Botox vs Filler in Korea: Complete Comparison Guide 2025

"Should I get Botox or filler?" This is one of the most common questions asked by international visitors exploring Korean aesthetic treatments. While both are injectable treatments that address signs of aging, they work in fundamentally different ways and target different concerns.

This comprehensive guide breaks down everything you need to know about Botox and fillers in Korea, including how they differ, which brands are available, pricing comparisons, where to get treatments, and crucial safety considerations.

The Fundamental Difference: Relax vs Fill

Understanding the basic mechanism of each treatment is essential to choosing the right one for your concerns.

Botox: The Muscle Relaxer

Korean saying: "보톡스는 펴준다" (Botox smooths/relaxes)

Botox works by temporarily relaxing or weakening muscles that cause dynamic wrinkles—wrinkles that appear when you make facial expressions.

How it works:

• Blocks nerve signals to targeted muscles
• Prevents muscle contractions that create wrinkles
• Gradually relaxes overactive muscles over 3-7 days
• Results appear within days and improve over 2 weeks

What Botox treats:

• ✅ Forehead lines (horizontal wrinkles)
• ✅ Frown lines between eyebrows (11 lines)
• ✅ Crow's feet (around eyes)
• ✅ Bunny lines (nose wrinkles)
• ✅ Square jaw reduction (masseter muscle)
• ✅ Trapezius muscle reduction (shoulder slimming)
• ✅ Calf slimming
• ✅ Excessive sweating (hyperhidrosis)
• ✅ Gummy smile correction

Filler: The Volume Restorer

Korean saying: "필러는 채워준다" (Filler fills/adds volume)

Fillers add volume to areas that have lost fullness due to aging or that naturally lack structure. Most fillers in Korea use hyaluronic acid, a substance naturally found in the body.

How it works:

• Injectable gel adds immediate volume
• Fills in static wrinkles and hollow areas
• Attracts and retains moisture in skin
• Stimulates collagen production (some types)
• Results are immediate

What fillers treat:

• ✅ Nasolabial folds (smile lines)
• ✅ Marionette lines (mouth to chin)
• ✅ Sunken cheeks (volume loss)
• ✅ Under-eye hollows (tear troughs)
• ✅ Lip augmentation
• ✅ Nose bridge enhancement (non-surgical rhinoplasty)
• ✅ Chin augmentation
• ✅ Temples (temporal hollowing)
• ✅ Jawline contouring

Visual Comparison: Botox vs Filler

Botox Brands in Korea: Korean vs Imported

Korea offers both domestic and imported Botox brands, each with different characteristics and price points.

Korean Botox Brands (국산 보톡스)

Korean domestic brands have become increasingly popular and are exported worldwide, demonstrating their high quality and safety standards.

1. Coretox (코어톡스)

• Manufactured by Medytox
• Lower protein complex reduces antibody formation risk
• Natural results with smooth effect
• Popular for first-time users

2. Botulax (보툴렉스)

• Manufactured by Hugel
• Widely used in Korean clinics
• Cost-effective with reliable results
• Good for maintenance treatments

3. Nabota (나보타)

• Manufactured by Daewoong Pharmaceutical
• FDA approved (marketed as Jeuveau in US)
• Strong international clinical data
• Higher protein content than Coretox

4. Wondertox (원더톡스)

• Newer brand gaining popularity
• Competitive pricing
• Good results for cosmetic applications

5. Meditoxin (메디톡신)

• Versatile dosing for personalized treatment
• Natural-feeling results
• Suitable for various treatment areas

Pricing (Korean Brands):

• Per area: ₩50,000-100,000 ($40-$80)
• Full face (multiple areas): ₩150,000-300,000 ($115-$230)
• Square jaw: ₩150,000-250,000 ($115-$195)
• Coretox starting price: ₩40,000 ($30) per area

Imported Botox Brands (수입 보톡스)

1. Botox (Allergan) - The Original

• Manufactured by Allergan (USA)
• FDA approved since 2002
• Most extensive clinical data
• Considered the gold standard
• Predictable, consistent results

