Treatments with Botulinum Toxin
Wrinkle Treatment by Injection.
Treatment using Botulinum Toxin in Zurich
Achieving your most beautiful Appearance without Surgery.
Botulinum toxin has become an integral part of aesthetic medicine and will lead to a naturally beautiful result completely without the necessity of a surgical procedure.
But there are still a lot of misconceptions and fears revolving around wrinkle treatment using botulinum toxin. Paralyzed facial features, an expressionless stare, frozen expressions - many people have a fixed view when confronted with the phrase botulinum toxin.
But there are still a lot of misconceptions and fears revolving around wrinkle treatment using botulinum toxin. Paralyzed facial features, an expressionless stare, frozen expressions - many people have a fixed view when confronted with the phrase botulinum toxin.
In our dermatology and beauty practice in Zurich, we are confronted daily with questions and insecurities revolving around the treatment options using botulinum toxin and the possible side effects.
Because of this, we have comprised an article covering what botulinum toxin is, how it works, where it finds application and which advantages and disadvantages the treatment has.
Treatments with Botulinum Toxin
Treatment goal: | Smoothing facial wrinkles. |
Treatment duration: | Depending on the extent of the treatment, about 15 minutes. |
Anesthesia: | Not necessary due to the extremely thin needles. If desired, we apply a local anesthetic cream. |
Presentable: | You can go back to your daily routine immediately after the treatment. |
Possible short-term consequences of the treatment: | Slight swelling, redness or small bruises may temporarily arise. |
How long the result will last: | For smoothing wrinkles, depending on the treatment area and the individual conditions, 3-4 months. For the treatment of hyperhidrosis 4-6 months. |
Costs: | From CHF 100 up* (treatment of the upper or lower lip). |
*Costs depend on the selected treatment and its extent. During your consultation, we will, of course, transparently explain you the arising expenses.
What is Botulinum Toxin?
The term “botulinum toxin” covers various, similar neurotoxic proteins that are produced by the Clostridium botulinum bacterium. In science, a distinction is made between botulinum toxin type A to type G.
Botulinum toxin is a muscle relaxant. It inhibits the release of acetylcholine, which is required to trigger muscle contraction. Limiting or even preventing the transmission of impulses from nerve to muscle leads to a partial or complete inhibition of the muscles.
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Use in Medicine
The commonly distributed toxin can be found in multiple variety. In specialist circles, these are known as Botulinum A-G, where the use Botulinum A is primarily used for medicinal purposes. Most people will have heard of this in connection with aesthetic medicine by the name.
It has been although used in many different medical fields since the last century. First it was used in the field of neurology to counteract movement disorders. Today it is commonly found in therapies against migraines and excessive sweating (hyperhidrosis) as well as the treatment of various tremors (involuntary muscle spasms) and cramps.
It has been although used in many different medical fields since the last century. First it was used in the field of neurology to counteract movement disorders. Today it is commonly found in therapies against migraines and excessive sweating (hyperhidrosis) as well as the treatment of various tremors (involuntary muscle spasms) and cramps.
Due to its muscle relaxing effects, botulinum toxin has found its way into the aesthetic medicine throughout the past decade, where it is used to tighten wrinkles.
The active agent will be degraded by the body's own functions and so the effects are only temporary. How long it takes for the effects to wear off differs from individual to individual depending on where the botulinum toxin is injected and how fast the active agent is degraded.
The active agent will be degraded by the body's own functions and so the effects are only temporary. How long it takes for the effects to wear off differs from individual to individual depending on where the botulinum toxin is injected and how fast the active agent is degraded.
Botulinum Toxin against Hyperhidrosis
Hyperhidrosis is considered as the excessive production of sweat. It occurs unrelated to temperature, physical strain or season. Some people only sweat profusely in specific areas, others may experience an enhanced sweat production throughout the entire body.
Besides a laser, the hyperhidrosis therapy can also be accompanied by botulinum toxin injections. The botulinum toxin will be injected into the affected area, in order to block the nerve impulses which are controlling the sweat production.
Besides a laser, the hyperhidrosis therapy can also be accompanied by botulinum toxin injections. The botulinum toxin will be injected into the affected area, in order to block the nerve impulses which are controlling the sweat production.
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However, the use of the muscle relaxant does not make sense for every desire for wrinkle smoothing. Therefore, a comprehensive consultation should always take place in advance to find the right anti-aging treatment for the individual needs of the patient.
Botulinum toxin for smoothing wrinkles
Botulinum toxin treatment can be used to smooth the kind of wrinkles caused by recurring muscle movements. For this purpose, very small, weakly concentrated amounts of botulinum toxin are injected into the muscles to be treated. This specifically inhibits the muscle pull, which results in a smoothing of the skin area.
