Botox is a protein that is naturally produced by the bacterium Clostridium botulinum. It is also known as botulinum toxin type A or botulinum toxin. In cosmetic dermatology, botox is used to eliminate facial expression wrinkles and is the most popular anti-aging treatment. Botox treatment is minimally invasive leading to direct and remarkable results. Apart from its cosmetic use, botox is used in almost every medical specialty for the treatment of a variety of medical conditions, including primary (focal) hyperhidrosis, blepharospasm, strabismus, spastic paralysis, migraines and torticollis.
Botulinum toxin (botox and dysport) is produced by bacteria called C. botulinum.
By inhibiting the release of acetylcholine, botox interrupts the transmission of nerve impulses to the facial muscles causing relaxation and impaired mobility.
Botox causes a temporary and local inactivity of the face’s mimetic muscles. It reduces the mobility of the smaller muscles, i.e. those that control facial expressions such as anger, sadness, surprise, puzzlement, etc. Botox specifically targets these muscles, which when they contract, they create wrinkles. For instance, the orbicularis oculi, called a sphinctermuscle contracts to close the eyelid. At the same time however, this contraction creates lateral orbital wrinkles around the corners of the eyes, commonly known as “crow’s feet”. Applied in the appropriate dose and on the right site, botox can soften these wrinkles while still maintaining facial expressiveness.
Botox – How it works in hyperhidrosis
In primary (focal) hyperhidrosis, botox interrupts the transmission of the nerve impulses to the sweat glands. The sweat glands cease to receive the impulse to produce sweat. It should be noted, however, that in such cases, botox blocks the excessive sweating and not the natural production of sweat.
Botox – How it works in migraines
Botox helps reducing tension headaches and migraines. By inhibiting the involuntary contraction of the frontalis muscle that is responsible for certain forms of headaches, botox becomes an ideal solution for migraines.
The effects are temporary and wear off in 4-6 months.
Botox treatment of wrinkles
Botox prevents and treats expression wrinkles. Such wrinkles are those that appear on the forehead, the glabella (frown or furrow lines) and around the eyes – crow’s feet. Moreover, botox injections can improve the face’s contour and lessen neck wrinkles. So, botulinum toxin makes the face and neck look younger and fresher.
Correcting expression wrinkles with botox injections is an easy, rapid and painless procedure. In Cosmetic Derma Medicine botox injections are exclusively performed by the clinic’s Dermatologists and Plastic Surgeons. With their experience and expertise, botox reduces face wrinkles, and makes you look younger, without altering the face’s natural features and expressiveness.
Botox can be applied on the following facial areas:
The sites where botox injections are applied for the treatment of wrinkles are the following:
Botox for forehead wrinkles (surprise wrinkles)
Botox for glabella lines (anger wrinkles)
Botox for eye wrinkles (crow’s feet)
Botox for eyebrow lift
Botox for nose wrinkles (bunny lines)
Botox for neck wrinkles (improves neck’s skin laxity)
Botox for mouth and lip wrinkles
Botox for the correction of gummy smile
Botox for cleavage (décolletage) wrinkles for more youthful appearance
Botox for lifting mouth corners and eliminating marionette lines
Botox acts locally, so it can be used as a preventive measure on young people who are very expressive and whose expression lines have already been formed but not yet set or become permanent.
The technique is known as “baby botox”, and involves smaller doses of botox which are injected in order to prevent wrinkles from becoming permanent. On the other hand, Botox is less effective on older people whose wrinkles have already been formed. This is due to the fact that their skin elasticity is reduced resulting in the formation of deep creases due the chronic contraction of mimic muscles.
In this case, Botox is not as effective as in younger people.
Botox may also be used for the treatment of hyperhidrosis and migraines.Botox for hyperhidrosis treatment Botox for migraine treatment
Immediately before use, Botox will be diluted with 0.9% normal saline (NaCl) by the physician. Once diluted, Botox is ready for use and must be stored in the fridge at 4–5° C.
After dilution, Botox must immediately be applied by the physician as its shelf life is reduced resulting in efficacy loss over time.
Normally, a full face Botox treatment requires the use of almost the entire content of the vial.
Since botox only enters the muscles where we inject it, it lacks systemic side effects.
When treating hyperhidrosis, botox injections are administered intradermally, where it targets the sweat glands, causing transient reduction in their activity.
In the first few days after treatment, the patient may feel pressure on the area but this will wear off quickly. People who had botulism in the past—a rare phenomenon in Greece—have developed antibodies against botox and will not benefit from the medication. More severe adverse reactions, such as eyelid ptosis (drooping eyelid), are extremely rare and minimized when botox is performed by specialized doctors.
For a lasting, continuous and effective action, botox should start at the minimal effective dose and with the maximum possible dosing interval. Botox is recommended to be used 2 to 3 times a year (in special cases up to 4 repeat botox sessions per year may be required).
The more often the medication is injected, the higher the risk for the body to develop resistance leading to faster botox neutralization. This results in poorer outcomes in the future. A botox retouch should only be performed between 10 to 16 days after the initial injection. If done otherwise, the body perceives it as a booster dose and develops resistance, leading to short-term effects in the future.
Even today, many women and men consider botox treatment a taboo. There are still many myths surrounding botox injections that must be busted.It is a myth that botox freezes and harshens the face. When done correctly, botox highlights the face’s beautiful features, without reducing its expressiveness. It is a myth that if treatment starts early, botox will not have the desirable result and your skin will become loose. Botox should be administered as soon as the first wrinkles become visible, to prevent them from becoming permanent. It is a myth that botox is harmful to health. Botox has been used in medicine for over 25 years and has been applied in much larger doses to newborns with spastic paralysis. Clinical reports indicate no harm to the health of these patients. It is a myth that after a number of treatments the effect of botox lasts less and “does not work” anymore. On the contrary, if botox is performed on a regular basis, its action is increased and wrinkles remain smooth for much longer.
Botox treatments should only be performed on legal offices or Dermatology & Plastic Surgery clinics, and not at beauty centers, the hairdresser’s, solarium centers, or any other non medical center.
The cost of botox treatment depends on the size of the problem. The price depends on the units of the medicine that shall be required.
In special cases, the price for a full treatment starts at €200.
Botox treatment is individualized and the price depends on the number and depth of the winkles.Prices for forehead botox treatment start from €85
Prices for glabella botox treatment start from €85
Prices for eye wrinkles (crow’s feet) botox treatment start from €85
Prices for neck botox treatment start from €85
Prices for full face botox treatment start from €260
Prices for full face & neck botox treatment start from €340
You should not choose a doctor based only on the cost of botox treatment, as the quality, the result and the duration of the injectable treatment is all that matters.
Contact us to learn the exact price for a facial botox treatment that applies to your case.
Botox can be used in combination with other therapies such as:
Botox treatment can be performed simultaneously with other plastic surgery methods, such as