Botox, the commercial name for the botulinum toxin that is its active ingredient, is the most widely used aesthetic treatment in the world. Initially used for medical indications (neurology, ophthalmology....), botox is now widely used in medicine and cosmetic surgery. This substance, which comes in powder form, temporarily reduces the contraction of the targeted muscles.
La toxine botulique est utilisé pour réduire les rides et les ridules du visage en relaxant les muscles responsables de l’apparition de ces inesthétismes.
L’acide hyaluronique et la toxine botulique sont les deux traitement anti-âge par excellence. Les incontournables en médecine esthétique pour traiter le vieillissement de la peau.
This product is best known for treating frown lines, crow's feet and forehead wrinkles, but there are many other indications, including the treatment of perspiration and bruxism.
La toxine botulique est un traitement esthétique largement utilisé par les hommes et les femmes pour réduire les signes du vieillissement.
Bien que les motivations puissent varier, les résultats souhaités sont similaires : une apparence plus jeune, reposée et naturelle. Chez les femmes, le Botox est couramment utilisé pour lisser les rides du front, les pattes d’oie et les rides glabellaires. Les hommes, quant à eux, recherchent souvent un
treatment to soften wrinkles without completely blocking their expression and masculine appearance. Botox allows both sexes to maintain a fresh, dynamic appearance with subtle but visible results. The treatment is personalised to meet the specific needs of each patient.
Au niveau du visage, les muscles sont intimement liés à la peau. À chaque fois que le muscle se contracte, la peau le suit. Cela provoque l’apparition de rides d’abord dynamiques (rides d’expression), puis statiques (rides de repos).
Le botox agit en empêchant la libération d’acétylcholine, signal nécessaire à la contraction musculaire, au niveau de la terminaison nerveuse. Le muscle ne peut plus se contracter, la peau se détend et les rides disparaissent.
Its action is both aesthetic and functional.
L’injection de botox peut donner un résultat naturel ou figer la personne, cela dépend du souhait du patient et de la technique médicale employée.
Certains patients, préfèrent être complètement bloqués, à l’américaine, bien que le résultat naturel soit le plus plébiscité.
Du côté du médecin, des erreurs au moment de l’injection peuvent se faire au niveau de la dilution du produit, de la localisation des points injectés et des quantités utilisées pour chaque point. Cette absence de maîtrise technique est responsable de :
L'hyaluronic acid is a gel used to fill hollows, give volume or lift. It has no effect on the muscles, which continue to contract after the injection. The result is immediate.
Botox is a powder that is reconstituted with physiological serum so that it can be injected. Botulinum toxin can only correct wrinkles caused by muscle contraction.
The result begins to be visible two days after the injection and is definitive seven days later.
For wrinkles of muscular origin, the first-line treatment is botox. If the wrinkle persists, hyaluronic acid can be injected to make it disappear.
It all depends on the problem to be treated. Excessive sweating, for example, can be treated even at the age of 18.
The laboratory advises against using botox before the age of 18 and after the age of 65.
In the field of aesthetics, the indication is the appearance of static wrinkles. The age at which they appear varies from person to person and is linked to the individual's expressiveness.
If we intervene too late, the skin will show cracks that can be improved but not erased.
The best indication for botox is prevention. It is important not to wait for wrinkles to appear, but to intervene before they do.
Botox is the most widely used aesthetic medical treatment in the world. In second place are hyaluronic acid injections and in third place laser hair removal.
In 2012 in the USA, almost 3.3 million people received it: 2.9 million women and 340,000 men.
In Europe, its annual growth rate was 8.9% over the period 2019-2025.
Botox meets various aesthetic needs.
Botox lion wrinkles
The treatment of vertical wrinkles between the eyebrows relaxes the eyes.
Botox crow's feet
Wrinkles in the corner of the eye are effectively treated and the eyes look more open.
Botox forehead wrinkles
Horizontal wrinkles on the forehead should be treated naturally so as not to freeze the patient.
