Wrinkle Treatment with Botulinum Toxin (Botox)
The effects of botulinum toxin were first described in Germany by physician Justinus Kerner as early as 1815. Botulinum toxin type A was first used for cosmetic purposes in the late 1990s by Jean and Alastair Carruthers in Vancouver. In Germany, it has been approved for the cosmetic treatment of facial wrinkles since 2006.
Originally, botulinum toxin was used to treat conditions such as strabismus and in neurological medicine, including certain forms of muscle paralysis and conditions following a stroke. Today, it is also used for the treatment of excessive sweating (hyperhidrosis) affecting the hands, underarms and feet, as well as in the treatment of migraines and tension headaches.
Our facial expressions place considerable and repeated strain on the skin. Every day, we frown, raise our eyebrows and narrow our eyes when we smile or laugh. When we are young, the skin can generally compensate for these repeated movements without difficulty. As we age, however, the first expression lines often begin to appear on the forehead and around the eyes, becoming increasingly pronounced over time.
A Youthful Appearance with Natural Facial Expression
Botulinum toxin treatment is particularly effective for reducing the appearance of unwanted dynamic wrinkles on the forehead, around the eyes and on the neck, with results becoming noticeable within just a few days.
Botulinum toxin has also become an established component of a number of other treatments. Dr Christian Metz offers the following range of Botox treatments in Munich:
- Aesthetic treatment of facial and neck wrinkles, particularly prominent or unwanted expression lines caused by facial muscle activity
- Correction of scar-related facial asymmetries as a complementary treatment following reconstructive surgery after accidents or tumour treatment
- Treatment of excessive and troublesome sweating of the underarms, hands and feet
- Treatment of chronic tension headaches and migraines
Book Your Consultation Today
During a comprehensive initial consultation, Dr Christian Metz will be pleased to discuss the options available to you for wrinkle treatment with Botox and answer your individual questions.
To arrange an initial, no-obligation consultation at our Plastic & Aesthetic Surgery practice in Munich, please call us on +49 (0)89 20 07 07 07.
Wrinkle Treatment with Botulinum Toxin (Botox)
A Botox wrinkle treatment takes approximately 15 minutes, with the effects becoming noticeable within a few days. The results generally last for several months, and the treatment can be repeated as required.
- Treatment duration: Approx. 15 minutes
- Anaesthesia: None
- Hospital stay: Outpatient treatment
- Time off work: None
- Social downtime: None; generally able to resume social activities immediately or within 1–2 hours
- Aftercare: None
- Exercise: After 1 day
- Cost: From €300
Get Comprehensive Advice!
We would be happy to arrange an initial, no-obligation appointment with you at our practice for Plastic & Aesthetic Surgery in Munich — call 089 / 20 07 07 07, or book your consultation online right away.
Three Questions for Dr Christian Metz About Botox Wrinkle Treatment in Munich
Are botulinum toxin injections dangerous?
When botulinum toxin is administered by an experienced physician, it should be regarded in the same way as any other medical treatment. For aesthetic purposes, botulinum toxin is administered locally in very small, precisely controlled doses. The quantities used are extremely small – typically only a few billionths of a gram – and do not contain toxic bacteria.
Botulinum toxin injections are a medical procedure and should therefore only be administered by a qualified physician.
Can Botox treatments be repeated indefinitely?
There are no known long-term adverse effects associated with appropriately administered Botox treatments over extended periods. Treatment can therefore be repeated at regular intervals if desired. Many patients choose to have Botox treatment two or three times a year.
Is it true that Botox can cause the eyebrows to droop?
As Botox temporarily reduces the activity of specific facial muscles, lowering of the eyebrows can occur depending on the treatment area and dosage. As the effects of the injection gradually wear off – usually after approximately three to four months – normal muscle function returns.
Botulinum toxin can also be used strategically to achieve a subtle elevation of the outer eyebrow. This technique is commonly referred to as a lateral brow lift.
