Botox in facial aesthetics


Botox (Botulinum type A) as the most important neuromodulator is a common treatment in facial aesthetics. Subcutaneous injection blocks the expansion of nerve impulses and the consequent activity of the muscles responsible for creating expressive lines on the face.

In a broader sense, we use Botox and similar neuromodulators as part of the process of “reshaping” the face. Adittionally, it helps to improve some states of asymmetry, which are also the result of excessive activation of facial muscles. Another possible indication is the treatment of excessive sweating (hyperhidrosis).


  • region between the eyes (glabella)
  • forehead
  • external angle of the eyes crow’s feet (ideal additional treatment in patients who have already had surgical
    correction of eyelids – blepharoplasty
  • chemical eyebrow lifting
  • dynamic nose wrinkles – bunny lines
  • lifting the nasal tip
  • narrowing of the nasal wings – nasal flare
  • raising the oral angle
  • lip lift
  • gummy smile
  • beard
  • neck – platysma lines
  • neck line necklaces
  • wrinkles on the cleavage region
  • armpit (sweating)

Non-aesthetic indications

  • gustatory sweating – Frey syndrome
  • Excessive sweating (axillary region, palms, feet)
  • chronic migraine


Initially, your doctor cleans selected treatment area thoroughly with an antiseptic. Botox treatment usually does not require the use of anesthetics, but there is a possibility of applying an anesthetic cream before the procedure. At the very beginning, we make a plan (determining the injection sites and doses), with the activation of individual muscle groups on the face in order to determine the exact injection site.

Doctor will apply several injections for each treated area. The whole procedure takes 15-20 minutes.

Very rarely, mild swelling or bruising may occur after the injection, as with any injection. Also, mild to moderate headaches may occur in the first 24 hours of treatment. Due to individual variability in anatomy and muscle function, side effects such as eyebrow or eyelid position disorders can occur, but rarely. Consequently, this may require more treatments to achieve a completely satisfactory effect.


The first visible results appear approximately 5-10 days after treatment. The result of the action of Botox is such that you are no longer able to contract muscles in the region being treated, or contractions are only possible with signifficant effort.

Of course, the results are temporary, and expected effect is present for 4-6 months. After this period, muscle movement is activated again. If the treatment is not repeated, the state of facial expressions and the appearance of wrinkles and furrows returns to the initial state as it was before initial treatment.

In any case, be sure to read some useful information and frequently asked questions about the use of neuromodulators.

Botoks prije i nakon tretmana
Pictures before and after BTX treatment, forehead, glabela and eye region


In addition, we apply BOTOX® to the skin to treat the symptoms of severe underarm sweating (severe primary axillary hyperhidrosis) when drugs used on the skin (topically) do not work well enough in people over the age of 18.

It is not known whether BOTOX® is safe or effective for heavy sweating anywhere other than the armpits.

Surprisingly, BOTOX® in this indication is a prescription drug that we apply to prevent headaches in adults with chronic migraine who have 15 or more days each month with a headache lasting 4 or more hours each day in people over the age of 18.

Given that, it is not known if BOTOX® is safe and effective in preventing headaches in migraine patients who have 14 or fewer days with headache each month (episodic migraine).