Botulinum Toxin Injections
Botulinum Toxin A injections (Dr Minke Koegelenberg, Dr Izolda Heydenrych and Dr Marius Hannah)
Botox® is an injectable neuromodulator that temporarily relaxes facial muscles to reduce the appearance of fine lines and wrinkles. It is widely used for smoothing frown lines, crow’s feet, and forehead wrinkles.
Who is a good candidate?
- Ideal for individuals looking to:
- Smooth dynamic wrinkles caused by repeated facial expressions (such as squinting, frowning, or raising eyebrows).
- Prevent the formation of deep lines or improve existing fine lines.
- Treat neck bands (platysma bands) or excessive sweating (hyperhidrosis) in areas like the underarms, hands, or feet.
- Most effective for patients in their 30s to 60s, although younger clients may opt for preventative Botox®.
- Not suitable for:
- Pregnant or breastfeeding individuals.
- Those with a neurological disorder (e.g., ALS, myasthenia gravis).
- People with allergies to Botox® or any of its ingredients.
- Patients with active skin infections in the treatment area.
What to expect
- Before Treatment:
- A consultation to assess the areas for treatment and your medical history.
- The area is marked, and the procedure takes 10–20 minutes depending on the number of areas being treated.
- During Treatment:
- The practitioner will use a fine needle to inject small amounts of Botox® into the targeted muscles.
- Minimal discomfort—some clients describe the sensation as a slight pinch.
- No downtime—patients can resume normal activities immediately after the procedure.
- After Treatment:
- You may experience slight redness or bruising at the injection site, but this typically resolves within a few hours to days.
- The results start to become visible within 3–5 days, with full effects occurring in about 10–14 days.
- Effects typically last 3–4 months, after which repeat treatments are needed to maintain results.
Is it Safe?
- Yes—Botox® is FDA-approved and has been used safely in both medical and cosmetic treatments for decades.
- Side effects are generally mild and may include temporary bruising, swelling, or headache at the injection site.
- Severe side effects are rare but can include drooping eyelids, uneven results, or difficulty swallowing, particularly if administered incorrectly.
- It’s important to choose a qualified and experienced provider to ensure the safest and most effective treatment.
Safe Intervals Between Treatments
- Botox® and Laser Treatments:
- It’s recommended to wait at least 24hours after a Botox® treatment before undergoing laser resurfacing treatments (e.g., CO₂, Fraxel, or IPL) to allow the toxin to fully settle and avoid interference with the skin’s healing response.
- If you’re having laser treatments before Botox®, it is recommended that you wait at least 2 weeks before you have your Botox®.
- Botox® and Ultherapy:
- A safe interval between Botox® and Ultherapy (ultrasound skin lifting) is typically 1–2 weeks. This ensures that the Botox® has fully settled and won’t interfere with the energy delivery and skin contraction of Ultherapy.
- Ultherapy can also enhance the effects of Botox® by tightening the skin and offering long-term anti-aging benefits.
- BOTOX® and Hyaluronic Acid Fillers:
- If you’re combining Botox® with hyaluronic acid fillers (such as Juvederm or Restylane), the timing depends on the areas being treated:
- Botox® first: Wait at least 2 weeks after Botox® before getting hyaluronic acid fillers to avoid altering the filler placement.
- Fillers first: Wait 1–2 weeks before Botox® to ensure that the filler has settled properly and results are as expected.
- Combination treatments can be safely done with the correct planning, providing synergistic effects for facial rejuvenation.
- If you’re combining Botox® with hyaluronic acid fillers (such as Juvederm or Restylane), the timing depends on the areas being treated:
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