2. Dysport (Ipsen)

• French-made product
• Spreads more than Botox (good for larger areas)
• Slightly faster onset
• Popular for forehead treatments

3. Xeomin (Merz)

• German-made product
• "Naked" botulinum toxin (no accessory proteins)
• Lower risk of antibody formation
• Longer-lasting effects reported
• Ideal for those concerned about resistance

Pricing (Imported Brands):

• Per area: ₩150,000-200,000 ($115-$155)
• Full face: ₩400,000-600,000 ($310-$460)
• Square jaw: ₩400,000-500,000 ($310-$385)

Korean vs Imported: Which Should You Choose?

Choose Korean Botox if:

• ✅ Budget is a priority
• ✅ First time trying Botox
• ✅ Maintenance treatments
• ✅ Familiar with and trust Korean pharmaceutical quality
• ✅ Want to minimize cost while getting effective results

Choose Imported Botox if:

• ✅ Maximum longevity is priority
• ✅ Want most extensive clinical data
• ✅ Concerned about antibody formation (choose Xeomin)
• ✅ Specific brand preference from home country
• ✅ Budget allows for premium options

Reality check: The active ingredient (botulinum toxin) is the same. Korean brands have high quality—they're exported globally and used by millions. The difference often comes down to individual response, longevity, and psychological comfort with brand recognition.

Filler Types and Brands in Korea

Hyaluronic acid (HA) fillers dominate the Korean market, with numerous domestic and international brands available.

Popular HA Filler Brands

Korean Brands:

• Neuramis (제뉴인): Multiple viscosity options for different areas
• Revolax: Long-lasting, high viscosity options
• HAR (하이코아): Good for fine lines
• EPTQ: Versatile, various density levels

International Brands:

• Restylane (Sweden): Extensive product line, FDA approved
• Juvéderm (USA): Smooth gel consistency, natural results
• Belotero (Switzerland): Excellent for fine lines
• Teosyal (Switzerland): Long-lasting results

Filler Pricing by Area (2025)

Note: Filler pricing depends on:

1. Brand (Korean vs imported)
2. Amount needed (measured in cc/ml)
3. Treatment area
4. Clinic location

Typical costs:

Per cc pricing:

• Korean HA filler: ₩150,000-300,000 ($115-$230) per cc
• Imported HA filler: ₩400,000-600,000 ($310-$460) per cc

Prices as of November 2025. Exchange rate: ₩1,300 ≈ $1 USD

Duration: How Long Do Results Last?

Botox Duration

Standard timeframe: 3-6 months

Factors affecting duration:

• Dosage amount (higher dose = longer effect)
• Muscle strength (stronger muscles metabolize faster)
• Individual metabolism
• Treatment area (jaw lasts longer than forehead)
• Frequency of treatments (regular use may extend duration)

By treatment area:

• Forehead/glabella/crow's feet: 3-4 months
• Square jaw: 4-6 months (muscle reduction cumulative)
• Trapezius/calves: 5-6 months
• Hyperhidrosis: 6-12 months

Maintenance protocol: Most patients return every 3-4 months to maintain results.

Filler Duration

Range: 6 months to 2 years (highly variable)

Factors affecting duration:

• Filler type and cross-linking density
• Treatment area (mobile areas break down faster)
• Amount injected
• Individual metabolism
• Lifestyle (exercise, heat exposure accelerate breakdown)

By filler type:

• Low density (fine lines): 6-9 months
• Medium density (nasolabial folds, lips): 9-12 months
• High density (cheeks, jawline): 12-24 months
• Ultra-high density (nose, chin): 18-24 months

By treatment area:

• Lips: 6-9 months (high mobility)
• Under eyes: 12-18 months (low mobility)
• Nasolabial folds: 9-12 months
• Cheeks: 12-18 months
• Nose/chin: 18-24 months
• Jawline: 12-18 months

Combining Botox and Filler: The Full Face Approach

Many Korean clinics recommend combining both treatments for comprehensive anti-aging results. This approach is called "Full Face Rejuvenation" or "Complete Facial Contouring."