Botox Before-and-After Photos
We would be pleased to show you before-and-after photographs of Botox wrinkle treatments at our practice in Munich. These images provide an impression of how wrinkles can be softened and smoothed with Botox and the results that may be achieved.
Due to the professional guidelines governing plastic surgery in Germany, we are unable to publish before-and-after photographs online. However, during a personal consultation at our practice, we will be happy to show you photographs of Botox treatments performed by us and discuss the treatment options available to you.
Treatment Information for Botox Wrinkle Treatment at Dr Christian Metz’s Practice in Munich
Which methods and techniques does specialist plastic surgeon Dr Christian Metz use?
Botox injections are performed at our specialist practice in Munich. Treatment should only be administered by an experienced physician in order to minimise potential side effects. As botulinum toxin is a prescription medication, it may only be administered by a qualified doctor.
The number of Botox units required varies depending on the area being treated. Botulinum toxin works by temporarily blocking the transmission of nerve signals to the targeted muscles. As a result, muscle activity is reduced, helping to soften dynamic wrinkles caused by repeated facial expressions.
What exactly happens during the treatment?
Depending on the area being treated, a number of small injections are administered into the targeted areas. You may feel a slight prick, similar to any other injection.
If desired, a topical anaesthetic cream can be applied beforehand to reduce sensitivity at the injection sites.
Do I need to go to hospital for Botox treatment?
No. Botox wrinkle treatment is an outpatient procedure and usually takes approximately 15 minutes.
What type of anaesthesia is required?
No anaesthesia is generally necessary, as the injections involve only minor discomfort and are often compared to the sensation of acupuncture needles. We will discuss your individual preferences with you during your consultation.
How should I prepare for the treatment?
During your consultation, we will discuss the Botox treatment and the changes you would like to achieve so that you have realistic expectations regarding the outcome.
We will assess which areas of your face are suitable for Botox treatment and develop an individual treatment approach. If required, a topical anaesthetic cream may be recommended before treatment.
What does the aftercare involve?
The treated area can be gently cooled following the injections. Extreme heat should be avoided for approximately three to five days.
The wrinkle-smoothing effects of Botox generally begin to become noticeable within three to fourteen days.
What are the risks associated with Botox treatment?
In rare cases, muscles close to the treated area may be temporarily weakened. For example, when treating forehead lines, this may affect the position of the eyebrows and can occasionally result in temporary lowering of the brow.
People with significant blood-clotting disorders or underlying conditions associated with muscle weakness should not undergo treatment. Botox treatment is also not recommended during pregnancy or while breastfeeding.
What complications can occur?
Possible temporary effects include bruising, redness and small raised areas at the injection sites. In rare cases, headaches may occur. Allergic reactions are also possible but very uncommon.
Will I experience pain after Botox treatment?
Apart from minor discomfort at the injection sites, patients generally do not experience pain following Botox treatment.
Will there be any scars?
No incisions are required for Botox treatment, so the procedure does not result in surgical scars.
When can I return to work?
You can normally return to work immediately, on the same day as your treatment.
How long do the effects of Botox last?
The effects generally last between three and six months, depending partly on the dose administered and individual factors.
Over time, the body forms new connections between the nerves and muscles, allowing muscle activity to gradually return. Further Botox injections can then be administered to maintain the desired effect.
With regular treatment, some patients find that the intervals between treatments can gradually be extended.
Are there alternatives to Botox?
Depending on the type and extent of the wrinkles, surgical procedures such as a forehead lift, brow lift or facelift may be suitable alternatives.
During your consultation, we will assess your individual concerns and discuss which treatment approach is most appropriate for your needs and desired outcome.
How much does Botox treatment cost?
The cost of Botox treatment depends on the size and number of areas being treated and the number of units required. Treatment starts from €300.
When is Botox treatment covered by health insurance?
Botox treatment performed for the cosmetic reduction of wrinkles is not covered by health insurance.
Botulinum toxin treatments for certain medical conditions, such as hyperhidrosis or migraine, may be eligible for reimbursement depending on the individual diagnosis and subject to prior approval by the health insurance provider. We will be pleased to explain the relevant details to you.
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