Botox is a medical procedure performed using products that contain botulinum toxin. In aesthetic treatments, it temporarily reduces the activity of selected facial muscles, helping to soften lines caused by repeated facial expressions.
It is most commonly used for dynamic lines on the forehead, between the eyebrows and around the eyes. However, facial anatomy, muscle strength, expression patterns, and the position of the eyebrows and eyelids vary from person to person. The injection points and dose must therefore be planned individually.
The aim is not necessarily to remove all facial movement. In suitable patients, treatment is planned to soften expression lines while preserving a natural-looking facial expression as much as possible.
“Botox” is commonly used as a general term for different botulinum toxin products. The medical name of the procedure is botulinum toxin treatment.
Botulinum toxin temporarily reduces the signals sent from nerve endings to the targeted muscles. This decreases muscle activity for a limited period and may make dynamic expression lines less noticeable.
Botulinum toxin is not a dermal filler. It does not add volume to the skin or lips, and its mechanism of action and treatment areas differ from those of dermal fillers.
Lines that appear with facial expressions and become less visible when the face is relaxed are known as dynamic wrinkles. Examples include frown lines between the eyebrows, forehead lines that appear when the eyebrows are raised and crow’s feet that become visible when smiling.
Over time, some lines may remain visible even when the face is at rest. These are known as static wrinkles. Botulinum toxin may soften their appearance by reducing the muscle activity that contributes to them, but deep, established lines may not disappear completely with botulinum toxin treatment alone.
Depending on the condition of the skin, sun damage and facial volume changes, alternative or complementary dermatological treatments may be considered.
For aesthetic purposes, botulinum toxin is most commonly used to treat:
Horizontal forehead lines
Frown lines between the eyebrows, also known as glabellar lines
Crow’s feet around the eyes
In suitable patients, treatment may also be considered for lines on the nose, excessive muscle activity in the chin, selected muscles around the mouth and prominent vertical neck bands.
Extra care is required when treating the lower face and neck because the muscles in these areas are involved in speaking, smiling, chewing and swallowing. Careful patient selection, injection placement and dose planning are therefore essential.
Masseter treatment and botulinum toxin treatment for excessive sweating are performed for different purposes and require separate assessments. Further information should be provided on the relevant pages for masseter Botox and hyperhidrosis treatment.
Horizontal forehead lines are mainly caused by the frontalis muscle, which lifts the eyebrows. Vertical lines between the eyebrows develop through the activity of the muscles used when frowning.
Before treating the forehead, the position of the eyebrows, eyelid structure, the role of the forehead muscle in lifting the brows and any existing facial asymmetry should be assessed together. Particular caution is required in people who already have low-set eyebrows or drooping eyelids.
The forehead and the area between the eyebrows should not be assessed separately. An unsuitable dose or incorrectly positioned injections may alter eyebrow position, cause asymmetry or create a feeling of heaviness around the eyelids.
Crow’s feet may become more noticeable when smiling or squinting. In suitable patients, botulinum toxin can help soften these dynamic lines.
Before treatment, the skin around the eyes, lower-eyelid support, history of dry eyes, previous eye surgery and facial movement during smiling should be assessed.
Excessive treatment or injections placed too close to sensitive structures may affect the natural smile, eyelid movement or support around the eyes.
Before the procedure, the face is assessed both at rest and during different facial expressions. Muscle strength, differences between the two sides of the face and the intended treatment areas are evaluated.
After the skin has been cleansed, botulinum toxin is injected into selected muscle points using a fine needle. The dose varies according to the treatment area, muscle strength, facial anatomy, the product used and the intended outcome.
The units used for different botulinum toxin products are not directly interchangeable. Standard injection maps and dosage charts found online are therefore not suitable for every person or every product.
The effects of botulinum toxin usually begin to appear within the first few days after treatment. The final result is generally assessed after approximately 10–14 days.
How long the effect lasts varies from person to person. The treatment area, muscle strength, dose, facial expression patterns, previous treatments and individual response can all influence its duration.
Botulinum toxin is not permanent. Its effect gradually wears off, and muscle movement returns over time. Repeat treatments should be planned according to the individual’s needs and clinical assessment rather than following the same fixed schedule for everyone.
Achieving a natural-looking result requires the face to be assessed as a whole. The forehead, frown lines, eye area, eyebrow position, eyelid structure and facial expression patterns are closely connected.
When planning treatment for a natural-looking result:
Injection points should be selected according to the individual’s facial anatomy
The dose should reflect the strength of the targeted muscles
Existing facial asymmetries should be taken into account
The position and structure of the eyebrows and eyelids should be assessed
The individual’s expectations should be discussed clearly before treatment
The aim of botulinum toxin treatment is not to change the person’s face. In suitable patients, it is used to soften expression lines in a controlled and balanced way.
Botulinum toxin treatment may not be suitable for everyone. Before the procedure, the doctor should be informed about:
Pregnancy or breastfeeding
An active infection in the treatment area
A known allergy to botulinum toxin products or their ingredients
Neuromuscular disorders
Medicines that may increase the risk of bleeding or bruising
Certain antibiotics or other medicines that can affect muscle function
Previous adverse reactions to botulinum toxin
Recent aesthetic treatments or surgical procedures
Drooping eyelids, dry eyes or a history of eye surgery
Prescribed medication should not be stopped without medical advice. Suitability for treatment and any necessary precautions should be determined through an individual medical assessment.
