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„Botox®“ Frequently asked questions

What is Botox®?

Botulinum toxin type A (colloquially called “Botox”) is a natural protein produced by the Clostridium botulinum bacterium and, in a highly purified form, has been used as a pharmaceutical for many years. In addition to rejuvenating injections for the face it is also used for the treatment of neurological movement disorders, migraine, gnashing of teeth and excessive perspiration. The substance inhibits the release of acetylcholine thereby disabling the muscles. In other words: Botox® injection interrupts the conduction of stimuli by the nerve to the treated muscle and leads to a gradual smoothing of the respective wrinkles.

 

First results become visible after 3 to 7 days with the appearance of the skin further improving over the next few weeks.

Is it safe to use Botox® for aesthetic purposes?

Relative to the treated area, very low doses are used for the treatment of wrinkles. Botulinum toxin was the first microbial protein approved for use in humans. This is why its production is subject to particularly high manufacturing standards.

 

No long-term side effects are known to date.

What type of wrinkles can be treated by Botox®?

Botox® is suitable for the treatment of mimic wrinkles. Botox® prevents the formation of wrinkles by relaxing the muscles. At the same time, the remaining elasticity of the skin smoothens existing wrinkles and the creation of new wrinkles is prevented. Botox® is also for excessive and/or unwanted perspiration.


For a comprehensive list of the regions of the body suitable for Botox® treatment please click : here.


How is a Botox® treatment performed?

Before the treatment, you will receive comprehensive information and all options will be discussed. For this purpose, a face analysis is performed to then choose the product which is best suited for you.

 

The Botox® treatment per se is an uncomplicated procedure and only takes about 15 minutes. After the treatment, you can leave the practice to resume your daily activities.

What should be considered before a treatment?

One week prior to the treatment, you should discontinue any blood-thinning medication (e.g. Aspirin). Should you be taking other medication, it is necessary that you provide the respective information during the informed consent discussion. Botox® treatment is not recommended for individuals with known allergic reactions. Furthermore, no treatment should be performed during pregnancy and lactation.

 

Allergic reactions are however very rare .

When will the results be visible?

Usually, considerable smoothing of the more distinct creases can be expected within a few days. However, the appearance of your skin will continue to improve further over the following time. Lines and smaller wrinkles will disappear within approximately 30 days when the full results of the treatment will become visible.

How long will the effects of a Botox® treatment last??

 

The effects of a treatment will last for 4 to 6 months after which the product will have been removed from your body and contact with the muscle is restored. Hence, the process is reversible and does not create any long-term damages; this means that the substance can be used again without any problems after its removal period.

Can the treatment lead to complications?

In general, no complications may be expected if the treatment is done properly. However, a mild redness may appear at the injection sites. In rare cases, small bruises occur which can, however, easily be concealed. A temporary paralysis of neighbouring muscles is unlikely but possible. Long-term damages can be excluded.

 

After the treatment it is important that you avoid physical exercise or going to the sauna for 24 hours as the increased blood circulation might negatively affect the result.

Will the treatment give me a “frozen face”?

No, properly applied Botox® does not lead to noticeable restrictions of facial expression.

Are Botox® injections painful?

Prior to use, Botox® is conditioned with sterile saline solution which makes it possible to use particularly thin needles for the injection. Therefore, the treatment is completely pain-free in most cases.


However, as the sensitivity for pain varies from individual to individual and also depends on the treated region, a local anaesthetic may be given, as required.

How much does a Botox® treatment cost?

The treatment costs approximately € 300 including prior medical consultation and follow-up. However, this should be considered as an indicative value as treatment costs will depend on the number of Botox units used and/or on the treated region..

“Dermal fillers”: Frequently asked questions

What are dermal fillers?

Dermal fillers is the term for different filling materials for subcutaneous injection for aesthetic purposes. They are designed to increase the volume and fill irregularities of the skin (wrinkles). Fillers are based on hyaluronic acid, a natural component of the body. .

What is hyaluronic acid?

Hyaluronic acid is a polysaccharide, a sugar-based molecule found in all living organisms. It binds water, forms collagen and acts as a natural lubricant in the body. It also plays an important role in the transport of minerals and regulates the water retention capacity of the skin.
With age, the hyaluronic acid content of our skin decreases, lines and wrinkles appear and the skin’s elasticity diminishes – which is therefore a major contributing factor to skin ageing.

