What is Botox?

Botox, a name that has become synonymous in Singapore with age-defying treatments, is a drug derived from a toxin produced by the Bacterium Clostridium Botulinum. While it might sound intimidating, when used in small, controlled doses, Botox can work wonders in reducing the appearance of wrinkles and fine lines, giving your skin a smoother, more youthful look.

How Does Botox Work?

Botox works its magic by blocking nerve signals in the muscles where it is injected. This temporary paralysis of the muscle prevents it from contracting, which in turn smoothens the skin above it, reducing the appearance of wrinkles and fine lines.

The are the common benefits of Botox treatment in Singapore

Botox is not just about beauty; it's about enhancing your self-confidence and comfort in your skin. Here are some of the key benefits that Botox offers:

  1. Reduced Wrinkles: Botox is most widely used for its ability to reduce the appearance of facial wrinkles. It smoothens the skin, giving it a more youthful appearance.
  2. Non-Surgical Solution: Botox offers a non-surgical solution to aging skin. It's a less invasive alternative to procedures like facelifts, making it a preferred choice for many.
  3. Quick and Convenient: Botox treatments are quick and convenient, typically taking no more than 15-30 minutes, with minimal recovery time. This makes it a practical choice for those with busy schedules.
  4. Preventative Measure: Early use of Botox can prevent wrinkles from forming or deepening over time, making it a proactive approach to maintaining a youthful appearance.
  5. Treatment of Medical Conditions: Beyond cosmetics, Botox is also used to treat various medical conditions, including migraines, excessive sweating, and certain eye disorders.

Botox, Xeomin, Dysport in Singapore: A Detailed Comparison

In the realm of non-surgical cosmetic treatments, Botox, Xeomin, and Dysport are often the top contenders. Each of these treatments utilizes a form of botulinum toxin to smooth wrinkles and rejuvenate the skin. However, they each have unique characteristics that set them apart. 


Botox, or Botulinum Toxin Type A, is a brand name that has become synonymous with anti-wrinkle treatments. It works by blocking nerve signals to the muscles, causing them to relax. This relaxation reduces the appearance of wrinkles and fine lines, giving the skin a smoother, more youthful appearance. Botox is widely recognized and has been used for cosmetic purposes for over two decades. It's primarily used to treat dynamic wrinkles, which are wrinkles that form from repetitive facial movements like frowning, squinting, or smiling.


Xeomin is another form of Botulinum Toxin Type A. However, unlike Botox, Xeomin is often referred to as a "naked injectable." This term is used because Xeomin contains no additives – it's purely the botulinum toxin. This lack of additives reduces the likelihood of patients developing a resistance to the treatment. Another advantage of Xeomin is that it requires no refrigeration, making it easier to store and transport. Xeomin, like Botox, is used to treat dynamic wrinkles and can be used in all the same areas as Botox.


Dysport, yet another form of Botulinum Toxin Type A, has been used in Europe for many years before gaining FDA approval in the United States. One key difference between Dysport and its counterparts is that Dysport has a slightly quicker onset (2-5 days as opposed to 4-7 days with Botox and Xeomin) and spreads a bit more. This spreading effect makes Dysport a good choice for treating larger areas, like for Jaw, Shoulder or Calf slimming. However, this also means it requires a skilled practitioner to ensure it doesn't spread to unwanted areas, causing drooping or a "frozen" look when injected in the forehead for example.

Which Brand To Go For?

While Botox, Xeomin, and Dysport all serve the same purpose - reducing the appearance of wrinkles and fine lines - they have slight differences that can make one a better choice for you than the others. Factors such as the area to be treated, your medical history, and your personal preferences should all be considered. It's also important to note that the units used to measure Botox, Xeomin, and Dysport are different, and one unit of Botox does not equal one unit of Dysport or Xeomin.

Popular Botox Treatment Areas and Costs.


Botox can smooth out horizontal lines on the forehead caused by raising our eyebrows. This gives the forehead a smoother, more relaxed appearance.

On average, 10 to 20 units of Botox may be required.

The estimated cost is between $150 to $300.

Between the Eyebrows (Frown Lines)

Frown lines, also known as "11 lines" due to their shape, can be effectively treated with Botox. By relaxing the muscles that cause us to frown, Botox can reduce the appearance of these lines.

On average, 6 to 12 units of Botox may be required.

The estimated cost is between $100 to $200.

Eyes (Crow's Feet)

Crow's feet, the lines that fan out from the corners of the eyes, can be significantly reduced with Botox. By relaxing the muscles around the eyes, Botox can smooth these lines, giving a more youthful appearance.

On average, 12 to 24 units of Botox may be required.

The estimated cost is between $180 to $400.

Bunny Lines

Botox can also be used to treat 'bunny lines', the wrinkles that appear on the sides of the nose when we laugh or smile. By relaxing the muscles that cause these lines, Botox can smooth out these wrinkles for a more youthful look.

On average, 6 to 10 units of Botox may be required.

The estimated cost is between $100 to $200.

Lip Flip

Botox can be used to perform a "lip flip", a procedure where Botox is injected into the muscles around the mouth, causing the lip to slightly roll up, creating the illusion of a fuller upper lip.

