What Is Botox?
Botox is a purified protein derived from Botulinum Toxin Type A, a neurotoxin produced by the bacterium Clostridium botulinum. When injected in small, controlled doses by a trained medical professional, Botox temporarily relaxes facial muscles that cause wrinkles and fine lines.How Botox Works
- Injection into targeted muscles — Using a very fine needle
- Blocks nerve signals to those muscles
- Muscles relax and stop contracting
- Overlying skin smooths out as muscles rest
- Wrinkles soften and fade within 3-7 days
- Results last 3-6 months before muscles gradually regain movement
What Can Botox Treat?
Botox is FDA-approved and highly effective for treating:-
Forehead Lines (Horizontal Wrinkles)
- What: Horizontal lines across the forehead when you raise eyebrows
- Cause: Overactive frontalis muscle
- Units needed: 15-20 units
- Price: NRs 7,500 – 10,000
-
Frown Lines (Between Eyebrows / Glabellar Lines)
- What: Vertical “11 lines” between eyebrows when you frown
- Cause: Corrugator and procerus muscles
- Units needed: 10-20 units
- Price: NRs 5,000 – 10,000
-
Crow’s Feet (Lines Around Eyes)
- What: Fine lines radiating from outer corners of eyes when you smile or squint
- Cause: Orbicularis oculi muscle
- Units needed: 15-20 units (both sides)
- Price: NRs 7,500 – 10,000
-
Masseter Muscle (Jawline Slimming)
- What: Reduce square jaw appearance, slim face shape
- Cause: Enlarged masseter muscles (teeth grinding, genetics)
- Units needed: 25-40 units per side
- Price: NRs 12,500 – 20,000
Botox Price in Nepal — Complete Breakdown
At Aakar Dermatology, we offer transparent, competitive pricing: Per Unit Price: NRs 500| Treatment Area | Units Needed | Total Price (NRs) |
| Between Eyes (Frown Lines) | 10 units | 5,000 |
| Forehead Lines | 15-20 units | 7,500 – 10,000 |
| Crow’s Feet (Both Eyes) | 15-20 units | 7,500 – 10,000 |
| Masseter (Jawline Slimming) | 25-40 units per side | 12,500 – 20,000 |
Popular Combination Packages:
Full Upper Face (Forehead + Frown + Crow’s Feet):- Units: 40-50 units
- Price: NRs 20,000 – 25,000
- Areas: Forehead + Between Eyes
- Units: 25-30 units
- Price: NRs 12,500 – 15,000
- Areas: Forehead + Frown Lines + Crow’s Feet
- Units: 40-50 units
- Price: NRs 20,000 – 25,000
- Areas: Masseter + Forehead + Frown Lines
- Units: 45-60 units
- Price: NRs 22,500 – 30,000
Benefits of Botox Treatment
Immediate Benefits:
- Smooths wrinkles and fine lines — Visible results in 3-7 days
- Prevents new wrinkles from forming — Muscles stay relaxed
- Natural-looking results — Not frozen, just refreshed
- No downtime — Return to work immediately
- Quick procedure — 10-20 minutes per session
- Minimal discomfort — Tiny needles, brief pinching sensation
Long-Term Benefits:
- Delays signs of aging — Regular treatments prevent deep wrinkles
- Reduces need for surgery — Non-invasive alternative
- Boosts confidence — Look as young as you feel
- Customizable — Treat only areas that concern you
- Reversible — Effects wear off if you stop treatments
Additional Benefits:
- Treats medical conditions — Excessive sweating, migraines, TMJ
- Slims facial contours — Masseter reduction creates V-line face
- Lifts eyebrows — Subtle brow lift effect
- Reduces oil production — Can decrease forehead oiliness
Botox Treatment Process: What to Expect
Step 1: Consultation (15-20 minutes)
Dr. Rajan Tajhya will:- Assess your facial anatomy and muscle movement
- Discuss your aesthetic goals and concerns
- Examine your skin quality and wrinkle depth
- Recommend treatment areas and units needed
- Explain realistic expectations and results timeline
- Review medical history and contraindications
- Answer all your questions
Step 2: Preparation (5-10 minutes)
Before injection:- Face is cleansed to remove makeup and oils
- Treatment areas are marked
- Ice pack may be applied for comfort (optional)
- Photos are taken (with consent) for before/after comparison
Step 3: Injection (10-20 minutes)
During treatment:- Dr. Tajhya identifies injection points — Strategic locations for optimal results
- Fine needle injects small amounts of Botox into targeted muscles
- Multiple injection points per area (3-10 points depending on area)
- Slight pinching sensation — Most patients describe it as “tiny mosquito bites”
- Entire process takes 10-20 minutes
Step 4: Post-Treatment Care (Immediate)
Right after injection:- Gentle massage may be applied to distribute product evenly
- Ice pack applied if needed for any redness
- Post-care instructions provided
- You can leave immediately — no recovery time
Step 5: Results Timeline
Day 1-2: No visible changes yet Day 3-5: Beginning to notice muscle relaxation Day 7-10: Full results visible — maximum smoothing Week 2: Optimal results achieved Months 3-4: Results still strong Months 4-6: Gradual return of muscle movement Follow-up appointment at 2 weeks to assess results and add touch-ups if needed (rare).How Long Does Botox Last?
