ANTI-WRINKLE TREATMENT

How is wrinkle treatment carried out?


A protein produced by the bacterium "Clostridium Botulinum" is used to treat wrinkles and has been used successfully in medicine for over 40 years. In 1973, the protein was first approved by the FDA (Food and Drug Administration) and used as a drug to treat strabismus. The drug has now become an indispensable part of medicine and has also been used in cosmetic medicine since the early 1990s. At that time it was still considered off-label use, but since 2002 it has been approved for the treatment of frown lines, among other things.


The treatment is carried out on an outpatient basis in the practice. The muscle relaxant solution is injected in tiny amounts directly into the muscle using a very fine needle. The full effect is felt after 3 to 5 days and lasts for about 4 to 6 months. Repeating the treatment achieves a lasting effect, so that the effect can last for up to a year.

Faltenbehandlung durch Einspritzung

One active ingredient - different preparations

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

The bacterial protein for wrinkle treatment is used in various preparations and has been used therapeutically for many decades. It is approved for use in humans by the responsible Federal Institute for Drugs and is used successfully in the treatment of hyperhidrosis (excessive sweating) or in the treatment of muscle spasms in the area of the eyes and forehead (blepharoplasty), among other things.


The substance that is injected into the muscle reduces increased muscle activity by reversibly blocking the nerve impulses. This means that the muscle can no longer be tensed as usual, the skin above it relaxes, wrinkles are reduced or even disappear completely and the formation of new wrinkles is prevented. Other nerve functions, such as feeling or touching, are not affected. Even if the application is recognized as a safe treatment method for wrinkles, appropriate experience in applying the substance is a basic requirement for optimal results.


The treatment is carried out on an outpatient basis in the practice. The solution is injected in tiny amounts directly into the muscle using a very fine needle. The full effect develops after 3 to 5 days and lasts for about 4 to 6 months. Repeating the treatment achieves a lasting effect, so that the effect can last for up to a year.

Frequently asked questions about wrinkle treatment

Frequently asked questions about wrinkle treatment

  • How does wrinkle treatment work?

    In wrinkle treatment, a very small amount of a bacterial protein that has been approved for years 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 protein 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, small wrinkles disappear completely, larger wrinkles appear softer, and the face appears noticeably more relaxed.

  • Which areas of the body can be treated?

    The area of wrinkle treatment with the bacterial protein is the so-called dynamic wrinkles - that is, all those wrinkles that arise due to muscle contraction, since 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" 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
Do you have any further questions? Use our live chatand get advice.

  • 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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