Botox jaw reduction
This treatment is only effective if the masseter muscle is strong. A wide jaw due to an imposing bone structure is not an indication.
The eyebrows are raised by blocking the two eyebrow depressor muscles, which are also responsible for frown lines and crow's feet.
Botox nose tip lift
The tip of the nose is raised by injecting botox into the lower nasal septum muscle.
Botox excessive sweating
Botox is the treatment of choice.
Several factors may be responsible for this disadvantage.
It is therefore important to consult a qualified and experienced doctor for Botox injections.
The face is analysed at rest and dynamically. The examination is important for identifying muscular balances, spotting any asymmetries and identifying certain technical adjustments to be made according to the patient's anatomy.
There are different brands of botox. Dr Romano uses Azzalure from the Galderma laboratory, a toxin which, according to studies, is the longest-lasting.
The principle of the treatment is muscle blocking: the muscle, not the wrinkle, is injected. Very precise points adapted to the patient's anatomy are injected.
The injection is rapid. A very fine needle is used. No anaesthetic is required, the injection is virtually painless, and the product contains no anaesthetic (unlike hyaluronic acid). A warming sensation is felt when it is administered.
Patients are made aware of the importance of following certain instructions in order to avoid complications.
On the day of the injection, you should avoid touching the injected points, shampooing or tilting your head.
For two days following the injection, you should avoid all sporting activities, eyelash and eyebrow care and hair dyeing.
For a week, you should avoid saunas, steam rooms, UV booths, massages and facial steams.
The contraindications are :
Side effects last between one and seven days.
The classic suites are :
Le Botox rajeunit le visage : les rides disparaissent, le regard est ouvert et reposé.
Le résultat est à adapter au souhait du patient. Certains patients préfèrent la disparition complète des rides au résultat naturel, d’autres sont demandeurs de l’ouverture du regard, d’autres souhaitent conserver une petite mobilité au niveau de tous les muscles (les acteurs par exemple)…
Le docteur Romano respecte toujours le choix du patient, néanmoins elle conseille vivement un résultat naturel.
The effects begin to be visible two days after the injection and are definitive seven days later.
The result is not definitive and lasts between four and six months.
Botox, or botulinum toxin type A, is widely used to reduce wrinkles and improve the appearance of the face. Here is a summary of its effects over time.
Effets immédiats (0 à 7 jours)
1 à 3 jours : les premiers effets commencent à apparaître. Les muscles traités commencent à se détendre, les rides commencent à s’estomper.
7 jours : le résultat est optimal, avec une réduction significative des rides et une peau plus lisse.
Effets à court terme (1 à 3 mois)
1 à 2 mois : les résultats sont à leur apogée car une retouche gratuite a été réalisée une à trois semaines après l’injection initiale pour parfaire le résultat. La peau semble plus jeune et les rides sont nettement atténuées.
3 mois : les effets commencent à s’estomper lentement, les muscles commencent à retrouver leur activité, mais les rides ne réapparaissent pas.
Effets à moyen terme (3 à 6 mois)
3 à 4 mois : une diminution visible de l’efficacité du Botox est souvent observée. Certaines rides peuvent réapparaître.
4 à 6 mois : Les effets du Botox continuent à s’estomper. Les muscles ont presque entièrement retrouvé leur fonction normale et les rides réapparaissent.
Effets à long terme (6 mois et plus)
6 mois et au-delà : le Botox est entièrement métabolisé par l’organisme. Les muscles retrouvent leur pleine activité et les rides réapparaissent complètement. Cependant, après plusieurs séance d’injection, certaines rides peuvent sembler moins prononcées en raison de l’affaiblissement temporaire des muscles.
Effets cumulatifs
Répétition des injections : en renouvelant les injections tous les six mois, les muscles s’affaiblissent progressivement, entraînant une réduction plus durable des rides.
Prévention : les injections régulières de Botox préviennent la formation de nouvelles rides.
Long-term adverse effects
Botox tolerance Some people can develop a tolerance to Botox, and these patients require higher doses to obtain the same results.
