Botuline toxin (Botox ®, Dysport ®, Azzalure ®, Bocouture ®) is a natural protein produced by clostridium botulinum bacteria. The protein is separated from the bacterium and purified. Since 1989 it has been used as a muscle relaxant in neurology, for example to prevent and reduce muscle spasms or cramps. In cosmetic medicine, Botuline toxin is often used to reduce dynamic wrinkles. These wrinkles are caused by overactivity of certain muscle groups, like frown wrinkles and crow's feet.
Botuline toxin works for about three to six months. To maintain the effect, the treatment must be repeated.
After treatment with botuline toxin, it takes three to four days for the effect to appear. The improvement of the dynamic wrinkles will increase as the skin is relaxed for longer. The cosmetic effect is visible for at least four months or even longer. On average, two to three maintenance treatments per year are needed to keep up the effect.
Botuline toxin is also used for excessive perspiration, usually of the armpits, migraines, headaches and teeth grinding.
Botuline toxin treatments are typically not covered by health insurance.