Botulinum toxin is a substance produced by a type of bacteria, called Clostridium botulinum. It is injected into the muscles to block the release of a particular neurotransmitter (acetylcholine) which is the substance released by nerves to transmit the stimulus to the muscle for contraction. So when the toxin is injected, the corresponding muscle crashes (paralysis) transiently. Consequently, the overlying skin relaxes, and then the wrinkles disappear.

What are the indications for treatment with Botulinum Toxin?

Botulinum toxin can reduce and smooth out facial wrinkles that are caused by continuous use of mimic muscles of the forehead, frowning or wrinkling your nose, or having an expression always upset and worried.
Botulinum Toxin can only correct wrinkles and furrows caused by the action of mimic muscles, it is not indicated to correct statistic and sun caused deep wrinkles.
In these cases, Botulinum Toxin can be combined with other treatments, such as fillers (collagen, hyaluronic acid), peels, facelifts or eyelid surgery, laser skin resurfacing treatments.

The following blemishes and diseases can be treated:
• forehead lines (horizontal forehead wrinkles)
• interciliary wrinkles
• lip wrinkles (around the mouth-‘barre code’)
• wrinkles and glabellar furrows (between the eyebrows, the II sign)
• crow's feet (wrinkles around the eyes)
• expression lines
• facial rejuvenation with a lifting effect
• hyperhidrosis (excessive sweating at the level of the palms, soles of the feet and in the armpits)
• blepharospasm
• cervical dystonia
• spasm of the anal sphincter
• swallowing disorders
• movement disorders (spasticity)

How is the treatment?

Treatment with Botulinum Toxin is ambulatory, without hospitalization and without anesthesia, and takes about 15-20 minutes.
The botulinum toxin is injected through a small syringe with a tiny needle in moderate amounts within the mimic muscles. It is almost painless.

What are the side effects and contraindications to Botulinum Toxin?

There are no specific contraindications or complications. There are very rare allergic reactions, and you should not inject into pregnancy, or if the patient has neuromuscular diseases.
Relative contraindications: NSAIDs, aspirin, anticoagulants mainly in the last week prior to treatment; current intake of antibiotics (macrolides).
Rarely there may be a ptosis or lowering of the upper eyelid, lasting 3-4 weeks and therefore reversible.

Post treatment with Botulinum Toxin

The faces after infiltration is slightly flushed, in the injection points, it lasts from a few minutes to a few hours.
Occasionally there may be a bruise but tends to be reabsorbed in a few days. There can be some slight itching for the first two days.
One could start wear makeup after just 10 minutes from the infiltration of Botulinum Toxin and can get exposed to sun after about 10 to 14 days. The return all normal activities is immediate.

How long do the results last?

The Botulinum Toxin infiltration begin to show significant results after 3-7 days of treatment with the relaxation reaching its maximum after almost one month. Results last for another 4-6 months, and then gradually disappear.


For further information or appointment, please contact our clinics in Beirut, Lebanon.