Botox (botulinum toxin)

An injection that temporarily relaxes a muscle, softening expression lines or reducing muscle bulk.

Treatment time
10–20 min
Downtime
0–1 days
How long it lasts
3–6 months

How it works

Botulinum toxin blocks the nerve signal reaching a muscle for a period of weeks. With the muscle moving less, the skin above it creases less; muscles enlarged by repeated use, such as the jaw or calf, lose volume. The effect is not permanent — it fades as the nerve endings recover.

Used for

  • Frown, crow’s feet and forehead expression lines
  • A square jawline caused by muscle bulk
  • Excessive underarm sweating
  • Calf muscle volume

Cautions

  • Not performed during pregnancy or breastfeeding
  • Contraindicated with neuromuscular disease such as myasthenia gravis
  • Some antibiotics interact with it — tell the doctor what you take
  • Treating the same area too often can build resistance

Aftercare

  • Stay upright for four hours afterwards
  • Avoid sauna, alcohol and hard exercise the same day
  • Do not rub the treated area
  • Onset is 3–7 days; full effect at about two weeks

General information only; it does not replace medical diagnosis or advice.