Gummy Smile

Botox can also be used to treat a 'gummy smile', where excessive gum tissue is visible above the upper teeth when smiling. By relaxing the upper lip muscles, Botox can reduce the amount of gum visible when smiling.


Botox can be used to smooth out a dimpled or pebbled chin, giving the chin a smoother appearance.

Jawline (Jaw Slimming)

Botox can also be used for jaw slimming, where it is injected into the masseter muscles to reduce their size, resulting in a slimmer facial appearance. This treatment can also help with conditions like bruxism and teeth grinding by reducing the force of the muscle contractions.

On average, 40 to 80 units of Botox may be required.

The estimated cost is between $600 to $1200.

Brow Lift

A Botox brow lift can help elevate the eyebrows and create a more youthful appearance. It works by relaxing the muscles that pull the eyebrows down, allowing the forehead muscles to pull them up.

Neck (Platysmal Bands)

Botox can be used to relax the platysmal bands in the neck, reducing the appearance of a "turkey neck" and giving a more youthful neck contour.

Shoulder Slimming

Botox can be used to reduce the size of the shoulder muscles, creating a more slender shoulder appearance.

On average, 100 to 140 units of Botox may be required.

The estimated cost is between $1500 to $2100.

Calf Slimming

Similarly, Botox can be injected into the calf muscles to reduce their size, resulting in slimmer calves.

On average, 160 to 200 units of Botox may be required.

The estimated cost is between $2400 to $3000.

Underarms (Hyperhidrosis)

While not a cosmetic treatment, Botox can be used to treat excessive sweating, also known as hyperhidrosis. By blocking the nerves that trigger sweat glands, Botox can significantly reduce underarm sweating.

On average, 100 to 120 units of Botox may be required.

The estimated cost is between $1500 to $2000.

Determining the Dosage of Botox: How Much Botox is Needed?

When it comes to Botox treatments, one size does not fit all. The amount or dosage of Botox required can vary greatly from person to person. This is because several factors come into play when determining the appropriate dosage. Here are some of the key factors that influence the amount of Botox needed:

Treatment Area

The area of the face or body being treated plays a significant role in determining the amount of Botox required. Larger areas or areas with stronger muscles (like the jawline) typically require more units of Botox than smaller areas or areas with weaker muscles (like around the eyes).

Desired Results

The desired results also influence the amount of Botox used. If a patient wants a very natural look with only a slight reduction in lines and wrinkles, fewer units may be used. Conversely, if a patient wants a more dramatic reduction in wrinkles, more units may be necessary.

Muscle Strength and Size

The strength and size of the muscles being treated also affect the amount of Botox required. Stronger, larger muscles such as the frown or jaw muscles require more Botox to achieve the desired relaxing effect.


Age can also influence the amount of Botox needed. Younger patients with less pronounced wrinkles may require fewer units than older patients with more pronounced wrinkles.


Men often require more Botox than women because they tend to have larger, stronger facial muscles. Therefore, the same treatment area may require more botox units in a male patient than in a female patient.

Individual Variation

Every person is unique, and individual variation plays a significant role in determining the amount of Botox required. Some people may respond more readily to Botox and require fewer units, while others may need more to achieve the desired effect.

Determining the right dosage of Botox is a complex process that takes into account multiple factors. It's essential to have this procedure performed by an experienced doctor who can accurately assess your needs and administer the ideal botox dosage. Remember, the goal of Botox treatment is not to alter your appearance drastically, but to enhance your natural beauty by reducing the signs of aging.

Botox Singapore: Achieving a Natural Look versus a Frozen Look

Botox, when administered correctly, can provide a range of results, from a natural, subtle enhancement to a more dramatic, "frozen" look. The outcome largely depends on the amount of Botox used, the areas treated, and the specific techniques employed by the practitioner. Here's a closer look at how these two different looks can be achieved with Botox.

Natural Look

A natural look with Botox is often achieved by injecting smaller amounts of Botox into the treatment areas, which allows for a reduction in wrinkles while still maintaining natural facial movement. 

The goal is to soften lines and wrinkles without completely paralyzing the underlying muscles. This approach can provide a refreshed and youthful appearance while ensuring you can still express a full range of emotions. It's often preferred by those who want to subtly improve their appearance without making it obvious that they've had a cosmetic procedure.

Frozen Look

On the other hand, a "frozen" look is achieved when larger amounts of Botox are used to significantly reduce muscle movement in the treated areas. This approach can lead to a more dramatic reduction in wrinkles and lines, as the muscles causing these lines are almost entirely relaxed. 

While the term "frozen" is often used, it doesn't mean the face is entirely without expression. Instead, it refers to a look where certain areas of the face (like the forehead or around the eyes) have limited movement, leading to a smoother appearance. Some people prefer this look, especially if they have deeper wrinkles or want a more noticeable reduction in lines.


Botox can be tailored to meet a range of aesthetic goals, whether you prefer a natural, subtle enhancement or a more dramatic transformation. It's important to have a detailed discussion with your doctor about your desired outcome before undergoing treatment. This way, they can adjust their technique and the amount of Botox used to best meet your expectations. Remember, the goal of any cosmetic treatment should be to make you feel more confident and comfortable in your skin.