The drug is mainly used for the treatment of mimic wrinkles on the face (e.g. frown lines, mouth wrinkles), neck and décolleté. The following types of wrinkles/problem areas, among others, can be treated with the muscle relaxant:
The drug is mainly used for the treatment of mimic wrinkles on the face (e.g. frown lines, mouth wrinkles), neck and décolleté. The following types of wrinkles/problem areas, among others, can be treated with the muscle relaxant:
- Frown lines/glabellar wrinkles: Treatment of vertical wrinkles between the eyebrows to achieve a more relaxed and youthful appearance.
- Thinking forehead/worry lines: Reduction of horizontal frown lines caused by persistent frowning.
- Eyebrow lift: lifting and accentuating the eyebrows to achieve an open look and a more youthful appearance.
- Crow's feet/laugh lines: Reduction of fine lines and wrinkles around the outer corners of the eyes caused by smiling and facial expressions.
- Marionette lines/Mentolabial folds: Smoothing wrinkles between the corners of the mouth and chin to create a harmonious appearance in the lower facial area.
- Bunny Lines (nose wrinkles): Treatment of fine lines on the sides of the nose that appear when laughing or frowning.
- Mouth wrinkles/pleated lines: Reduction of vertical lines and wrinkles around the mouth area to achieve a smoother and younger appearance.
- Strawberry chin/cobblestone chin/chin wrinkles: Smoothing wrinkles or dimples around the chin to achieve a more even appearance.
- Smoker's lines: Treatment of fine lines and wrinkles around the mouth that can result from smoking.
- Gum smile (Gummy smile): Correction of a smiling facial expression where the gums are too visible.
- Facial contouring and narrowing: altering the shape of the face to define contours or reduce certain areas.
- Migraine Botulinum Treatment: use of botulinum toxin to treat migraines and relieve associated symptoms.
Lip Flip (for fuller lips without fillers): Lifting the lip contour to create the appearance of fuller lips without using fillers.
Botulinum toxin for sweating (hyperhidrosis): Treatment of excessive sweating through the targeted application of botulinum toxin to the affected areas.
Bruxism/teeth grinding (Masticatory muscle): Relaxation of the masticatory muscles to reduce teeth grinding and tension in the jaw area.
Nose narrowing: use of Botulinum toxin or filler to relax the nasal muscles and lift the tip of the nose to visually narrow the nose.
Migraine and depression: use of botulinum toxin to relieve migraine attacks as well as to help treat depression.
Mouth corner elevation: Raising the corners of the mouth to create a friendlier and less tired facial expression.
Tension neck and shoulder muscles: relaxing the muscles in the neck and shoulder area to relieve tension and pain.
Nefertiti lift (Turkey neck/platysma wrinkles): Tightening and smoothing the skin on the neck area for a more youthful appearance and a clearer chin line.
Please note that this information is only a brief explanation and an individual consultation with a healthcare professional is required to discuss treatment options and outcomes in detail.
For smooth and beautiful Skin
Do you suffer from annoying wrinkles on your face? Then botulinum toxin injections might be just right for you. Make an appointment with us now, we will be happy to advise you in detail.
Contraindication for a Botulinum Toxin Treatment
Even though the professional use of botulinum toxin injections will only seldom cause risk or side effects, there are reasons to forgo a treatment. The attending person should enlighten you about these risks during your first consultation. Inform your doctor about your medical history as well as the possible intake of medication beforehand, in order for us to consult you in the best possible way.
The contraindications for a botulinum toxin therapy especially include:
- Pregnancy and Nursing Period: Non-medical procedures should always be postponed during a pregnancy or the nursing period.
- Infected Treatment Area: Any infections in the area which is meant to be treated, should first be fully healed before the begin of the procedure.
- Illness: If weakness of the muscles caused by illness such as myasthenia gravis is acute, the treatment should be postponed.
- Intake of Medicine: Injections should be postponed if you are currently on or have just stopped the intake of certain antibiotics (aminoglycoside antibiotics). Medication which contains acetylsalicylic acid (ASS) should as well not be taken beforehand.
For holistic personal care of our patients
Our promise to you
Your health is important to us. We attach great importance to continuous and personalised care. You will be accompanied by the same experienced doctor throughout the course of your treatment. Our aim is to offer you the best possible care - without the hassle of changing doctors.
In addition, we would like to pamper you with the following amenities:
An individual analysis for each patient to ensure the best possible treatment. It is important to us that each treatment is tailored to your specific needs.
Experience warm hospitality and a pleasant atmosphere to make you feel at home. Our team is always on hand to help you with a smile.
Enjoy complimentary drinks such as coffee, wine, spritzers and more during your stay. We want you to feel at home with us.
