Aesthetic Medicine

Botox

Procedure description

Botulinum toxin – is a very strong natural toxin which blocks the release of acetylcholine – a neurotransmitter responsible for transmitting impulses between nerves and muscles. The botulinum toxin acts by blocking the connections between nerve endings and the muscles innervated by them, thus blocking the so called nerve-muscle synapses. This prevents contractions of the affected muscle. Botox is equally effective in the case of men, as well as women.

 

Botox is used in medicine to treat various ailments, such as strabismus, neurological illnesses accompanied with excessive muscle tension, as well as excessive sweating. A very small concentration of the toxin, which does not affect other elements of the nervous system outside the area in which the injection is administered, is used in the removal of wrinkles.

 

Is the procedure painful?

Many patients compare it to a few seconds long ant or mosquito bite. The procedure does not require local anesthesia. For the purpose of ensuring patient comfort, sometimes a cream based anesthetic (e.g. EMLA) is used approximately 1 hour prior to the procedure.

 

Recommendations

  • Expression wrinkles mainly in the upper part of the face
  • Around the eyes (“crow’s feet”)
  • Horizontal wrinkles on the forehead
  • Between the eyebrows (“lion’s wrinkle”)
  • Wrinkles in the lower part of the face – “marionette furrows”, on the neck, chin
  • Excessive sweating of the hands and feet

When does the effect occur and how long does it last?

The effect of the procedure manifests itself after about 7 days and lasts for approx. 4-6 months. Afterwards the procedure should be repeated.

 

Therapy outline

Administering Botox does not require any detailed diagnostic examinations.  Botox is injected using a disposable syringe with a very thin needle. A small amount of the substance is precisely injected into several locations on the face. The procedure itself is very short. Depending on the number of locations treated (injection points), it takes approximately 15-20 minutes. The pain associated with the injection is minimal.

 

The treatments can be repeated every 6-8 months, no more frequent than every 3 months. It is one of those procedures which patients are eager to repeat, as it provides very quick and long lasting effects which are noticed by everyone around, while simultaneously being non-invasive and simple to perform.

 

Post-treatment recommendations

  • for 0,5-1 hour exercise facial muscles in the injection areas;
  • avoid massages of the injection locations;
  • for 4 hours after the procedure do not tilt your head downward (e.g. when tying your shoes or during sleep).

 

After the procedure has been completed, the patient may return to their day to day activities. The injection marks are nearly invisible.

 

Counter-indications and adverse effects

Counter-indications

 

  • disruptions of nerve-muscle conductivity (miastenia gravis, Lambert Eaton’s syndrome);
  • hypersensitivity to the substance’s components (human albumin);
  • when using the following medications or up to 1 week after discontinuation:
    • aminoglycosides (streptomycin, gentamycin, amikacin, kanamycin, etc.)
    • aminochinolons (chloroquine, hydroxychloroquine)
    • D-penicillamine (Cuprenil)
    • ciclosporin
    • tubocurarine, pancuronium, galamine
    • succinylcholine
    • lincomycin, tetracycline, polymyxin
    • local skin infection
    • pregnancy, lactation

 

Side effects

 

  • pain at the moment of injection;
  • small hematomas which may occur at the injection location, if the needle punctures a small vessel;
  • excessively flattened or raised eyebrow line in case of forehead wrinkle treatment;
  • small, temporary swelling and delicate tingling in the injection location;
  • excessive muscle flaccidity (falling eyelids, falling corners of the mouth);
  • headache, which will subsite after using pain killers.

 

These reactions are temporary in nature, most of them subside usually within a few days. The excessive muscle flaccidity effect may maintain itself for 2-6 weeks.

The course of the visit

 

Reported
to the clinic

The patient accurately describes the problem, explains why he reported to the clinic and what results he expected.

 

 

Elaboration
treatment plan

A specialist doctor arranges a special, customized treatment plan and presents it to the patient.

 

 

Exercise
treatments

The next step is to prepare for the first treatment and carry it out.

 

 

Visit
control

The patient is under the control of a specialist who determines how many treatments must be carried out to achieve the end result.

Price list

We invite you to familiarize yourself with our price list.

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