Weakening muscles with Botox This is quite positive if the injections have been carried out correctly. Otherwise, a weakening of the forehead muscle in the lower part of the forehead, for example, can lead to a permanent drooping of the eyebrows.
Botox resistance Botulinum toxin: some people can develop antibodies against botulinum toxin, making the treatment less effective or ineffective. This is often due to injections being given too close together. Resistance is rare.
The price of botulinum toxin injections depends on a number of factors, including the area to be treated, the quantity of product required and the expertise of the practitioner. In the USA, the price of the area to be treated is calculated per unit, with an average cost of between CHF 10 and 15 per unit. In Switzerland, the price is calculated in terms of the area treated.
It is important to consult a qualified practitioner for a precise, personalised estimate and, above all, to be sure of obtaining a natural result without complications.
| Type of consultation | General rates |
|---|---|
|
Botox upper face
|
WOMAN one zone: CHF 300 two zones: CHF 450 three zones: CHF 600 MEN one zone: CHF 350 two zones: CHF 500 three zones: CHF 650 |
|
Botox masseter/bruxism |
CHF 500 for the 1st bottle CHF 350 for each additional bottle one to three vials are required |
|
Botox perspiration
|
CHF 500 for the 1st bottle CHF 350 for each additional bottle One to three vials are needed |
Opinions on Botox are overwhelmingly positive, both from patients and doctors.
Patients praise Botox's ability to smooth fine lines and wrinkles, resulting in a more youthful, rested appearance. Patients appreciate the subtlety of the treatment which, if carried out by an experienced practitioner, allows natural expressions to be retained while reducing the signs of ageing.
Results are visible quickly, with an optimal effect after just one week. What's more, Botox is renowned for its safety and efficacy, with effects that last for six months. The rapid recovery and minimal side effects add to patient satisfaction, making Botox the solution of choice for those looking to treat the signs of ageing on the face.
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Botox (botulinum toxin type A) is a widely used cosmetic treatment approved by health authorities in many countries, including the US Food and Drug Administration (FDA) and the European Medicines Agency (EMA). Botox is considered safe when administered by a qualified doctor.
Botulinum toxin has been discovered and studied since the early 19th century. Initially identified as a cause of food poisoning, it became an important medical and cosmetic tool in the 20th century. Botulinum toxin is now widely used to treat a variety of medical and cosmetic conditions.
Botox is often used to reduce wrinkles and fine lines on the face, particularly those on the forehead, crow's feet and between the eyebrows. It can give a more youthful, rested appearance when administered correctly by a qualified doctor. However, it is essential to consult a doctor to assess whether Botox is right for you.
Botox smoothes wrinkles and fine lines and opens up the eyes, giving the face a more youthful, rested appearance.
It is generally advisable to wait at least 24 hours before washing your face after a Botox injection. This allows the product to set properly and reduces the risk of the Botox spreading to other muscles.
Yes, Botox is very effective in temporarily reducing or eliminating forehead wrinkles. Results may vary depending on the depth of the wrinkles and individual reaction.
Botox delays ageing by preventing the formation of new wrinkles and the worsening of existing ones.
There is no cream that can completely replace Botox. However, certain creams containing peptides, retinol or hyaluronic acid can help improve the appearance of the skin and reduce the appearance of wrinkles.
Argireline is a peptide that mimics the action of botox.
The laboratory advises against the use of Botox after the age of 65. When Botox is stopped, the temporary effects (reduction of wrinkles) will gradually disappear after 3 to 6 months and the muscles will resume their normal activity. Wrinkles and fine lines will then gradually reappear.
There is no 'natural Botox' identical to synthetic Botox. However, some natural products, such as serums based on peptides or plant extracts, can offer anti-ageing effects by stimulating collagen production and improving skin elasticity.
Botox can temporarily change the appearance of the face by smoothing fine lines and wrinkles, but it does not change the structure of the face. When injections are carried out by a qualified doctor, the face retains its natural appearance.
