Botulinum Toxin in Men: Planning, Treatment Areas and Risks

Botulinum toxin is a treatment that temporarily reduces the strength of contraction of facial expression muscles, aiming to soften the lines caused by the movement of these muscles. It is also used in men; however, differences in male facial and muscle structure affect the planning. This article explains how botulinum toxin treatment is planned in men, the areas where it is used and its risks.

Why Is Planning Different in Men?

• Because facial muscles in men are generally stronger and thicker, the amount to be used and the number of injection points are determined individually.
• In men, the eyebrows are generally flatter and positioned lower; the treatment is planned to avoid giving the eyebrow an arched or raised appearance.
• The aim is not to erase the lines completely, but to soften them while preserving facial expression and natural movement.

Which Areas Are Treated?

The most common treatment areas are the horizontal lines on the forehead, the vertical lines between the eyebrows and the crow's feet at the corners of the eyes. In deep lines that are visible even at rest, botulinum toxin alone may not be enough; in this case, other methods such as fillers may be considered. Excess skin or puffiness of the eyelids is not corrected by this treatment; in such cases, surgical options such as eyelid surgery may come into consideration.

How Is It Done?

The doctor first assesses the face both in motion and at rest and listens to the person's expectations. The treatment area is cleaned and botulinum toxin is injected with a fine needle into the selected points. The procedure is short and daily activities can usually be resumed immediately. Blood thinners and other regular medicines should not be stopped without asking a doctor, and the doctor performing the procedure should be told about them beforehand.

Who Should Not Have It?

• People with an active infection in the treatment area
• People with a neuromuscular disease
• People with a history of allergy to the product's ingredients
• People taking medicines that suppress the immune system (subject to the doctor's assessment)

Aftercare and How Long It Lasts

In the first hours, it is recommended not to touch, rub or massage the treated area; the period recommended by the doctor should be observed before intense exercise, saunas and very hot environments. The effect begins within a few days and the full effect appears a little later. The result is temporary; muscle movement gradually returns and the treatment can be repeated at intervals recommended by the doctor if needed.

Possible Risks

Redness, mild swelling, bruising at the injection site and headache may occur; these are usually temporary. Less commonly, drooping of the eyebrow or eyelid, asymmetry and a greater-than-expected reduction in facial expression may occur. If difficulty swallowing, speaking or breathing, double vision or marked muscle weakness is noticed, a doctor should be contacted immediately. For more information, see our face filler and eyelid aesthetics pages.

Author: Op. Dr. Yücel Sarıaltın