Botulinum toxin injection ("Botox") is one of the most commonly used procedures in aesthetic medicine for reducing expression lines and improving skin appearance. The procedure is minimally invasive, quick, and requires no recovery period, which is why it is very popular.
However, many patients have questions before treatment regarding how botulinum toxin works, the duration of results, and the safety profile. This guide provides essential information for people considering this aesthetic procedure.
What is Botox?
Botox is the trade name for botulinum toxin type A, a substance used in medicine for over thirty years.
In aesthetic medicine, botulinum toxin is injected in very small amounts into specific areas of the face to temporarily relax the muscles that cause expression lines.
By relaxing these muscles, the skin becomes smoother and the wrinkles are reduced or softened.
What is Botox used for?
Botulinum toxin is used especially for treating expression lines, which are wrinkles that appear due to repeated movements of facial muscles.
The most frequently treated areas are:
- horizontal forehead lines
- lines between the eyebrows (glabellar lines)
- lines around the eyes ("crow's feet")
In some cases, botulinum toxin may be used for other aesthetic or medical indications.
How is the procedure performed
The procedure is quick.
During treatment:
- the doctor evaluates facial anatomy and the area to be treated
- depending on each patient's pain threshold, an anesthetic cream may or may not be applied beforehand, which is left on for 15-30 minutes
- the anesthetic cream is wiped off and the area is disinfected
- small amounts of substance are injected using very fine needles
The procedure is generally well tolerated.
When do results appear?
Results do not appear immediately after the procedure.
Usually:
- the first effects appear after 3–5 days
- the final result is observed after approximately 10–14 days
Wrinkles become less visible and facial expression remains natural when the treatment is performed correctly.
How long does the effect last?
The effect of Botox is temporary because muscular activity gradually returns.
In general, results are maintained for approximately 3–6 months.
To maintain the effect, the procedure can be repeated at intervals determined by the physician.
Important recommendations after the procedure
After botulinum toxin injection, patients can immediately return to normal activities. However, there are some important recommendations.
It is recommended to avoid:
· head in a downward position for at least 6 hours after the procedure
· sun exposure for approximately 24-48 hours
· intense physical exertion for 48 hours
· exposure to extreme temperatures, sauna, hot baths for approximately 48 hours
- massage or pressure on the treated area for 48 hours
- use of cosmetic products with AHA, BHA, retinoids or vitamin C 24 hours after the procedure
- alcohol consumption for 24-48 hours
- local trauma and cosmetic procedures (laser procedures, microdermabrasion, microneedling, chemical peeling) for at least 10-14 days post-injection
Following these recommendations helps achieve the best results.
Is the procedure safe?
When performed by an experienced physician, the procedure is considered safe.
Botulinum toxin has been used for over three decades in aesthetic medicine and has been extensively studied. The use of appropriate doses and correct injection techniques is essential for obtaining natural results.
Who can benefit from botulinum toxin injection?
Botulinum toxin is suitable for people who present with expression lines or who wish to prevent their accentuation.
The procedure can be performed in both women and men, depending on medical indications and the characteristics of each patient.
Medical evaluation is important for establishing an appropriate treatment plan.
