
Botox (botulinum toxin) is a toxin that has been obtained from a bacteria called Clostridium botulinum.
Clostridium botulinum A egzotoxin (with its common used name Botox ) temporarily reduces or destroys muscle
contraction function in applied region by blocking the transmission from nerves to the muscles . Since the muscle
loses its strength and contraction, wrinkles on the skin on the muscle also temporarily reduces or disappear.
The patients are curious about the questions below:
1 – In which areas of plastic surgery is Botox’s mechanism of action benefited ?
It is a popular method especially used for signs of aging skin and dynamic wrinkles due to the movements of
facial mimic muscles. At the same time it is used for treatment of hyperhidrosis (sweating) is also used in the.
The most frequently occurring dynamic lines are seen at the regions of forehead, edges of eyes (goose foot) and
between the eyebrows. Lines in the forehead and edges of eyes offers the person an older view, and the lines
between the eyebrows offer the person a scowling, and an angry expression. A significant reformation is provided
at the facial expressions that seem to be old and angry by Botox application.
2 - How to perform Botox application?
Botox is applied via injection from a few specific points into the muscle by a very thin tipped needles which
lasts 10-15 min. in average. It is not a painful process, a little temporary pain can be felt during the injection.
3 – When does the effect begin and how long does it take?
Effect of Botox begins 3-7 days after the application and duration of influence takes 3-6 months in average.
3 months after the first application usually affects turn back, while the number of applications increased, the
prolonged duration of the effect of botox longs 6 months or more. Botox application is repeated when, the botox
effect is lost.
4 - Are there any side effects?
Botox has no serious adverse effects on health . A temporary redness, slight swelling and bruising may occur
or not after the application according to the structural characteristics of these people.
5 – Is the view of the wrinkles worse than their first position before the application when the effect of botox
come to an end?
This is a false belief. Muscles will not work and will not be able to generate wrinkles during the effect period
and after the effect period, it is not possible for muscles which were not able to contract for months to generatemore wrinkles than the past . However, the toleration of the eyes to the wrinkles that return after the effect may be
reduced which are adapted to unwrinkled skin appearance during the treatment period.
6 - Whom will it not be applied?
It should not be applied to pregnant women, breastfeeding women, those who have some neuromuscular (nerve-muscle) diseases (eg Myasthenia graves), and at a certain drug use.
7 - How to apply Botox in the treatment of sweating?
Excessive sweating In the certain regions of body such as underarm, palms, feet, forehead can be treated by the Botox
application.
Botox will decrease sweating in application area for the duration of the effect via cutting off the transmission of nerves
to sweat glands.
First, it should be investigated whether there exists a disease that causes perspiration (hyperthyroidism, etc. ..) and the
application must be planned after determining that there is not an organic cause .The Botox effect in sweating treatment
varies person to person and it takes 6 months in average. The application is repeated when the effect is lost.

Filling Applications
The steady wrinkles on the skin which are not associated with facial expressions, pit forming scar regions on the skin or
deep facial llines that could not be fully opened by botox can only be removed by regional injection which consists volume
at the area and that bring the face to normal skin level.
In this application, ‘hyaluronic acid’ containing preparations that are not animal originated are used which already
exist in the normal basic structure of the skin and which does not cause a reaction in the body do not lead to any reaction.
Hyaluronic acid molecules are quite capable of holding more water and provides a high-level hydration and fullness at skin
after application . Thus, it allows a recovery in the view at the application field.
The patients are curious about the questions below:
1 - How to make the application?
Injection is made to the middle layer of the skin called dermis with a needle proper to preparations used with special
techniques . The procedure is done by application of tropical or local anaesthesia before the process in accordance with
the regional necessity. A little pain feel, redness and slight swelling and sometimes a little bruising may occur after the
application due to the injection. All of these are temporary effects.
2 - When does the effect begin and how long does it take?
First impact is seen immediately after the application and the impact regarding to the water holding molecules becomes
apparent in average of 15 days. It is effective for 6-12 months in average according to the person.