The lines beside the eyes, or ‘crow’s feet,’ mainly occur in people who squint or laugh a lot, which is why they are also called laugh lines. A few injections of Botox can effectively soften crow’s feet.

By frequently contracting these muscles, the skin is repeatedly folded in the same place, and over time, due to a decrease in the skin’s elasticity, lines or even deeper grooves can develop. While laugh lines can be a sign of joy, they also indicate aging and can be bothersome for some.

A treatment for crow’s feet takes a few minutes and is generally not perceived as painful. Within a few days, the muscles causing the wrinkles relax, allowing the skin to smooth out. If visible lines persist after 2 weeks, they can be further softened with a filler if needed. The effect typically lasts for 3-4 months and can even extend to 4-6 months if the treatment is repeated in a timely manner. The treatment has been extensively tested for safety and provides a very natural result.

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How does a Botox treatment work?

To gain a clear understanding of your desires and potential treatments, we schedule a consultation. Before the treatment, we assess whether you are a suitable candidate based on your medical background. Following this, we conduct an analysis of your face to determine which areas can be optimized with Botox or fillers. We examine the muscles involved in facial expressions, evaluate the skin’s quality, and consider the distinctive features of your face and expression that we want to preserve.

One of the primary objectives of the initial consultation is to ensure that your expectations align with the anticipated results and to provide an honest treatment recommendation. During this consultation, photos will be taken for your medical records to document the outcomes. Your information will be treated confidentially. Schedule an appointment now for a free initial consultation.

Botox is injected through a very fine needle into the superficial muscles under the skin. A Botox treatment is virtually painless and takes a maximum of 15 minutes, depending on the number of areas. Afterward, you can resume your daily activities immediately.

We recommend avoiding sports, lying flat, or massaging the treated area during the first few hours after the treatment. The doctor will provide you with additional tips for proper aftercare.

A few weeks after the treatment, we invite you for a follow-up to assess the results. If visible wrinkles persist two weeks after the Botox treatment, they can be further softened with a hyaluronic acid filler.

To achieve a natural and subtle result, we often recommend not overtreating in one session for the first time. This allows you to receive an additional “touch-up” treatment or address another region during the follow-up appointment.

Frequently asked questions

Botulinum toxin, commonly known as “Botox,” is a medication that has been used since the 1970s as a muscle relaxant. Botox is a purified protein that temporarily blocks the signal transmission between nerves and muscles. In the 1990s, it was accidentally discovered that treating eyelid spasms (twitching eye) resulted in the disappearance of wrinkles around the eyes. Since then, the use of Botox for cosmetic purposes has grown significantly and become the most performed cosmetic procedure. The majority of Botox is still used by hospitals for medical purposes.

When we consciously or unconsciously contract a muscle, a signal is sent from our brains through a nerve to the muscle, instructing it to contract. When Botox is injected into this muscle, the signal from the nerve is temporarily blocked, resulting in a decrease in muscle strength or complete muscle relaxation. Facial muscles that cause wrinkles can relax, softening or completely eliminating the wrinkles. Botox not only works on muscles but also on glands. It is often used to treat excessive sweating of the armpits.

A very thin needle is used for the injection of Botox. The injections are typically experienced as pinpricks. For a Botox treatment, no anesthesia is necessary. If you find it very nerve-wracking, we can apply a numbing cream.

As Botox is injected through the skin with a needle, there is always a chance of hitting a small blood vessel. A bruise will usually fade on its own within a few days and is often easy to conceal. If you are concerned about this, avoid using blood-thinning agents such as fish oil, vitamin E, aspirin, and ibuprofen in the days leading up to the treatment. The likelihood of bruising is generally small, but it’s worth considering, especially before important events.

 

After the treatment, it is important for the Botox to ‘settle’ in the muscle where it was injected. During the first 4 hours after the treatment, the Botox is still ‘liquid’ and can theoretically spread. We advise during this period:

  1. Not to touch the treated area
  2. Avoid sports or other physical activities
  3. Refrain from activities that may cause heat
  4. Avoid lying down flat

The effect of a Botox treatment usually becomes visible after a few days and reaches its final result after 1-2 weeks. The muscles that pull the skin into a fold relax, causing the skin to smooth out. If the wrinkle has existed for years and has become deep, it may soften but not completely disappear after the treatment. Since Botox also affects sebaceous glands, we often see an improvement in skin quality in the “T-zone” of the face. On average, the effect of a treatment lasts 3-7 months. With repeated treatments before it completely wears off, we observe an increase in the duration of the effect.

Botox is a medication that has been researched for its effectiveness and safety since the 1970s. It has been proven to be a safe substance with FDA approvals for various medical and cosmetic applications.

A Botox treatment can, in some cases, be combined with other cosmetic procedures such as fillers. When combining it with a treatment that causes a significant skin reaction or swelling, it is advised to postpone the Botox treatment until the skin has recovered. If you have a treatment scheduled with a beautician or skin therapist, it’s recommended to consult with your cosmetic doctor to determine if it could impact your Botox treatment.

Costs of the treatment

It is possible to combine the treatment with the removal of wrinkles in other parts of the face. Check our price list for the complete overview. Prices are applicable for the standard dosage according to our guidelines.

F

Frown – €175

Frown + eyebrow lift MINI – €250

Frown+ crow’s feet – €300

Frown + crow’s feet + eyebrow lift– €350

Frown + crow’s feet + eyebrow lift + forehead – €400

 

Crow’s feet – €175

Crow’s feet + eyebrow lift – €250

Crow’s feet + eyebrow lift + forehead – €300

 

Migraine treatment from – €175

Jaw muscles / teeth grinding – €400

Excessive sweating armpits – €550

 

Botox lips “Lipflip”  – €75**

Under-eye wrinkles with Botox  – €75**

Gummysmile – €75**

Chin dimples – €75**

Bunny lines – €75**

Nosetip lift – €75**

*The prices apply to the standard dosage as per our guidelines.

***For Botox treatments, there is a minimum purchase requirement of 1 zone at a value of €175.

PlexR skin tightening upper face (incl. upper eyelids and crow’s feet) – €850

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Dr. Brandt can be reached on weekdays between 09:00 and 18:00. For emergencies, we are available 24 hours a day.

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