Botox Longevity in Singapore: Factors That Impact How Long It Lasts

Botox is a popular non-surgical treatment that can help to reduce the appearance of fine lines and wrinkles. However, as with any cosmetic procedure, the results are not permanent. The longevity of Botox can vary greatly from person to person, typically lasting between 3 to 6 months. Several factors can influence how long the effects of Botox last:


The amount of Botox injected plays a significant role in how long the results last. Higher doses can often lead to longer-lasting results. This is because a larger amount of Botox can more effectively block the nerve signals that cause muscle contractions, leading to a longer duration of muscle relaxation.

Treatment Area

The area of the body where Botox is injected can also impact its longevity. For instance, Botox treatments in areas of the face with stronger muscles (like the forehead or jaw) may not last as long as treatments in areas with smaller, less active muscles (like around the eyes).

Individual Metabolism

Each person's body metabolizes Botox at a different rate. Some people may find that their results last longer than the average 3 to 6 months, while others may find that their results fade more quickly. This can be influenced by factors such as age, overall health, and individual metabolic rate.

Muscle Strength

The strength of the muscles being treated can also affect how long Botox lasts. Stronger muscles may metabolize Botox more quickly, leading to shorter-lasting results.

Frequency of Treatments

Regular Botox treatments can potentially lead to longer-lasting results over time. This is because repeated treatments can cause the muscles to become accustomed to being in a relaxed state, which may help to prolong the effects of future treatments.

Botox Singapore: Understanding the Risks and Side Effects

Botox is a widely used cosmetic treatment in Singapore with a strong safety record. However, as with any medical procedure, it's important to be aware of potential risks and side effects. While these are generally rare and often mild, understanding them can help you make an informed decision about your treatment.

Common Side Effects

The most common side effects of Botox are usually temporary and localized to the area of injection. These may include:

Less Common Side Effects

Less common side effects can include flu-like symptoms, dry eyes, and upset stomach. These are rare and usually resolve on their own.


Asymmetry, or uneven results, is another potential side effect of Botox. This can occur if the muscles on one side of the face are stronger than the other, which can lead to uneven absorption of the Botox. For example, if one side of the forehead has a stronger muscle, it may result in an arched "Spocked" eyebrow. This is usually temporary and can be corrected with a follow-up treatment.


While Botox is generally safe, there are some risks associated with its use:

It's important to remember that most people who receive Botox experience minimal side effects, if any. The key to a safe and effective Botox treatment is to choose a qualified and experienced doctor who can administer the treatment correctly and respond to any potential side effects. Always discuss any concerns or questions you may have with your provider before undergoing treatment. They can provide you with detailed information tailored to your specific needs and circumstances.

Is Botox The Best Anti-Aging Treatment?

anti-aging botox

Botox has long been known as a popular anti-aging treatment, but is it really the best option for combating the signs of aging? To answer this question, it’s important to first understand how Botox works and what sets it apart from other anti-aging treatments.

Botox, also known as botulinum toxin, is a protein that is injected into the skin to temporarily paralyze specific facial muscles. This paralysis prevents the muscles from contracting, which in turn reduces the appearance of wrinkles and fine lines.

One of the major benefits of Botox is its ability to provide almost immediate results. Within a few days of treatment, patients will begin to see a noticeable reduction in the appearance of wrinkles and fine lines. This quick turnaround time makes it a popular choice for people who want to look their best for a special event or occasion.

Another advantage of Botox is that it’s a non-invasive treatment. Unlike surgery, there is no need for anesthesia or incisions, which means a much shorter recovery time and minimal risks or side effects.

However, while Botox is effective at reducing the appearance of wrinkles and fine lines, it’s not a permanent solution. The effects of Botox only last for a few months, after which the treated muscles will start to regain their function and the wrinkles will gradually reappear. This means that patients will need to return for regular treatments to maintain their results.

Despite its limitations, Botox remains a popular choice for many people due to its relatively low cost, high safety levles and quick, convenient treatment sessions. However, there are other anti-aging treatments available that may be useful in your anti-aging goals.

One such treatment is dermal fillers. Unlike Botox, which works by temporarily paralyzing muscles, dermal fillers work by injecting a substance, such as hyaluronic acid, into the skin to plump up and volumize areas with volume loss such as hollow temples or deep laugh lines for example.

Dermal fillers are longer lasting, with some lasting up to a year or more. In addition, the effects of dermal fillers can be customized to be more natural looking and subtle, making them a good choice for people who want to maintain a more youthful appearance without looking “overfilled” or unnatural.

Another option for anti-aging is laser treatments using fractional technology such as the CO2 fractional laser or picofractional laser. Laser treatments work by stimulating collagen production in the skin, which can help to smooth out wrinkles and improve skin texture. Lasers can also be used to treat a wider range of skin concerns, such as sun damage, scarring, and uneven skin tone.

Laser treatments usually require a longer time commitment (monthly sessions) which ultimately can add up in terms of costs. Fractional lasers also require more recovery time than Botox or dermal fillers, with downtime ranging from 3 to 7 days. However, lasers can provide significant improvements in the appearance of wrinkles and overall skin health and appearance.

So, is Botox the best anti-aging treatment? It ultimately depends on the individual’s specific needs and goals. For those looking for quick, temporary results, Botox may be a good option. However, for those seeking more long-lasting results or a more natural appearance, dermal fillers or laser treatments may be a better choice.

