What is Botox and how does it work?
Botox is an exotoxin obtained from bacteria under laboratory conditions. It is administered by injecting it into the targeted muscle using a very fine needle. It works by creating a temporary paralysis in the muscle where it is applied. In cosmetic use, the aim is to reduce wrinkles in the skin caused by excessive contraction of facial expression muscles or to adjust the position of nearby structures (such as the height of the eyebrows). By correcting wrinkles caused by the overuse of facial muscles, a more rested and youthful appearance can be achieved. Although the effect depends on the dose, it usually gradually returns to its previous state within approximately 3–6 months.

Does Botox make the face look swollen?
Botox is not a filler material; therefore, it does not create a swelling effect.

Can everyone have Botox?
Except for some rare muscle diseases and known allergies to Botox, it can generally be used safely in most individuals. As with many medical treatments and procedures, it is not recommended for pregnant women or breastfeeding mothers.

Is Botox treatment painful?
Botox treatment of the face is a procedure that usually takes about 4–5 minutes. Botox is injected into the targeted muscle using a very fine needle; therefore, significant pain is usually not felt. For additional comfort, the area can be numbed beforehand with a topical anesthetic cream.

Which areas of the face can it be applied to?
For cosmetic purposes, Botox is most commonly applied to reduce wrinkles caused by excessive facial expressions in the forehead and around the eyes, with several small injections administered in each area. It is most frequently used to reduce horizontal lines on the forehead, vertical and oblique lines between the eyebrows, and radial lines at the outer corners of the eyes (crow’s feet). Injections in certain areas can also help adjust and elevate the position of the eyebrows. Additionally, it may be used to reduce lines caused by excessive contraction of the muscles of the upper lip, chin, and sides of the nose, as well as the vertical bands on the front of the neck.

When does the effect appear, how long does it last, and does it need to be repeated?
Muscle weakening begins approximately 2–3 days after the injection, improvement in wrinkles becomes noticeable within 7–10 days, and the effect usually disappears within 3–6 months. Once the effect wears off, Botox can typically be repeated after about 4–5 months. Repeated applications are not harmful; on the contrary, with repeated Botox treatments the muscles tend to remain relaxed for longer periods, which may lead to a reduction in wrinkles in the treated areas.

What unwanted effects may occur after Botox?
Small bruises lasting a few days may rarely occur at the injection sites. In rare cases, eyebrow asymmetry or temporary drooping of the eyelid may develop after the procedure. Inviting the patient for a follow-up visit about one week later can be helpful to correct such rare issues if they occur.

When can I return to daily activities?
You can return to work and your daily routine immediately after the injections.