Expression line removal

The Derm-Al Beauty offers numerous wrinkle removal methods. Expression lines are best removed with botulinum toxin products.

Type A botulinum toxin, popularly known as botox, is neurotoxin produced by Clostridium botulinum anaerobic bacillus. When properly injected into the skin, it blocks nervous cells. The nerve endings in the skin stop transmitting nerve impulses to the small muscles under the skin. The skin in a given spot stops wrinkling, relaxes and becomes smooth. As a result, wrinkles disappear from the spot where botox is injected, and their deepening is also stopped. It is best to apply botulinum before wrinkles become permanent, more like wrinkle prevention, because it is sometimes difficult to smooth out very “crumpled” wrinkles. Very deep wrinkles, where collagen fibres have already been damaged, will not be smoothed out completely, but rather made more shallow. On the other hand, they will certainly not grow any deeper. After botulinum treatment, it is possible to fill in wrinkles with the right kind of hyaluronic acid preparation.

Expression lines that can be treated with botulinum procedure:
  • Between the eyebrows (the “lion’s wrinkle”)
  • Horizontal forehead lines
  • Around the eyes (“crow’s feet”)
  • Around the mouth (the “barcode”)
The botulinum toxin procedure is - unlike what patients fear - not very invasive and does not have many contraindications. The most important of them are: pregnancy, allergies and blood and coagulation system diseases. The substance has been used for medical purposes since 1973. It is broadly applied in many areas of medicine, e.g. ophthalmology. Its first use was to treat strabismus in children.

How does the procedure work?
The procedure involves precise injection of a small dose of botulinum toxin solution to selected face muscles. The application takes 5 to 10 minutes. It is most often performed without anaesthesia, but Emla ointment may be applied for anaesthetic effect. The ointment should be applied at least half an hour before the procedure. Injection spots may be visible after the procedure, but they quickly disappear. In very sensitive skin, they may stay a little longer, and small bruises may develop.

Do not lie down or stoop for 4 hours after the procedure. Avoid alcohol until the end of the day. Avoid for another day anything that could increase blood tension: solarium, sunbathing, sauna, physical exercise or massage.

The effect of botulinum starts developing 2-3 days after injection and is fully visible after 14 days. The effect is not permanent: it lasts about 3-5 months after the first injection, and after subsequent injections it is usually longer. The procedure may be repeated 2-3 times a year.

In aesthetic medicine, Botox is also successfully used to treat hyperhidrosis.

The price of wrinkle removal with botox:
One area 500 PLN
Two areas 900 PLN
Three areas 1200 PLN