Botox (Botulinum Toxin) Injections

Botulinum toxin injections, commonly known as Botox, are a widely used non-surgical treatment for reducing facial wrinkles and fine lines. By relaxing targeted muscles, Botox smooths the skin, creating a refreshed, more youthful appearance. This minimally invasive procedure requires no downtime, making it a popular choice for individuals looking for subtle yet effective facial rejuvenation.

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Dr Terence Goh

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How Botox Enhances Facial Rejuvenation

Botox softens wrinkles, enhances facial symmetry, and refines contours for a refreshed and youthful appearance. By selectively relaxing specific muscles, it smooths the skin while preserving natural expressions, ensuring subtle yet effective rejuvenation.

Smoothing Wrinkles and Expression Lines

Botox softens wrinkles caused by repeated facial movements, giving the skin a smoother, more relaxed appearance. It is commonly used for:

  • Forehead Lines: Horizontal creases from raising the eyebrows.
  • Frown Lines (Glabellar Lines): Vertical lines between the eyebrows from frowning.
  • Crow’s Feet: Fine lines at the outer corners of the eyes, often from smiling or squinting.
  • Bunny Lines: Diagonal creases on the sides of the nose when scrunching.
    Lip Lines (Smoker’s Lines): Vertical wrinkles around the lips from pursing or repetitive movement.
Refining Facial Contours

Beyond smoothing wrinkles, Botox helps enhance facial features by subtly reshaping certain areas.

  • Lifting the Brows: A gentle lift to create a more open and refreshed expression.
  • Slimming the Jawline: Softens the masseter muscle, refining a square jaw for a more contoured look.
  • Balancing the Smile: Reduces excessive upper lip movement to correct a gummy smile.
  • Smoothing the Chin: Relaxes the chin muscle to reduce dimpling or uneven texture.
  • Softening Neck Bands: Minimises the appearance of vertical bands in the neck for a more youthful profile.
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Ideal Candidates for Botox

Botox is suitable for individuals looking for subtle, non-surgical facial rejuvenation. It is most effective for those who:

  • Have mild to moderate dynamic wrinkles caused by facial expressions, such as forehead lines, frown lines, and crow’s feet.
  • Prefer a non-invasive approach to reducing wrinkles and enhancing facial contours.
  • Want to prevent deeper wrinkles from forming, particularly individuals in their late 20s to early 40s.
  • Seek facial balance and refinement, such as softening a square jawline or adjusting a gummy smile.

Preparing for the Procedure

Consultation

A personalised consultation evaluates facial anatomy, treatment goals, and muscle activity to determine the most effective Botox plan. Targeted injections are selected to achieve natural and well-proportioned results.

Pre-Treatment Instructions

Pre-Treatment Instructions

For 24–48 hours before treatment, avoid alcohol, blood-thinning medications, and supplements to reduce bruising. If you have an active skin infection or have recently undergone a facial procedure, consider postponing treatment. Any history of Botox treatments or allergies should be disclosed in advance.

Ready for Natural Looking Results?

Consult our MOH-accredited plastic surgeon for a personalised treatment plan.

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Step-by-Step Procedure

1. Preparation

The treatment area is cleansed and disinfected to maintain hygiene. To minimise discomfort, a topical numbing cream or ice pack may be applied, though the procedure is generally well tolerated. Precise injection points are marked to ensure balanced and symmetrical results.

2. Injection Process

Using an ultra-fine needle, small doses of Botox are injected into targeted facial muscles. The placement and dosage are adjusted based on muscle strength, facial structure, and desired outcome.

3. Completion

The procedure typically takes 10 to 15 minutes and does not require anaesthesia. Discomfort is minimal, and results gradually develop over the next few days, with full effects visible within 7 to 10 days.

Post-Treatment Care and Recovery

Immediate Care

Avoid rubbing, pressing, or massaging the treated areas for 24 hours to prevent Botox from spreading to unintended muscles. It is also recommended to remain upright for at least four hours and avoid lying down immediately after the procedure. If mild swelling or redness occurs, a cold compress can be applied to soothe the area.

Recovery Timeline

Any redness, swelling, or bruising at the injection sites typically subsides within a few hours to a couple of days. Initial improvements become noticeable within 3 to 5 days, with full results developing over 7 to 10 days.

Aftercare and Follow-Up

For 24 hours after treatment, avoid strenuous activity, heat exposure, and saunas to prevent increased swelling. Alcohol and blood-thinning medications should also be avoided for at least a day to minimise bruising. A follow-up appointment may be scheduled after two weeks to evaluate results and perform touch-ups if needed.

Results and Longevity

Botox results typically last 3 to 4 months, after which muscle activity gradually returns. With regular treatments, the effects may be prolonged as the muscles adapt and contract less forcefully over time. To maintain optimal results, maintenance sessions are generally recommended every 3 to 6 months, depending on individual response and treatment goals.

Potential Risks and Complications

Botox is generally well tolerated, with minimal risks when administered correctly. Temporary side effects may include mild redness, swelling, bruising, or headache, which usually subside within a few days. In some cases, subtle asymmetry may occur but can be adjusted with touch-ups. Rare complications, such as eyelid or brow drooping, over-relaxation of muscles, or allergic reactions, are uncommon and typically resolve over time.

Frequently Asked Questions (FAQ)

Will my face look frozen or unnatural?

No, when properly administered, Botox provides subtle, natural-looking results while preserving facial expressions. The goal is to soften wrinkles, not eliminate movement, ensuring a refreshed appearance without looking overdone.

Can Botox prevent future wrinkles?

Yes, Botox can help prevent deep wrinkles from forming by reducing repetitive muscle contractions. When started early, it can slow the development of static wrinkles, making it a favoured option for preventative treatment.

Is there any downtime after Botox?

No, Botox requires no downtime, and most individuals can resume normal activities immediately after treatment. However, it is recommended to avoid strenuous exercise, excessive heat, and rubbing the treated areas for 24 hours.

What happens if I stop getting Botox?

If Botox treatments are discontinued, the muscles will gradually regain their full movement, and wrinkles may reappear over time. However, the skin often remains smoother than before due to the reduced muscle activity during previous treatments.

Is Botox suitable for all skin types?

Yes, Botox is suitable for all skin types and tones. Since it works by relaxing muscles rather than affecting the skin directly, its effectiveness is not influenced by skin texture or pigmentation.

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Dr Terence Goh

Choosing to combine the intricate skills of microsurgery with aesthetic surgery, Dr Goh specialises in gynaecomastia, surgery of the Asian face, particularly Asian eyelid surgery and rhinoplasty.

Blending the precision of microsurgery with the artistry of aesthetic surgery, Dr Goh has a special interest in gynaecomastia, facial procedures, including ptosis and eyelid surgery, as well as rhinoplasty.

He also offers a full range of body contouring procedures such as mummy makeovers, breast augmentation, liposuction, and body sculpting—designed to help patients feel more confident and comfortable in their own skin.

Beyond aesthetics, Dr Goh remains active in reconstructive microsurgery, with expertise in breast reconstruction, head and neck reconstruction, and lower limb salvage—restoring both form and function where it’s needed most.

  • Bachelor of Medicine, Bachelor of Surgery, National University of Singapore
  • Master of Medicine, National University of Singapore
  • Member of the Royal College of Surgeons
  • Fellow of the Academy of Medicine, Singapore (Plastic Surgery)

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