Botox

About Botox

Botox is a well-known brand of botulinum toxin type A, a purified protein that temporarily relaxes the muscles it is injected into. In the face it is mostly used to soften expression lines, such as frown lines between the eyebrows, forehead lines and crow’s feet around the eyes.

It works on lines caused by movement rather than on lines that are visible at rest or on loss of volume. Used carefully, it softens expression without freezing the face. Other uses, such as reducing jaw clenching or excessive sweating, are assessed separately.

Who it may be suitable for

• Expression lines on the forehead, between the brows or around the eyes
• Wanting a softer look rather than a change in facial structure
• No neuromuscular condition such as myasthenia gravis
• Not pregnant or breastfeeding, and no active skin infection or cold sore in the area

These are general points only. Whether a treatment is suitable for you is decided by the treating clinician after examining you in person and reviewing your medical history and current medication.

How it works

1. 01

   Photo review

   You share photos and a short description of what bothers you. The clinician gives a first view of which options may help and which are unlikely to.

2. 02

   In-person assessment

   The clinician examines your face and skin, goes through your medical history and explains the expected effect, its limits and the risks before you consent.

3. 03

   Treatment

   The clinician marks the injection points while you make expressions, then places small doses with a very fine needle. No numbing is usually needed.

4. 04

   Check and aftercare

   You receive written aftercare instructions and a contact for questions. A review is arranged in person or by photos, depending on how long you stay.

What to expect and aftercare

1. First 24 hours

   Avoid touching or massaging the treated area unless the clinician tells you to, and skip make-up, alcohol, strenuous exercise, saunas and hot baths.

2. First 4 hours

   Stay upright and avoid lying down, bending over for long periods or pressing on the treated area.

3. Days 3–14

   The effect starts after a few days and reaches its full level at around two weeks. This is when any small adjustment is assessed.

4. Months 3–4

   Muscle movement gradually returns. Treatment can be repeated, usually no more often than every three months.

Timelines vary between people. Always follow the aftercare instructions from your treating clinic.

Risks and considerations

• Headache, bruising and tenderness at the injection points are common and short-lived.
• A temporarily drooping eyelid or brow, or an uneven look, can happen if the product affects nearby muscles. It wears off as the effect fades.
• Very rarely, the effect spreads beyond the injection area, causing symptoms such as difficulty swallowing or breathing, which need urgent medical attention.
• Some medicines and supplements increase bruising. Tell the clinician about everything you take, including blood thinners.

Common questions