Common Combination Treatments

Upper Face: Botox

• Forehead lines
• Frown lines (11s)
• Crow's feet

Mid-Lower Face: Filler

• Nasolabial folds
• Cheeks (volume restoration)
• Under eyes
• Lips

Jawline: Both

• Botox: Masseter muscle reduction
• Filler: Jawline definition and chin projection

Combination Treatment Pricing

Package deals (2025 prices):

• Basic package: Botox (forehead + glabella) + Filler (nasolabial folds)

  • ₩500,000-800,000 ($385-$615)

• Premium package: Botox (3 areas) + Filler (2-3 areas)

  • ₩1,000,000-1,500,000 ($770-$1,155)

• Full face package: Comprehensive treatment plan

  • ₩2,000,000-3,000,000 ($1,540-$2,310)

Cost savings: Package deals typically offer 10-20% discount compared to individual treatments.

Top Clinics for Botox and Filler in Seoul

Gangnam District

1. ToxnFill Gangnam Main Branch (톡스앤필 강남본점)

• Location: 10th & 11th floor, Daedong Building, 415 Gangnam-daero, Seocho-gu (near Gangnam Station Exit 10)
• Specialties: Injectable specialists—Botox and filler focused practice
• English Support: Yes
• Why Choose: Clinic name literally means "Tox and Fill"—specialists in injectables
• Pricing: Competitive with package deals
• Notable: Multiple locations across Korea

2. Ruby Plastic Surgery Clinic

• Location: Nonhyeon-dong, Gangnam-gu
• Reviews: 9.6 rating with 183+ verified reviews (Modoodoc)
• Specialties: Full range of cosmetic procedures including injectables
• English Support: Available
• Why Choose: Excellent patient reviews, experienced practitioners

3. BLS Clinic Cheongdam

• Location: Cheongdam-dong (premium district)
• Specialties: Anti-aging treatments, luxury experience
• English Support: Yes
• Why Choose: High-end clinic with premium service
• Pricing: Higher tier but consistent quality

Apgujeong Area

4. Dr. E Laser Dermatology (닥터이레이저피부과의원)

• Location: Apgujeong-Rodeo
• Reviews: 4,600+ verified reviews
• Specialties: Comprehensive dermatology including injectables
• English Support: Available
• Why Choose: High volume clinic with extensive experience

5. The Dream Clinic (더드림의원)

• Location: Gangnam area
• Specialties: Full dermatology services
• English Support: Yes
• Why Choose: Competitive package pricing, modern facility

How to Find Clinics

Online platforms:

• Gangnam Unni (강남언니): 454+ hospitals offering Botox; reviews, before/after photos, pricing
• Modoodoc (모두닥): Doctor ratings, patient reviews, price comparisons
• Instagram: Many clinics post results and promotions (@clinic_name_official)

Side Effects and Safety Considerations

While Botox and fillers are generally safe when performed by qualified practitioners, understanding potential risks is crucial.

Botox Side Effects

Common (mild and temporary):

• Bruising at injection sites (1-2 days)
• Mild headache (24-48 hours)
• Temporary asymmetry (rare, resolves as product settles)
• Slight drooping if injected incorrectly (2-4 weeks to resolve)

Rare but serious:

• Eyelid drooping (ptosis) - 1-2% of cases
• Facial asymmetry or weakness
• Difficulty swallowing (if neck area treated)
• Antibody formation (resistance): 5-10% risk with high doses or frequent treatments

How to minimize Botox side effects:

• ✅ Choose experienced, licensed dermatologist
• ✅ Start with lower doses (can always add more)
• ✅ Maintain 3+ month intervals between treatments
• ✅ Choose lower protein products (Coretox, Xeomin) if concerned about antibodies
• ✅ Avoid high-dose treatments unless necessary

Filler Side Effects

Common (mild and temporary):

• Swelling (1-7 days)
• Bruising (3-7 days)
• Redness at injection sites (1-2 days)
• Tenderness or lumps (usually resolve within 2 weeks)
• Temporary unevenness

