Botulinum toxin (Botox)

Botulinum toxin, better known as botox, has been in recent decades as one of the most effective non-surgical solutions for rejuvenating and refreshing the face and neck.

The apparent reduction and largely the elimination of wrinkles between the eyebrows, on the forehead, around the eyes („crow’s feet“) and lips, on the neck and the neckline make botox procedures popular and desirable from patients at a different age.

The aesthetic effect of botox injection is due to the principle action of the product – botulinum toxin partially blocks the contraction of certain groups of muscles on the face. This temporary relaxation of the muscles leads to smoothing the skin lines and wrinkles and preventing their appearance.

As a result, we achieve complete aesthetic improvement with visible reduction of the mimic wrinkles. and and refreshed look of the face.

Besides treating mimic wrinkles, the botulinum toxin can effectively suppress hyperhidrosis – a state of over-sweating provoked by food, heat or emotional factors. For this purpose, a higher dose of toxin is placed in the desired area, such as underarm, palms or feet.


The safety and quality of the injected products should be guaranteed by your dermatologist. Aestheline Dermatology Clinic works only with hyaluronic acid products that are officially registered for use in Bulgaria, clinically tested and with quality certificates. The clinic offers its patients the high quality Vistabel®, Dysport® products.

Our trained and certified to work with the product dermatologist, will prepare you for the procedure and follow strictly established clinical protocol.

The specialist will mark the face (and neck) and mark the problematic areas where the botox will be injected. They will evaluate the type of skin at rest, and then in typical patient’s facial expression and muscle tension.

Depending on the treatment zones, the injection procedure will take between 20 and 40 minutes. The pricks are light but for a greater comfort an anesthetic cream can be applied.

Botulinum toxin should not be injected into skin infected areas as well as in areas with significantly relaxed, altered or lost muscle mass.

Botox procedures are not recommended for pregnant and breastfeeding women, patients with glaucoma, flu and antibiotic treatment.

The side effect from botulinum toxin injection might be a headache that disappears within a few days. After treatment of the forehead, tension and can be felt in the area.

Swelling around the eyes may occur if botox is injected in that area, that resolves within few days.

Very rare asymmetry is seen, eyelid dropping, difficulty in speaking and swallowing.

Extremely rare side effect is double vision.

The effect of the procedure occurs within 3-4 days after the botulinum toxin is injected and it lasts up to 4 months afterwards. A partial effect occurs between 6 and 9 months, depending on the individual muscle tone.

Immediately after the procedure, it is advisable to do many mimics and grimaces to help the even and complete distribution of botox in the injected muscle.

The treated areas should not be pressed or massaged, the cosmetic procedures, peelings, massages and face cleaning are also forbidden in the next 3 days. For the same period, thermal treatments such as steam bath, sauna, IPL, radio frequency and laser procedures are also undesirable.

2-3 hours after the procedure the pricking areas should not be damped or polluted. It is not recommended to lay down for up to 3 hours after the procedure. Checkup is needed 2 weeks after the procedure, where it may be necessary to place more of the product.

Re-treatment of a zone is recommended at least 3 months after the first procedure.

Since it is undesirable to inject a toxin in the same area more than twice a year, inform the dermatologist about the previous procedures.