Typical duration: 3-6 months
Factors affecting longevity:Longer lasting (5-6 months):
- First-time treatment areas
- Masseter muscle injections
- Older patients with less muscle mass
- Regular maintenance (muscles “learn” to relax)
Shorter lasting (3-4 months):
- Very active facial expressions
- High metabolism
- Frequent exercise
- Younger patients with strong muscles
Is Botox Safe?
Yes, Botox is extremely safe when administered by qualified medical professionals.- Safety Record:
- FDA-approved since 2002 (cosmetic use)
- Used since 1980s for medical conditions
- Millions of treatments performed worldwide annually
- Extensively studied — decades of research
- Temporary effects — wears off naturally
- Localized action — doesn’t spread throughout body
Common, Temporary Side Effects:
Normal reactions (resolve in 24-48 hours):
- Mild redness at injection sites
- Small bumps (like mosquito bites) — fade quickly
- Slight bruising (rare, <5% of patients)
- Mild headache (uncommon)
- Temporary eyelid or eyebrow drooping (rare, <1-2%)
Serious Side Effects (Extremely Rare):
When performed by untrained providers or with improper technique:- Prolonged drooping
- Asymmetry
- Difficulty swallowing (if neck injected improperly)
- Vision problems (if too close to eye muscles)
Who Should NOT Get Botox:
- Pregnant or breastfeeding women
- Active skin infection at injection site
- Allergy to botulinum toxin or ingredients
- Neuromuscular disorders (myasthenia gravis, ALS)
- Taking certain antibiotics or blood thinners (consult doctor)
Pre-Treatment Instructions
To ensure best results and minimize bruising:1 Week Before:
- Avoid blood thinners (if medically safe):
- Aspirin
- Ibuprofen (Advil, Motrin)
- Vitamin E supplements
- Fish oil
- Alcohol (2 days before)
- Stay hydrated — Drink plenty of water
- Eat healthy foods — Support healing
- Avoid waxing or peeling on treatment areas
Day of Treatment:
- Come with clean face — No makeup
- Arrive well-rested — Get good sleep
- Eat a light meal — Prevents lightheadedness
- Bring questions — Discuss any concerns
Post-Treatment Care Instructions
Proper aftercare ensures optimal results:First 4-6 Hours:
- Stay upright — Don’t lie down or bend over
- Avoid touching or massaging treated areas
- No exercise or strenuous activity
- No heat exposure — Saunas, hot yoga, hot showers
- No alcohol — Increases bruising risk
- Gentle facial expressions — Let Botox settle
First 24 Hours:
- Sleep with head elevated — Use extra pillow
- Avoid facials or massages
- No makeup for 4-6 hours (then okay)
- Skip gym or intense workouts
- Avoid swimming or hot tubs
- No dental work or facial treatments
First Week:
- Continue normal skincare (gentle products)
- Use sunscreen — Protect skin
- Avoid facials with deep massage
- No laser or RF treatments on face
- Be patient — Results take 3-7 days
Long-Term:
- Schedule follow-up at 2 weeks if needed
- Plan next treatment at 3-4 months
- Maintain healthy skin — Moisturize, sunscreen
Botox vs. Other Wrinkle Treatments — What’s Best for You?
