Wrinkles & volume · Understanding facial expressions
Botulinum toxin, often called Botox in everyday language, can soften wrinkles caused by muscle movement – for example, between the brows, on the forehead or at the outer corners of the eyes. The effect is temporary. Together, we discuss which changes would suit your facial expressions and where the treatment has its limits.
Your examination findings and the extent of treatment determine your individual treatment process.
Treatment at a glance
Eight answers about wrinkle treatment with botulinum toxin. Under “Details”, you can read which factors these figures depend on.
The movement of selected muscles is reduced. Wrinkles caused by volume loss or excess skin require a different assessment.
Botulinum toxin type A is injected at small, individually planned treatment points. Botox is a brand name, not a collective term for all products.
This is a guide to the treatment time. Additional time is needed for the initial consultation and examination; the follow-up is planned separately.
The fine injections usually require no anaesthesia. We discuss sensitivity and possible ways to ease discomfort beforehand.
Everyday activities are often possible soon afterwards. Redness or bruising may be visible. Follow your aftercare instructions regarding exercise and pressure on the area.
The change develops gradually. We assess the developed effect at the agreed follow-up appointment, not immediately after the injection.
The product, the muscles treated and your individual response influence how long the effect lasts. A maintenance treatment is a new decision, not an obligation.
Per session · 1–3 areas of facial expression. The starting price refers to a simple, limited treatment of frown lines. Treatment areas, dose and follow-up appointments are agreed in advance. Later maintenance treatments are separate treatments.
Timings are guidelines. A personal examination will clarify what applies to you.
Understanding what changes
My planning starts with your face: which movement bothers you, how are your brows positioned, and which expressions would you like to keep? Only then do I decide with you on the areas and extent of treatment.
When you laugh, frown or concentrate, muscles contract. The skin above them creases.
Botulinum toxin temporarily reduces the transmission of signals to the specifically targeted muscle.
The skin creases less strongly. Deeply established lines may remain visible; lost volume is not replaced.
On the forehead, lines and brow position are linked. Planning therefore involves more than an individual wrinkle. Excessive weakening can unintentionally change your expression or lower the brow.
The areas that can be treated and the licensed uses differ between medicines. Off-label use requires a specific medical rationale and an informed consent discussion; it is not assumed to be routine.
The effect wears off again. If you do not want further treatment, you can stop. An additional dose is only considered once the effect has been assessed and an appropriate interval between treatments has been taken into account.
The result develops over time. The effect often begins within a few days. We agree on the timing of your follow-up to suit the product and your response. Completely unchanged facial expressions or freedom from wrinkles cannot be promised.
A pronounced frown line when concentrating needs different planning from delicate lines when laughing. I examine your face at rest and in motion, and ask which expressions you specifically want to preserve. A fixed dosing formula does not account for these differences.
I assess lines around the nose or lips particularly cautiously. Treating muscles here can also affect speaking, drinking or the ability to close the lips, and may be outside the licensed indications. Wanting more lip volume is also a different concern from a movement-related wrinkle.
Is this right for me?
The key question is whether muscle movement causes the wrinkle. I examine your face at rest and in motion.
You would like to soften a movement-related wrinkle and are looking for a temporary change.
This treatment cannot remove significant excess skin or replace lost volume.
Different causes need different solutions. Sometimes, choosing not to have a procedure is the right decision.
Compare alternativesFillers, skin-improving procedures and botulinum toxin have different aims and their own risks. The cause determines the choice.
Understand the optionsYou do not have to have visible wrinkles treated. A consultation without treatment afterwards is also a valid decision in its own right.
Relieving symptoms is a different aim from aesthetic wrinkle treatment and requires a dental assessment.
Understand bruxism treatmentTreatment for hyperhidrosis targets the transmission of signals to sweat glands. The cause of the sweating is established first.
Understand hyperhidrosisFor forehead lines caused mainly by facial movement, botulinum toxin, often called Botox, can temporarily reduce muscle activity. If lines remain visible at rest, skin quality and established wrinkles also play a role. A completely immobile forehead is not a necessary treatment goal.
Understand this concern in more detailBotulinum toxin is a possible treatment for a frown line caused by muscle contraction. It temporarily relaxes the muscles involved. A deeply established line may nevertheless remain visible. Because of the vascular risks, hyaluronic acid in the glabella, the area between the brows, is not an equivalent standard alternative.
Understand this concern in more detailFor crow’s feet caused mainly by facial movement, botulinum toxin can temporarily reduce the activity of specific parts of the muscle. If lines remain at rest, skin quality also plays a role. Fine lower eyelid lines, dark circles and under-eye bags are different findings and require separate decisions.