A drooping eyelid after a Botox injection can occur if the Botox accidentally diffuses into the levator muscle of the upper eyelid. This complication is rare and temporary, usually resolving within a few weeks.
Drooping eyebrows, caused by the forehead being completely blocked, can give the false impression of a drooping eyelid.
Botox can be beneficial for those who wish to reduce the appearance of wrinkles and fine lines and open up their eyes.
Azzalure.
Yes, Botox can be combined with other aesthetic treatments such as fillers, peels and laser treatments. Some of these treatments cannot be carried out on the same day.
Botox injections are generally well tolerated and pain is minimal. An anaesthetic cream may be applied before the procedure.
Botox injections do not have an immediate effect because the blocking of muscle receptors (acetylcholine receptors, which are the target of botulinum toxin) is only possible once they are free.
That's why Botox® doesn't work straight away: you have to wait for these receptors to be released before you see a visible effect.
It takes approximately 3 to 4 hours to fall asleep after the injection. It is often said that on the first night after the injection, it is advisable to sleep with your head slightly elevated, but this is not necessary.
Botulinum toxin injections are mainly used to reduce wrinkles and fine lines by relaxing the facial muscles responsible for expressions. The result is a smoother, younger-looking face without the need for surgery. Results are visible within a few days and last for several months.
The choice between Botox and hyaluronic acid depends on the indications. Botox is indicated for smoothing expression lines caused by muscle movements, such as forehead wrinkles and crow's feet. Hyaluronic acid, on the other hand, is a filler used to add volume, fill in deep wrinkles and hydrate the skin. The two treatments can be complementary and are often used together for a complete rejuvenation of the face.
Unfortunately, there is no method of reversing the effect of Botox. The effects of Botox are temporary and diminish naturally over time, generally between four and six months.
Botulinum toxin itself does not generally cause fatigue. However, some people may feel slightly tired after the injection, but these symptoms are temporary.
It is advisable to avoid steam rooms, saunas and baths for at least two days after a Botox injection. Excessive heat can increase the risk of botox spreading and bruising.
Yes, this is a frequent side effect, but it is generally mild and temporary.
A Botox injection session generally lasts between ten and twenty minutes. The injection itself lasts barely a minute.
Yes, you can fly after a Botox injection.
Botox can be used preventively before the age of 30 to reduce the appearance of expression lines.
Botox is indicated for curative purposes when the first static wrinkles appear.
It is important to consult a qualified practitioner to determine whether Botox is appropriate for you.
There is no specific antidote. Once injected, there is no substance capable of neutralising its action.
Yes, botox delays skin ageing and slows the appearance of muscle-induced wrinkles.
Botulinum toxin injections are not recommended for the lower part of the face. In fact, the benefits obtained at this level are low, while the risks of diffusion are high, which can cause speech defects or breathing difficulties.
Botox slows down the ageing of the skin, but only acts on wrinkles. The other components of skin ageing will not be treated.
Botox is contraindicated in pregnant or breastfeeding women, in cases of known allergy to botulinum toxin or any of the product's ingredients, and in patients with neuromuscular disorders. It is important to consult a qualified practitioner to rule out these contraindications.
Botulinum toxin injections delay ageing. However, botox can make you look older if the injections don't work and your face looks stiff.
The patient is seen again one to three weeks after the initial injection for a free touch-up to correct any asymmetry or anomalies and perfect the result.
Subsequent injections should be repeated every four to six months to maintain the result.
Botox is particularly effective in treating expression lines, such as forehead wrinkles, crow's feet and frown lines. By relaxing the muscles responsible for these folds, Botox smoothes the skin and visibly reduces wrinkles. The result is natural and harmonious. It's a fast, long-lasting solution for reducing the signs of ageing.
The services described on this site are applicable to Switzerland; there are differences between countries.
Contact details
Dr Valeria Romano
Pl. du Molard 5, 1204 Geneva, Switzerland
Monday to Friday, 9.30am to 6pm
Dr Valeria Romano - All rights reserved.
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