At Aakar Dermatology, we offer multiple anti-aging treatments. Here’s how to choose:Botox (NRs 500 per unit)
Best for: Dynamic wrinkles (forehead, frown, crow’s feet) How it works: Relaxes muscles causing wrinkles Results: 3-7 days, lasts 3-6 months Downtime: None Best for: Expression lines, wrinkle preventionDermal Fillers (NRs 35,000-50,000)
Best for: Volume loss, static wrinkles, lips, cheeks How it works: Adds volume beneath skin Results: Immediate, lasts 6-18 months Downtime: 1-2 days (minor swelling) Best for: Deep folds, hollows, lip enhancementSkin Boosters (NRs 35,000-50,000)
Best for: Skin hydration, fine lines, texture How it works: Injects hyaluronic acid for deep hydration Results: 2-3 weeks, lasts 6-12 months Downtime: 1-2 days Best for: Dry skin, overall glow, fine texturePRP Microneedling (NRs 6,000)
Best for: Overall skin rejuvenation, scars How it works: Stimulates collagen with your own platelets Results: 3-4 weeks, lasts 12+ months Downtime: 1-2 days Best for: Texture improvement, natural approachCO2 Laser (NRs 6,000-8,000)
Best for: Deep wrinkles, severe sun damage, scars How it works: Resurfaces skin, stimulates collagen Results: 2-4 weeks, long-lasting Downtime: 5-7 days Best for: Significant texture issues, aggressive treatmentMNRF (NRs 10,000)
Best for: Moderate wrinkles, skin tightening How it works: Microneedling + radiofrequency for collagen Results: 4-8 weeks, lasts 12-18 months Downtime: 2-4 days Best for: Overall tightening, moderate concernsHIFU (High-Intensity Focused Ultrasound)
Best for: Skin lifting, deep tissue tightening How it works: Ultrasound energy lifts and tightens deep layers Results: 2-3 months, lasts 12-18 months Downtime: None Best for: Jowls, neck, non-surgical faceliftMeso Microneedling (NRs 7,000)
Best for: Hydration, fine lines, glow How it works: Delivers serums via microneedling Results: Immediate glow, cumulative benefits Downtime: 1 day Best for: Maintenance, pre-event glowCombination Approach (Recommended):
Best results often come from combining treatments: For Comprehensive Anti-Aging:- Botox (expression lines) + Fillers (volume) + Skin Boosters (hydration)
- Botox (muscle relaxation) + CO2 Laser (resurfacing)
- Botox (prevention) + PRP Microneedling (collagen)
- Botox (upper face) + HIFU (lower face/neck)
Why Choose Aakar Dermatology for Botox in Nepal?
-
Expert Injector — Dr. Rajan Tajhya
- M.B.B.S. from Kathmandu University
- Specialized Dermatology from Tribhuvan University (2010)
- Certified in LASER and advanced aesthetics
- Extensive training in facial anatomy and injection techniques
- Hundreds of successful Botox treatments
- Natural-looking results, not “frozen” faces
- Conservative approach — can always add more, can’t remove excess
- Personalized treatment plans
- Honest about realistic expectations
-
Authentic, FDA-Approved Botox
- Genuine Botox from Allergan (not generic alternatives)
- Properly stored — Temperature-controlled
- Fresh product — Short shelf life after reconstitution
- Sterile technique — Highest safety standards
-
Transparent, Competitive Pricing
- NRs 500 per unit — Clear, upfront pricing
- No hidden fees — What you see is what you pay
- Detailed breakdown before treatment
- Value for money — Expert injections at fair prices
-
Safe, Comfortable Environment
- Medical-grade clinic in Pulchowk, Lalitpur
- Sterile equipment — Single-use needles
- Private treatment rooms
- Professional, friendly staff
-
Comprehensive Aesthetic Services
- Full range of treatments — Botox, fillers, lasers, RF, PRP
- Combination therapy options
- Long-term skin health focus
- Maintenance programs
Real Results: What Patients Can Expect
Week 1 (Immediately After):
- Slight redness at injection sites (fades in hours)
- Normal facial expressions still present
- No visible changes yet
Week 2 (3-7 Days Post):
- Muscles begin relaxing
- Wrinkles start softening
- Subtle but noticeable improvement
Week 3 (7-14 Days Post):
- Full results visible
- Maximum wrinkle smoothing
- Natural, refreshed appearance
Month 2-3:
- Peak results
- Smooth, line-free skin in treated areas
- Natural movement maintained
Month 4-6:
- Gradual return of muscle movement
- Wrinkles slowly reappear
- Time for next treatment
Book Your Botox Consultation Today
