Botox + Ultraformer: คู่พลังยกกระชับ & เรียบเนียน — VERZO CLINIC กรุงเทพฯ

    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 physician with over 10 years of aesthetic-medicine 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 a commonly used 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.

    Blog
    Treatment Combinations

    Botox + Ultraformer

    The power duo that smooths wrinkles from above and tightens skin from below — why Bangkok doctors prescribe this combination more than any other.

    Dr. Waleerat April 2026 10 min read

    Why These Two Work Together

    Facial aging involves two distinct processes: muscles pull skin into creases (dynamic wrinkles), and skin loses elasticity and sags (gravitational aging). No single treatment addresses both effectively. Botox handles the first; Ultraformer handles the second.

    When combined strategically, the relaxed muscles allow the tightened skin to settle more smoothly, creating a result that neither treatment achieves on its own. This synergy is why the Botox + Ultraformer combination has become the most requested dual protocol at aesthetic clinics across Bangkok.

    Botox Relaxes + Ultraformer Tightens

    Botox — Surface Layer

    • Relaxes overactive facial muscles
    • Smooths forehead lines, crow's feet, frown lines
    • Results in 3-7 days
    • Lasts 3-6 months
    • Depth: superficial muscle layer

    Ultraformer — Deep Layer

    • Delivers focused ultrasound to SMAS & dermis
    • Tightens jawline, neck, lower face
    • Gradual results over 2-3 months
    • Lasts 9-12 months
    • Depth: 1.5mm, 3.0mm, 4.5mm layers

    Treatment Order & Same-Day Protocol

    Step 1

    Ultraformer First

    40-50 minutes of focused ultrasound energy delivered to the deep tissue layers

    Step 2

    Botox After

    15-20 minutes of precise toxin injections to targeted muscle groups

    Dr. Waleerat performs Ultraformer first because the ultrasound energy needs to reach deep tissue without interference from injection-site swelling. The entire combined session is typically complete within 75 minutes.

    Results Timeline

    Day 1-3

    Minor redness from Ultraformer fades. Botox begins taking effect.

    Week 1

    Botox results visible — forehead lines and crow's feet significantly reduced.

    Week 4

    Early Ultraformer tightening becomes noticeable. Skin feels firmer.

    Week 6-8

    Peak combined results — smooth, lifted, and firm. This is your optimal outcome.

    Month 3-4

    Botox starts wearing off naturally. Consider touch-up while Ultraformer continues improving.

    Month 9-12

    Ultraformer results begin to fade. Time for the next combined session.

    Ideal Candidates

    Great Candidates

    • Age 30-55 with early to moderate aging
    • Forehead lines + mild jawline laxity
    • Want non-surgical approach
    • Prefer minimal downtime

    Consider Other Options If

    • Severe sagging (threads or Ulthera may be better)
    • Significant volume loss (add filler or Sculptra)
    • Under 25 with no laxity (Botox alone may suffice)
    • Pregnant or breastfeeding

    Package Pricing

    PackageBangkok (VERZO)SingaporeTokyo
    Botox + Ultraformer (Full Face)30,000-48,000 THB$2,000-3,500200,000-350,000 JPY
    Botox + Ultraformer (Lower Face)22,000-35,000 THB$1,500-2,500150,000-250,000 JPY

    Prices are approximate and vary by treatment area. Member packages provide additional savings of up to 30%.

    Frequently Asked Questions

    Why combine Botox with Ultraformer?

    Botox relaxes dynamic wrinkles while Ultraformer tightens sagging skin at deeper tissue layers. Together they address both wrinkle types for comprehensive rejuvenation.

    Can Botox and Ultraformer be done on the same day?

    Yes, this is a commonly used same-day combinations. Ultraformer is performed first, followed by Botox.

    What is the treatment order?

    Dr. Waleerat performs Ultraformer first for deep tissue tightening, then Botox for muscle relaxation. This ensures optimal energy delivery.

    How long does the combined session take?

    A combined session typically takes 60-75 minutes: 40-50 minutes for Ultraformer and 15-20 minutes for Botox.

    Who is an ideal candidate?

    Those in their 30s-50s with dynamic wrinkles and mild to moderate skin laxity who want noticeable improvement without surgery.

    When will I see results?

    Botox results appear within 3-7 days. Ultraformer results develop over 2-3 months. Peak combined results at 6-8 weeks.

    How much does this combination cost in Bangkok?

    At VERZO CLINIC, the package ranges from 30,000-48,000 THB, approximately 15% less than separate bookings and 40-60% less than Singapore or Japan.

    How often should I repeat this combination?

    Botox every 3-6 months, Ultraformer every 9-12 months. Dr. Waleerat aligns both for optimal convenience.

    Ready for the Power Duo?

    Dr. Waleerat offers free consultations to assess whether the Botox + Ultraformer combination is right for your concerns. Available in English, Japanese, Chinese, and Thai.

    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.

    สอบถามทาง LINE

    VERZO CLINIC — 988-990-992 Sukhumvit Road, Ekkamai, Bangkok 10110, Thailand. เปิดทุกวัน 10:00–19:00 น. ให้บริการภาษาไทย อังกฤษ ญี่ปุ่น และจีน

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