How do dermal fillers work?

The injection of additional hyaluronic acid enhances the skin’s vitality and volume. Wrinkles and lines are reduced and the skin regains a vital, young appearance. Fillers have a gel-like texture and replenish the natural balance of the skin; as with the natural hyaluronic acid content of the skin, they are naturally removed from the body over time and therefore their effect is temporary.

What are the advantages of fillers?

Fillers are an easy way to restore the natural tone and beauty of your skin. The results are immediately visible and can last up to 9 months. They also do not affect facial expression and provide a natural look.
As the face continues to change over time, fillers can be used for individual high-precision adjustments.
The treatment can be applied as soon as the first signs of a decrease in the natural hyaluronic acid content of the skin appear.

Is it safe to use fillers?

The use of fillers is safe as they consist of substances that are naturally present in the body. Accordingly, allergic reactions have only been observed in rare cases.
Over time, the body removes the additional hyaluronic acid by natural processes.

What areas may be treated by fillers?

Dermal filler are mostly used to treat lines around the nose (nasolabial folds), between the eyebrows, and on lips and cheeks.
Generally, however, they may be used in any part to restore the lack of skin volume; they are often used in addition to Botox for the treatment of very deep creases.

 

Fillers are also used to enhance the volume and contours of lips or cheeks. The injection of fillers can improve the appearance of individual scars.

What is the treatment process? How much does it cost?

The treatment begins with a thorough consultation to cover all options and patient wishes. An anaesthetic ointment may already be applied during consultation.


The actual treatment takes 25 minutes on average with the duration of the treatment depending of the type of creases and on the condition of the skin.

 

The filler is injected subcutaneously using thin needles and then evenly distributed by massaging the area. As the treatment does not impact the facial expression in any way, there is no problem at all with mixing with people.

 

Filler treatments start from € 300, with the costs depending on the type and quantity of the filler used.

 

The price for a general facial treatment optimizing several areas of the face (e.g. forehead, eyes and lips) also depends on the quantity and combination of the different substances. We will be happy to provide you with a customized, non-binding overview of costs.

Is local anaesthesia necessary for dermal filler treatments?

In general, local anaesthesia is not necessary as the syringes used for the injections have a very thin needle and only a tiny puncture is created. However, some regions may be more sensitive to pain than others and therefore local anesthesia is used in such cases.


Special additives (e.g. lidocaine) may be used in the treatment of lips to guarantee maximum comfort during treatment.

When should fillers not be used?

Fillers should not be used during pregnancy, in the case of known allergic reactions to the ingredients, auto-immune disorders, herpes or skin irritations at the target injection site as well as in connection with blood thinning substances.


Any potential other complications will be discussed with you during our consultation.

What must be considered before undergoing a treatment?

As the face must be cleaned prior to the treatment it is recommended to not put on make-up when coming in for treatment. It will be no problem to put make-up on shortly after the treatment.

What needs to be observed after a treatment?

Depending on the treated area, the treatment may cause a mild redness or swelling at the injection site which can usually be concealed quite easily. Local cooling of the area will improve the condition.


For safety reasons, intense exercising, sauna visits and sun exposure should be avoided for 24 hours after the treatment. The treated sites should also be given a short while to recover. A follow-up of the results will be performed after 2 to 3 weeks.

“Botox®”: Frequently asked questions
What is Botox®?
Is it safe to use Botox® for aesthetic purposes?
What type of wrinkles can be treated by Botox®?
How is a Botox® treatment performed?
What should be considered before a treatment?
When will the results be visible?
How long will the effects of a Botox® treatment last?
Can the treatment lead to complications?
Will the treatment give me a “frozen face”?
Are Botox® injections painful?
How much does a Botox® treatment cost?
“Dermal fillers”: Frequently asked questions
What are dermal fillers?
What is hyaluronic acid?
How do dermal fillers work?
What are the advantages of fillers?
Is it safe to use fillers?
What areas may be treated by fillers?
What is the treatment process? How much does it cost?
Is local anaesthesia necessary for dermal filler treatments?
When should fillers not be used?
What must be considered before undergoing a treatment?
What needs to be observed after a treatment?
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