Botulinum toxin treatment is a medical procedure and is not entirely without risk. Possible side effects include:
Pain or tenderness at the injection site
Redness and mild swelling
Pinpoint bleeding or bruising
Headache
A temporary feeling of tightness or heaviness
An insufficient effect or excessive muscle weakness
Asymmetry between the two sides of the face
Temporary drooping of an eyebrow or eyelid
Dry eyes or increased tearing
Temporary changes in the smile or facial expressions
Very rarely, the effects of the toxin may spread beyond the treated area. Symptoms such as widespread muscle weakness, double vision, or difficulty speaking, swallowing or breathing require urgent medical attention.
The results and potential side effects vary according to the treatment area, dose, product used and the individual’s anatomical characteristics.
After treatment, avoid pressing firmly on or massaging the treated areas, and follow the specific aftercare instructions provided by your doctor.
Recommendations may vary depending on the individual’s health, the area treated and whether any other procedures were performed at the same time. General instructions found online should not replace personalised medical advice from the doctor who performed the procedure.
The outcome should not be judged before the treatment has had enough time to take full effect. A follow-up assessment may be arranged once the result has stabilised. If necessary, an additional treatment may be considered after the initial response and overall facial balance have been evaluated.
At the dermatology practice of Dr. Armin Müştak, facial anatomy, expression patterns, muscle strength, eyebrow and eyelid structure, existing asymmetries and individual expectations are assessed before botulinum toxin treatment.
The injection points and doses used for the forehead, frown lines, eye area and other suitable regions are planned individually. The expected outcome, limitations, alternative options, possible side effects and follow-up process are discussed before the procedure.
The practice is located near Turan Güneş Boulevard in Çankaya, Ankara. Appointments are available for an individual assessment of suitability for botulinum toxin treatment.
Botulinum toxin is a medication that temporarily reduces activity in the muscles into which it is injected. In cosmetic dermatology, it is commonly used to soften the appearance of expression lines on the forehead, between the eyebrows, and around the eyes. It may also be used to treat excessive underarm sweating. The treatment area and dose are determined after a clinical assessment. Commonly known as “Botox,” this treatment does not add volume as dermal fillers do.
The effects usually begin within the first few days and become more noticeable within about 10–14 days. For expression lines, the effects typically last 3–4 months, though this varies depending on the product, dose, treatment area, and individual factors. The duration may differ when treating excessive sweating. A follow-up visit is usually scheduled about two weeks after treatment to assess the results. Repeat treatment is planned based on how much the effects have worn off and the findings of a clinical assessment.
A natural look can be the goal when the dose and injection sites are selected based on your facial anatomy, muscle strength, and expectations. The aim is to soften unwanted lines while preserving your overall facial expression. However, reduced movement in the treated muscles is expected. The same dose is not appropriate for everyone; the outcome depends on a treatment plan tailored to each patient’s needs and the injection technique.
Botulinum toxin is most effective for expression lines caused by muscle movement. Deep lines that remain visible when your face is at rest may not disappear completely. Sun damage, changes in skin texture, volume loss, and sagging may require other treatment approaches. Treatment is therefore selected based on both the location of the wrinkles and their underlying cause. The effects of botulinum toxin are temporary, and results vary from person to person.
Injections with fine needles may cause a brief stinging sensation. Bruising, redness, tenderness, or a headache may occur afterward. Temporary eyebrow or eyelid drooping and asymmetry are also possible. Very rarely, serious symptoms such as difficulty swallowing, speaking, or breathing may develop and require immediate medical attention. Treatment should be performed by a licensed physician using an approved product that has been stored under appropriate conditions.
Tell your physician about any medications you take, previous botulinum toxin treatments, allergies, and neuromuscular conditions. Cosmetic treatment is not recommended during pregnancy or breastfeeding. Treatment is postponed if there is an active infection at the injection site. Do not stop taking blood thinners without your physician’s advice. After treatment, avoid rubbing or massaging the treated area, and follow the instructions you receive regarding exercise and other facial treatments.
## Aesthetic Dermatology in Ankara Çankaya Aesthetic dermatology aims to maintain skin health, assess changes resulting from aging…
Dermatologist in Ankara Changes occurring in the skin, hair, nails, or oral mucosa may be associated with various…
# Dermatologist in Çankaya, Ankara Specialist Dr. Armin Müştak’s dermatology practice serves patients in the Turan Güneş Boulevard…
# Vitiligo Treatment in Ankara Vitiligo is a dermatological condition characterized by the formation of distinct, light-colored or…
What Is a Wart?Warts are benign, contagious growths caused by various types of the human papillomavirus (HPV) in…
HPV and Genital Wart Treatment in Ankara What Are HPV and Genital Warts?Human papillomavirus (HPV) is a group…
Dermal Filler Treatments in Ankara Dermal fillers are injectable treatments used to restore facial volume, soften certain lines,…
What Is RF Microneedling (Gold Needle Treatment)? RF microneedling, commonly referred to as “gold needle treatment” in Türkiye,…
CO2 Fractional Laser and Acne Scar Treatment in Ankara What Is CO2 Fractional Laser Treatment? CO2 fractional laser…
Laser Treatment for Skin Pigmentation in Ankara Laser Treatments for Dark Spots and Pigmentation Not all brown or…
Skin Rejuvenation Treatments in Ankara Skin ageing is a natural process influenced not only by time but also…
Mesotherapy Treatments in Ankara What Is Mesotherapy? Mesotherapy involves injecting small amounts of selected products into the superficial…
Microneedling (Dermapen) Treatment in Ankara What Is Microneedling? Microneedling is a dermatological procedure that uses very fine needles…
Dermatology Consultation in Çankaya, Ankara Dermatology is the branch of medicine concerned with the diagnosis, treatment, and follow-up…
Aesthetic Dermatology Procedures in Çankaya, Ankara Aesthetic dermatology includes medical procedures planned after assessing the patient’s skin characteristics,…