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What is Botox?

Botox removes wrinkles by reversibly paralysing muscles. Wrinkles present without the use of facial expression muscles require additional therapies, such as fillers.

Botox improves symptoms without surgery, the procedure lasts a short time, and every day life is possible straight afterwards.

Characteristics of Botox

One can notice the paralysis a day after injection - at the earliest - and it becomes marked when three days have passed. The effect gradually increases and reaches its peak at one month, at which point it starts to decline, but there are differences amongst individuals and effects may last around 3-6 months. As the effect starts to gradually decline after a month, facial expressions become more natural.

Factoring in individual differences, Botox injections are done every 4-6 months.

There is no swelling or pain following injections.

​Applications of Botox

Square jaw

Muscle atrophies when unused. Thus, by reducing the movement of masseter muscles, Botox can reduce the volume of square jaw. The effect becomes noticeable approximately 3-4 weeks after injection, and it usually lasts 6 months, although there are individual differences. For long-lasting atrophy effect, regular injections every 5-6 months are recommended.

Calf muscles

Botox is effective for reducing the volume of calf muscles. Since it selectively reduces the volume of muscles, it does not make the entire leg thinner. The muscles become soft 3-4 weeks after injection, and the reduction in calf volume becomes gradually noticeable afterwards. However, excessive leg exercise and high heels should be avoided.


Wrinkles on skin are formed as the muscles of facial expression are repeatedly used. These eventually become permanently visible due to age. Botox smoothes out these wrinkles by relaxing these muscles of facial expression. Effects are visible 1-2 weeks after injection, and last 5-6 months.

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Botox may also be injected in other parts of the body. Please book an appointment to find out more.

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Botox warning

If you have been injected around the eyes or in the glabella (middle of the forehead), lightly washing your face is fine. However, if you rub your eyes hard, then Botox can get absorbed into the eyelid muscles and cause blepharoptosis (droopy eyelids). Furthermore, it is best not to lie down for 4 hours after injection to prevent blepharoptosis.

Dermotoxin (Skin Botox)

What is dermotoxin?

Dermotoxin is a combination of 'dermo-' meaning skin, and '-toxin' from botulinum toxin (Botox). It is also referred to as 'skin Botox' or 'metobotox'. Although dermotoxin injection uses the same substance as Botox, rather than paralysing the muscle, it acts on the dermal layer of the skin or the fascia, thereby naturally smoothing out muscles, improving skin tone, and increasing skin tension.

Dermotoxin vs Botox

  • Mechanism: injection in small volumes into layers of skin / injection in small volumes into localised areas for muscle paralysis and/or atrophy

  • Where: dermal layer in the area where skin elasticity needs improvement / where wrinkles need smoothing out

  • Effect: improvement of overall elasticity and find wrinkles / smoothes out wrinkles in localised area


What is a filler?

Fillers are used in various parts, such as the nose, middle of the forehead, laugh lines, lips, etc., and depending on the individual and on the part it lasts 6 months to 1 year, although after approximately a year, 50% is absorbed and the procedure has to be redone.

Characteristics of filler

There is almost no swelling or pain since there is no incision. The effect is immediate. The filler can be injected into the desired shape, and fine tuning is possible after injection. The procedure takes as little as 5-10 minutes, and every day life is possible immediately afterwards.

Application of dermotoxin
See diagram on the right

Dermotoxin caution

Do not lie down for 3-4 hours after injection. Do not massage the injection area, visit the sauna, or do vigorous exercise that causes sweating for 2-3 days. Slight bruising, swelling, and itching that occur after the procedure will eventually disappear. For optimal effect, we recommend 3 or more injections with 1-2 months' interval.

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Filler effects

  • Nose: can increase height of the nose, balance the overall shape of the nose

  • Cheeks/zygoma: adds volume above the cheeks

  • Laugh lines: smoothes out wrinkles

  • Chin: modify the overall shape of the chin

Filler warning

Can occasionally cause slight bruising.

For those who had open rhinoplasty, the tip of the nose has poor blood circulation. Therefore it is best that the procedure is not performed in that case, and that small amounts of product that can be melted an immediately removed is used. Do not touch or press on the injection on the day. Face wash and make-up are possible the following day. If pain lasts even after 1 hour, it may be necessary to remove the filler. Infection or necrosis are rare, but possible.

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Multineedle injection

What is multineedle injection?

Hyaluronic acid is a polysaccharide substance that exists mainly in the skin, and its role is to attract moisture. This substance begins to disappear due to age and other reasons, triggering ageing of the skin. Through multineedle injection, hyaluronic acid that is 200-300 times more than what is in our body is injected directly into the dermis of the skin, in order to create moist and elastic skin. As moisture is supplied directly into the skin, it can quickly resolve dryness of the skin, and the skin remains moist even without applying moisturisers.

Characteristics of multineedle injection

  • Daily life is possible immediately afterwards.

  • The procedure takes a short time.

  • It can improve wrinkles, elasticity and skin tone.

Effectcs of multineedle injection

Skin moisturisation, skin elasticity, wrinkles, skin tone

Application of multineedle injection

See diagram on the right

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Multineedle injection warning

Although swelling or bruising may occur immediately after procedure, they usually disappear within a couple of days. Please avoid drinking, saunas, and vigorous exercise for 2-3 days. Make-up is possible the following day. Do not rub on the injection area too hard when washing your face.

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