Understand this concern in more detailWith a dimpled or cobblestone chin, strong activity of the chin muscle, the mentalis, can shape the skin’s surface. Targeted muscle relaxation may be considered after examination. Filler may be suitable for selected structural deficits, but does not automatically address the cause of a tense chin expression.
Understand this concern in more detailYour treatment journey
I observe your facial expressions and listen to the change you would like. Together, we define a clear treatment goal.
After cleansing and checking the treatment points, I carry out the planned injections. The extent and dose are based on your examination findings.
The effect takes time. At the agreed follow-up, we assess your expression, symmetry and movement of the treated muscles.
Before you leave, we agree on a direct way to contact me for aftercare. General enquiries: team@dottore.caletti.de.
Your return to everyday life
Redness, mild swelling or bruising may occur. Do not massage the treated areas; follow the agreed advice on everyday activities and exercise.
Muscle movement may gradually weaken. The two sides do not necessarily respond at exactly the same time.
We review the developed effect and your satisfaction. Additional injections are only given if medically appropriate and after a suitable interval.
Muscle activity increases again. We discuss whether and when you would like further treatment at a new consultation.
These timeframes are a guide, not a firm promise. Your individual response may differ.
Speaking openly about risks
Botulinum toxin is a prescription-only medicine. Even a short treatment appointment requires a careful examination and an informed consent discussion.
If you have difficulty breathing, speaking or swallowing after the injection, seek emergency medical help immediately; for shortness of breath or severe difficulty swallowing, call 112. Unexpected muscle weakness or visual disturbances require immediate medical assessment. Do not wait until your follow-up appointment.
Understand the costs and take your time to decide
Botulinum toxin treatment costs from €250–450 per session for one to three areas of facial expression. The area, dose and scope of care determine your individual price.
Price range
from €250–450
Per session · 1–3 areas of facial expression
The starting price refers to a simple, limited treatment of frown lines. Treatment areas, dose and follow-up appointments are agreed in advance. Later maintenance treatments are separate treatments.
A limited treatment of part of an area is planned differently from treatment of several interconnected areas of facial expression.
The amount of active ingredient needed depends on your examination findings and the goal we agree together.
The medicine used and the work involved in carrying out the procedure are factored into the treatment plan.
We clarify in advance which follow-up is planned and how any medically appropriate additional injections would be charged.
Repeat treatment is a separate decision and is not automatically included in the first appointment.
Your individual quotation sets out which services are included in the total amount.
Further areas, additional treatments or later maintenance treatments may incur separate costs. Aesthetic wrinkle treatment is usually self-funded; clarify any individual entitlement to reimbursement with your insurer in advance.
An examination and a shared plan give you clarity on costs. You receive your personal cost plan before you decide to proceed with treatment.
The specialist personally responsible for your care
Specialist in Plastic and Aesthetic Surgery
Get to know meExperiences from the practice
What personal care can feel like, in the words of those who have experienced it.
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Personal experiences are individual and do not promise a particular treatment result.
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A website can offer guidance. We discuss your personal situation during a medical consultation.
Ask your questionBotulinum toxin is the active ingredient. Botox is a registered brand name often used as a general term in everyday language. Different products have their own licences; their units are not simply interchangeable.
The effect often begins within a few days and continues to develop. The timing of your follow-up depends on the product and your response. The result cannot yet be assessed immediately after the injection.
Together, we plan a change intended to suit your expression. However, the treated muscles will move less strongly – that is how the medicine works. Unchanged facial expressions therefore cannot be promised.
Botulinum toxin selectively reduces muscle activity. Hyaluronic acid fillers can add volume or change certain contours and have different risks, including blocked blood vessels. The right approach depends on the cause, not simply on how deep a wrinkle is.
No. The effect wears off, and you decide again. If further treatment makes sense, the interval, dose and area will be reassessed. A subscription or a fixed schedule of repeat treatments is not a medical requirement.
Light everyday activities are often possible soon afterwards. Injection marks or bruising may be visible. For physical work, exercise or important appointments, plan in line with your individual aftercare instructions.
Botulinum toxin treatment costs from €250–450 per session for one to three areas of facial expression. The area, dose and scope of care determine your individual price. The starting price refers to a simple, limited treatment of frown lines. Treatment areas, dose and follow-up appointments are agreed in advance. Later maintenance treatments are separate treatments.
Baby Botox is an informal term for a conservative dose or treatment, not a separate product or a standardised method. The aim and dose are chosen according to muscle activity and anatomy. Less active ingredient is not automatically more suitable or free of risks; the effect may be less pronounced or shorter-lived.
Further clinical information on the procedures described, their limitations and risks.
Information from the American Academy of Dermatology on temporary muscle relaxation, onset and duration of effects, and side effects.
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