Botox (Botulinum Toxin A)

Botulinum toxin A was officially released in 1989 by the U.S. Food and Drug Administration for use in cosmetic treatment. In addition to the so-called frown lines between the eyebrows, botulinum toxin A is also used to treat forehead wrinkles and "laugh lines" around the eyes. It does this by blocking the transmission of signals from the nerve to the muscle and weakens the muscle affected (completely, if desired). The paralysed muscles reduce the skin's ability to contract, thus reducing the formation of wrinkles. The effect usually occurs after 2-4 days, and lasts for up to 6 months. Through the easy and fast application of the botulinum toxin and and its lasting effect, the treatment has become the most popular non-surgical treatment applied in aesthetic surgery.

As it is extremely effective, the use of BTX-A is very popular for treating the increased function of sweat glands (primary axillary hyperhidrosis) - even with summer temperatures or strong physical exertion, sweating under the armpits is significantly reduced. This can be very liberating for the patient and the effect can last up to 6 months. The application of botulinum toxin is carried by local action of an effective pain-relieving ointment. The first effect occurs hours after application and unfolds completely after about 2-4 days. If you are interested in treatment with botulinum toxin (Botox) in London, please read the detailed information on botulinum toxin Botox wrinkle treatment.

Wrinkle good bye

The main questions regarding botulinum toxin (Botox), Dysport

  1. What is botulinum toxin?

    Botulinum toxin is a very useful drug. The medicine is naturally produced by the bacterium Clostridium protein and is used in the treatment of various diseases. They range from ophthalmology to relieve spasms of the eye muscles and in neurology for the treatment of stroke patients. Migraines can also be treated successfully with botulinum toxin. More recently this drug has been utilised in the treatment of facial wrinkles.

  2. How exactly does Botox work?

    Botox works by acting on the end plate of the nerves and blocking the distribution of neurotransmitters responsible for muscle contraction. This helps to relax the facial muscles. With early application the formation of wrinkles is decreased by preventing extreme skin movements, and existing wrinkles are smoothed.

  3. How botulinum toxin is used?

    Botulinum toxin should be handled by an experienced doctor like Dr Dirk Kremer. A very thin needle is injected into muscles that constantly contract and cause wrinkles as a result. The application is an outpatient procedure carried out under sterile conditions and takes only a few minutes. This application of botulinum toxin (Botox) has been practiced in the U.S. and Europe for many years. Numerous medical publications demonstrate it to be a reliable and successful treatment.

  4. How fast and how long does botulinum toxin (Botox) last?

    A decrease in fold structure in the treated facial area becomes evident after 3 to 7 days. The muscle relaxation lasts about 3 to 6 months due to the lower activity of the treated facial muscles simultaneously preventing the emergence of new ageing features. The long-standing use of Botox can lead to atrophy of the treated muscle occurring. Even without Botox treatment then leads to a reduced strength of muscle contraction and thereby decrease wrinkling.

  5. What are the benefits of botulinum toxin?

    Botox is gentle, safe and it delivers a natural look. Botox has a long-lasting effect. One can repeatedly apply Botox. It is effective against wrinkles without surgery or anaesthesia.

  6. What risks may arise in the application?

    After injection, adjacent nerves and blood vessels are injured. Consequences are small bruises under the skin but these often heal on their own and require no treatment. Paraesthesia or Dysaesthesia (numb or painful skin) are usually only temporary and relieve themselves. However in some individual cases, symptoms may persist. Be aware of the possibility for infections at the injection site, dry skin in the area of injection (which disappears after a short time by itself), temporary weakening of other muscles in the area surrounding the injection site, mild allergic reactions such as swelling, itching or skin rash and headaches, which usually disappear after a short time.

  7. What rules are to be observed after treatment with botulinum toxin?

    Avoid massaging the treated areas and remain in an upright position for 3-4 hours after injection. Contract the muscle groups repeatedly during the 3-4 hours after treatment as the toxin in actively moving muscles has a better effect. These are precautions that many physicians advise their patients worldwide. However, further studies and observations for final clarification of the effectiveness of these precautions are necessary.

  8. What are the possible complications with the treatment of botulinum toxin?

    Possible hypersensitivity to any component.
    Generalised disorders of muscle activity (e.g. myasthenia gravis).
    Local infections of the injection sites.
    No application during and up to 3 days after end of treatment with aminoglycoside antibiotics or spectinomycin.
    You should discuss with your surgeon if you are pregnant or breastfeeding.


emailContact Dr Kremer

phone 0845 519 7232