TL;DR: Most patients rate Botox injections at 1-2 out of 10 — a brief pinch that lasts less than a second per injection point. The needles used are extremely fine (30-32 gauge). No anesthesia is needed. The entire session takes 10-15 minutes. At VERZO CLINIC, we use ice pre-cooling to further reduce sensation.
Written by Dr. Waleerat Thaweebanchongsin, licensed aesthetic medicine specialist at VERZO CLINIC Bangkok. Over a decade of experience. Near BTS Ekkamai, Sukhumvit Road. Free consultations via LINE @verzo.
Last updated: April 2026
Most patients rate Botox injections at 1-2 out of 10 — a brief pinch that lasts less than a second per injection point. The needles used are extremely fine (30-32 gauge). No anesthesia is needed. The entire session takes 10-15 minutes. At VERZO CLINIC, we use ice pre-cooling to further reduce sensation.
The procedure itself is performed under local anesthesia, so you feel pressure but not sharp pain. Post-procedure discomfort is typically 3-4 out of 10 for 24-48 hours — a deep ache similar to a tight ponytail. Paracetamol is usually sufficient. Most patients say the anticipation was worse than the reality.
Ulthera (HIFU) is generally considered the most uncomfortable non-surgical treatment, rated 5-7 out of 10. It delivers focused ultrasound to deep tissue layers. However, modern protocols with numbing cream and cooling make it manageable. Thread lifts and deep filler injections are moderate at 3-5 out of 10. Botox and skin boosters are mild at 1-2 out of 10.
Yes. Most reputable clinics apply topical anesthetic (lidocaine cream) 20-30 minutes before treatment. VERZO CLINIC uses a double-numbing protocol for sensitive patients: topical cream plus local anesthetic injection for procedures like thread lifts and deep filler work.
Tell your doctor before the procedure. Options include: stronger topical numbing cream (applied longer), ice cooling, vibration devices that distract nerve signals, local anesthetic injections, and anxiety-reducing techniques like breathing exercises. At VERZO CLINIC, Dr. Waleerat adjusts the comfort protocol for each patient.
Filler pain varies by area: lips are the most sensitive (3-4 out of 10), cheeks and chin are moderate (2-3 out of 10), and temples are mild (1-2 out of 10). Most modern fillers contain lidocaine which numbs the area as the product is injected. The discomfort decreases as the session progresses.
VERZO CLINIC — 988-990-992 Sukhumvit Road, Ekkamai, Bangkok 10110, Thailand. 每日 10:00–19:00(泰国时间)营业。 可提供泰语、英语、日语和中文服务。
预约或咨询: LINE @verzo · WhatsApp +66 95 326 6644