Botox in Colombia — Natural Results, Placed with Precision
Botulinum toxin is the most requested aesthetic treatment in the world for expression lines. If you see lines on the forehead, between the brows or at the corners of the eyes — or you simply look tired when you are not — Botox can soften those movements without changing your face. In my practice I assess your facial anatomy, the way you actually move, and which areas genuinely need treatment. I see patients in Cartagena, and on scheduled dates in Bogotá and Medellín.
Real-time ultrasound guidance
- WHAT BOTOX IS
Botulinum toxin: what it does to expression lines
Botulinum toxin type A is a neuromodulator that temporarily relaxes the facial muscles behind expression lines. When those muscles relax, the skin above them smooths out — forehead lines, the frown lines between the brows, crow’s feet — without freezing how you express yourself.
It takes 15 to 30 minutes, needs no recovery time, and results start to show 3 to 5 days later. They last roughly 4 to 6 months, depending on how quickly your body metabolizes the product.
As both a radiologist and an aesthetic physician, I work from the anatomy. When a case calls for it, I use ultrasound to identify the structures underneath and place the product more precisely.
- BENEFITS
What you get from Botox with Dr. Vives
Botox can soften expression lines and slow deeper ones from forming — provided the technique, the dose and the clinical judgment behind it are right.
Natural results
Softens lines while your expression stays yours. No frozen, worked-on look.
Quick procedure
15 to 30 minutes. You can go back to your day straight afterwards.
No surgery, no scalpel
Minimally invasive, with micro-needles. No scars, no incisions.
A more rested look
Can relax the frown, open up the eyes visually and soften a tense expression.
Ultrasound guidance
Real-time imaging to identify the anatomy underneath and lower the risk of complications.
Visible in 3–5 days
The effect appears within days and peaks at around two weeks.
- TREATMENT AREAS
Which areas of the face can be treated with Botox?
Botox treats expression lines across several areas of the face and neck, and some functional conditions as well.
Forehead
Softens the horizontal lines that show when you raise your eyebrows.
Frown lines
Softens the "elevens" between the brows. One of the most requested areas.
Crow's feet
Reduces the lines at the outer eyes that show when you smile.
Gummy smile
Corrects excessive gum exposure when smiling, with small targeted injections.
Masseter Botox
Treatment for jaw clenching, teeth grinding and a squared jawline.
Neck (platysmal bands)
Softens the vertical neck bands for a smoother, more defined line.
- STEP BY STEP
How your Botox is placed, step by step
A four-step protocol: quick, controlled and precise.
Assessment and ultrasound scan
Dr. Vives assesses your face and runs an ultrasound scan to map the anatomy of the area to be treated.
Treatment plan
The exact number of units and the injection points are set to give a natural, balanced result.
Precise placement
Botulinum toxin is injected with micro-needles at the planned points. The procedure takes 15 to 30 minutes.
Follow-up
A check-up at 15 days to review the result. If anything needs adjusting, it is fine-tuned then.
- REAL RESULTS
Botox before and after
Real patients treated with Botox by Dr. Vives in Cartagena.
- ABOUT THE SPECIALIST
Dr. Jorge Vives Gutiérrez
Radiologist and aesthetic physician, with a career built on ultrasound and Doppler imaging. Trained as a radiologist and practicing aesthetic medicine, performing Botox and dermal fillers under ultrasound guidance.
- Universidad de Cartagena, Colombia
- Medical degree validated in Spain
- Speaker at international congresses
- Radiologist — member of the Asociación Colombiana de Radiología
- Member of the CMAC and AAAM expert committees
- International speaker for the Colombian Society of Radiology
- Trains physicians in ultrasound-guided injection technique
- Faculty: Ultrasound and Interventional Techniques in Facial Aesthetics
Where this procedure is performed
The same anatomical assessment and injection protocol wherever you are treated. Travel from abroad is coordinated in English, around the city that fits your trip.
Cartagena
The main practice, in Bocagrande. Full consultations, facial assessment and treatment in the same visit.
Book in CartagenaBogotá
Dr. Vives travels on scheduled dates and sees patients at a partner clinic. Same assessment protocol; procedures are planned around the confirmed date.
Request dates in BogotáMedellín
Dr. Vives travels on scheduled dates and sees patients at a partner clinic. Same assessment protocol; procedures are planned around the confirmed date.
Request dates in MedellínBogotá and Medellín are consultation days at partner clinics, not permanent offices — dates are confirmed before you travel.
Start with a virtual consultation- BOOK YOUR APPOINTMENT
Book your consultation
The first step is a personal assessment with Dr. Vives — in Bocagrande, Cartagena, or online before you travel.
- FAQ
Frequently asked questions about Botox
The questions international patients ask most about Botox.
How much does Botox cost in Colombia?
Botox in Colombia varies with the area treated and the number of units needed. With Dr. Vives, prices start at COP $800,000 for a single area such as the frown lines or the forehead. For fuller treatments the price is set at the assessment consultation, where your facial anatomy and goals are reviewed. International patients can request the equivalent quote in US dollars before traveling.
How many units of Botox do I need?
It depends on the strength and size of your muscles. As a general reference: forehead 30–50 units; frown lines (glabella) 20–30 units; crow’s feet 10–15 units per side. At the consultation Dr. Vives sets the exact dose for your anatomy and your goal, using ultrasound guidance for placement.
How long does Botox last?
Botox lasts 3 to 6 months on average. Results start to show 2 to 5 days after the injection and reach their peak at 10 to 14 days. How long it lasts depends on your metabolism, the area treated and the number of units. With regular treatment, some patients find the effect lasts longer.
Does it hurt?
Very fine needles are used. Most patients describe it as a small pinch at each point. If you are particularly sensitive, topical anesthetic can be applied first.
At what age should I start Botox?
Botox is generally used preventively from around 25–30 years of age, and correctively from about 30–45. What matters more than age is whether expression lines are actually setting in. At the assessment Dr. Vives reviews each case individually; with younger patients the focus is on prevention and facial balance.
How often should Botox be repeated?
Every 4 to 6 months to maintain the result. Over time, with regular treatment, some patients can stretch the interval toward 6 months as the muscle weakens. Dr. Vives follows each patient to work out the right interval for them.
Does Dr. Vives use ultrasound to place Botox?
Yes. Dr. Vives uses high-frequency ultrasound to assess the muscular and vascular anatomy before injecting Botox. That means more precision and more control, and it helps steer clear of vessels and nerves. It also confirms the toxin is deposited in the target muscle. Most aesthetic practices do not offer it.
Can I see Dr. Vives in Bogotá or Medellín?
Yes. Dr. Vives is based in Cartagena, where he sees patients on a regular weekly schedule at his practice in Bocagrande. He also travels to Bogotá and Medellín on scheduled dates each month and sees patients at a partner clinic in each city, following the same assessment protocol.
Botox is assessed and treated in the same visit in all three cities, so a single scheduled date is usually enough.
Because Bogotá and Medellín are consultation days rather than permanent offices, dates are confirmed before you travel. Request the next available date through the form and we will confirm the city and the date with you. If you are traveling from abroad, you can also start with an online consultation before booking your trip.
- RELATED TREATMENTS
Treatments that pair well
These procedures are often combined with Botox for a complete result.
Facial harmonization
Balance and proportion, planned for each face.
Dermal fillers
Filler for lips, tear troughs, cheeks and folds, with natural results.
Masseter Botox
Treatment for teeth clenching and jaw pain.
Ultrasound-guided fillers
Procedures guided by ultrasound for greater precision.