Botulinum toxin (botox) is a protein produced by the clostridium botulinum bacteria. It has been used in medical circles for over 30 years in order to weaken specific groups of muscles. The protein blocks the signal between the nerve ending and the muscle for around 3 to 6 months. No other medicine has been investigated in as great detail – and is as safe when used by experienced practitioners. Botulinum toxin decomposes fully and does not leave any residue within the body. The doses used for cosmetic treatments are totally harmless.
Strongly pronounced facial expressions can mean that emotions leave traces on our skin from a young age. And this is not always a bad thing. Some faces can appear even more attractive and interesting as a result.
But there is a reason why we talk about “frown lines” and “furrowed brows” – and sometimes doctors spot “crow’s feet” in areas around the eyes that we previously just perceived as laughter lines. Just as wrinkles can hold positive attributes, they can also be associated with negative ones, such as exhaustion, constant stress and tension.
Wrinkles are entirely natural and are part of being human. But we are now able to manage the appearance of wrinkles thanks to modern medicine. Treatments using neuromodulators/botulinum toxin allow us to reduce wrinkles over the long term so we can feel refreshed and younger.
In recent times, treatments with neuromodulators (botulinum toxin) have also been used to treat migraines, grinding of teeth, voiding disorders, hyperhydrosis and many other conditions. The many different medical applications show that neuromodulators, like botulinum toxin, are not just for cosmetic use; instead they represent a medical treatment that should only be used by experts.
It is essential, especially for cosmetic surgery, that the attending physician has extensive anatomical knowledge and surgical experience in plastic surgery. This is because botulinum toxin needs to be injected in precisely the layers that will achieve the best results. It is also vital that the potential results and limitations of the treatment are discussed clearly prior to the intervention.
Many people associate the effect of treatment with neuromodulators (botulinum toxin) with a mask-like, alienating appearance that looks unnatural, artificial and deforming.
Many doctors say that they can use neuromodulators (botulinum toxin), but botox treatments are like art: anyone can pick up a brush and paint. Only a few people can create an effective painting.
With a great eye for detail and technical acumen, it is possible to use just minimal doses of neuromodulators (botulinum toxin) in precisely the places where it is to take effect. In this way, it is possible to remove wrinkles from the face without affecting the face’s natural expressions. When the treatment has been performed properly by an expert, you cannot normally tell that neuromodulators (like botulinum toxin) have been used. The patient simply looks natural and refreshed – and this should be the aim of every treatment.
Frown lines are caused by an overactivity of the corrugator muscles and the procerus muscle. Increased contractions of these muscles cause 2 to 3 parallel vertical lines to appear. These lines are generally only visible in younger people when the muscles are tensed, but they the can leave permanent, scar-like marks in the skin as people age.
Neuromodulators (like botulinum toxin) can be used to significantly reduce the muscular activity in this region. This (a) significantly reduces existing lines and (b) helps to prevent the appearance of new lines. In addition, (c) the eyebrows are raised as the aforementioned muscle group is also responsible for a sinking of the eyebrows.
Around 5 to 7 injections are generally required for a successful treatment.
Frown lines are caused by an overactivity of the corrugator muscles and the procerus muscle. Increased contractions of these muscles cause 2 to 3 parallel vertical lines to appear. These lines are generally only visible in younger people when the muscles are tensed, but they the can leave permanent, scar-like marks in the skin as people age.
Neuromodulators (like botulinum toxin) can be used to significantly reduce the muscular activity in this region. This (a) significantly reduces existing lines and (b) helps to prevent the appearance of new lines. In addition, (c) the eyebrows are raised as the aforementioned muscle group is also responsible for a sinking of the eyebrows.
Around 5 to 7 injections are generally required for a successful treatment.
Nose wrinkles run across the bridge of the nose. They are often visible when the nose is wrinkled. In some cases, they become more prominent after frown lines have been treated with neuromodulators (botulinum toxin), as the activity of the nose muscle (musculus nasalis) increases as a result. Neuromodulators (like botulinum toxin) can be used here too to considerably reduce the activity. Usually, 2 to 5 injections are required.
Nose wrinkles run across the bridge of the nose. They are often visible when the nose is wrinkled. In some cases, they become more prominent after frown lines have been treated with neuromodulators (botulinum toxin), as the activity of the nose muscle (musculus nasalis) increases as a result. Neuromodulators (like botulinum toxin) can be used here too to considerably reduce the activity. Usually, 2 to 5 injections are required.