Moderate concerns:

• Migration (filler moves from injection site)
• Lumps or bumps under skin
• Tyndall effect (bluish discoloration from superficial placement)
• Inflammation or delayed hypersensitivity

Rare but serious:

• Vascular occlusion (filler blocks blood vessel)

  • Can cause tissue necrosis (death)
  • Most dangerous areas: Glabella (between eyebrows), nose, nasolabial folds, forehead
  • Requires immediate treatment with hyaluronidase

• Blindness (extremely rare but possible)

  • Risk areas: Glabella, nose, nasolabial folds, forehead
  • Caused by filler entering retinal artery
  • Medical emergency

How to minimize filler risks:

• ✅ Choose board-certified dermatologist or plastic surgeon
• ✅ Ensure clinic has hyaluronidase on hand (dissolves HA fillers)
• ✅ Verify use of FDA/KFDA approved products
• ✅ Start with small amounts
• ✅ Avoid high-risk areas unless with highly experienced doctor
• ✅ Ask about aspiration technique (doctor checks for blood before injecting)
• ✅ Report any severe pain or vision changes immediately

Red Flags: Clinics to Avoid

Warning signs:

• ❌ Prices dramatically below market rate
• ❌ Non-medical staff performing injections
• ❌ Unwilling to show product packaging or certificates
• ❌ No emergency protocols or hyaluronidase available
• ❌ Pressure to decide immediately
• ❌ Guaranteeing specific results
• ❌ No consultation or medical history taken
• ❌ "Secret" or unnamed products

Green Flags: Safe Clinics

Positive indicators:

• ✅ Licensed dermatologist or plastic surgeon performs procedure
• ✅ Shows unopened product packaging with your name
• ✅ Thorough consultation and medical history
• ✅ Discusses risks and sets realistic expectations
• ✅ Has emergency kit and protocols
• ✅ Offers follow-up appointments
• ✅ Verifiable reviews and credentials
• ✅ Clean, professional facility

Post-Treatment Care

After Botox

Immediate care (first 4 hours):

• ✅ Stay upright (don't lie down)
• ✅ Exercise treated muscles gently (e.g., frown, raise eyebrows)
• ❌ Don't massage or apply pressure to treated areas
• ❌ Avoid lying down or bending over

First 24-48 hours:

• ❌ No alcohol consumption
• ❌ No intense exercise or activities that increase blood flow
• ❌ No facial treatments, massages, or facials
• ❌ No sauna, hot yoga, or hot tubs
• ❌ Don't sleep face-down

When to expect results:

• Initial effects: 3-5 days
• Full results: 10-14 days
• Follow-up: 2 weeks (if adjustment needed)

After Filler

Immediate care:

• ✅ Apply ice packs (10 minutes on, 10 off) for first few hours
• ✅ Sleep elevated (2-3 nights)
• ❌ Don't touch, massage, or press on treated areas
• ❌ Avoid makeup for 12-24 hours

First 24-48 hours:

• ❌ No alcohol (increases swelling and bruising)
• ❌ No intense exercise
• ❌ No dental work (for lip/lower face fillers)
• ❌ Avoid extreme heat (sauna, hot yoga, direct sun)
• ✅ Arnica supplements or cream (reduces bruising)

First week:

• ❌ No facial treatments or massages
• ❌ Avoid sleeping on face
• ❌ No pressure on treated areas
• ✅ Gentle movements only
• ❌ Postpone dental cleaning if lip filler done

When to expect results:

• Immediate visible change
• Final results after swelling subsides: 1-2 weeks
• Follow-up: 2 weeks for assessment

Warning Signs to Seek Immediate Help

For both Botox and filler:

• 🚨 Severe pain (especially with filler)
• 🚨 Vision changes or loss
• 🚨 Difficulty breathing or swallowing
• 🚨 Severe swelling or rash
• 🚨 Signs of infection (fever, pus, spreading redness)
• 🚨 Skin discoloration turning dark (potential necrosis)
• 🚨 Numbness or tingling (unusual)

For filler specifically:

• 🚨 Blanching (skin turning white/pale)
• 🚨 Mottling or dark purple discoloration
• 🚨 Severe, persistent pain at injection site
• 🚨 Blistering or wounds forming

Action: Return to clinic immediately or go to emergency room. Vascular occlusion requires immediate treatment.

