Your First Botox — VERZO CLINIC Bangkok

TL;DR: Avoid blood-thinning medications (aspirin, ibuprofen) and supplements (fish oil, vitamin E) for 7 days before treatment to minimize bruising. Avoid alcohol for 24 hours. No special preparation is needed otherwise — you can come directly from work or sightseeing.

Written by Dr. Waleerat Thaweebanchongsin, over 10 years of specialized experience. Near BTS Ekkamai. LINE @verzo.

Last updated: April 2026

FAQ

What should I do before my first Botox appointment?

Avoid blood-thinning medications (aspirin, ibuprofen) and supplements (fish oil, vitamin E) for 7 days before treatment to minimize bruising. Avoid alcohol for 24 hours. No special preparation is needed otherwise — you can come directly from work or sightseeing.

Does Botox hurt?

Most patients rate the discomfort at 2-3 out of 10 — similar to a brief mosquito bite. The needles used are extremely fine (30-32 gauge). Each injection takes about 1 second. The entire treatment is over in 15-20 minutes. Numbing cream is available but most patients do not need it.

How soon will I see Botox results?

You will not see results immediately. Botox takes 3-5 days to begin working, with the full effect visible at 10-14 days. This gradual onset is actually a feature — it means the result looks natural rather than sudden.

What should I avoid after Botox?

For the first 4 hours: do not lie flat, do not rub or massage the treated areas. For 24 hours: avoid intense exercise, saunas, hot tubs, and alcohol. For 2 weeks: avoid facial massages. These precautions help keep the Botox in the intended muscles.

What does Botox feel like after injection?

Immediately after: you may feel small bumps at injection sites (they flatten within 20-30 minutes). Day 1-2: mild tightness or heaviness is normal. Day 3-5: you will notice muscles starting to relax. Day 10-14: full result is visible. The sensation is subtle — most people simply notice their wrinkles softening.

Can I go back to work after Botox?

Yes, Botox is a true lunchtime procedure. Most patients return to work or continue their day immediately. Small injection marks fade within 1-2 hours. Bruising is uncommon but possible — easily covered with concealer if it occurs.

What if I do not like the result?

Botox is temporary — effects gradually wear off over 3-4 months. If you feel over-treated, the effect will naturally diminish. If you feel under-treated, additional units can be added at a 2-week follow-up. This is why starting conservatively is recommended.

When should I return for my next Botox appointment?

Most patients return every 3-4 months when the effect starts to wear off. Over time, regular Botox can "train" the muscles to relax, and some patients find they need less frequent treatments after 1-2 years.