We look forward to welcoming you to our practice!
Dr.med.univ. Bettina Kerbler (A)
Finding Suitable Medical Assistance
The proper botulinum toxin therapy conduct is essential to ensure a naturally beautiful and safe result. Most side effects of the treatment have their origins in the miss handling or unprofessional processing of the active agents. Indispensable for the success of the treatment are proper technique, a lot of experience, specialized education, high quality compounds and clean injection needles.
In order to ensure such a standard, a doctor must regularly follow up with the latest developments in this field. This means that while you are choosing a doctor, always pay attention to the presented qualifications, certificates and tenured experience. The attending person should be knowledgeable in the field of cosmetic medicine and have a lot of experience in mater of injections.
In order to ensure such a standard, a doctor must regularly follow up with the latest developments in this field. This means that while you are choosing a doctor, always pay attention to the presented qualifications, certificates and tenured experience. The attending person should be knowledgeable in the field of cosmetic medicine and have a lot of experience in mater of injections.
Before you begin your botulinum toxin treatment, you should undergo an extensive consultation which should result in the creation of a detailed treatment plan. A consultation appointment will also be a good possibility to attain a first impression of the treating physician.
It is important that you feel welcomed and safe in the practice of your choosing and that your wishes and visions are being taken seriously. This applies for Switzerland: Only medical doctors are allowed to handle and inject botulinum toxin. Cosmetic artists are generally prohibited to inject botulinum toxin.
It is important that you feel welcomed and safe in the practice of your choosing and that your wishes and visions are being taken seriously. This applies for Switzerland: Only medical doctors are allowed to handle and inject botulinum toxin. Cosmetic artists are generally prohibited to inject botulinum toxin.
Wrinkle Treatment Zurich: Our Expertise for your Beauty
In our AVORYA beauty practice in Zurich, all treatments with botulinum toxin are carried out by the experienced specialist in dermatology and owner of AVORYA, Dr.med.univ. Kerbler (A). Dr.med.univ. Kerbler (A) is a specialist in injections and has been working as an instructor, contact partner and speaker for Allergan for many years.
The pharmaceutical company Allergan offers a number of leading products in the field of medical aesthetics and dermatology, including Botulinumtoxin. Wrinkle treatment Zurich – We advise you holistically and in detail about the different treatment options for wrinkles in our practice AVORYA. Schedule your appointment now. We are looking forward to your visit.
The pharmaceutical company Allergan offers a number of leading products in the field of medical aesthetics and dermatology, including Botulinumtoxin. Wrinkle treatment Zurich – We advise you holistically and in detail about the different treatment options for wrinkles in our practice AVORYA. Schedule your appointment now. We are looking forward to your visit.
Process of Wrinkle Treatment using Botulinum Toxin
Before you start the actual therapy, you should definitely always conduct a consultation in the practice of choice, which will go over your medical history as well as your momentary intake of medicine and involve an examination of the skin area in question. Furthermore, you should have the opportunity to put forth your expectation for the treatment.
After this, an experienced doctor should explain the possible treatment methods to you, as well as the risks and side effects which may occur as a result of the treatment. The cost should also be openly discussed. Moreover, a successive picture documentation of the affected area should be created. This will enable you to have a direct comparison after the treatment and make it easier for you to see the treatment results at first glance.
Should you already have chosen a treatment method after the consultation, you will, as long as fine needles are used for the injection, no longer have the need for an anesthetic of the affected area. We will of course apply a local anesthetic ointment if you so wish.
After this, an experienced doctor should explain the possible treatment methods to you, as well as the risks and side effects which may occur as a result of the treatment. The cost should also be openly discussed. Moreover, a successive picture documentation of the affected area should be created. This will enable you to have a direct comparison after the treatment and make it easier for you to see the treatment results at first glance.
Should you already have chosen a treatment method after the consultation, you will, as long as fine needles are used for the injection, no longer have the need for an anesthetic of the affected area. We will of course apply a local anesthetic ointment if you so wish.
With assistance of fine needle punctures, we will then inject the botulinum toxin into the muscle. The active agent will be injected in multiple areas in order to ensure a successful treatment despite the low concentration of active agents. If applied professionally, the muscle will then relax just enough to allow for a smoother skin, yet keep full range of facial expressions.
The duration of a session depends on the scope of treatment. In our practice in Zurich, it usually takes about 15 minutes. First results can be seen after three to five days. The final effect occurs after 14 days at the latest and lasts about three to four months after smoothing wrinkles and four to six months in case of a hyperhidrosis treatment. This varies from patient to patient and depends on physical conditions and the treated body region.
A follow up appointment to monitor even progress should be arranged 14 days after the initial treatment. During which specific areas can be reinjected if this is deemed necessary.
