Botox + Ultraformer: The Power Duo for Lifting & Smoothing — VERZO CLINIC Bangkok

TL;DR: Botox relaxes dynamic wrinkles caused by muscle movement (forehead lines, crow's feet), while Ultraformer uses micro-focused ultrasound to tighten and lift sagging skin at deeper tissue layers. Together, they address both wrinkle types — dynamic and gravitational — for comprehensive facial rejuvenation.

Written by Dr. Waleerat Thaweebanchongsin, licensed aesthetic medicine specialist with over 10 years of specialized experience. VERZO CLINIC near BTS Ekkamai, Sukhumvit Road. Free consultations via LINE @verzo.

Last updated: April 2026

Frequently Asked Questions

Why combine Botox with Ultraformer?

Botox relaxes dynamic wrinkles caused by muscle movement (forehead lines, crow's feet), while Ultraformer uses micro-focused ultrasound to tighten and lift sagging skin at deeper tissue layers. Together, they address both wrinkle types — dynamic and gravitational — for comprehensive facial rejuvenation.

Can Botox and Ultraformer be done on the same day?

Yes, this is one of the safest same-day combinations. Most physicians perform Ultraformer first (to address tissue tightening) and then Botox afterward (to relax muscles). The procedures target different tissue layers and do not interfere with each other.

What is the treatment order for Botox and Ultraformer?

Dr. Waleerat typically performs Ultraformer first to deliver focused ultrasound energy to the deep tissue layers, followed by Botox injections to the superficial muscle layer. This order ensures optimal energy delivery before any minor swelling from injections occurs.

How long does a combined Botox + Ultraformer session take?

A combined session typically takes 60-75 minutes: approximately 40-50 minutes for Ultraformer and 15-20 minutes for Botox. You can return to normal activities the same day.

Who is an ideal candidate for Botox + Ultraformer?

Ideal candidates are those in their 30s-50s with both dynamic wrinkles (expression lines) and mild to moderate skin laxity. This combination is perfect for patients who want noticeable improvement without surgery and prefer a single-visit approach.

What results can I expect and when?

Botox results appear within 3-7 days. Ultraformer results develop gradually over 2-3 months as collagen remodels. Peak combined results are typically visible at 6-8 weeks post-treatment. The combination creates both immediate smoothing and progressive lifting.

How much does Botox + Ultraformer cost in Bangkok?

At VERZO CLINIC, the combination package typically ranges from 30,000-48,000 THB depending on treatment areas. This represents approximately 15% savings compared to booking each treatment separately, and is 40-60% less than the same treatments in Singapore or Japan.

How often should I repeat this combination?

Botox typically needs refreshing every 3-6 months, while Ultraformer results last 9-12 months. Dr. Waleerat designs a maintenance schedule that aligns both treatments for optimal convenience and results.