Aesthetic Medicine


Botox is a purified form of botulinum toxin type A. Produced by Clostridium botulinum, the botulinum toxin has become a common therapeutic solution in numerous branches of medicine. The first accounts of therapeutic use of botulinum toxin type A in medicine date back to 1980. Since that time, Botox has been successfully applied in neurology, opthalmology, gastroenterology, gynaecology and obviously in aesthetic medicine.

Botulinum toxin is an effective and safe tool used in aesthetic surgery. It enables rejuvenation of facial skin using a non-invasive procedure and creates great patient outcomes.

How does Botox work?

The botulinum toxin causes a paralysis or weakening of muscles caused by inhibited release of mediators from nerve cells, which leads to blocking the transmission of electric impulses to the muscle.

Clinical effects start becoming noticeable within 24-48 h, and the maximum effect occurs after 7-14 days and lasts, wearing off gradually, for 3-7 months. Thus, the paralysis or weakening of the muscles caused by botulinum toxin injection is completely reversible.

Botox – facial wrinkles correction

  • vertical wrinkles of the glabella area;
  • wrinkles around the corners of the eyes (“crow’s feet”);
  • horizontal wrinkles of the forehead;
  • wrinkles on both sides of the nose right below the bridge (bunny lines);
  • wrinkles in the chin area;
  • brow lift.

Botox – treatment for excessive sweating (hyperhidrosis)

Botulinum toxin is used for treating axillary and palmar hyperhidrosis, and less frequently for plantar hyperhidrosis and for excessive sweating of other body areas, such as forehead or upper lip.
The full effect can be seen within a dozen or so days and lasts from a couple of months to one year. The injection of botulinum toxin in the axillary area does not have any side effects.

Botox – other applications

  • therapy of dynamic asymmetries of the facial skin area;
  • relaxation of surgery and trauma scars.

Contraindications to the use of botulinum toxin

  • pregnancy and breastfeeding;
  • neurological diseases (such as miastenia gravis);
  • use of aminoglycosides antibiotics (gentamicin, streptomycin, neomycin);
  • allergic reactions to previous botulinum toxin injections;
  • active inflammation on the planned treatment area;
  • less than 14 days from the last injection of botulinum toxin.

Botulinum toxin – complications

  • upper lid ptosis;
  • droopy eyebrows or eyebrow asymmetry;
  • double vision;
  • facial area asymmetry.