It’s important to consult with a trained professional who can assess your skin and recommend the best treatment plan for you. Whether you choose Botox, dermal fillers, laser treatments, or a combination of these options, the key to successful anti-aging is finding the right treatment for your unique needs and goals.

Is Botox the best treatment option for Excessive Underarm Sweating? (Underarm Hyperhidrosis)

Botox is not just used for wrinkles. What is less commonly known is that Botox can have huge benefits for those who suffer from excessive underarm sweating (hyperhidrosis).

Underarm hyperhidrosis can be quite embarrassing depending on the social setting because of body odour as well as sweat stains on the clothing.

Read on for more information about how botox injections can help with hyperhidrosis, and read about how botox compares with the other treatment options for hyperhidrosis.

What is Underarm Hyperhidrosis ?

It is a normal physiological response for the body to produce sweat when placed in a hot environment, undergoing physically strenuous activities or when nervous or stressed.

Hyperhidrosis refers to excessive sweating even in a cool and calm setting. It usually manifests in the underarms, hands, and feet.

How does Botox help with Excessive Underarm Sweating?

Sweat is produced by sweat glands when a neurotransmitter called acetylcholine reaches and activates the sweat glands. 

In patients with hyperhidrosis, there could be an overproduction of acetylcholine which results in overstimulation of the sweat glands and hence excessive sweat secretion.

Botox injections into the underarms help to stop the release of acetylcholine which reduces sweat gland activity and ultimately results in lesser sweat production.

Treatment options for Excessive Underarm Sweating 

Treatment options for Excessive Underarm Sweating 

Antiperspirants work by obstructing the sweat glands so that sweat is unable to be secreted. When the sweat glands are blocked, there is a feedback mechanism to the body to reduce further production of sweat. 

However, antiperspirants can sometimes cause side effects such as rashes or skin irritation. 

Compared to Botox, antiperspirants are an affordable option. However, daily compliance is required for it to be effective.

Oral Medications

Anticholinergic drugs such as oxybutynin work by preventing the sweat glands from working. It can work well when combined with topical antiperspirants.

However, side effects may include dry mouth, dry eyes, blurring of vision, and abnormal heart rhythm. Furthermore, in people who stay in a hot climate, a reduction in sweating may impair the body’s ability to cool itself, thereby increasing one’s risk of heat stroke or heat injury.

Iontophoresis (No sweat Machine)

It is a home-based treatment that is only applicable to excessive sweating for the hands or feet. Unfortunately, it does not work well for the underarms.


Excision or laser removal of the sweat glands can be done as a day surgery treatment under anesthesia. 

Side effects include infection, loss of sensation in the underarms, and scarring.

Hand-held medical devices that destroy sweat glands

Specific to the underarms, FDA has approved hand held medical devices that emit electromagnetic energy that can destroy the sweat glands. 

However, this is a relatively new treatment option and more studies have to be done on its safety and efficacy. 

What are the advantages of Botox compared to other treatment options?

Botox for underarm hyperhidrosis is a quick, safe, and effective treatment with minimal discomfort. Each treatment session takes between 15 to 20 minutes and results typically last 4 to 6 months.

Compared to the application of topical antiperspirants or oral medications, undergoing botox injections twice a year is a more convenient option with a lesser chance of skin irritation or rashes.

Botox is also far less invasive than surgery with a lower risk of side effects. Botox for hyperhidrosis has minimal to no downtime whilst surgery usually requires 1 to 2 weeks for the wound to recover and heal. 


Botox is a well-studied treatment for excessive underarm sweating and is recommended for those who prefer to undergo treatment twice a year as compared to the daily cream application or oral medications.

Newer treatments for hyperhidrosis are on the horizon which makes this an exciting space!

Since the invention of botox which is primarily used to treat wrinkles, it has gained popularity over the last few years as a quick, safe, and effective treatment option to control excessive sweating (Hyperhidrosis). This article discusses all the pros and cons of botox for hyperhidrosis and explores whether it's an ideal treatment option for those seeking improvement for sweaty palms.

What are sweaty palms (palmar hyperhidrosis)?

It is normal for individuals to experience sweating over different areas of the body when exposed to heat, anxious or when exercising. However, in hyperhidrosis, individuals experience excessive sweating even without exposure to heat or strenuous activities. 

Excessive sweating can manifest in areas such as the underarms, back, chest palms and the soles of the feet. 

What causes hyperhidrosis?

The exact cause is unknown but may be related to an “overactive” sympathetic nervous system that overstimulates the sweat glands. Unfortunately, this is a process we have no voluntary control over.

Patients may notice worsening hyperhidrosis when they are stressed or emotional.

Impact of Sweaty Palms

Sweaty palms can have a negative impact on one’s social and professional life. 

For example, those with sweaty palms may feel awkward when shaking hands at events or holding hands with their loved ones. On a professional level, sweaty palms may even affect career prospects.

Treatment options for Hyperhidrosis

The broad categories include topical treatments with aluminum chloride, Botox, oral medications, Iontophoresis and Surgery.

Botox is usually the preferred treatment option because it is safe and effective with minimal downtime and little to no side effects.

How does Botox help Hyperhidrosis (sweaty palms)?

