Botox / Azzalure

Patient information Botox®

What is Botox?

Botox® and Azzalure® are brand names, the active substance is Botulinum Toxin. In medicine is used since 1973 for treating neurological disorders. Botox blocks the nerve impulse from nerve to muscle, so that muscle will be relaxed temporarily. After several months, the muscle activity fully recovers. Botox® as a aesthetic-medical tool is injected in order to reduce muscle activity in the face. The consequence of this is that the skin comes to rest and existing wrinkles will fade. Moreover, this prevents the formation of new wrinkles.

For which wrinkles is it effective?

In particular, the frown and forehead wrinkles and crow’s feet. Also lines on the nose and chin can be treated with Botox. In these places the skin is the most affected by the contraction of the muscles. Because the skin after treatment with Botox will no longer fold, wrinkles will fade. The wrinkle depth decreases generally 90 to 95%.

For which wrinkles is it not effective?

Among others, the nasolabial fold-and wrinkles on the cheeks. At these places, the muscle activity is indispensable, and it is recommended to another treatment, for example, the treatment of the wrinkles with Restylane ®.

What is a ‘regio’ as indicated in the price list?

The treated areas we call regions. One region is defined as; the frown lines or forehead or crow’s feet (around two eyes regarded as one region). We use the unit called a region because normally require a similar amount of Botox®. Also ‘half regions’ may be recommended, such as the lips, the brow lift, chin and wrinkles on the nose. In these treatments less material is needed.

Is it dangerous?

No. Botox® only works on the treated muscle and has no effect on the rest of the body. In rare cases, one can find an adjacent muscle strength reduction. This is temporary and can be treated if necessary. Side effects apart from side effects of the injection itself do not occur. After the drug wears off the strength of the treated muscle restores to 100%.

Will my facial expressions disappear?

Some years ago ‘frozen’ faces were seen often in the media after the use of Botox.  Our experience enables treatments that are more subtle and yet optimally treat the wrinkles without loss of expression. Discuss with your doctor what you want and also what you do not want.

Is the treatment painful and how do I look right after?

Botox is injected with a tiny needle into the muscle. Most people do not experience this as painful. if your doctor may use a numbing cream if you are particularly sensitive or anxious. After the treatment, which takes about five minutes, the skin may be somewhat red as a reaction to the sting. This usually disappears within an hour. Very occasionally a small blue spot appears, which disappears within 3 to 5 days.

What should I do after treatment?

The first 2 to 4 hours after treatment, the treated muscles are to be used much, so we recommend to frown, laugh or pull on the forehead, depending on the treated area. Lying down or bending over must be avoided for 2 to 4 hours after treatment. Make-up or cream may be used for an hour after the treatment. Intensive pressure or massage of the area should be avoided in the first two days after the treatment.

When can I expect to see the effect?

A few days after the Botox treatment the toxin starts to work and muscle activity decreases. After 2 weeks, the softening effect on the muscle is at its max, the wrinkles are already much less deep. Now is the time to evaluate the outcome of treatment in terms of muscle function. If you wish, you can assess whether it is necessary to perform a correction treatment with your doctor during a checkup consultation. During active period, in 3-6 months’ time, your skin will become smoother every week.

How long will the effect last?

The effect on the muscle takes 3 to 6 months. Often the effect on the skin  persists after multiple treatments. In order to maintain the desired result, most people have a repaet treatment every 6 to 9 months. Deep wrinkles can be treated more frequently in the beginning, every 3 to 4 months.

Can I immediately go in the sun or use a tanning bed?

Yes. However, it is recommended that in case of a heamtoma you should protect the skin well with a high Spf factor. When blue spots are exposed to UV rays they can lead to dark spots.

What is the effect of Botox  on migraine and headaches?

Scientific research shows that about 70% of migraine and tension headache patients undergoing Botox treatment have significantly fewer episodes and less pain.

What is the effect of Botox on  sweat glands?

When injected superficially into the skin Botox blocks the nerve impulse from the nerve to the sweat gland. In case of excessive or bothersome perspiration (underarms, hands, feet)  Botox reduces sweat production by about 95% for an average of 6 to 12 months.

                    Before                                                             After
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