Project Description

BOTOX Treatment

BOOK APPOINTMENT

Dr. Eva Maria Strobl
Your specialist for BOTOX in Munich

BOTO Spritzen München - LIPS and SKIN Ästhetische Medizin

You are looking for a reliable BOTOX specialist in Munich?

Dr. Eva Maria Strobl is the physician you can trust.

Conveniently located in downtown Munich, she helps patients achieve attractive, yet natural-looking results with BOTOX in a wide range of applications.

Read here why her expert skill in erasing facial lines with BOTOX is sought by men and women throughout the greater Munich area.

These are the topics:

At a Glance

I offer you the following advantages for your BOTOX treatment in Munich:

  1. Flexible appointments, with easy booking online
  2. Thorough expert skills and continuous education
  3. Sufficient time and full attention: from the first consultation onwards, you will only be looked after by me personally
  4. A relaxed and discreet atmosphere
  5. Direct accessibility via mobile phone and email during aftercare
  6. Fairly calculated BOTOX costs 

BOTOX offers the following advantages:

  • Fast results, usually fully visible within 2 weeks
  • Short treatment duration between 15 and 30 minutes
  • The effect lasts 4-6 months

BOTOX treatment is suitable for expression-induced lines such as:

  • Frown line (glabella)
  • Forehead wrinkles
  • Eye wrinkles (crow’s feet)
  • Nose wrinkles (Bunny lines)
  • Mouth and chin folds (Smoker lines)

Moreover, I also offer:

  • BOTOX against migraine
  • BOTOX against sweating (hyperhidrosis)
  • BOTOX against teeth grinding (masseter, bruxism)
  • BOTOX Lip Flip, for fuller lips without hyaluron

About 30min for new patients, 10-15min for existing patients (as consultation will be quicker).

I do not practice BOTOX to Go in the narrow sense, not even for existing patients. Every treatment is always preceded by an examination/consultation.

No, the treatment does not result in any downtime.

Possible side effects after BOTOX injections are redness and smaller hematomas in the treated areas.

The treatment of the glabella region sometimes causes slight headaches and a noticeable “pulling“.

BOTOX Full Face

A typical BOTOX session in my practice in Munich. From patient information and before-after photos to the actual BOTOX injections.

What is BOTOX?

Learn more about botulinum toxin A, the principal active ingredient in BOTOX injections.

BOTOX – the most popular minimally-invasive cosmetic treatment worldwide

BOTOX is the most common non-surgical medical intervention for cosmetic purposes worldwide.

In 2016 alone, almost 5 million people had BOTOX injections. Predominantly to reduce facial lines and wrinkles.

By comparison, breast enlargements are performed some 1.6 million times each year, liposuction 1.4 million times.

In metropolitan Germany BOTOX has long since become commonplace

BOTOX is now also firmly established in this country.

A quick Google search such as “BOTOX Munich” provides instant proof of this, returning over 500,000 results.

According to recent surveys, over 220,000 people in Germany receive BOTOX treatments every year.

Although data on regional distribution is not available, it can be safely assumed that metropoles such as Munich, Düsseldorf or Hamburg are BOTOX hotspots in Germany, just as for other aesthetic procedures.

Main drivers: lower BOTOX prices, procedure quick, easy, versatile

The surge in popularity of the BOTOX treatment is mainly due to the fact that BOTOX prices have fallen sharply over recent years, rendering the treatment affordable to everyone.

Moreover, BOTOX is  a quick and easy treatment with a wide range of applications, making it the therapy of choice in many cosmetical interventions.

Wrinkle Treatment with BOTOX is the global No. 1 treatment in non-surgical cosmetical medicine

BOTOX is low risk

Considering the huge number of treatments and the fact that year after year almost no serious incidents are reported, BOTOX can be considered a very safe treatment.

One major reason for the relative safety of BOTOX certainly lies in the fact that it may only be administered by trained physicians in most countries.

