much does it cost? A: Pricing depends on units and indication — contact us for a personalised quote.

📞 Book at Siam Dermatology — LINE @dr.patskinclinic | Call +66 61 448 7000