Botox, the commercial name for botulinum toxin (the active ingredient), is the most widely performed aesthetic treatment in the world. Initially used for medical purposes (neurology, ophthalmology, etc.), Botox is now highly popular in aesthetic and cosmetic surgery. This substance, which comes in powder form, temporarily reduces the contraction of targeted muscles.
Botulinum toxin is used to reduce facial wrinkles and fine lines by relaxing the muscles responsible for these imperfections. Hyaluronic acid and botulinum toxin are the two ultimate anti-aging treatments. They are essentials in aesthetic medicine for addressing skin aging.
This product is well known for treating frown lines, crow’s feet, and forehead wrinkles, but it also has many other indications, such as treating excessive sweating and bruxism.
Botulinum toxin is an aesthetic treatment widely used by both men and women to reduce the signs of aging.
While the motivations may differ, the desired results are the same : a younger, more rested, and natural appearance. For women, Botox is commonly used to smooth forehead wrinkles, crow’s feet, and frown lines.
Men, on the other hand, often seek treatment to soften wrinkles without completely freezing their expressions or altering their masculine appearance. Botox helps both genders maintain a fresh, dynamic look with subtle but visible results. The treatment is personalized and tailored to each patient's specific needs.
In the face, muscles are closely linked to the skin. Each time a muscle contracts, the skin moves with it. This leads first to the formation of dynamic wrinkles (expression lines), and later to static wrinkles (resting lines). Botox works by preventing the release of acetylcholine, a chemical messenger needed for muscle contraction, at the nerve ending. The muscle can no longer contract, the skin relaxes, and the wrinkles fade.
It has both aesthetic and functional effects :
Botox injections can produce a natural result or freeze the person's features; it depends on the patient's preference and the medical technique used.
Some patients prefer to be completely frozen, in the American style, although the natural result is the most popular.
On the doctor's side, errors can occur during the injection in terms of product dilution, the location of the injection points, and the quantities used for each point. This lack of technical control is responsible for:
hyaluronic acid is a gel used to fill hollow areas, add volume, or lift. It does not affect the muscles — muscle contractions continue after the injection. The result is immediate.
Botox is a powder that is reconstituted with saline solution for injection. Botulinum toxin only corrects wrinkles caused by muscle contraction.
The result becomes visible two days after injection and is fully set after seven days.
For muscle-related wrinkles, Botox is the first-line treatment. If the wrinkle persists, a hyaluronic acid injection can be added to make it disappear.
It depends on the condition being treated. For example, excessive sweating can be treated even at age 18.
The manufacturer advises not using Botox before the age of 18 or after 65.
In the aesthetic field, the indication is the appearance of static wrinkles. The age of onset varies from person to person and is linked to individual expressiveness.
If treatment is started too late, skin creases may already be deeply set and can be improved but not erased.
The best indication for Botox is prevention.
Don’t wait for wrinkles to become permanent — act before they appear.
Botox is the most performed aesthetic medicine procedure worldwide. Second in line are hyaluronic acid injections, followed by laser hair removal.
In 2012, nearly 3.3 million people in the United States received Botox : 2.9 million women and 340,000 men.
In Europe, the annual growth rate was 8.9% between 2019 and 2025.
Botox addresses a variety of aesthetic needs.
Botox frown lines
Treating the vertical lines between the eyebrows refreshes and lightens the gaze.
Botox crow's feet
The wrinkles at the outer corners of the eyes are effectively treated, opening up the gaze.
Botox forehead wrinkles
The horizontal wrinkles on the forehead must be treated in a natural way to avoid freezing the patient’s expressions.
Botox jawline Slimming
This treatment is only effective in cases of hypertrophic masseter muscles. A wide jaw due to prominent bone structure is not a valid indication.
Eyebrow elevation is achieved by blocking the two depressor muscles of the eyebrows, which are also responsible for glabellar lines and crow’s feet.
Botox nose tip lift
The lifting of the nose tip is achieved by injecting Botox into the depressor muscle of the nasal septum.
Botox excessive sweating
Botox is the treatment of choice.
Several factors can contribute to this issue :
It is therefore important to consult a qualified and experienced doctor for Botox injections.