Botox treatment of hyperhidrosis is one of the most studied treatment options and is usually considered a first-line therapy. It works by blocking the release of a special chemical called acetylcholine in the nerves which is responsible for the overstimulation of sweat glands. Less acetylcholine = less sweat production.

It is administered in small injections over the targeted area and potentially there may be up to 25 injection points per palm (50 botox units per side).

Treatment results can vary between 4 to 9 months and potential side effects include bruising, discomfort during the injection, and reduced grip strength.

Comparing Botox to other common types of treatments for Hyperhidrosis

20% aluminum chloride hexahydrate is the recommended topical treatment (cream) for sweaty palms. It is applied every night to the affected areas and left on for at least 6 to 8 hours. It works by blocking the sweat glands. Potential side effects include skin irritation. Compared to botox, this method requires discipline as patients have to comply with a daily regime.

Iontophoresis is another type of treatment for palmar hyperhidrosis which involves submerging the palms into a tray of water and concurrently passing an electrical current through the water. Side effects include redness and tingling which are usually mild. The treatment has to be done 3 times a week and the mechanism of action is currently unknown.  application of an electrical current  

Other less common types of treatments include microwave therapy, local surgery, and sympathetic denervation.


Palmar hyperhidrosis or sweaty palms can be safely and effectively treated with Botox injections. Results last for between 4 to 9 months and are more convenient than options such as topical creams, iontophoresis, or oral medications. 

Slimming Your Legs with Botox Calf Treatment - Quick and Easy solution to achieve slimmer legs

Whilst Botox injection is a popular medical aesthetic treatment for the treatment of wrinkles such as the forehead and frown lines, it can also be used to slim bulky muscle groups such as the jaw, shoulder, or calves. 


Looking to slim down your legs? Botox calf treatment may be the answer for you! 

While most plastic surgeries for calf slimming target the removal of fat, this procedure focuses on reducing the muscular bulk and size of the calf muscle (gastrocnemius) to achieve a more desirable and attractive contour.

This minimally-invasive injectable procedure can help to slim and sculpt your legs, giving you nice slender legs.

How do Botox treatments slim the calf?

Botox calf treatment works by injecting botox into the calf muscles. Botox is a brand and type of botulinum toxin that when injected into a muscle, can block the signal transmission between the muscles and the nerves.

The blockage of this signal transmission along the nerves will reduce muscular activity. I.e it relaxes the muscle. Overtime, due to the decrease in muscular contraction, the muscle undergoes a process called disuse atrophy where the size of the muscle gradually shrinks. This process gives us the desired slimming effect. 

If you are interested in trying Botox calf reduction slimming treatment, be sure to consult with an experienced aesthetic doctor who will be able to discuss with you the ideal botox dosage and injection sites to achieve your calf slimming goals.

How long do the results of Calf Slimming Botox last for? 

Slimming results start to appear after 1 month and depending on the dosage and one’s lifestyle, results should last between 4 to 6 months on average.

Is Calf Slimming Botox safe?

Botox injections by an experienced qualified aesthetic doctor are both safe and effective. 

Numbing cream will be applied to the treatment area hence discomfort is minimal and may feel like small ant bites.

Sometimes after injections, there may be small areas of swelling or bruising. These will recover after 5 to 7 days.

Weakness of the legs when walking is extremely rare and usually is associated with an overdose of botox.

What makes Calf Slimming Botox treatments unique?

Botox treatments are becoming increasingly popular for those looking for non-surgical ways to slim their legs. The beauty of Botox is that it can be customized to each individual's needs, meaning that you can slim and sculpt certain parts of your legs by targeting specific portions of the muscle with botox.

One of the great things about Botox calf treatments is that they are relatively painless and have very few side effects. The treatment itself only takes 10 to 15 minutes, and you'll start to see results within 3 to 4 weeks.

If you're looking for a safe and effective non-invasive way to slim your legs, Botox calf treatments are definitely worth considering.

How do I know if I am a good candidate for a Botox calf slimming treatment?

If you are unhappy with the appearance of your legs, especially the calves, and would like to slim them down, you may be a good candidate for Botox calf treatment. Botox treatments can help to slim and sculpt the calves by reducing the size of the calf muscles. This can give the legs a more slender and toned appearance.

To be sure that you are a good candidate for the treatment, it is best to consult with an experienced doctor who can assess you and advise further during a consultation. They will be able to determine whether or not calf slimming Botox is ideal for you and if it can help you achieve the results you desire.


Botox calf treatment is both a safe and effective way to slim your legs and improve their appearance. By injecting Botox into the calves, you can reduce the size of the muscles, which will make your legs look thinner and more toned. 

One attractive point about this injectable procedure is that it is non-surgical and relatively painless, so you can achieve results without having to go through a lot of discomfort or downtime. 

If you are unhappy with the way your legs look, give Botox calf treatment a try – you might be surprised at how much difference it can make.

Case Information

In 2019, it was reported in the news that a lady passed away after receiving allegedly Botox in a medical clinic.

This was possibly the first reported Botox death case in Singapore and as such, it raised a number of eyebrows within the medical community because Botox has had a good safety profile and track record.

After further investigation, on 11th October 2022, it was further reported in the news that the lady suffered a cardiac arrest after injection of ethylenediaminetetraacetic acid (EDTA). There was no mention of Botox as the cause of death in the news report.