Cosmetical BOTOX is used in low doses

Moreover, in cosmetical applications BOTOX doses are so low that the risk of major side effects or even poisoning can be considered as virtually non-existent.

However, it is always an important prerequisite for safety and comfort that the treatment is carried out by a well-trained and experienced physician.

For your safety: NO! to BOTOX Parties

In Germany, only trained physicians are legally allowed to administer BOTOX. Moreover, they are only permitted to do so in their registered office. Practicing outside their office, e.g. during a “BOTOX party”, is prohibited by law.

Nevertheless, dubious providers will offer their services at dumping prices, often enough at BOTOX parties, using toxins that they obtained from dubious sources.

They represent a serious health & safety risk against which medical associations strive to take legal action.

How strong a poison is BOTOX?

It is sometimes said by sceptics that the active ingredient administered in a BOTOX treatment is a poison. And to be fair: That’s true.

Though BOTOX is not derived from a snake poison, as is often falsely claimed, it is still very toxic.

Botulinum toxin is the metabolic product of a certain type of bacteria called Clostridium botulinum. In its raw natural form, botulinum toxin is even the strongest known poison in the world.

Biochemically speaking, botulinum toxin is a neurotoxin. It prevents the release of a neurotransmitter called acetylcholine at the signal transmission point between nerves and muscles. This leads to partial or complete paralysis.

How Botox works in wrinkle treatment

Seven botulinum variants with different grades of toxicity

Today, seven variants of the botulinum toxin are known, the so-called serotypes A, B, C, D, E, F and G.

They differ from each other mainly in their toxicity. Type A is about 10 times more toxic than type C.

However, and this must be emphasized here, the toxin used in BOTOX treatments today has little in common with its origins.

Especially in cosmetics, its toxicity has been reduced to a level that does not pose a significant threat to life and health, even in generous dosages.

Botulinum toxin A

The botulinum toxin currently used in medicine is almost exclusively of type A.

For some time now there have also been attempts to make BOTOX type B usable for medical applications.

Among other things for those patients who show a tolerance for type A, causing therapy failure.

Whilst, wrinkle treatment with BOTOX may seem to be the most normal thing in the world today, the idea should sound rather strange to someone who hears about the origins of the toxin for the first time: it is a protein extracted from the bacterium Clostridium botulinum. Botulus is Latin and means “sausage”.

Botulinum toxin therefore literally means “sausage poison”.

At first, this does certainly not sound like a decent cure for facial wrinkles. But “sausage poison” is exactly the term that went through the mind of the physician Justinus Kerner around 1818 when he first discovered the substance.

He examined symptoms of paralysis and deaths which were preceded by the consumption of spoiled food.

Due to the general shortage of food and the poor hygienic conditions, food poisoning was a widespread cause of death.

The toxin produced by Clostridium botulinum soon turned out to be the culprit. Consequently, poisonings caused by Clostridium botulinum were called “botulism“.

Cosmetic Botox: Risk of poisoning very low

Nowadays, thanks to progress in food safety and hygiene standards, cases of botulism are rather rare.

Occurrences in the course of cosmetic BOTOX treatments have to date not been reported and are considered almost impossible in practice.

Where cases of botulism occur today, they are usually a direct consequence of contaminated food.

The permanent forms of the toxin are resistant and survive both heating and refrigeration.

In addition, Clostridium botulinum is an anerobic germ, which means that it can multiply even in vacuum-sealed food.

Poisoning is therefore usually the result of poorly or improperly preserved or insufficiently heated food.

Allergan Vistabel used as Micro BOTOX

Cosmetic BOTOX treatment since the late 1990s

Also in the decades and centuries after Justinus Kerner, the use of BOTOX for medical purposes was far from being on the agenda.

It was only towards the end of the 20th century, that BOTOX was rediscovered for medicine.

Initially it was used exclusively for the treatment of neurological disorders.

BOTOX for cosmetics again came only several years later, and by now has been around for some 20 years.

