What is it?
Injections using medicine derived from bacteria called Clostridium Botulismus. Toxin of these bacteria is purified and used in medicinal purposes for various medical conditions, in cosmetic medicine this drug is used to treat facial wrinkles caused by overactive muscles. Most people are familiar with this medicine as Botox. It is also used to treat excessive sweating - hyperhydrosis.
How does it work?
Hyperactive muscles causing wrinkles are relaxed by the drug and overlaying skin becomes smooth. The effect of this treatment is temporary and muscles will be able to work again with the time.
Are there any contraindications?
You should not have this treatment if you have a disease associated with muscle weakness such as Myasthenia Gravis, Muscular Dystophy, pregnancy, breastfeeding, allergies to components of the drug, antibiotic use a week prior to the treatment or are taking muscle relaxants.
How is it done?
A doctor administers the drug by injecting a very small amount into a target area. Multiple injections are done with help of a very fine, small needle.
Is it painful?
Most people find it painless, however in certain sensitive areas anaesthetic cream might be applied prior to the treatment. This will numb the area and make injections more comfortable.
How long does the procedure take?
The actual injections might take only 5-10 minutes. However, every patient is consulted and counselled prior to the treatment and a before photo is taken. This might take approximately 30 minutes.
What am I going to look like immediately after the treatment?
Slight swelling at the site of injection settles within 10-15 minutes. No changes are expected immediately; the results of the treatment are gradual and become apparent only after 24-72 hours after the injections.
Can I use make up after the treatment?
Make up can be applied half an hour later.
What are the side effects?
Minimal swelling, rarely minimal bruising, slight muscle tightening. In very rare cases flu like symptoms can occur lasting a day or two. Transient eyelid drooping is sometimes seen and settles within 2-3 weeks. Skin infection is very rare. There are only few cases of allergy.
How long does the effect last?
On average 3-6 months, sometimes it is longer up to 9 months.
Does it work for everyone?
About 3 % of patients develop resistance to the drug and effect on muscles lasts short period.
Do I need a follow up?
Yes, and correction if needed is done during follow up consultation in 2 weeks.
"After" photos are normally taken then