Botulinum Toxin Treatments
Botulinum Toxin Type A is a highly purified protein that temporarily blocks nerve-to-muscle signal transmission.
Our real botulinum toxin injection cases in Nanjing
The following are treatment records performed personally by our physician at our Nanjing clinic, covering dynamic wrinkle smoothing, masseter slimming, and jawline contouring. All Before & After images are unretouched clinical photographs. All clients have signed a written Media Release Form. Individual results vary based on muscle strength, skin condition, and treatment compliance.
Case 1 · Forehead Lines (Dynamic Wrinkles) · Low-Dose Frontalis Injection
- Client profile
- Asian female · Overactive frontalis muscle
- Areas of concern
- Prominent horizontal forehead lines when raising eyebrows
- Treatment plan
- Low-dose multi-point frontalis injection (preserving natural brow elevation)
- Treatment outcomes
- Dynamic wrinkles smoothed · Natural expressions preserved, no frozen look
- Maintenance
- 3–4 Months; schedule a touch-up when effects diminish to 50–60%
Case 01: Botulinum toxin as the first choice for dynamic forehead lines — preserving natural brow lift is key · Led by our physician
Case 2 · Masseter Hypertrophy · Facial Slimming Injection
- Client profile
- Asian female · Prominent masseter muscles · Square jawline
- Areas of concern
- Wide lower face, bruxism
- Treatment plan
- Bilateral masseter injection (facial slimming + bruxism relief)
- Treatment outcomes
- Softer jawline contour · Smaller-looking facial shape
- Maintenance
- After long-term treatment with masseter atrophy, frequency can be reduced to 1–2 times per year
Case 02: Masseter slimming with concurrent bruxism improvement — results appear over 4–6 weeks · Led by our physician
Case 3 · Jawline Definition · Masseter + Contour Sculpting
- Client profile
- Asian female · Undefined lower facial contour
- Areas of concern
- Undefined jawline contour
- Treatment plan
- Masseter slimming + Platysma Nefertiti lift
- Treatment outcomes
- More defined jawline · Overall more refined appearance
- Maintenance
- 3–4 Months, with touch-ups as needed
Case 03: Botulinum toxin contouring requires integration of anatomy and aesthetic design · Led by our physician
Case 4 · Marionette Lines · Combined Botulinum Toxin + Dermal Filler
- Client profile
- Asian female · Downturned corners of the mouth
- Areas of concern
- Marionette lines (mixed dynamic and static)
- Treatment plan
- Depressor anguli oris treated with botulinum toxin to eliminate muscle pull + hyaluronic acid to precisely fill the static crease
- Treatment outcomes
- Corners of the mouth lifted · Creases reduced
- Maintenance
- Botulinum toxin: 3–4 months / Hyaluronic acid filler: 12–18 months
Case 04: Mixed dynamic and static lines require a combined botulinum toxin + dermal filler approach · Led by our physician
Why choose Luowei Medical Aesthetics Clinic for Botox injections in Nanjing
Botulinum toxin is not “How many injections” It’s not that simple. Dosage, injection points, muscle mechanics, and aesthetic design determine whether you end up looking “Naturally youthful” Or “Frozen, mask-like appearance”. Our approach is built on physician-led dosing, all four major brands available on-site, and deep expertise in Asian facial anatomy.
All four major brands available
NMPA All NMPA-registered brands — Botox / Dysport / Xeomin / Letybo — are available at our clinic. Our physician selects the appropriate product based on your treatment history, antibody risk, and area-specific needs, rather than “Only one type”.
Physician-led dosing
Dosage and injection points are individually designed by our physician based on your muscle strength and facial dynamics, with a focus on natural balance rather than a one-size-fits-all unit count.
Expertise in Asian facial anatomy
Asian masseter muscles, facial bone structure, and expression habits differ from those of Western patients. Our physician designs facial slimming and wrinkle treatment plans specifically for Asian faces.
Authentic products + sterile technique
Only NMPA-registered authentic products are used, with strict sterile technique throughout, eliminating the risk of unverified product sources.
