What is Botox

Botulinum neurotoxin is widely used in the field of aesthetic dermatology. The substance is synthesized by a specific type of bacteria (Clostridium botulinum) and blocks the release of a neurotransmitter (Acetylcholine) from nerve endings to muscle fibers. The described temporary "blockage" leads to a temporary relaxation of precisely defined muscle fibers, which will "smooth" the targeted mimic wrinkles, stop the deepening of already existing ones and prevent the appearing of new ones.

The use of Botox in aesthetic dermatology

Botox is used for:

• smoothing mimic wrinkles which eliminates the tired look of the face
• smoothing wrinkles in the forehead area, eyebrow area, wrinkles around the eyes (Crow’s feet), “Barcode wrinkles” in the area upper lip area, wrinkles around the nose (Bunny smile)
• relaxing of the muscle fibers and "covering" the gums of the upper lip - the so-called gummy smile (excessive gingival display)
• relaxation of the m.masseter (this is one of the chewing muscles whose excessive development leads to a "wide" view of the lower third of the facial contour due to prominence of the muscle in ​​the mandibular angle are)
• correction of “Orange peel” skin in the chin area
• correction of neck wrinkles
• hyperhidrosis control (excessive sweating)

About the procedure and what to expect after it?

Before the procedure there is a consultative examination on which the patient will be fully informed about the specifics of the procedure.  The nature of the problem will be assessed together with the possible treatment options, expected results, post-procedure behavior and follow-up consultations in order to track and/or make further correction if needed. 

The procedure is relatively painless and entirely injectable (in the muscle fibers of the specific muscle). The depth of the injection, the single dose and the number of pricks depend on the treated area.

The patient should remain in an upright position and not massage the pricks in the first 3-4 hours after the procedure. During this period of time the patients are advised to periodically contract and relax the mimic muscles of the treated area, which would improve the effectiveness of the procedure. It is recommended to avoid drinking alcohol the same day after the procedure as well as high temperature amplitudes (sauna, steam bath, etc.) in the next few days (10-14 days). The effect is visible 4-5 days after the manipulation. We recommend a follow-up check-up on the 2-nd week after the procedure which aims to assess the effect and make an additional correction if needed. The effect lasts for about 6 months, increasing its duration with each procedure. We recommend injections not more than two times a year.

Side effects

• Red spots may appear in the injected areas, which subside within the next few days
• Headache – rarely
• Affecting adjacent muscle groups which results in eyelid ptosis, eyebrow ptosis