Cost Comparison: Korea vs Other Countries

Botox Price Comparison

Savings in Korea: 50-80% compared to Western countries

Filler Price Comparison (per 1cc)

Savings in Korea: 60-75% compared to Western countries, 30-40% compared to Tokyo

Frequently Asked Questions

Q: Can I get both Botox and filler on the same day? A: Yes, this is very common in Korea. Many clinics offer combination packages. However, it's best to do them in different facial zones to minimize complications.

Q: Will it look obvious that I got injections? A: When done properly by skilled practitioners, results should look natural. Korean aesthetic preferences favor subtle, natural enhancement rather than dramatic changes. Communicate your desired level of change clearly during consultation.

Q: How early should I book before my trip? A: Book 1-2 weeks in advance for popular clinics. Some clinics accept walk-ins, but consultation before treatment is recommended. Allow flexibility in your schedule for follow-ups if needed.

Q: Can I fly after getting Botox or filler? A:

• Botox: Generally safe to fly same day. Avoid lying down for 4 hours post-treatment.
• Filler: Wait 24-48 hours if possible due to swelling from cabin pressure changes. If you must fly, stay hydrated and avoid alcohol.

Q: Do I need to speak Korean? A: No. Major clinics in Gangnam, Apgujeong, and tourist areas have English-speaking staff. Bring photos of desired results to aid communication regardless of language.

Q: What if I don't like the results? A:

• Botox: Cannot be reversed; must wait 3-6 months to wear off
• Filler: Can be dissolved with hyaluronidase enzyme within minutes (for HA fillers)

Q: Are Korean products safe? A: Yes. Korean botulinum toxin and fillers are FDA approved in many countries and exported worldwide. Korea has strict pharmaceutical regulations (KFDA approval required). Quality is comparable to Western products.

Q: How do I know the product is genuine? A:

• ✅ Clinic should show you sealed, unopened product packaging
• ✅ Product should have your name label
• ✅ Packaging should have hologram/authentication marks
• ✅ Ask to photograph the packaging
• ✅ Verify batch numbers with manufacturer if concerned

Q: Can men get these treatments? A: Absolutely. Male patients are increasingly common in Korean clinics. Popular male treatments include:

• Forehead Botox (softens harsh expression)
• Square jaw Botox (face slimming)
• Nose filler (bridge enhancement)
• Chin filler (definition)

Q: What's the minimum age for treatment? A: Most clinics treat patients 19+ (legal adult age in Korea). Some may treat 18+ for specific concerns. Always bring valid ID.

Q: Will I need an interpreter? A: Not at major clinics. If using a smaller clinic, consider:

• Medical tourism agency services (often include interpretation)
• Translation apps
• Hotel concierge assistance
• Bringing a Korean-speaking friend

Q: Can I combine treatment with vacation activities? A: Yes, with planning:

• Botox: Minimal restrictions after 4 hours
• Filler: Avoid intense activity for 24-48 hours; plan relaxed activities (shopping, cafes, museums) in the days following treatment

Choosing Between Botox and Filler: Decision Tree

Start Here: What's Your Primary Concern?

Dynamic wrinkles (appear when you make expressions)? → Choose Botox

• Forehead lines when raising eyebrows
• Frown lines when frowning
• Crow's feet when smiling
• Bunny lines when scrunching nose

Static wrinkles (visible at rest) or volume loss? → Choose Filler

• Nasolabial folds visible when not smiling
• Hollow cheeks or under eyes
• Thin lips
• Lack of facial definition (chin, nose, jawline)

Both dynamic and static concerns? → Choose combination treatment

Facial shape concerns (not wrinkles)?