Mandarin consultations with real-time interpreter devices
Consultations are conducted in Mandarin, with real-time interpretation into English and other languages through professional translation devices, ensuring clear communication of treatment goals and expectations.
- NMPA 4 major botulinum toxin brands authorized— Botox / Dysport / Xeomin / Letybo
What is botulinum toxin injection?
Botulinum Toxin Type A is a highly purified protein that temporarily blocks nerve-to-muscle signal transmission, reducing muscle activity to smooth dynamic wrinkles caused by repeated facial expressions. It is also used for masseter slimming, shoulder slimming, hyperhidrosis, and more — making it the non-surgical gold standard for dynamic wrinkles and facial contouring.
Botulinum toxin acts on the neuromuscular junction, blocking acetylcholine release so overactive muscles relax. It is most effective for dynamic wrinkles— lines that appear with expression — allowing a more refreshed, rested look while preserving natural facial movement.
Beyond cosmetic applications, botulinum toxin can also treat hyperhidrosis, bruxism (masseter), tension headaches, and muscle spasms — a safe and versatile option when administered by a licensed physician.
Key points
- Formulation components Botulinum toxin type A (highly purified protein)
- Mechanism Blocking neuromuscular signals and relaxing targeted muscles
- Best suited for Dynamic wrinkles (frown lines / forehead lines / crow’s feet) + facial slimming
- Onset of effect 3–7 Days, reaching peak effect at approximately 2 weeks
- Maintenance 3–4 Months (facial slimming results may last longer with ongoing treatment)
- Downtime Virtually none; normal activities can be resumed immediately
How to choose among the four major brands?
| Brand | Characteristics | Unit conversion |
|---|---|---|
| Botox® | The long-established type A product; the reference most clinical dosing is described against | 1:1 reference |
| Dysport® | Wider field of diffusion, which can suit larger muscle areas | 2.5–3:1 |
| Xeomin® | Formulated without complexing proteins | ≈1:1 |
| Letybo® | ≈1:1 |
Units are not interchangeable between brands. Dosing is decided by the treating physician for each product and each muscle.
Selection should be based on your treatment history, the physician’s assessment, and long-term antibody risk — not on which product is cheapest.
How botulinum toxin injections work and what to expect
Botulinum toxin is injected precisely into the target muscle to block nerve signals and relax the muscle, smoothing dynamic wrinkles or reducing hypertrophic muscles (masseter / platysma). The key lies in individualized dosage and injection point design.
Consultation & Dynamic Expression Assessment
Our physician assesses your dynamic expressions, muscle strength, and facial symmetry to determine which lines are dynamic, which require combination filler treatment, and to design the injection points and dosage accordingly.
Brand and dosage selection
Brand selection — Botox / Dysport / Xeomin / Letybo — and unit dosage are determined based on your treatment history, antibody risk, and target area. Dysport may be preferred for broader diffusion needs; Xeomin for clients with long-term antibody concerns.
Precise micro-dose injection
Ultra-fine needles are used for multi-point injections with minimal discomfort (topical numbing cream is available upon request). A single treatment session is typically completed in 10–20 minutes.
Gradual onset of effect
3–7 Results begin to appear within a few days and reach optimal effect at approximately 2 weeks. Muscle-reduction results such as facial slimming or shoulder slimming develop gradually over 4–6 weeks.
Follow-up & Touch-up Timing
Dynamic wrinkle treatment should be touched up when effects have diminished to 50–60%, to prevent lines from “Restore / reset” From becoming permanent; facial slimming treatment frequency can be gradually reduced after long-term treatment.
Why “Not frozen” Depends on the physician
“Frozen face / facial paralysis appearance” Almost always Excessive dosage or incorrect injection placement Caused by. What our physician pursues is Natural balance— Smoothing lines while preserving essential facial muscle movement.
Starting with a conservative dose
Better to start conservatively and refine at follow-up than to over-treat in a single session
Preserving facial expressions
Preserving essential brow movement and micro-expressions to avoid a frozen appearance
Symmetrical design
Injection points individualized to your facial symmetry and habitual expressions
Botulinum toxin brands available at our Nanjing clinic
Every product below is a botulinum toxin type A injection, but they differ in formulation, diffusion and unit systems. Which one suits you depends on the muscle being treated, your previous response, and the physician’s assessment — not on price.