The face is analyzed both at rest and in motion. This evaluation is crucial to identify muscular balance, detect any asymmetries, and determine specific technical adjustments based on the patient’s anatomy.
There are different brands of Botox. Doctor Romano uses Azzalure, from the Galderma laboratory — a botulinum toxin that, according to studies, has the longest duration of effect.
The principle of the treatment is muscle blocking — the wrinkle itself is not injected, but rather the muscle.
Specific points adapted to the patient’s anatomy will be targeted.
The injection is quick. A very fine needle is used. No anesthesia is needed, the injection is almost painless. The product does not contain anesthetic (unlike hyaluronic acid). A warming sensation may be felt during administration.
Patients are informed of the importance of following specific instructions to avoid the occurrence of complications.
On the day of the injection, it is necessary to avoid touching the injection points, washing your hair, and bending your head forward.
In the two days following the injection, it is necessary to avoid any physical activity, eyelash and eyebrow treatments, and hair coloring.
For one week, avoid saunas, steam rooms, tanning beds, facial massages, and steam exposure to the face.
The contraindications are :
Side effects last between one and seven days.
Typical after-effects include :
Botox rejuvenates the face : wrinkles fade, the gaze is opened and looks more rested.
The result must be adapted to the patient’s expectations. Some patients prefer the complete disappearance of wrinkles over a natural result, others seek an open gaze, and some wish to keep some mobility in all facial muscles (actors, for example)...
Doctor Romano always respects the patient’s choice, but strongly recommends a natural-looking result.
The effects begin to appear two days after the injection and are final seven days after.
The result is not permanent. Its duration varies 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. reduce wrinkles et améliorer l’aspect du visage. Voici un résumé de ses effets dans le temps.
Immediate effects (0 to 7 days)
1 to 3 days : the first effects start to appear.
The treated muscles begin to relax, and the wrinkles begin to fade.
7 days : the result is optimal, with a significant reduction in wrinkles and smoother skin.
Short-term effects (1 to 3 months)
1 to 2 months : results are at their peak, as a free touch-up was performed one to three weeks after the initial injection to perfect the result.
The skin appears younger and wrinkles are significantly reduced.
3 months : effects begin to fade slowly, muscles begin to regain activity, but wrinkles have not yet returned.
Medium-term effects (3 to 6 months)
3 to 4 months : a visible decrease in Botox effectiveness is often observed.
Some wrinkles may reappear.
4 to 6 months : the effects of Botox continue to fade.
Muscles have almost fully recovered their normal function and wrinkles reappear.
Long-term effects (6 months and beyond)
6 months and beyond : Botox is fully metabolized by the body.
Muscles fully recover, and wrinkles reappear completely.
However, after several sessions, some wrinkles may appear less pronounced due to temporary muscle weakening.
Cumulative effects
Repeating injections every six months gradually weakens the muscles, leading to longer-lasting wrinkle reduction.
Preventive : regular Botox injections prevent the formation of new wrinkles.
Undesirable long-term effects
Tolerance to Botox : some people may develop tolerance, requiring larger doses to achieve the same result.
Weakening of muscles due to Botox : this is generally positive if the injections were performed correctly.
Otherwise, weakening of the lower part of the frontalis muscle, for example, can result in permanent eyebrow drooping.
Resistance to Botox : some individuals may develop antibodies against botulinum toxin, making the treatment less effective or ineffective.
This is often due to overly frequent injections.
Resistance is rare.
The price of botulinum toxin injections in Geneva depends on several factors, including the area to be treated, the amount of product required, the physician’s expertise, and the patient’s sex, as dosage varies depending on muscle strength. In the USA, pricing per treated area is calculated by unit, with an average cost ranging between 10 and 15 CHF per unit, whereas in Switzerland, pricing is usually based on the treated zone.
It is important to consult an experienced physician for an accurate and personalized quote, and above all, to ensure a natural result without complications. The rate per zone or per vial is clearly established in advance, ensuring transparency and rigor in care.
For aesthetic treatment of the upper face (forehead wrinkles, frown lines, crow’s feet), the prices are as follows :
For therapeutic or functional indications, the prices vary depending on the number of vials used :
Reviews on Botox are mostly positive, both from patients and doctors.
