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Botulinum-Toxin e.g. Botox©, Dysport©

BOTOXBotox treatments are becoming increasingly popular, and with good reason. In many cases, Botox is a very effective method for reducing wrinkles. Botox can be used to smooth wrinkles in the neck and face to create a more youthful appearance. It is especially useful in the eye area.

Botox Wrinkle Treatment Removing wrinkles from between the eyes can dramatically change a person’s look from one of permanent anger or sadness to one of contentment and restedness. It is also frequently used on the thin wrinkles that surround the eyes (often called “crows feet”) and the mouth, but can also be used in other areas, such as along the chin and jaw.

The solution used in these treatments is made of botulinum A toxin, a purified protein made from botulism bacteria. This solution temporarily paralyzes nerves of the facial muscles so that they cannot contract and cause wrinkles in the area being treated.

Botox may also be helpful in treating migraine headaches, and can be used to decrease excess sweating of the palms and underarms. If you’re considering Botox treatment, the following information will provide you with a good introduction to the procedure. For more detailed information about how this procedure may help you, we recommend that you schedule a consultation with Dr. Kremer.

FAQFrequently asked questions about Botox ® by Dr. Michael A. Kremer:

What are some of the most common benefits of Botox treatments?

Botox treatments are unique in that they can be used to remove dynamic wrinkles - the wrinkles that are produced by facial movement.

What will happen at the initial consultation?

During the consultation, you will have the opportunity to talk to Dr. Kremer about the changes that you'd like to make in your appearance. He will explain the different options available to you, the procedure itself, and the risks and limitations involved.

How are the treatments performed?

Botox treatments are brief and simple. First, the skin may be treated with a topical numbing agent, if necessary at all. Next, very small amounts of Botox are strategically injected in different parts of the face. This is accomplished with thin needles that cause very little pain.

How long do the treatments take?

Depending on the number of injections needed, the treatment may take 10 to 30 minutes.

Where are the treatments performed?

Botox treatments are being performed in the office. Anesthesia is rarely needed, but sedatives and numbing agents may be used.

How much pain is there?

There is some discomfort involved with the injections, but the discomfort is slight. The feeling has been likened to an insect bite. After the procedure, there is virtually no pain.

What can I expect afterwards?

The results of the procedure are generally visible within 3 to 5 days. Although results vary, the results of an individual treatment last for about 4 to 6 months. The procedure may be repeated and, with each new treatment, the results tend to last longer.

What is the recovery period like?

You'll probably be able to return to work or home immediately after the procedure. However, care must be taken to keep the head upright and avoid massaging the treated area, so that the Botox affects only the desired areas.

What is the long-term outcome like for most people?

Most people are very pleased with the results. For long-term results, the procedure will need to be repeated at least twice per year.

What are the ideal conditions?

In general, the best candidates for Botox treatments are:

  • Dynamic wrinkles in the face or neck
  • Knowledgeable about the procedure
  • In good physical and psychological health
  • Wanting to improve their appearance
  • Realistic in their expectations
  • Not a heavy user of alcohol

The above is only a partial list of the criteria that Dr. Kremer will consider in determining whether or not this procedure is appropriate for you. Be sure to ask Dr. Kremer if he considers you an ideal candidate for Botox injections.

Which effects cannot be achieved with a Botox treatment?

This procedure can remove or deter wrinkles by preventing the repeated facial expressions that contribute to their formation. It cannot improve the overall texture of the skin, but procedures such as laser or radiofrequency skin resurfacing can be used to accomplish this. Botox treatments cannot tighten the facial skin either. Look for facelift and foreheadlift for ways to accomplish this.

What risks are there, what complications can occur?

Mild bruising or swelling may occur at the site of the injection. The treatment may also cause a brief headache. In rare cases, the injections may cause the eyebrow or upper eyelid to droop, but this condition is temporary and corrects itself without treatment within 2 to 3 weeks.

  • Be sure to

    • InfoTell Dr. Kremer about any allergies you have (to foods, drugs, environmental elements)
    • Tell Dr. Kremer if you have a history of bad scarring, such as keloids
    • Tell Dr. Kremer about all medications, herbal supplements or natural supplements you are taking (both prescription and non-prescription)
    • Carefully follow any instructions Dr. Kremer gives you regarding eating and drinking and smoking
    • Avoid aspirin and aspirin-containing medicines for two weeks prior to surgery
    • Arrange for someone to drive you home after surgery or after discharge from the day surgery center or the hospital
    • Please inform Dr. Kremer immediately in case you should experience fever or symptoms of an infection after surgery
Aesthetic Plastic Surgery Munich
Dr. Michael A. Kremer, MD

Mauerkircherstr. 40 - D-81679 Munich
Phone: +49 (0) 89 - 55 27 450