Botox®
The most widely studied type A product and the dosing reference for the category. Suitable across facial expression lines and muscle-led contouring.
See the Botox® page
Dysport®
A wider field of diffusion that can suit broader muscle areas such as the forehead or trapezius.
See the Dysport® page
Xeomin®
Formulated without complexing proteins. Often discussed for patients with a long treatment history.
See the Xeomin® page
Wondering about Boey®, the first type E botulinum toxin authorized in China? It is approved but not yet on the market, so no Chinese clinic can offer it today — including us. We set out the regulatory facts and what the type E profile actually means in Boey in China.
Am I a good candidate for botulinum toxin?
Most adults are suitable candidates; however, suitability, brand selection, and dosage must be assessed by our physician in a consultation to evaluate your muscle strength and any contraindications.
You are a suitable candidate for treatment if…
- Have dynamic wrinkles such as frown lines, forehead lines, or crow’s feet
- Masseter hypertrophy / square jawline seeking facial slimming
- Have a habit of teeth grinding or jaw clenching
- Trapezius hypertrophy seeking shoulder slimming / neck lines
- Axillary / palmar hyperhidrosis
- Seeking fast results with minimal downtime
Treatment is not recommended if any of the following apply…
- Pregnancy / breastfeeding
- Neuromuscular disorders (myasthenia gravis, Lambert-Eaton syndrome)
- Active infection at the injection site
- Allergy to any component of the botulinum toxin formulation
- Currently taking aminoglycoside antibiotics or other medications that affect neuromuscular signalling
Dynamic wrinkles vs. static wrinkles × Recommended treatments
| Wrinkle type | Presentation | Recommended |
|---|---|---|
| Dynamic wrinkles | Appears with expression, disappears afterward | Botulinum toxin preferred |
| Static wrinkles | Present at rest, deep fold-like | Hyaluronic acid filler preferred |
| Mixed wrinkles | Deep dynamic + shallow static | Botulinum toxin + hyaluronic acid filler combination |
Botulinum toxin treatment plan design
Every treatment plan is personally designed by our physician — including brand selection, dosage, injection points, and maintenance schedule.
Complimentary consultation and dynamic expression assessment
30 Minute consultation to assess dynamic wrinkles, muscle strength, and whether combination filler treatment is indicated.
Brand / dosage individualization
Select Botox / Dysport / Xeomin / Letybo and determine unit dosage; design injection points.
2 Week follow-up for touch-up refinement
First-time patients should return for a follow-up 2 weeks after treatment for any necessary touch-up adjustments.
Regular maintenance
Dynamic wrinkle maintenance every 3–4 months; facial slimming frequency can decrease over time with long-term treatment.
Maintenance and touch-up schedules for different indications
| Uses | Onset of effect | Touch-up schedule |
|---|---|---|
| Dynamic wrinkles (frown lines / forehead lines / crow’s feet) | 3–7 days | Schedule a touch-up when results have diminished to 50–60% |
| Masseter slimming | 4–6 weeks | Initially every 3–4 months; after long-term treatment, 1–2 times per year |
| Shoulder slimming (trapezius) | 2–4 weeks | Every 4–6 months |
| Hyperhidrosis | 3–7 days | Every 4–6 months |
Indications that botulinum toxin can address
From facial dynamic wrinkles to facial slimming, shoulder slimming, and hyperhidrosis, botulinum toxin is one of the most versatile injectable treatments available.
Frown lines / glabellar lines
The primary dynamic wrinkle of the corrugator supercilii — a classic indication for botulinum toxin.
Maintenance every 3–4 months
Forehead lines
Horizontal dynamic lines of the frontalis muscle — natural brow elevation must be preserved.
Maintenance every 3–4 months
Crow’s feet
Dynamic wrinkles around the eyes; micro-dose injection preserves a natural, expressive gaze.
Maintenance every 3–4 months
Masseter slimming
Reducing hypertrophic masseter muscles, softening a square jawline, and alleviating bruxism.