Ready to look as young as you feel? Start your rejuvenation journey with Aakar Dermatology. Whether you’re exploring Botox for the first time or seeking a trusted provider, Dr. Rajan Tajhya will guide you toward natural, beautiful results.Contact Aakar Dermatology
📞 Call or WhatsApp: +977 9813903982 📍 Location: Himalayan Java Building, 3rd Floor, Damkal Marg, Pulchowk, Lalitpur 44600 🌐 Website: aakardermatology.com 💰 Pricing: NRs 500 per unit | Treatment areas from NRs 5,000 Free consultation available. Schedule yours today!Frequently Asked Questions
At Aakar Dermatology, Botox costs NRs 500 per unit. Treatment areas range from NRs 5,000 to 20,000 depending on location:
- Frown lines (between eyes): NRs 5,000 (10 units)
- Forehead: NRs 7,500-10,000 (15-20 units)
- Crow’s feet: NRs 7,500-10,000 (15-20 units)
- Masseter (jaw slimming): NRs 12,500-20,000 (25-40 units)
Botox injections are minimally uncomfortable. Most patients describe a brief pinching or stinging sensation, like a tiny mosquito bite. The needles are extremely fine, and the entire procedure takes only 10-20 minutes. No numbing cream is typically needed.
Botox begins working in 3-5 days, with full results visible at 7-10 days. The treated muscles gradually relax as the product takes effect. Peak results appear at 2 weeks. Patience is important — results are NOT immediate.
Botox typically lasts 3-6 months depending on metabolism, muscle strength, and treatment area. Masseter injections often last longer (5-6 months). With regular treatments every 3-4 months, muscles may “learn” to relax, potentially extending duration.
No, when administered correctly, Botox looks completely natural. You maintain normal facial expressions while dynamic wrinkles are reduced. The “frozen” look only occurs with excessive units or poor injection technique. Dr. Tajhya uses conservative dosing for natural results.
Yes! Botox is highly effective for wrinkle prevention, especially when started in your late 20s or early 30s. By relaxing muscles before deep wrinkles form, you can significantly delay visible signs of aging. Many patients use “preventative Botox” to maintain smooth skin.
Most patients start between 28-35 years for prevention, or 35-50 years for correction. There’s no “perfect” age — it depends on when you notice lines that bother you. Some start earlier for prevention, others wait until wrinkles deepen. Consult Dr. Tajhya to assess your needs.
Absolutely! “Botox” (Botox for men) is increasingly popular. Men often request forehead, frown, and masseter treatments. Men typically need higher units due to stronger facial muscles. Results are tailored to maintain masculine features while reducing signs of aging.
No, Botox is not recommended during pregnancy or breastfeeding. While no studies show harm, insufficient research exists to confirm safety. Wait until after pregnancy and breastfeeding to resume treatments. Your health and baby’s safety come first.
For the first 4-6 hours: Stay upright, don’t touch your face, avoid exercise. For 24 hours: No lying down, heat exposure, alcohol, or intense workouts. For 1 week: Avoid facials, massages, or other facial treatments. Following these instructions ensures optimal results and prevents migration.
Complications are rare (<2%) when performed by qualified professionals. Possible issues include temporary drooping, bruising, or asymmetry — all reversible and treatable. Choosing an experienced injector like Dr. Tajhya significantly minimizes risks. Always verify credentials before treatment.
Average units by area:
- Forehead: 15-20 units
- Between eyes (frown): 10-20 units
- Crow’s feet: 15-20 units (both sides)
- Full upper face: 40-50 units
- Masseter (jaw): 25-40 units per side
Your exact needs depend on muscle strength and treatment goals.
Yes! Botox combines excellently with:
- Dermal fillers (same day)
- Skin boosters (same day)
- PRP (2 weeks apart)
- Laser treatments (2 weeks apart)
- HIFU (same day or staged)
Combination treatments address multiple aging concerns comprehensively.
Botox relaxes muscles to smooth dynamic wrinkles (expression lines). Fillers add volume to fill static wrinkles, enhance features, and restore lost volume. Botox treats movement-related wrinkles; fillers treat structural volume loss. Most patients benefit from both.