On the fringes of neurological studies, it was found that in some of the patients marked wrinkles had suddenly disappeared. Without this result having been intended or even only foreseen. Coincidence once again took the lead, as was often the case in the history of medicine.

In 2002, the BOTOX treatment was then officially approved by the American health authority (FDA) for use in wrinkle treatment.

BOTOX – a success story since 2002

The stunning effectiveness of BOTOX in the treatment of facial wrinkles gave rise to a worldwide success story soon thereafter.

BOTOX was quickly considered a new “miracle cure” that conquered aesthetic medicine around the globe.

As always, the celebrities and the “Beautiful People” were the first to jump on the bandwagon and get BOTOX treatments.

BOTOX becomes VISTABEL

The original BOTOX product from the world’s leading manufacturer ALLERGAN is now marketed under the brand VISTABEL in all cosmetic applications. The original name “BOTOX” is reserved for drugs for the treatment of neurological disorders.

At LIPS and SKIN in Munich I exclusively use VISTABEL for cosmetical interventions.

On the one hand, because I appreciate the high quality standard of ALLERGAN and this is the only way to guarantee my Munich patients top results with the lowest possible risks when I inject them with BOTOX.

VISTABLE without animal testing

On the other hand, ALLERGAN is also worth a special appreciation from an ethical point of view.

For example, the company announced years ago that it would soon discontinue all animal testing in the production and control of BOTOX and switch to cell culture-based processes.

This has in the meantime been accomplished. At least in the case of Allergan, no more laboratory animals have to suffer or die for cosmetics. For me, this is an important argument in favour of the company and its VISTABEL product.

BOTOX prices mainly reflect quantity of VISTABEL

At the end of this page I am informing you about my prices for different BOTOX treatments.

Please assume that these are guideline prices. The actual price may differ, mainly as a function of the amount of VISTABEL used in the treatment.

The current price of VISTABEL can easily be researched on the internet. It is (almost) identical throughout Germany and most of Europe.

No imported BOTOX at dumping prices in my practice

From time to time I hear from patients that they have been offered treatment with imported VISTABEL (from countries like Greece) at significantly lower prices.

To these patients, as well as to my readers on this website, I would like to point out that such practices are illegal under German drug law. Practitioners who use illegally imported drugs are liable to prosecution.

For this reason, I also refuse to treat patients who have obtained BOTOX themselves from whatever source outside the official channel.

How much poison is contained in a BOTOX injection?

How much poison is actually absorbed during an aesthetic BOTOX treatment? I am asked this question quite frequently by my patients in Munich. Here is an answer:

The amount of active substance contained in BOTOX injections is measured in so-called Allergan Units (AU).

1 such unit is exactly the dose which is lethal for 50% of a precisely defined population of laboratory mice (so-called “Swiss-Webster mice” of female sex, with a body weight between 18 and 20g).

This 1 unit is accordingly the so-called LD-50 dose, the amount of poison that is the lethale dose for 50% of the population.

If this is extrapolated to a human body weight of about 60kg, the theoretical LD-50 in humans would be about 3000 units.

However, studies with apes have shown that the direct extrapolation from mice to humans is too conservative. It is therefore assumed that the LD-50 in humans is about 5000 units.

5000 units correspond to about 100 commercial vials of BOTOX in cosmetics (50 AU each) or 50 commercial vials (100 AU each) in neurology.

Cosmetic BOTOX treatments usually contain between 15 AU and 100 AU per session. In neurology, maximum doses can also reach 200 AU (migraine) or even 400 AU (spasms).

The distance to the LD-50 dose in cosmetic BOTOX applications is therefore between 50 times and 300 times. In neurology, despite the significantly higher doses, the distance is still 12.5 times.

Thus, statements by laypersons who suspect a direct toxicity of a regular treatment (“if even only slightly overdosed you die”) are certainly wrong and way exaggerated.