The duration of a session depends on the scope of treatment. In our practice in Zurich, it usually takes about 15 minutes. First results can be seen after three to five days. The final effect occurs after 14 days at the latest and lasts about three to four months after smoothing wrinkles and four to six months in case of a hyperhidrosis treatment. This varies from patient to patient and depends on physical conditions and the treated body region.
A follow up appointment to monitor even progress should be arranged 14 days after the initial treatment. During which specific areas can be reinjected if this is deemed necessary.
Post Treatment Behavior Advice
- 24 Hour Rest Period: After the botulinum toxin treatment, you should NOT lay down for three to four hours and give your skin and entire day of rest and time for recovery. This means: no physical activities for the rest of the day after the treatment.
- No Facial Massages: After the treatment you should go without massages to the injected area. This may cause the botulinum toxin to disperse into unwanted areas and alter the wanted effect.
- No Peelings for 14 Days: After the treatment you should go without chemical peelings or laser treatments for the following two weeks. You can although apply your usual facial care.
Risks and Side Effects of a Botulinum Toxin Treatment
Professionally conducted, treatments using botulinum toxin harbor hardly any side effects:
- Swelling and redness: Slight swelling and redness may occur at the injection site. However, these are temporary and will resolve on their own.
- Undesirable distribution: In rare cases, botulinum toxin may also be distributed to neighboring muscle groups, temporarily causing undesirable side effects there.
- Bruising: If vessels are hit during the injection, bruising may occur in the injection area. However, the use of extremely thin needles means that bruising hardly ever occurs.
- Bruising due to medication: Certain blood-thinning medications can prolong the bleeding time and thus increase the risk of bruising. Therefore, it is important that you inform your doctor about any medications you may be taking during your consultation.
- Allergic reactions: Allergic reactions to botulinum toxin are very rare.
Although, unwanted side effects may also occur due to false or poor treatment execution.
If, for example, too much active agent is injected, the communication between muscles and nerves can be hindered completely. This can cause weakness of muscles, or in case of a treatment of platysma lines in the neck area, lead to difficulties in swallowing. The cause of this does although not, as commonly perceived, in the active agent, but in the problematic implantation of the treatment.
Advantages and Disadvantages of a Botulinum Toxin
Treatment A botulinum toxin injection refers to an anti-aging treatment, which is minimally invasive and can be conducted with little effort or restrictions. This type of wrinkle reduction, furthermore, is low in risk, offers a quickly visible result and leads to no downtime. The body will also break down the botulinum toxin over time. This fact also presents its largest disadvantage of this active agent of having to repeat the treatment in regular periods in order to maintain the results.
What else is there to know about botulinum toxin in the face?
Before a treatment with botulinum toxin, there is often the concern that restricted facial expressions will occur. This risk does not exist with treatment by an experienced specialist. The amount of botulinum toxin used is so small that permanent restrictions and damage are extremely unlikely.
If there is hypersensitivity to botulinum toxin or other components of the solution, treatment should be avoided. Uncertainties such as these will be discussed in a detailed consultation prior to treatment.
When one stops regular treatment with botulinum toxin, there is a decrease in the effects achieved. The substance is completely broken down by the body and the muscle regains its full flexibility. For this reason, it is advisable to repeat the treatment regularly.
After a botulinum toxin treatment on the face, the effect is usually not immediately apparent. It can take several days. The treatment itself does not cause any pain. The sting is briefly uncomfortable, but this passes quickly.
It may happen that the botulinum toxin does not work. However, this is extremely rare and affects very few people. These are virtually immune to botulinum toxin because they have antibodies that bind the substance and make it ineffective.
If there is hypersensitivity to botulinum toxin or other components of the solution, treatment should be avoided. Uncertainties such as these will be discussed in a detailed consultation prior to treatment.
When one stops regular treatment with botulinum toxin, there is a decrease in the effects achieved. The substance is completely broken down by the body and the muscle regains its full flexibility. For this reason, it is advisable to repeat the treatment regularly.
After a botulinum toxin treatment on the face, the effect is usually not immediately apparent. It can take several days. The treatment itself does not cause any pain. The sting is briefly uncomfortable, but this passes quickly.
It may happen that the botulinum toxin does not work. However, this is extremely rare and affects very few people. These are virtually immune to botulinum toxin because they have antibodies that bind the substance and make it ineffective.
Frequently asked questions about botulinum toxin injections
Botulinum toxin A is obtained from a natural bacterium. The toxin inhibits the messenger substances between the muscles and the nerve. After the injection, the nerve can no longer tell the muscle to contract. Thus, it can no longer provide the traction that forms wrinkles on the surface. The effect of botulinum toxin therapy: the muscle and skin area relax and the wrinkles are (temporarily) smoothed.