Non-Surgical Treatments: Botulinum Toxin and Fillers

Non-surgical treatments are injection-based procedures used for some facial lines and loss of volume without surgery. Their effects are temporary and they do not correct sagging; the suitable method is decided at the consultation, and results vary from person to person.

What Is Botulinum Toxin (Botox)?

Botulinum toxin (commonly known as Botox) temporarily reduces the contraction strength of the facial expression muscles so that the lines caused by these muscles look softer. The most common treatment areas are horizontal forehead lines, vertical lines between the eyebrows and crow's feet at the outer corners of the eyes. In some people it may also be considered for jaw-muscle complaints related to teeth clenching.

The doctor first assesses the face both in motion and at rest. The product is injected with a fine needle at planned points; the procedure is short and most people can return to daily life right away. The effect starts within a few days; the result is temporary and muscle movement gradually returns.

Filler Treatments

Fillers are injections considered for lines that are visible even at rest or for areas with volume loss. The product and amount are decided at the consultation. See our Filler Applications page for details.

How Non-Surgical Treatments Differ From Surgery

Botulinum toxin and fillers do not correct sagging skin, excess eyelid skin or under-eye bags. In these cases surgical options such as a facelift or eyelid surgery may be considered.

Who Should Not Have These Treatments?

• During pregnancy and breastfeeding
• If there is an active infection in the treatment area
• People with neuromuscular diseases
• People with a history of allergy to the product's ingredients

Blood thinners and other regular medicines should not be stopped without medical advice and should be reported to the doctor in advance.

Possible Risks

Redness, mild swelling, bruising and headache may occur at the injection site; these are usually temporary. Less commonly, a drooping eyebrow or eyelid, asymmetry or 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.