• Botox: Square jaw, wide face, bulky calves
• Filler: Weak chin, flat nose bridge, undefined jawline

Functional issues?

• Botox: Excessive sweating, teeth grinding, gummy smile

Based on Budget

Under $200 total:

• Botox: 1-2 areas (Korean brand)
• OR Filler: Touch-up in small area (0.5cc Korean brand)

$200-$500:

• Botox: 3-4 areas (Korean brand) or 1-2 areas (imported)
• OR Filler: 1 area (1-1.5cc Korean or imported)
• OR Combination: Botox (2 areas) + small filler touch-up

$500-$1,000:

• Botox: Full face multiple areas
• OR Filler: 2-3 areas comprehensive treatment
• OR Combination: Botox (3 areas) + filler (1-2 areas)

$1,000-$2,000:

• Premium combination package
• Multiple areas both Botox and filler
• High-end imported products

$2,000+:

• Full face rejuvenation
• Comprehensive contouring
• Premium products and clinics

Practical Tips for International Visitors

Before Your Trip

Research (1-2 months before):

• Read reviews on Gangnam Unni, Modoodoc
• Check clinic Instagram accounts for before/afters
• Confirm English services available
• Verify clinic legitimacy and doctor credentials

Booking (2-4 weeks before):

• Contact 2-3 clinics for consultations
• Ask about products used and pricing
• Inquire about package deals
• Confirm appointment via email/WhatsApp

Preparation (1 week before):

• Stop blood-thinning medications if possible (consult your doctor)
• Avoid aspirin, ibuprofen, fish oil, vitamin E
• Reduce alcohol consumption
• Stay well-hydrated

During Your Visit

At consultation:

• Bring reference photos (what you like and don't like)
• Be honest about previous treatments
• Disclose all medications and allergies
• Ask to see products before treatment
• Don't feel pressured to decide immediately

Payment:

• Cash (Korean won) - often 5-10% discount
• Credit cards accepted (Visa, Mastercard)
• Some clinics accept Alipay, WeChat Pay
• Ask for itemized receipt for records

Documentation:

• Photograph product packaging
• Keep all receipts
• Take before photos yourself
• Get clinic contact information for follow-up

After Treatment

Before leaving Korea:

• Schedule follow-up if staying longer
• Get clinic contact for questions after returning home
• Purchase recommended skincare if suggested
• Take after photos for comparison

After returning home:

• Follow all aftercare instructions
• Contact clinic if concerns arise (many offer online consultation)
• Schedule next visit if planning to return
• Consider maintenance timing

Conclusion: Making Your Decision

Both Botox and filler treatments in Korea offer exceptional value, advanced techniques, and natural-looking results when performed by qualified practitioners. Here's your action plan:

1. Identify your concerns: Dynamic wrinkles (Botox), volume loss (filler), or both (combination)

2. Set your budget: Korean products offer great value; imported products provide premium options

3. Research clinics: Use review platforms, verify credentials, check before/after photos

4. Book consultations: Get professional assessment from 2-3 clinics before deciding

5. Verify safety: Ensure licensed dermatologist, genuine products, emergency protocols in place

6. Plan timing: Allow flexibility for follow-ups; avoid tight schedules immediately after treatment

7. Communicate clearly: Use photos to show desired results; ask questions until you're comfortable

8. Start conservatively: You can always add more; harder to reverse (especially Botox)

Ready to enhance your natural beauty with Korean injectables? Choose reputable clinics, communicate your goals clearly, and enjoy the confidence that comes with subtle, professional enhancements.

⚠️ Medical Disclaimer: This article provides general information about Botox and filler treatments available in Korea. It is not intended as medical advice and should not replace consultation with a qualified healthcare professional. Always consult with a licensed dermatologist or plastic surgeon before undergoing any cosmetic procedure. Individual results vary, and all treatments carry potential risks and side effects. The information provided, including pricing and clinic details, is current as of November 2025 and subject to change. Serious complications, though rare, can occur—choose qualified practitioners and licensed clinics only.

Last Updated: November 6, 2025 Reading Time: 18 minutes