Botox injections for wrinkles

Botulinum toxin or Botox is a neurotoxin protein that is used in dermatology to temporarily stop the transmission of nerve impulses to the muscles. After some time, these muscles relax, which leads to a decrease in the visibility of facial wrinkles.

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Features of Dermahil mesotherapy

Botox is used by cosmetologists to correct facial wrinkles on the forehead, between the eyebrows and around the eyes. It also solves the following problems:

  • Alignment of facial asymmetry
  • Modeling the contours of the chin and cheekbones
  • Raising eyebrows and corners of lips
  • Decreased activity of sweat glands in the armpits

The effect of Botox is noticeable 4-6 days after the procedure. Optimal results are achieved after 2 weeks. When used correctly, the effect lasts from 3 to 6 months. Then the effect of the neurotoxin weakens, muscle activity is restored, and facial expressions return to their original state.

Features of Dermahil mesotherapy
Indications for the use of Botox injections
Indications for the use of Botox injections

Botox injections are prescribed in the presence of the following defects:

  • Pronounced wrinkles
  • Transverse folds of skin on the forehead
  • Longitudinal folds between the eyebrows
  • Wrinkles around the eyes (known as crow's feet)
  • Convulsions on one side of the face
  • Uncontrolled blinking or squeezing of the eyelids
  • Strabismus due to dysfunction of the eye muscles
  • Correction of a gummy smile

Botulinum toxin is used by cosmetologists to treat hypertrophy of the masticatory muscles, which helps reduce the volume of the lower jaw, corrects the shape of the face and reduces the manifestations of bruxism. It relaxes platysma, eliminates horizontal wrinkles on the neck, and improves the contour of the lower jaw.

In addition, Botox corrects synkinesis of the facial nerve, restores facial symmetry after paralysis, treats muscle spasms, and reduces uncontrolled contractions of the laryngeal muscles that cause changes in the voice.

Contraindications
Contraindications

The Botox procedure for wrinkles by a cosmetologist is not performed if the following restrictions are present:

  • Pregnancy and breastfeeding. There is no data on the effect of Botox on the fetus
  • Inflammation and damage to the skin at the site of the intended injection. Possible deterioration of the condition, increasing the risk of developing severe complications
  • Higher sensitivity to Botox
  • Weakness of skeletal muscles. Wrinkle Botox increases the symptoms of myasthenia gravis by affecting the transmission of nerve impulses in the muscles
  • Ptosis and fatty hernias. Injections aggravate the condition, which negatively affects appearance
  • Taking aminoglycoside antibiotics, anticoagulants, drugs that change the level of calcium in the blood. When interacting with Botox, the likelihood of side effects increases
  • Acute or chronic diseases of the liver and lungs. Affect the processing of the drug in the body, increase the risk of complications
  • Hemophilia and other bleeding disorders. The risk of bleeding and hematoma formation at the injection site increases
  • Severe myopia. Special care is required when injecting around the eyes
  • Alcohol addiction. The effectiveness of the procedure decreases, the likelihood of adverse reactions increases

Due to the lack of data on safety and effectiveness in adolescents, injections are not given until the age of 18.

Preparations for botulinum therapy

Depending on the indications, doctors use Botox of different price categories and countries of origin. We invite you to familiarize yourself with the main drugs, their indications and contraindications. You can make an appointment with a cosmetologist and find out the price of Botox injections at K+31 in Moscow at website and by phone.

Drug (prices) Manufacturer Indications for use Contraindications
Botox (expensive) Allergan (USA) Reducing expression lines, combating excess sweating Pregnancy, breastfeeding, allergies to components
Dysport (low cost) Ipsen (France) Smoothing wrinkles, correcting facial asymmetry Skin inflammation, taking antibiotics
Xeomin (dear) Merz (Germany) Smoothness of facial folds, blepharospasm therapy Myasthenia gravis, dermatological inflammatory processes in the area of ​​injection
Botulax (average price) Hugel (South Korea) Smoothing wrinkles, treating excessive sweating Pregnancy, lactation, disorders of the blood coagulation system

Relatox (cheaper than analogues)

Russia

Elimination of facial wrinkles, treatment of hyperhidrosis

Allergy to components, skin inflammation

Neuronox (high price)

South Korea

Correction of small wrinkles

Pregnancy, sensitivity to botulinum toxin

General information about the procedure

Procedure steps

Treatment of cosmetic defects in the clinic consists of several stages:

  1. Discussion of goals and diagnosis. The doctor clarifies the patient’s expectations from the procedure, examines the skin, identifies possible contraindications and selects the optimal drug
  2. Skin cleansing. Before the procedure, the face is thoroughly cleansed of makeup and other contaminants
  3. Disinfection. Areas for future injections are treated with an antiseptic to eliminate the risk of infections
  4. Use of anesthetic cream to reduce pain. A local anesthetic is applied to the skin, which begins to act in 15–20 minutes
  5. Botox injection. The doctor uses a thin needle to inject the product into the deep layers of the dermis, using the method of pinpoint injections at a distance of 1–1.5 cm from each other
  6. Formation of papules. Small lumps form at the injection sites, which disappear over time
  7. Skin disinfection. After injections, the skin is re-treated with an antiseptic to prevent inflammation
  8. Applying soothing agents to the treated areas. Gels and creams help reduce redness and discomfort

To obtain the best results, the doctor may prescribe a course of 2-4 Botox procedures at intervals of 3 to 6 months, depending on the individual characteristics of the patient.