Patients praise Botox’s ability to smooth wrinkles and fine lines, giving a younger and more rested appearance.
They appreciate the subtlety of the treatment which, when performed by an experienced practitioner, allows natural expressions to be maintained while softening the signs of aging.
Results are visible quickly, with an optimal effect after one week.
Moreover, Botox is renowned for its safety and effectiveness, with effects lasting six months.
Quick recovery and minimal side effects increase patient satisfaction, making Botox a treatment of choice for those looking to address the signs of facial aging.
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When to wash your face after Botox ?
Which cream can replace Botox ?
What happens when you stop Botox ?
What is the best natural Botox ?
Which Botox lasts the longest ?
Why does Botox take time to work ?
How to sleep after facial Botox ?
Is Botox painful ?
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What are the benefits of botulinum toxin injections ?
How can I remove the effect of Botox ?
Does botulinum toxin cause fatigue ?
Why doesn’t Botox last on me ?
Is it normal to have headaches after a Botox injection ?
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How long does a Botox injection last ?
Does botulinum toxin make you age ?
Does Botox give a frozen or natural look ?
Botox before 30 : good or bad idea ?
What is the delay for a botulinum toxin touch-up ?
How does the skin age with Botox ?
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Resistance to Botox
Does Botox change the face ?
Can I go to the hammam after a Botox injection ?
Can I fly after a Botox injection ?
How to correct the Mephisto effect after Botox ?
Can Botox be combined with other aesthetic treatments ?
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Botox for expression lines : is it effective ?
Le Botox (toxine botulinique de type A) est un traitement cosmétique largement utilisé et approuvé par les autorités sanitaires de nombreux pays, dont la FDA (Food and Drug Administration) aux États-Unis et l’Agence européenne des médicaments (EMA). Le Botox est considéré comme sûr lorsqu’il est administré par un médecin qualifié.
La toxine botulique a été découverte et étudiée depuis le début du 19ème siècle. Initialement identifiée comme une cause d’intoxication alimentaire, elle est devenue un outil médical et cosmétique important au 20ème siècle. La toxine botulique est aujourd’hui largement utilisée pour traiter une variété de conditions médicales et esthétiques.
Le Botox est souvent utilisé pour réduire les rides et ridules sur le visage, en particulier celles du front, des pattes d’oie et entre les sourcils. Il peut donner un aspect plus jeune et reposé lorsqu’il est administré correctement par un médecin qualifié. Cependant, il est essentiel de consulter un médecin pour évaluer si le Botox est adapté à vos attentes.
Botox smoothes wrinkles and fine lines and opens up the eyes, giving the face a more youthful, rested appearance.
Il est généralement conseillé d’attendre au moins 24 heures avant de se laver le visage après une injection de Botox. Cela permet au produit de se fixer correctement et réduit le risque de diffusion du Botox vers d’autres 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.
Il n’existe pas de crème capable de remplacer complètement le Botox. Cependant, certaines crèmes contenant des peptides, du rétinol ou de l’acide hyaluronique peuvent aider à améliorer l’apparence de la peau et à réduire l’apparence des rides.
Notamment l’Argireline est un peptide mime l’action du 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.
Il n’existe pas de “Botox naturel” identique au Botox synthétique. Cependant, certains produits naturels, comme les sérums à base de peptides ou d’extraits végétaux, peuvent offrir des effets anti-âge en stimulant la production de collagène et en améliorant l’élasticité de la peau.
Le Botox peut modifier temporairement l’apparence du visage en lissant les rides et ridules, mais il ne change pas la structure du visage. Lorsque les injections sont réalisées par un médecin qualifié, le visage conserve un aspect naturel.
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.
Le Botox peut être bénéfique pour ceux qui souhaitent réduire l’apparence des rides et des ridules et ouvrir le regard.
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.
Le Botox est particulièrement efficace pour traiter les rides d’expression, telles que les rides du front, les pattes d’oie et les rides du lion. En relaxant les muscles responsables de ces plis, le Botox lisse la peau et réduit visiblement les rides. Le résultat est naturel et harmonieux. IL s’agit d’une solution rapide et durable pour atténuer les signes du vieillissement.