In summary, it was unlikely that Botox was the cause of death in this case.

Link to news article here

What is Botox?

Botox is a popular brand of neurotoxin in Singapore used by medical professionals to improve wrinkles and treat certain muscular conditions such as teeth grinding and eyelid spasm.

Botox stands for Botulinum Toxin and other brands exist in the market such as Dysport and Xeomin.

How does Botox work?

Botox mechanism of action works by blocking certain nerve signals that control muscle contraction and movement. This leads to the relaxation of muscles which reduces the appearance of unwanted wrinkles.

Botox can also help to slim certain muscle groups such as jaw slimming, shoulder slimming as well as calf slimming.

When injected in the underarms or palms, it can also help to reduce excessive sweating (hyperhidrosis).

Risks of Botox injections

Botox is a safe and effective treatment when performed by an experienced doctor.

Possible mild side effects and complications include:

Potential life-threatening complications are very rare and related to high doses of botox injections used to treat medical conditions such as cerebral palsy and cervical dystonia.

These severe side effects may manifest as:

Studies have reported the toxic dose for severe side effects to be more than 6 Botox Units per Kg.

Taking an average adult female to weigh 50kg, this translates to 300 units of Botox It is extremely unlikely that a patient will require close to 300 units of Botox for Aesthetic treatments.


In the hands of an experienced doctor, Botox injections are both safe and effective.

Severe side effects are extremely rare and are associated with very high doses of Botox.

How does the shoulder slimming process work?

Do you have bulky shoulders? Are you looking for a more slender neckline? Or a more contoured, slimmer shoulder silhouette? If so, shoulder slimming Botox is a safe and effective option that can be used to improve the appearance of your shoulders.   

Botox is an FDA-approved medical treatment that uses a special type of neurotoxin to relax and reduce muscular contraction. On the face, Botox can help to improve wrinkles such as forehead lines, frown lines and crows feet wrinkles.

Relaxation of the muscle using Botox also leads to the reduction of muscle size through a process known as disuse atrophy. Simply put, the more the muscle is used, the larger the muscle grows. When there is less usage of the muscle, the muscle will gradually shrink in size, thereby giving a slimming effect. 

One popular example is Jaw Slimming Botox whereby Botox is used to shrink the masseter (jaw) muscle to give a slimmer, V shaped face. 

For shoulder slimming, botox is injected into a muscle known as the trapezius. It is a large diamond shaped muscle that runs along the neck, shoulders, and upper back and is involved in neck and shoulder movement.

Who can get this treatment?

Botox is generally a safe and effective treatment. However, people who are pregnant or breastfeeding should not receive Botox injections. Additionally, those who have certain medical conditions should not get Botox treatments because they may be at an increased risk for side effects.

For those reasons, it's important to speak with your doctor before you make any decisions about getting Botox treatments. 

How long do results last for?

Shoulder slimming botox will last on average between 4 to 6 months, depending on the amount of botox injected as well as muscular activity.

For example, athletic individuals who exercise and frequently use the trapezius muscle (rock climbing for example) may find that botox results are not as long lasting.

Does it hurt?

Shoulder Botox injections are well tolerated and would only feel like small ant bites / pricks. An icepack will be applied to the area before each injection to reduce discomfort as well as swelling and bruising.

What side effects are there? 

Shoulder slimming botox is safe when injected by an experienced injector. Done correctly, it has minimal to no side effects.

Possible side effects include swelling and bruising in the area of injection which disappears after 5 to 7 days.

Weakness of neck and shoulder movement is rare and usually is a result of injecting too much botox.

How much botox is needed?

Depending on the size and shape of the trapezius muscle, Dr Edwin may inject between 50 to 60 units of botox for each shoulder in 5 to 6 injection points.

Larger, more hypertrophied muscles may require more botox or injection points.

One of the most common questions Dr Edwin receives for the treatment of wrinkles is – what is the best skincare ingredient to stimulate collagen to improve wrinkles? 

What are the differences between Botox vs Collagen Boosting treatments like Rejuran Healer or Profhilo? 

Which treatment is superior? 

Can they be done together? 

And finally, what one is right for you? This article will answer these questions and more.

What is the Difference Between Botox and Collagen Boosting Treatments?

Collagen is an essential component of the skin. It contributes to the skin’s elasticity, thickness, and texture. Simply put, the higher the levels of collagen in the skin, the younger the skin looks and the quicker the skin can bounce back after facial movement.

An example is a fresh rubber band. When you stretch and release it the first few times, it will return to its original shape. However, the more it is stretched, the looser the rubber band becomes and after a while, it is no longer able to retain its shape.

Hence, in babies and young children who have high levels of collagen in their skin, you will not see them having wrinkles even though they may scrunch up their faces when crying. However, it is common to observe facial wrinkles in those in their 50s and older because of the lower levels of collagen in their skin due to the aging process. Furthermore, repetitive facial movements accumulated over the years will worsen the appearance of wrinkles. 

As such, collagen boosting treatments serve to increase the amount of collagen in the skin to increase elasticity and improve the signs of aging such as wrinkles, fine lines, skin thinning and skin laxity.