Forehead wrinkles are horizontal folds in the forehead region, which are caused by a contraction to the frontalis muscle. Neuromodulators (like botulinum toxin) can be used to significantly reduce the activity of the forehead muscle, which serves to smooth the forehead area. By beginning treatment with neuromodulators (botulinum toxin) at an early stage, it can be possible to fully prevent the appearance of forehead wrinkles. Another plus: the treatment also reduces the shine on the forehead, as neuromodulators (like botulinum toxin) also affect the secretion of sweat. Usually, 5 to 10 injections are required.
Forehead wrinkles are horizontal folds in the forehead region, which are caused by a contraction to the frontalis muscle. Neuromodulators (like botulinum toxin) can be used to significantly reduce the activity of the forehead muscle, which serves to smooth the forehead area. By beginning treatment with neuromodulators (botulinum toxin) at an early stage, it can be possible to fully prevent the appearance of forehead wrinkles. Another plus: the treatment also reduces the shine on the forehead, as neuromodulators (like botulinum toxin) also affect the secretion of sweat. Usually, 5 to 10 injections are required.
“Laughter lines” are caused by a contraction to the ring muscle (musculus orbicularis oculi) around the eyes. Laughter lines can make a person look more friendly and likeable in moderate cases. But when strongly pronounced, they create a jaded and unpleasant look. Neuromodulators (like botulinum toxin) can be used to reduce the undesirable laughter lines in a targeted way, while retaining the personable lines that lend character. Usually, 6 to 8 injections are required.
“Laughter lines” are caused by a contraction to the ring muscle (musculus orbicularis oculi) around the eyes. Laughter lines can make a person look more friendly and likeable in moderate cases. But when strongly pronounced, they create a jaded and unpleasant look. Neuromodulators (like botulinum toxin) can be used to reduce the undesirable laughter lines in a targeted way, while retaining the personable lines that lend character. Usually, 6 to 8 injections are required.
“Gummy smile” is the term used to refer to the condition in which a large proportion of the gum is exposed above the top line of teeth. This results in a visual imbalance between the lips, gums and teeth.
Targeted injections to the muscle that raises the lips (levator labii superioris alaeque nasi muscle) with neuromodulators (botulinum toxin) can significantly increase the proportion of lip that is visible to create a more balanced smile. Usually, 2 to 4 injections are required.
“Gummy smile” is the term used to refer to the condition in which a large proportion of the gum is exposed above the top line of teeth. This results in a visual imbalance between the lips, gums and teeth.
Targeted injections to the muscle that raises the lips (levator labii superioris alaeque nasi muscle) with neuromodulators (botulinum toxin) can significantly increase the proportion of lip that is visible to create a more balanced smile. Usually, 2 to 4 injections are required.
Nasolabial folds are caused by an excessive contraction of the ring muscle around the mouth (orbicularis oris muscle). Targeted injections with neuromodulators (botulinum toxin) into this muscle can considerably reduce its activity. Usually, 4 injections are required.
Nasolabial folds are caused by an excessive contraction of the ring muscle around the mouth (orbicularis oris muscle). Targeted injections with neuromodulators (botulinum toxin) into this muscle can considerably reduce its activity. Usually, 4 injections are required.
“Marionette lines” are caused both by the drooping of facial soft skin tissues and by increased activity by the so-called marionette muscle (depressor anguli muscle). Treatment to the specific area with neuromodulators (botulinum toxin), ideally in combination with a liquid hyaluronic acid facelift, can go a long way to correcting the negative vectors in the area around the mouth. The patient will no longer have a permanent sad expression. Usually, 2 injections are required.
“Marionette lines” are caused both by the drooping of facial soft skin tissues and by increased activity by the so-called marionette muscle (depressor anguli muscle). Treatment to the specific area with neuromodulators (botulinum toxin), ideally in combination with a liquid hyaluronic acid facelift, can go a long way to correcting the negative vectors in the area around the mouth. The patient will no longer have a permanent sad expression. Usually, 2 injections are required.
A strawberry lift is used to correct what is known as “strawberry chin” – a condition caused by an excessive contraction of the chin muscle (mentalis muscle).
Neuromodulators (botulinum toxin) can be used to smooth the chin and create a more harmonious chin profile. Usually, 2 injections are required for this treatment.
A strawberry lift is used to correct what is known as “strawberry chin” – a condition caused by an excessive contraction of the chin muscle (mentalis muscle).
Neuromodulators (botulinum toxin) can be used to smooth the chin and create a more harmonious chin profile. Usually, 2 injections are required for this treatment.
Neck folds are caused by excessive activity from the neck muscle (plastyma). They can run both horizontally and vertically.
A large-scale treatment with neuromodulators (botulinum toxin) can lead to considerably smoother skin around the neck area. 20 to 25 injections are generally required.
Neck folds are caused by excessive activity from the neck muscle (plastyma). They can run both horizontally and vertically.
