ANTI-WRINKLE TREATMENT

How is wrinkle treatment carried out?



A protein produced by the bacterium Clostridium botulinum is used to treat wrinkles. This protein has been used successfully in medicine for over forty years. It was approved by the FDA (Food and Drug Administration) as a drug for the treatment of strabismus as early as 1973.
Since the early 1990s, it has also been used in aesthetic medicine. Initially used in so-called off-label use, it has been officially approved for the treatment of frown lines since 2002.


The treatment is carried out on an outpatient basis in the practice. The muscle relaxant is injected in minimal amounts directly into the target muscle using a very fine needle. The full effect is apparent after three to five days and usually lasts four to six months. Regular repetitions can achieve a long-term effect that extends the duration of the effect to up to one year.

Faltenbehandlung durch Einspritzung

One active ingredient - different preparations

Various preparations with the same active ingredient are available for wrinkle treatment

The bacterial protein used to treat wrinkles is available in various preparations and has been used successfully in medicine for decades. It is approved by the Federal Institute for Drugs and Medical Devices for various therapeutic applications. In addition to aesthetic applications, it is used in the treatment of hyperhidrosis (excessive sweating) and muscle spasms in the area of the eyes and forehead (blepharoplasty).


The substance is injected directly into the target muscle, where it reduces the increased muscle activity by specifically and temporarily blocking the nerve impulses. The muscle relaxes, which makes the overlying skin smoother: wrinkles are reduced or disappear, and the formation of new wrinkles is prevented. Other nerve functions, such as feeling or touch, remain unaffected. Although the method is considered safe, correct application is crucial for optimal results.



The treatment is carried out on an outpatient basis in the practice. The solution is injected directly into the muscle in minimal amounts using a very fine needle. The effect occurs after three to five days and lasts for about four to six months. Regular repetitions can achieve a long-term effect that extends the duration of the effect to up to one year.

Frequently asked questions about wrinkle treatment

Frequently asked questions about wrinkle treatment

  • How does wrinkle treatment work?

    A small amount of an approved bacterial protein is injected into the muscle using the finest needles. The painless treatment takes just a few minutes and can be combined with procedures such as hyaluronic acid or autologous fat. The effect begins after a few days when the protein specifically inhibits muscle activity. The result: smoother skin, reduced wrinkles and a relaxed appearance.

  • Which areas of the body can be treated?

    The bacterial protein is particularly effective on dynamic wrinkles that are caused by muscle contractions, as muscles and skin are connected by fine bands. Typical examples are forehead wrinkles, frown lines, crow's feet, bunny lines, chin wrinkles, drooping corners of the mouth and smoker's lines. These wrinkles become more noticeable with age, but can be treated effectively.

  • How long does the result last?

    The effects of the treatment become apparent after a few days and last for about five to six months. Since the effects gradually wear off, full mobility of the muscles only returns after this time.

  • How often does the treatment need to be repeated?

    Large retrospective studies showed that patient satisfaction was 98% over a treatment cycle of 6.5 months. This means that the treatment usually needs to be repeated every 6 months to achieve a lasting result. The question is often asked whether wrinkles will return "worse than before" after treatment and whether one could become "addicted" to this type of treatment. This is not the case and is an unfounded concern.

  • Are there any risks and side effects?

    In the right hands, treatment by experienced doctors is considered to be a virtually risk-free procedure. Please note that the preparation used is a medication and may only be administered by doctors. Injections by beauticians, alternative practitioners or related professions are - legally speaking - intentional bodily harm and therefore a criminal offense. Therefore, the application should only be carried out by experienced doctors in order to prevent the rare but possible risks such as temporary paralysis of neighboring muscle groups (resulting in drooping eyelids, crooked eyebrows, drooping lips, speech and swallowing disorders).

  • What can I expect?

    Our goal is a holistic treatment to optimize your appearance. To do this, we will respond to your individual wishes and ideas and work with you to develop a treatment plan. The initial consultation will therefore take at least 30 minutes. Since treatment strategies have changed enormously in recent years, wrinkle treatment with the protein preparation now serves as an accentuation in our hands.

  • How much does it cost?

    The costs vary from individual to individual and depend on the preparation units required. Prices start at around €150.00. Since we often combine the treatment with other products and procedures such as fillers, hyaluronic acid, medical needling and radio frequency therapy to achieve optimal results, we will provide you with a detailed cost estimate during the initial consultation. Our prices always include the sales tax required for aesthetic procedures.

Frequently asked questions about wrinkle treatment

Frequently asked questions about Botox® wrinkle treatment
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  • How does the treatment work?

    In the neurotoxic protein wrinkle treatment, a very small amount of the preparation is injected into the relevant muscle using the finest needles. The treatment itself only takes a few minutes, is relatively painless and can also be combined with other wrinkle treatment methods (e.g. hyaluronic acid, autologous fat, etc.). The effect only sets in after a few days, as the active ingredient must first attach itself to the muscle receptors in order to prevent the muscle from actively contracting. After a few days, the success of the treatment becomes apparent: the skin becomes smoother, smaller wrinkles disappear completely, larger wrinkles appear softer, and the face appears noticeably more relaxed.

  • Which areas of the body can be treated?

    The domain of neurotoxic protein wrinkle treatment is the so-called dynamic wrinkles - that is, all those wrinkles that arise due to muscle contraction, because the muscles are connected to the skin above them by tiny bands and the skin wrinkles when the muscles move. The older we get, the more noticeable and deeper these wrinkles become. Typically, we find dynamic wrinkles mainly in the upper half of the face, for example the transverse forehead wrinkles (thinker's forehead), the frown lines (glabellar lines), the crow's feet (periorbital wrinkles) and the small nasal wrinkles (bunny lines). But chin wrinkles, a drooping corner of the mouth and the small perioral wrinkles (smoker's lines around the mouth) can also be treated well.

  • How long does the result last?

    The effect of the treatment begins after a few days and usually lasts for about 5 to 6 months. Since the effect diminishes little by little, it is only after this time that full mobility in the muscles is restored.

  • How often does the treatment need to be repeated?

    Large retrospective studies showed that patient satisfaction was 98% over a treatment cycle of 6.5 months. This means that the treatment usually needs to be repeated every 6 months to achieve a lasting result. The question is often asked whether wrinkles will return "worse than before" after treatment and whether one could become "addicted". This is not the case and is an unfounded concern.

  • Are there any risks and side effects?

    In the right hands, treatment with neurotoxic protein preparations is considered by experienced doctors to be a virtually risk-free procedure. Please note that the preparation is a medication and may only be administered by doctors. Injections by beauticians, alternative practitioners or related professions are - legally speaking - intentional bodily harm and therefore a criminal offense. Therefore, the application should only be carried out by experienced doctors in order to prevent the rare but possible risks such as temporary paralysis of neighboring muscle groups (resulting in drooping eyelids, crooked eyebrows, drooping lips, speech and swallowing disorders).

  • What can I expect?

    Our goal is a holistic treatment to optimize your appearance. To do this, we will respond to your individual wishes and ideas and work with you to develop a treatment plan. The initial consultation will therefore take at least 30 minutes. Since treatment strategies have changed enormously in recent years, the protein preparation now serves as an accentuation in our hands.

  • How much does it cost?

    The costs vary from individual to individual and depend on the number of active ingredients required. Prices start at around €150.00. Since we often combine the treatment with other products and procedures (such as fillers, hyaluronic acid, medical needling, radio frequency therapy) to achieve optimal results, we will provide you with a detailed cost estimate during the initial consultation. Our prices always include the sales tax required for aesthetic procedures.

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