4–6 Weeks to take effect
Shoulder slimming / trapezius
Relaxing hypertrophic trapezius muscles for a more elongated neck and shoulder profile.
Every 4–6 months
Nefertiti Jawline lifting
Platysma injection to tighten the mandibular border and define the jawline.
Every 3–4 months
Hyperhidrosis
Axillary / palmar injection to significantly reduce sweating.
Every 4–6 months
Marionette lines / corners of the mouth
Depressor anguli oris botulinum toxin + hyaluronic acid filler combined to lift the corners of the mouth.
Combination treatment
Indications × Detailed recommended treatment table
| Indications | Treatment plan | Schedule |
|---|---|---|
| Frown lines / forehead lines / crow’s feet | Micro-dose injection into the corresponding expression muscles | Every 3–4 months |
| Masseter slimming | Bilateral masseter injection | Initially every 3–4 months / long-term: 1–2 times per year |
| Shoulder slimming | Trapezius injection | Every 4–6 months |
| Hyperhidrosis | Axillary / palmar grid-pattern injection | Every 4–6 months |
| Marionette lines / downturned corners of the mouth | Botulinum toxin + hyaluronic acid filler combination | Combined maintenance |
Pre-treatment instructions · Injection process · Post-treatment care
Downtime after botulinum toxin treatment is virtually zero, but following post-care instructions in the first 24 hours helps prevent unwanted diffusion and bruising.
Pre-treatment preparation
- Avoid aspirin, fish oil, and other blood-thinning supplements for 1 week before treatment to reduce bruising risk (follow physician’s advice)
- Avoid scheduling treatment the day before an important event (in case of temporary redness or bruising)
- Disclose all current medications, allergy history, and any neuromuscular disease history
- Consultation to confirm dynamic vs. static wrinkles and brand selection
During the injection process
- Ultra-fine needle multi-point injection with minimal discomfort
- Topical numbing cream available upon request
- Single session completed in 10–20 minutes
- Mild redness or small bumps may appear (resolve shortly after treatment)
Post-treatment care
- 24 Do not rub or press the injection sites for several hours (to prevent diffusion into unintended muscles)
- Remain upright for 4–6 hours after injection; avoid bending forward or lying down
- 24 Avoid strenuous exercise, saunas, and high-heat environments for several hours after treatment
- Avoid facial massage or aesthetic devices on the day of treatment
Onset and peak effect timeline
| Timeline | Condition |
|---|---|
| D0 (On the day of treatment) | Mild redness or needle marks may occur; normal activities can be resumed. Follow 24-hour post-care instructions. |
| D3–D7 | Dynamic wrinkle results begin to appear |
| D14 | Reach optimal results; first-time patients return for a follow-up touch-up |
| 4–6 weeks | Facial slimming / shoulder slimming muscle atrophy results become visible |
| 3–4 months | When dynamic wrinkle results have diminished to 50–60%, it is time to enter the touch-up window |
Advantages of botulinum toxin treatment
Fast, precise, controllable, and with minimal downtime — yet whether the result looks natural still depends entirely on the physician’s dosing and design.
Gold standard for dynamic wrinkles
The most effective non-surgical solution for expression lines.
Minimal downtime
Normal activities can be resumed immediately after injection.
Fast-acting results
3–7 Results appear within days, peaking at 2 weeks.
Controllable and reversible
Results naturally fade as the product metabolizes — no permanent changes.
Versatile / multi-purpose
Full coverage for wrinkle treatment / facial slimming / shoulder slimming / hyperhidrosis.
4 Brand options available
Product selection individualized based on treatment history and antibody risk.
Can be combined
Works synergistically with hyaluronic acid fillers and laser treatments for more comprehensive anti-aging results.
Preventing lines from becoming permanent
Regular treatment helps prevent dynamic wrinkles from becoming permanent static lines.