Although Botox does not stimulate collagen production, Botox helps to improve wrinkles by blocking the transmission of nerve signals in the muscles. The decrease in muscle activity results in the improvement of wrinkles and fine lines in the face.

How does the Rejuran Healer Collagen Boosting Treatment work?

Rejuran Healer is made of Polynucleotides which are derived from salmon DNA. Polynucleotides are DNA fragments that help to repair damaged skin cells and stimulate collagen production by increasing the proliferation of fibroblasts. 

Studies have shown that Polynucleotides extracted from salmon DNA are very safe and compatible with human skin.

It is injected in a series of precise micro injections into the skin, covering the entire face. It can also be targeted at specific areas such as the undereye area for example. 

Rejuran healer treatments are recommended to be done once a month for three consecutive months for best results.

Learn more about Rejuran healer here https://edwinlimclinic.sg/aesthetic-treatments/rejuran-healer

Profhilo – Another Collagen Boosting Treatment

For patients who wish to stimulate collagen production and increase the skin’s hydration concurrently, Profhilo injections are highly recommended for such an indication. This is especially useful for people who have both wrinkles and fine lines because of dry aging skin.

Known as 逆時針 or “Time Reversing Injection”, Profhilo is the latest multi-purpose injectable treatment for skin rejuvenation, hydration and collagen stimulation.

Profhilo’s selling point is that it has one of the highest concentrations of Hyaluronic acid (HA) on the market - 64 mg in 2 mls. 

Each treatment only requires 5 injection points in each cheek, 10 points in total. Compared to Rejuran Healer which may have more than 30 injections, Profhilo is very well received by those who are not keen on too many injections.

Learn more about Profhilo at https://edwinlimclinic.sg/aesthetic-treatments/profhilo-treatment-singapore/

Should Botox or Collagen Boosting Treatments be done first?

Patients who desire quick results will find that Botox delivers faster wrinkle improvement for areas such as the forehead, frown lines, and crow's feet area.

Hence, for those on a short timeline, for example - brides getting married in 2 weeks would benefit more from Botox treatments to address those wrinkles mentioned above.

However, for wrinkles in areas such as the cheeks or jowls where botox is not recommended due to the risk of weakening important muscles of facial expression, collagen boosting treatments such as Rejuran Healer and Profhilo will be the treatment of choice. 


So which one is better? Botox or collagen boosting injections? In my opinion, both are crucial when it comes to anti-aging benefits and both treatments should be done together for the best anti-wrinkles results. 

In summary, increasing collagen levels in the skin whilst reducing facial muscle movement with Botox will be the most effective way in improving the appearance of wrinkles and fine lines. 

Before making a decision about whether to undergo Botox or collagen-boosting treatments, it's important to consult with a doctor who can help you determine if either option would be best for you.

botox vs fillers

Nowadays, many celebrities are turning to both fillers and Botox to enhance their features and keep their skin looking young. However, what are the differences between botox and fillers?
How do you choose between them? It can sometimes be challenging and confusing because of the wealth of information online when it comes to botox and fillers.
If you're wondering which one of these popular cosmetic procedures is the best for you, the answer might be – doing both concurrently. After all, botox and filler treatments are actually very different with little to no overlap in terms of their aesthetic benefits. In fact, when injected in a targeted area, both treatments produce very specific effects.

For example, forehead botox helps to improve forehead lines and wrinkles whereas forehead fillers help to smoothen out and enhance the contour of the forehead.

Find out in this article what each procedure entails and how they can help beautify your features and improve your appearance.

What are Botox and Fillers?

Botox (botulinum toxin) is an injectable treatment that improves wrinkles and fine lines by reducing the activity of the facial muscles. Muscular activity is reduced by inhibiting the transmission of impulses along the facial nerves. Botox can also give a slimming effect when injected into the jaw, shoulders, or calves.

Fillers (also known as injectables or injectable fillers) are substances that are injected into the skin to give volume to enhance facial features, fill up creases, skinfolds as well as areas that are hollow or sunke. There are many different types of fillers, with hyaluronic acid (HA) and poly caprolactone (PCL) fillers being the most common and popular types in Singapore.

Hyaluronic Acid (HA) Fillers: This is a popular filler because it is very versatile and can be injected in almost all the areas of the face, even delicate areas such as the undereye tear trough or lips. Different “hardness” of hyaluronic acid fillers can even be injected together for best results. Side effects may include minor bruising, swelling, and redness.
Poly Caprolactone (PCL) Fillers: PCL fillers such as Ellanse have recently gained popularity because it has an added benefit of stimulating collagen when compared to HA fillers. Hence, Ellanse can not only volumise the face, it can help with anti aging by simtulating collagen in the injected area.
How does Botox work?
Botox is a neurotoxin that works by impairing the conduction of nerve signals in the facial muscles. This decreases the activity of the underlying facial muscles. Simply put, lesser muscular contractions equate to lesser wrinkles.

How do Fillers work?

Regardless of the type of fillers, they work by occupying space, thereby giving a volumnising effect.
For example, chin fillers help to augment and enhance the appearance of the chin by adding volume to create a longer or more projected chin.
The famous “apple cheeks” can be achieved by injected fillers into the cheeks to increase its
volume, thereby enhancing the appearance of the cheek bones for the sought after apple cheeks.