A large-scale treatment with neuromodulators (botulinum toxin) can lead to considerably smoother skin around the neck area. 20 to 25 injections are generally required.
Due to increased activity of the masseter muscles, a square-looking lower face area can develop, which is perceived as unpleasant, especially in women.
The targeted reduction of activity of the masseter muscles through the use of neuromodulator (botulinum toxin) injections causes atrophy (regression) of the mastication muscles and leads to a more V-shaped lower part of the face.
One of the main causes of hypertrophy (growth of the masseter muscles) is grinding the teeth. Besides creating a V-shape for the lower part of the face, treatment with neuromodulators (botulinum toxin) can also considerably reduce teeth grinding, which has additional health benefits.
Usually, 6 to 8 injections are required.
Due to increased activity of the masseter muscles, a square-looking lower face area can develop, which is perceived as unpleasant, especially in women.
The targeted reduction of activity of the masseter muscles through the use of neuromodulator (botulinum toxin) injections causes atrophy (regression) of the mastication muscles and leads to a more V-shaped lower part of the face.
One of the main causes of hypertrophy (growth of the masseter muscles) is grinding the teeth. Besides creating a V-shape for the lower part of the face, treatment with neuromodulators (botulinum toxin) can also considerably reduce teeth grinding, which has additional health benefits.
Usually, 6 to 8 injections are required.
DURATION
10-20 minutes
ANAESTHETIC
Local anaesthetic upon request
POST-OP CARE
Cooling the treated area
RECOMMENCE SOCIAL ACTIVITIES
Immediately
EXERCISE
After one day
Neuromodulators (like botulinum toxin) can be used to prevent wrinkles in younger people and to reduce wrinkles later on in life. The injections weaken the muscle groups that produce wrinkles.
Please note that neuromodulators (like botulinum toxin) are mainly used to reduce dynamic wrinkles, i.e. wrinkles that appear during facial expressions.
For static wrinkles, i.e. wrinkles that are visible when pulling a neutral facial expression, we recommend a combined treatment with a filler.
Forehead wrinkles • Frown lines • Laughter lines • Cheek wrinkles • Eyebrow lift • Marionette lines • Strawberry lift • Smokers’ lines • Gummy smile • Migraines • Sweat reduction in the armpits, feet and hands
Following a detailed consultation and in-depth examination including a face analysis, we will provide you with a custom quote. This is based on the areas to be treated. Treatment with neuromodulators (botulinum toxin) does not require an overnight stay in hospital and doesn’t involve any recovery time. Do not take any aspirin or other blood-thinning medication 14 days prior to the operation.
The procedure lasts around 10 minutes. We can numb your face with a face-numbing cream, so that you don’t feel a thing and can be fully relaxed during the procedure
The final results are visible within 1 to 2 weeks. You can return to life as normal immediately after the procedure.
Depending on the individual case, the effect of the neuromodulators (like botulinum toxin) can last between 3 and 9 months. This time frame depends on the speed that your body breaks down the neuromodulators (like botulinum toxin), on how badly the muscle groups were affected prior to treatment, and on whether it is a first or follow-up treatment.
The general rule is: the more often that you use neuromodulators (like botulinum toxin), the longer the results last, with the same dose. If you stop using neuromodulators (botulinum toxin), the wrinkles will return to their form from before the treatment. Neuromodulators (botulinum toxin) do not leave any residue.
All of the neuromodulators (botulinum toxin) that we use in our practice are fully broken down by the body. They differ in terms of their strength and storage.
Any redness or minimal haematomas that appear as a result of the treatment can be covered with make-up and disappear within a few days. Treatment with neuromodulators (botulinum toxin) is 100% safe and reversible. The procedure is quick, simple and offers maximum impact, as long as it is carried out by an experienced expert.
It cannot be stressed often enough: treatment with neuromodulators (botulinum toxin) should only be carried out by experienced specialists. Neuromodulators can be used in such a dosage that the expressions are reduced rather than erased altogether. 90% of all treatments with neuromodulators (botulinum toxin) take place in the upper third of the face (forehead, laughter lines, eyebrow lift). Treatment with neuromodulators (botulinum toxin) rarely takes place in the lower two thirds of the face and is reserved for very specific cases (such as marionette lines, strawberry lifts, smokers’ lines, gummy smile, etc.) Important expressive movements in the mouth and cheek areas remain unaffected.
As Paracelsus once said:
“All things are poisons, for there is nothing without poisonous qualities. It is only the dose which makes a thing poison.”
And this rings true to this day: the dose determines the results. We only inject the amount required to remove the unsightly wrinkles while retaining the natural expression.
Rochusstraße 289 | 53123 Bonn
Tel: 0228 – 24 25 54 04
E-Mail: info@jorjani.de
International inquiries:
international@jorjani.de
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