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Stages of the procedure

Effect of botulinum toxin injections

Botox injections for wrinkles using drugs such as Botox, Dysport and Xeomin are widely used in cosmetology and medicine due to their effectiveness. Let's consider the main effects of the procedure.

  1. Miorelaxation. Botulinum toxin suppresses the release of acetylcholine at the level of the neuromuscular junction, which leads to muscle relaxation and smoothing of facial wrinkles
  2. Hyperhidrosis Therapy. Botulinum toxin is used to control hyperhidrosis. Injections into the armpits, palms and feet reduce sweating for 8-12 months by blocking sympathetic nerves
  3. Improving the quality of life. In 50–70% of migraine patients, the frequency of attacks decreases after therapy
  4. Aesthetic improvements. More than 80% of patients noted correction of the skin texture of the face and neck

After the procedure, temporary redness or swelling at the injection site, headache, and facial asymmetry are possible. In rare cases, allergic reactions or the formation of antibodies to the drug are observed, which reduces its effectiveness with subsequent injections.

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The effect of botulinum toxin injections

Rehabilitation after the procedure

Recovery after Botox injections involves following a number of recommendations:

  1. Failure to wash your face during the first 12 hours
  2. Observation of skin reactions to the procedure
  3. Regular moisturizing of the skin twice a day with natural products
  4. Use anti-inflammatory creams in the first 2-3 days to reduce redness and discomfort
  5. Drink at least 2 liters of clean water per day for the first week to improve skin hydration
  6. Resume physical activity no earlier than 3–5 days after the procedure
  7. Avoid visiting saunas and steam baths for 1–2 weeks to prevent the negative effects of high temperature on hyaluronic acid
  8. Protect your skin from direct sunlight for 2-3 weeks using sunscreen with SPF 30-50
  9. Temporary refusal of hardware procedures (peelings, laser rejuvenation) for 10–14 days
  10. Stop using decorative cosmetics until the skin is completely healed

Complete restoration of the skin after the procedure takes from 1 to 2 weeks. At this time, it is worth following the recommendations of the cosmetologist to achieve maximum results.

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Rehabilitation after the procedure

Answers to popular questions

Doctors at the K+31 clinic answered the most frequently asked questions about Botox.

Is Botox safe?

Botox is considered safe when taken in recommended dosages. In cosmetic practice, minimal doses of the drug are used - from 10 to 25 units. Poisoning occurs if the dose exceeds 2800 units. Also, the outcome of the procedure depends on the qualifications of the doctors and the quality of the drug used.

How long does the effect of Botox last?

The effect begins 2–7 days after the procedure and lasts from 3 to 6 months. The duration of action depends on the individual characteristics of the body. To maintain results, a repeat anti-wrinkle Botox treatment is required after approximately 3-6 months.

Do I need special preparation before the Botox procedure?

Yes, 3-5 days before the injections you must stop taking anticoagulants and alcohol. It is recommended to postpone aggressive cosmetic procedures, such as peels or laser resurfacing, 1-2 weeks before botulinum therapy.

Is it possible to do Botox in the summer?

Botox injections can be done in any season, including summer. However, after the procedure it is worth using sunscreen to protect the skin from UV rays and prevent hyperpigmentation.

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Good afternoon.For several years I have been going to Anastasia Muzhetskaya, a dermatologist and cosmetologist. We are engaged in care procedures for mature skin (50 years old). I want to say a big thank you to her for her high professionalism, sensitivity and cordiality. Anastasia is a wonderful Person with a capital letter).
02.05.2026
Anna L.
I was at a reception with Anastasia Gennadievna Muzhetskaya. I got to a specialist based on recommendations. The doctor is very friendly, explained everything in detail, both the diagnosis and the procedures performed!
02.05.2026
Sergey K.
Many thanks to M.V. Korepanova!
30.04.2026
Tamara V.
I regularly go to Natasha's cleaners. And she's just wonderful! I've been to different specialists, but Natasha is the best. I go out after the procedures, as if the burden of unnecessary things has been lifted from me :)) and the face is always in perfect condition. After such purges, both to the feast and to the world. It feels like I've just had my pores cleaned, nothing pressed, but stroked with a feather)) at the same time, the wow effect: the face is clean, beautiful, without injuries! I highly recommend Natasha as a specialist and a true professional in her field!
28.04.2026
Nadezhda Ch.
A very pleasant and attentive doctor. Meticulous and thorough. She answered all the questions and gave detailed recommendations.
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About doctor:

Sokolova Yana Olegovna

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24.04.2026
M. Had.
A wonderful specialist, all my skin problems were solved quickly. I had worries and concerns about the procedures for removing moles, but Elena Viktorovna dispelled them, I am very pleased with the result.
22.04.2026
Lyubov S.
I underwent the Indiba procedure, and I was absolutely delighted! After the first session, the result is noticeable: the skin has become more taut, fresh and well-groomed. The procedure is very comfortable, relaxing, and the effect is really impressive. I would also like to mention the professionalism and attentive attitude — everything was explained in detail, my peculiarities were taken into account, and the atmosphere itself was very pleasant and calm. I can confidently recommend this specialist to anyone who wants high-quality care and visible results.
18.04.2026
Elena K.
A very professional and attentive doctor, explains everything in detail and clearly. I recommend it!
08.04.2026
Irina P.

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Sokolova Yana Olegovna

An excellent specialist. A very polite, calm, competent doctor.
31.03.2026
Olga K.
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