Whereas in “conventional” B*TOX, the injections target muscles which give rise to particular wrinkles, the injections for The B*TOX Lift are targeted at specific muscles with a downward vector. These include the depressor anguli ori, orbicularis occuli and the platysmus muscle at the jaw line.


The “lifting effect” of Intradermal B*TOX is also attributed to injections over lower part of the face close to the jaw-line canceling some of the downward pull of the platysmus muscle and thus giving the cheeks and jowls a “lift”. This is the main action in The B*TOX Lift.

Besides the platysmus, other muscles like the constrictors of the eye and the Depressor Anguli Ori (DAO) are also weakened to allow an eyebrow lift and an up-tilt of the angle of the mouth respectively. The latter minimizes the marionette lines.

Dr David Loh first presented “The B*TOX Lift” in Singapore in 2006. It has since also been called the Nephrititi Lift among other names.



A slightly unbalanced smile is a possible but rare side-effect with another method called Intradermal B*TOX. The Zygomaticus major or the Levator labii superioris alaque nasi may be affected by B*TOX diffusing downward into them. They lie just beneath areas of skin where the injections are commonly admistered.

The side-effect can be consciously avoided in expert hands.



The B*TOX Lift can be used in synergy with Ultherapy, Thread Lifts, The Radiesse Lift, and with Fillers. The DL Lift is a method of injection described by Dr David Loh, using Voluma and Volux fillers.


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