On the other hand, however, statements on some medical websites claiming that regular botulinum doses would be “a thousand times” lower than the human LD-50 are also wrong.

BOTOX in wrinkle treatment

BOTOX against facial lines and wrinkles

Most lines and wrinkles in the face are a consequence of our own facial expressions.

As we constantly contract muscles to smile, laugh, look surprised or angry, lines and wrinkles form over time.

The youthful skin compensates for this thanks to its elasticity and regenerative capacity. But as the skin ages, the wrinkles remain and become more and more visible.

What BOTOX treatment does in wrinkle therapy is, in a nutshell, to prevent facial muscles from contracting.

BOTOX relaxes the muscles so that their tensile and compressive forces no longer affect the overlying skin layer in full strength.

To avoid BOTOX fails, consult experts only!

For safety and best results, detailed anatomical knowledge and rich practical experience are required by the practitioner. Lack of either one can lead to over- or underdosing of the toxin and paralysis of the wrong muscles, causing unintended aesthetic consequences (“botox fails”), discomfort or even health issues.

Does BOTOX help against all wrinkles?

As BOTOX causes a relaxation of muscles, it works well against wrinkles caused by frequent, mostly unconscious muscle tension.

Classic wrinkles treated with BOTOX are therefore frown lines, forehead wrinkles or laughter lines (crow’s feet).

These wrinkles can usually be treated very well when they are not yet too deep.

Therefore, it is actually possible to apply BOTOX to the face in a preventive manner, ideally in a patient’s late 20s.

Botox gegen Zornesfalte

The origin: BOTOX treatment of frown lines

Historically, the treatment of frown lines lies at the origin of cosmetical BOTOX therapy.

Frown lines are caused by prolonged, strained vision and form in the zone between the eyebrows, the so-called glabella area.

Smoothing of glabella wrinkles was the first officially approved application of BOTOX in aesthetic medicine.

As far as I am concerned, BOTOX treatment of frown lines is still today my preferred therapy option for frown lines, as in my opinion the least risky and the most cost effective.

BOTOX gegen Stirnfalten

Subtle smoothing, low risk of BOTOX fail

BOTOX against forehead wrinkles promises good results as long as the wrinkles have not dug in too deeply.

In my practice in Munich, I treat numerous women in their late twenties/early thirties with BOTOX to smooth out incipient forehead wrinkles and prevent them from deepening.

However, the forehead is of particular importance for a natural, sympathetic look. Overcorrection therefore needs to be avoided at all costs.

BOTOX also works well against wrinkles under and around the eyes.

However, these lines, often called crow’s feet, play an important role in certain facial expressions (like smiling).

It is therefore important to carefully weigh up  how strongly muscles are inhibited in their action, to preserve the ability of naturally looking mimic expressions.

As with forehead wrinkles, it is always better to smooth out wrinkles subtly rather than overdose and provoke a BOTOX fail.

BOTOX works well against nasal wrinkles (bunny lines), perioral wrinkles (upper lip wrinkles, smoker lines) and lines in the chin area.

So-called puppet wrinkles are particularly worthy of mention here. Although these wrinkles can also be treated very well with hyaluronic acid, in early stages well-placed and moderately dosed BOTOX injections are usually sufficient for good results.

Unfortunately, botulinum toxin delivers only mixed results in wrinkle treatment of the neck and décolleté. Vertical wrinkles on the neck can be eliminated very well, but on horizontal wrinkles BOTOX usually fails to produce satisfactory results.

The temporary relaxation of facial muscles by means of BOTOX not only can smoothen out wrinkles, but in certain cases also achieve a gentle facelift.

Two facial areas are of particular interest: eyebrows (eye brow Lift, chemical brow lift) and the nose tip.

Frequently asked questions

BOTOX treatment of chronic migraine

In 2011, BOTOX received official approval in Germany for the treatment of migraine.

Studies have confirmed the positive effect it has on patients suffering from chronic migraine. In episodic migraine, however, study results of BOTOX treatment were not convincing.

