„Botox®“ is a trade name in the narrow sense and is mostly used as a collective name for available botulinum toxin products in general.

Botulinum toxin is a protein produced by a specific bacterial strain, namely Clostridium botulinum. It has been discovered in the 19th century in association with spoiled meat and sausages, which led to food poisoning known as botulism.

Botulinum inhibits the signal transmission from nerve cells to muscle cells resulting in a selective weakening or deactivation of contractions, so in the mimic musculature.

Botulinum toxin has revolutionized wrinkle treatment and is the first choice for mimic wrinkles of the upper third of the face. The onset of action is not immediately post administration, but after 3-5 days with a maximum effect after 10-14 days. The desired effect can last up to 6 months in the best case. Botulinum toxin treatment is safe, quick and almost painless, since very thin needles are used. Another advantage of this treatment is the short “down time”. Cutique uses exclusively Merz products (Bocouture®, Xeomin®).

Aesthetic indications

  • Horizontal forehead wrinkles
  • Glabellar lines and vertical frown lines
  • Eye-brow-lift
  • Open-eye-look
  • Lough wrinkles around eyes (called crow´s feet)
  • Wrinkles in the area of the nasal bridge (called bunny lines)
  • Top lip lines
  • Chin transverse folds
  • Dimpled chins
  • Marionette lines
  • Platysmal bands
  • Gummy smile
Since the 1970s Botulinum toxin has been successfully used in medicine and has become an integral part of aesthetic medicine nowadays. This potentially harmful substance is in hands of experienced physicians almost risk free and can be applied without concerns.

Never the less improper application can cause:

  • Temporary paralytic symptoms
  • Hanging lids
  • Asymmetric eye-brows
  • Hyperelevation of eyebrows (called Mephisto sign, Spock´s eyebrow)
  • Hanging lips, phonation disorders
  • Mask-like face when treating multiple face regions synchronously

Sauna and solarium visits should be avoided for 3-4 days after treatment. Skin lesions have to be completely healed up before treatment. A risk/benefit analysis is necessary in the case of intake of blood-thinning medication. Application of Botulinun toxin is contraindicated during pregnancy and breast-feeding periods.

Swelling, redding and small hematoma can occur around the injection sites, but almost disappear in 48-72 hours post application. A rare side effect is headache for a short time period after treatment of forehead wrinkles. In extremely rare cases antibody formation can lead to a significant reduction or even neutralization of Botulinum toxin effects. Allergic reactions of Botulinum toxin are negligible. No long-term side effects are known so far. On request we are happy to give you the package insert which provides additional information about the used product.