Comparative characteristics of the four major brands
| Brand | Technical characteristics | Best suited for | Antibody risk |
|---|---|---|---|
| Botox | Allergan Classic complexing protein formulation | Broad-spectrum, suitable for first-time treatment | Low |
| Dysport | Strong diffusion profile | Large areas (forehead / hyperhidrosis) | Low |
| Xeomin | Purified bare molecule (no complexing proteins) | Long-term use / concerns about resistance | Lowest |
| Letybo | Cost-effective treatment options | Low |
Why trust Luowei Medical Aesthetics Clinic for your botulinum toxin injections?
Google's E-E-A-T framework evaluates medical content across four dimensions. The following are the specific credentials supporting every claim on this page.
Real-world clinical experience
- Covering dynamic wrinkles / facial slimming / shoulder slimming / hyperhidrosis
- Complete photographic records maintained for every patient
- Expertise in facial anatomy and muscle dynamics
- Experience with dosage conversion across all four major brands
- Every medical claim on this page is anchored to a named, clickable source — see Evidence & references below
Transparent and verifiable
- Only NMPA-registered authentic products used
- Informed consent form signed at each treatment session
Same product, different outcomes — the difference lies in dosage and design
Botulinum toxin products are highly standardized; what truly makes the difference in outcomes is Injection point placement, dosage, and an understanding of facial dynamics. Too much product causes stiffness; incorrect injection points cause asymmetry; choosing the wrong brand can increase long-term antibody risk.
Our physician is an, providing injection training to fellow physicians — Our clinical expertise in dosing and treatment design is precisely what “Natural, not frozen” As assurance.
Botulinum toxin pricing · Payment options
Pricing depends on the number of units used, injection area, and product brand.A customized quote will be provided by our physician following a complimentary 30-minute consultation.
Priced by area / unit count · Price varies by brand
Multi-area / combination treatments priced per treatment plan
- Payment is made at the clinic, after the consultation and before treatment begins
- Nothing is paid in advance, and no deposit is required to hold an appointment
- Cosmetic treatment is a self-pay item and is not covered by public medical insurance in China
- All new clients receive a complimentary 30-minute Complimentary Consultation and assessment
Common reactions · Serious risks · Contraindications
Transparency in medical aesthetic treatment is itself an E-E-A-T signal. We openly disclose all potential reactions, serious risks, and contraindicated populations so you have complete information before your consultation.
Common reactions (may occur in the short term)
- Needle-site redness / small bumps (Resolves within a few hours)
- Mild bruising (Resolves within a few days; can be concealed with makeup)
- Transient headache (A minority of patients, lasting 1–2 days)
- Mild tightness at the injection site (Resolves as you adapt)
Serious risks (rare but must be disclosed)
- Eyelid ptosis / brow shape irregularity— Most commonly caused by diffusion or injection point deviation; resolves as the product metabolizes (within weeks)
- Facial asymmetry in expression— Refinements can be made at a follow-up visit
- “Stiffness”— Most commonly due to over-treatment; simply reduce dosage at the next session
- Antibody development (treatment resistance)— For long-term high-dose risk, consider Xeomin or switching brands to restore responsiveness
- Allergic reaction— Rare
Absolute contraindications (do not treat)
- Pregnancy / breastfeeding
- Neuromuscular disorders (myasthenia gravis, Lambert-Eaton syndrome)
- Active infection at the injection site
- Allergy to formulation components
- Taking aminoglycoside antibiotics or other medications that affect neuromuscular signalling
Where the medical claims on this page come from
Everything above about Botulinum Toxin Treatments rests on published evidence rather than on our own word. The sources below are the ones behind those statements: peer-reviewed papers indexed in PubMed, and guidance written for patients by dermatology academies and national health services. Read them before you decide — and bring any of them to your consultation.
- Peer-reviewedBotulinum toxin type A for facial wrinkles
- Peer-reviewedEfficacy and safety of Botulinum toxin A for improving esthetics in facial complex: A systematic review
- Patient guidanceBotulinum toxin: Overview
What these references can and cannot tell you. They describe what is known about the treatment itself — how well it tends to work, how long results last, and what can go wrong. They are not an assessment of this clinic, and no published study can tell you whether it suits your skin type, anatomy, or medical history. That judgement comes from the physician who examines you in person, and it may well be “not this one”.