Lifting vs Botox differences: ① mechanism: lifting tightens skin/SMAS, Botox paralyzes muscles, ② duration: lifting 6 months–2 years, Botox 3–4 months, ③ target: lifting for sagging, Botox for dynamic wrinkles (forehead, eyes), ④ areas: lifting whole face, Botox specific muscles, ⑤ side effects: lifting natural changes, Botox can affect facial expression. Korean medicine doesn't use Botox but high-frequency lifting and pharmacopuncture provide alternatives. Many combine: lifting for sagging + Botox for dynamic wrinkles.