Are injections painful?

Most patients describe a tingling or brief prick sensation. The use of a very fine needle and, if needed, a topical anaesthetic cream minimises discomfort.

When can I resume normal activities?

Resumption of daily activities is generally immediate. It is recommended to avoid intense physical effort, hot baths, and excessive sun exposure for 24 to 48 hours, as well as not massaging the treated areas.

How long do the effects last?

The effect appears within a few days and reaches its maximum around 10–14 days. The average duration is 3 to 6 months, variable between individuals.

Does the treatment prevent facial expression?

The goal is to reduce excessive muscular activity while preserving expressiveness. A personalised plan allows a natural and harmonious result to be achieved.

How much does a botulinum toxin session cost in Paris?

In Paris, a botulinum toxin session usually costs between €250 and €500 depending on the areas treated and the quantity injected. For the classic "frown lines + forehead + crow's feet" treatment: €350–€450. For a limited area (frown lines only, or crow's feet only): €250–€300. Aesthetic medicine procedure not reimbursed.

Which areas can be treated with botulinum toxin?

Classic indications in aesthetic medicine: frown lines (between the eyebrows), forehead lines, crow's feet (corner of the eyes), bunny lines (nose wrinkles), neck lines (platysmal bands), eyebrow lift ("brow lift"). Non-aesthetic indications: hyperhidrosis of the underarms or palms, bruxism (teeth grinding), chronic migraines, certain neurological pathologies.

At what age can botulinum toxin be used?

No strict minimum age, but classic indications appear from 28–35 years, when expression lines become visible at rest (and not only when contracting). Before 30, very light preventive treatments ("baby botox") are sometimes proposed for motivated patients. Phototypes and mimic habits considerably vary the individual timeline.

Does botulinum toxin have side effects?

Possible side effects, generally transient: bruising or redness at injection sites, headaches in the first 24–48 h, sensation of forehead tension. Rare effects: temporary asymmetry, ptosis (eyelid drooping) which resolves in 4–6 weeks. A follow-up consultation at 2 weeks allows adjustment if necessary. Toxin is fully metabolised, its effects are entirely reversible over time.

Are there contraindications?

Contraindications: pregnancy and breastfeeding, myasthenia gravis or neuromuscular diseases, allergy to product components, active skin infection on areas to be treated, intake of certain antibiotics (aminoglycosides). A complete medical consultation validates the absence of contraindication before the first injection.

Botulinum Toxin Injections

Pr Ignacio Garrido — médecine esthétique

Example photo, no result can be guaranteed

Botulinum toxin injections (commonly known as "Botox") are an aesthetic medicine procedure consisting of administering very small quantities of a purified protein to temporarily reduce the activity of the muscles responsible for certain expression lines. They are primarily suited to individuals wishing to attenuate forehead lines, glabellar lines (between the eyebrows), and crow's feet, as well as those seeking a refreshed eye appearance or moderate prevention of skin ageing. The principle is to improve facial harmony while respecting the physiology and muscular dynamics for a natural result. The information below is intended for general guidance.

Principles of Treatment

Mechanism of action: botulinum toxin temporarily blocks neuromuscular transmission in the treated areas, reducing the contraction of the muscles responsible for expression lines. This smooths the appearance of the overlying skin.
Areas concerned: forehead lines, glabellar lines (frown lines), minor perioral lines, crow's feet around the eyes, slight brow tail lifting, treatment of neck bands (platysmal bands) in some cases, and functional indications (excessive sweating) outside the aesthetic context.
Individualisation: each treatment is adapted to the patient's morphology, muscle strength, and expectations. The therapeutic plan takes into account the clinical assessment, age, skin quality, and desired appearance (subtle vs. more visible).

Session Process

Prior consultation: medical exchange to gather your history (neurological conditions, allergies, current medications), facial examination at rest and with expression, photography for the medical record, and development of a personalised protocol. Realistic goals and possible alternatives are discussed.
Consent and information: explanation of expected benefits, limitations, risks, and follow-up. Signing of informed consent.
Session process: skin cleansing, anatomical reference markings, injections using very fine needles or micro-cannulas depending on the area. The procedure is quick; total duration is generally 15 to 30 minutes depending on the extent of treatment.
Comfort: local anaesthesia is not systematic; a topical anaesthetic cream may be offered if necessary. Tingling or slight discomfort sensations are possible. No hospitalisation is required.
Immediate precautions: avoid vigorous massage of treated areas for 24 hours, remain upright for a few hours, and follow the recommendations provided by the physician.

Post-treatment Course and Results

Immediate post-treatment effects: redness, small bruises, slight sensitivity, or local swelling may occur and resolve within a few days.
Onset of effects: first effects generally appear between 48 and 72 hours, with maximum effect around 10 to 14 days.
Duration: the effect is temporary and varies from person to person, on average 3 to 6 months. Maintenance sessions allow the effect to be sustained if desired.
Variability: the intensity and duration of the result depend on the dose used, individual muscle strength, and biological factors. A progressive, personalised approach aims to preserve natural expression.

Contraindications and Precautions

Main contraindications: pregnancy, breastfeeding, infection or inflammation at the injection site, known hypersensitivity to botulinum toxin or any excipient, history of neuromuscular disease (e.g. myasthenia gravis, Lambert-Eaton syndrome).
Precautions: inform the physician of anticoagulant treatment (risk of bruising), recent use of aminoglycoside antibiotics or anticoagulants, or neuromuscular pathologies. Adapt the dosage in patients taking certain interacting medications.
Important personalisation: the decision to inject is based on a medical examination and a risk/benefit assessment for each patient.

Risks and Possible Side Effects

Common and transient effects: mild pain at the injection site, bruising, redness, local swelling, transient headache.
Less frequent effects: transient asymmetry, insufficient result requiring a touch-up, upper eyelid drooping (ptosis) if involuntary diffusion occurs to a neighbouring muscle, dry eye, or tearing depending on the areas treated.
Rare but serious effects: excessive diffusion causing generalised symptoms (generalised muscle weakness, swallowing or breathing difficulties) — these complications are exceptional and require urgent medical management.
Information and follow-up: all risks are explained during the consultation and monitoring is organised if necessary.