There are different wrinkles and areas that we can treat with botox:

• Frown lines
• Forehead lines
• Crow’s feet or laugh lines
• Eyebrow lift
• Gummy smile
• Migraines
• Teeth grinding
• Excessive sweating (hyperhidrosis)
• Facial paralysis
• Square face / jaws

Skin + Surgery mainly works with Azzalure botox from the manufacturer Galderma. Azzalure botox is one of three safe and registered botox brands on the market today.

All three botox brands have roughly the same composition, although there are minor differences. For example, with all brands of botox, the results are maximum after 14 days, but Azzalure botox is known for its fast effects: after 3 to 7 days. The result of this botox lasts an average of 3 to 5 months. Although we see that when someone uses Azzalure botox for a longer period of time, the effect often lasts longer.

Botox is an extremely popular treatment that has been extensively clinically tested by the medical world. However, concerns are sometimes raised about the fact that we are dealing with a derivation of a toxin (botulinum toxin type A) that temporarily interrupts nerve signaling between muscles. However, clinical studies emphasize that it is considered very safe, with minimal risks and side effects.

Nevertheless, with every botox treatment it is important to find a qualified doctor with specialist and proven experience. If not skillfully injected, it can inadvertently spread to other areas, leading to muscle relaxation in the wrong place.

At the other extreme, injecting too much or too often can lead to a frozen look. Fortunately, in either case, the results are never permanent and will gradually disappear over three to four months.

The treatment always starts with a consultation, in which we discuss what bothers you and what you want to achieve. We look at your medical background and decide what is best for you in terms of treatment. We take photos so that we have a good idea of before the treatment and the results after.

Your face will then be cleaned and the doctor will inject the areas to be treated. It is a fairly smooth treatment that usually takes between 5 and 10 minutes.

There may be some red spots, but you are generally presentable immediately after the treatment.

Try not to lie down for the first 90 minutes: due to a small risk of spreading. However, this hardly occurs. After an hour and a half, the injectable is bound to the muscle and lying down is no longer harmful.

Don’t exercise for 24 hours: exercise increases circulation in the body, including the face, causing your face to blush and turn red when you exercise. This increased circulation is great for your skin, but it increases the likelihood that some or all of the injectable will leave the area via sweat before it is fully absorbed into the neuromuscular junction.

Four hours of no pressure on the areas treated: this includes wearing tight hats or caps or icepacks that press against the skin. Again, we run the risk that the injectable will spread and work in an area where we do not want it to. You can wash your face that same evening, but we recommend waiting a day with hard scrub products.

Because the botox must bind to receptors to relax the muscles, the effects are not immediately noticeable. The results start to work as early as day two or three, but it may take ten to 14 days for the muscle to fully relax.

Fine lines and wrinkles continue to improve when the muscles are in a relaxed state and the wrinkles cannot form. This keeps improving as you repeat botox.

That said, every person is different. Since your body keeps making new receptors and neurotransmitters, the person will differ for how long the relaxing effect lasts. On average we see that the effects of the treatment last between 3 and 4 months.