What are the benefits of Botox?

The main benefit of botox is to improve the appearance of facial wrinkles. Common areas of
wrinkles that are targeted include forehead wrinkles, frown lines and wrinkles around the eyes.
Botox can also be used for jaw slimming for a more V shaped face, should contouring as well as
slimming of bulky calf muscles.
In rare cases, Botox can also help to relieve muscle spasms such as eyelid twitching.

What are the benefits of Fillers?

Fillers on the other hand, are not very useful for wrinkles. They are injections that are used to improve the appearance of facial features.

Common areas for filler injections include:

Forehead filler for a smoother, rounder, fuller forehead

Temple fillers for those with sunken temples either due to weight loss or aging

Cheek fillers to achieve the sought after “apple cheeks” or to enhance the definition of the cheek bone for the “high cheekbone model look”

Nasolabial fold (laughline) fillers for those with sagging cheeks that lead to the formation of deep laughline creases on the sides of the nose

Nose Fillers for a higher, sharper nose

Chin Fillers for a longer, more defined chin

Which is the best brand of Botox or Fillers?

Types of Botox brands available in Singapore include Botox, Dysport and Xeomin.
Some of the most popular filler brands include: Juvederm, Restylane, Belotero and Teosyal.
It is important to choose the correct “hardness” of filler for specific areas. For example, a chin filler should be “hard” whereas a lip fillers should be “soft”. Injecting a soft filler in the chin would cause poor results and injecting a hard filler into the lips would lead to the formation of lumps which is not ideal.


All the different brands of botox and fillers have their own advantages and disadvantages.
An experienced doctor will be able to advise you on which brand of botox or fillers is ideal for your skin type, and which would be best in helping to address your primary concerns to achieve your desired resul

Botox has many treatment uses over the years and lately, this trend has been gaining popularity - masseter muscle reduction with botox for jaw slimming. The masseter muscle is a small muscle in your jaw that controls various movements of your cheek, primarily focusing on chewing. This article talks about how this botox slimming treatment has come a long way and addresses some commonly asked questions about botox.

What is the Masseter Muscle?

The masseter muscle is a large muscle in the lower cheek that helps in the chewing movement. It is responsible for moving the mandible (lower jaw) upward and downward. On top of jaw slimming, botox injections into the masseter muscle can also be used to treat other conditions such as headaches, migraines, TMJ pain, and dental issues from teeth grinding (bruxism).

Why Would I Need a Botox Masseter Reduction?

Most people only think of botox as a treatment for wrinkles. Botox injections are a safe and effective way to reduce the appearance of facial wrinkles such as forehead and frown lines, or crow’s feet wrinkles. Botox works by relaxing the muscles that it is injected into. This relaxation allows reduces the appearance of wrinkles. 

On top of improving wrinkles, botox can also be used to reduce the muscle bulk of certain muscles in the body as such as the masseter muscle. The masseter muscle is responsible for chewing and mastication (the act of biting and breaking down food). Botox injections into the masseter muscle help to reduce its size and appearance, giving a more V shaped face.

How Does a Botox Masseter Reduction Work?

Botox is a medication that has been used to treat various types of wrinkles for many years. It is now being used more and more to treat masseter muscle problems such as jaw slimming, tension headaches or migraines stemming from TMJ pain. 

The botox injection works by reducing the activity of the targeted muscles. When muscles are more relaxed, they gradually undergo a process called disuse atrophy where its size gradually shrinks. 

When the muscle power is reduced, people will experience less clenching or grinding of their teeth, which improves dental health.  Less grinding also reduces inflammation at the jaw joint (TMJ), thereby reducing pain and discomfort for people who have TMJ inflammation

Getting Botox for Your Masseter Muscle

Botox for the masseter muscle is a popular procedure that has surged in demand over the years. When this muscle is used improperly or when there is too much muscle tension, it can cause pain and tension headaches. Botox injections into the masseter muscle can help to relieve these symptoms.

Botox injections should be administered by a qualified medical practitioner with experience in using botox for jaw slimming. In an experienced doctor’s hands, botox jaw injection is a safe and effective procedure.

If you are considering getting Botox for your masseter muscle, be sure to speak with your doctor about the best approach for you. There are many options available, so be sure to choose one that will provide the most relief for your symptoms.

How do you get the Best Results From a Botox Procedure?

To get the best results from your botox treatments, it is important to be aware of the key areas that you wish to treat. For example, is it for jaw slimming? Or, is the focus more on anti-aging and improving wrinkles? 

Once the treatment indication is clear, your doctor will formulate a treatment plan with you and advise you on the ideal dosage required based on the number of wrinkles or size of the muscle for example. 

After botox, it is important to avoid massaging or applying pressure to the treatment area. Dr Edwin also recommends avoiding applying make up or going for facials on the day of the injection. It is also best to avoid strenuous exercises or lying flat for 6 hours after botox.


Botox is a popular treatment for people who suffer from enlarged or overactive masseter muscles which are linked to various conditions such as headaches, tension headaches, and TMJ pain. Botox injection into the masseter muscle can help to alleviate these symptoms and improve cosmetic appearance by having a slimmer jawline. 

If you are considering this treatment for your masseter muscle, it is important to speak with an experienced doctor who can give you the best possible advice.

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