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.

    Blog
    Botox Deep-Dive

    Your First Botox

    Everything a first-timer needs to know: what happens in the room, how it actually feels, and the day-by-day timeline from injection to full result.

    Dr. Waleerat April 2026 8 min read

    Pre-Treatment Checklist

    7 Days Before

    • Stop aspirin, ibuprofen, fish oil, vitamin E
    • Continue prescription medications (consult doctor)
    • Schedule: well before big events, not right before

    24 Hours Before

    • No alcohol (increases bruising risk)
    • Eat normally, stay hydrated
    • Come with clean skin (no heavy makeup)

    The Consultation Process

    At VERZO CLINIC, every first-time patient begins with a thorough consultation. Dr. Waleerat assesses your facial anatomy, discusses your goals, explains the recommended treatment plan (including brand, unit count, and injection points), and answers all questions before any injection.

    The consultation is free and there is no obligation to proceed. Many patients appreciate having their questions answered before committing — and that is completely fine.

    The Injection Experience: Honest Pain Scale

    The treatment itself takes 15-20 minutes. Each injection feels like a brief, sharp pinch lasting about 1 second. Most patients rate it 2-3 out of 10 on the pain scale. The needles used are extremely fine — thinner than a human hair.

    "First-timers are almost always surprised by how quick and mild it is. The anticipation is worse than the reality. Most patients say: that is it? And then they are done and heading to lunch."

    — Dr. Waleerat Thaweebanchongsin, VERZO CLINIC

    Day-by-Day Timeline

    Day 0
    Small bumps at injection sites flatten within 30 minutes. Mild redness fades in 1-2 hours. No visible change in wrinkles yet.
    Day 1-2
    You may feel mild tightness or heaviness in treated areas. This is normal and temporary. No visible result yet — patience required.
    Day 3-5
    Muscles begin to relax. You notice it is harder to make certain expressions. Wrinkles start to soften. The transformation begins.
    Day 7-10
    Significant improvement visible. Lines are noticeably softer. The face looks refreshed but still naturally expressive.
    Day 14
    Full result achieved. This is when you should assess the outcome. If adjustments are needed, your doctor can add units at a follow-up visit.
    Month 2-3
    Peak results. The muscles are fully relaxed and wrinkles are at their smoothest. This is the "sweet spot" of your treatment.
    Month 3-4
    Effects gradually begin to wear off. Movement returns to treated muscles. Most patients schedule their next appointment around this time.

    Aftercare: Do's and Don'ts

    Do

    • Stay upright for 4 hours after treatment
    • Gently exercise the treated muscles (smile, frown)
    • Apply cold compress if mild bruising occurs
    • Take paracetamol if needed (not aspirin/ibuprofen)
    • Continue your normal skincare routine

    Don't

    • Do not rub or massage treated areas for 24 hours
    • Do not exercise vigorously for 24 hours
    • Do not lie flat for 4 hours
    • Do not get facials or facial massage for 2 weeks
    • Do not consume excessive alcohol for 24 hours

    Common First-Timer Fears — Debunked

    Fear: "I will look frozen and unnatural"

    Reality: Conservative dosing preserves natural expression. A good injector aims for "refreshed," not "frozen."

    Fear: "Botox is toxic and dangerous"

    Reality: Botulinum toxin has been used medically since the 1970s. The aesthetic doses are tiny fractions of any harmful amount.

    Fear: "Once I start, I cannot stop"

    Reality: Botox is not addictive. If you stop, your face simply returns to its pre-treatment state over 3-4 months.

    Fear: "Everyone will know I had Botox"

    Reality: With conservative treatment, people notice you look rested and well — not that you had a procedure.

    Frequently Asked Questions

    Does Botox hurt?

    Most rate it 2-3/10 — like a brief mosquito bite. Needles are 30-32 gauge. Entire treatment is 15-20 minutes.

    How soon will I see results?

    Botox takes 3-5 days to begin, full effect at 10-14 days. Gradual onset means natural-looking results.

    What should I avoid after?

    First 4 hours: no lying flat, no rubbing. 24 hours: no intense exercise, saunas, alcohol. 2 weeks: no facial massages.

    Can I go back to work?

    Yes, it is a lunchtime procedure. Injection marks fade in 1-2 hours. Bruising is uncommon.

    What if I do not like the result?

    Effects are temporary (3-4 months). If under-treated, units can be added at 2-week follow-up.

    When should I return?

    Every 3-4 months. Regular treatment can train muscles to relax, potentially reducing frequency over time.

    What should I do before my appointment?

    Stop blood thinners and supplements 7 days before. No alcohol 24 hours before. No other preparation needed.

    Will I look frozen?

    Not with conservative dosing. A skilled injector preserves natural expression while softening lines.

    Ready for Your First Botox?

    Dr. Waleerat specializes in natural-looking results for first-time patients. Free consultations with no pressure to proceed.

    VERZO CLINIC, Sukhumvit Road near BTS Ekkamai. Open daily 10:00-19:00.

    Medical Disclaimer

    Results vary depending on individual skin and body conditions.

    Please consult a physician before treatment.

    Ask on LINE

    VERZO CLINIC — 988-990-992 Sukhumvit Road, Ekkamai, Bangkok 10110, Thailand. Open daily 10:00–19:00 (Bangkok time). Staff can assist in Thai, English, Japanese and Chinese.

    Contact: LINE @verzo · WhatsApp +66 95 326 6644