Positive personal experience

Being a migraine patient myself, I have tested the BOTOX pain therapy with success.

Shortly after the treatment I noticed a clear relaxation in my neck and my headaches subsided considerably.

Following my positive experience with BOTOX against migraine, I started offering the treatment to my patients in Munich. The results so far have been extremely encouraging.

BOTOX also blocks the signal transmission between nerves and sweat glands.

This is why BOTOX can also be used to treat heavy sweating (hyperhidrosis).

During the procedure, BOTOX is injected into the skin at square centimetre intervals. An average injection pattern consists of 10 – 20 points per armpit and a little more per hand or foot.

A positive effect is usually seen 1 – 2 weeks after the treatment. The sweating then noticeably decreases.

The effect of the treatment lasts on average for half a year.

At LIPS and SKIN I also treat teeth grinding with botulinum toxin.

For this purpose, the toxin is injected into the large chewing muscle.

The toxin relaxes the muscle and thus alleviates the teeth grinding. Attention needs to be paid to potential overdosing, in order to preserve the muscle’s function for chewing and speaking.

Micro BOTOX is a relatively new application of botulinum toxin.

Basically, the procedure consists of superficial injections of the toxin into the skin (not the muscle!) in a higher dilution than usual.

The purpose of the treatment lies in the subtle reduction of finer lines and wrinkles and in improving the skin’s overall appearance.

Since the toxin is not injected into the muscle, there is no risk of impaired ability to facial expression.

Microbotox is also very effective in reducing large pores and improving oily skin.

BOTOX for mimic lines only

No. BOTOX only helps against wrinkles caused by muscle tension.

Gravity induced wrinkles such as sleep lines and wrinkles due to sagging tissue (such as nasolabial folds) cannot be treated with botulinum toxin.

Also wrinkles caused by UV-radiation cannot be successfully treated with BOTOX.

In all these cases, alternative treatments need to be envisaged, for example augmentation with dermafillers or thread lifting.

Make lips appear plumper with BOTOX

The BOTOX Lip flip is a special injection technique in the perioral area, which can be used as an alternative or supplement to lip augmentation with hyaluronic acid.

In this technique, BOTOX is injected into the oral ring muscle (musculus orbicularis oris) at precisely defined points in order to reach only its superficial fibres and to relax it to such an extent that the lips “flip” outwards.

The lip flip can achieve a subtle enlargement effect, but more importantly, it can prevent the lips from being “pulled into the mouth” in certain facial expressions (especially laughter).

However, the major risk of this technique lies in a too strong weakening of the muscle.

In the more harmless case this leads to an unnatural appearance of some facial expressions. In worse cases, however, it can lead to problems with eating and drinking.

BOTOX lips no substitute for hyaluronic acid

For this reason, but also because I do oftentimes consider the treatment not to be cost-effective for my patients, I hardly ever use the BOTOX Lip flip as a replacement for lip augmentation with hyaluronic acid.

In many cases, hyaluronic acid will be the better choice from the point of view of safety, durability, effectiveness and above all costs.

In the majority of cases, I perform the lip flip on patients in whom the lip “disappears” in the mouth during certain facial expressions. The reason behind this condition is that the ring muscle is contracting too much. In which case it actually makes sense to weaken it a bit.

The technique used for the lip flip is similar to the procedure that I call Micro BOTOX.

The botulinum toxin gets diluted more than usual and then injected only very superficially into the skin. The risk of weakening the muscle too strongly is thus minimized.

Unfortunately, in most cases the answer is no.

As a general rule, you should assume that neither public nor private health insurance providers will cover the costs of procedures that are considered not medically necessary. This also includes most BOTOX treatments.

There may be exceptions in individual cases, such as treatment of migraine or hyperhidrosis. But I strongly advise you to clarify these with your provider in advance.

There are some contraindications for BOTOX that you should be aware of.

Please consult your doctor about your specific personal circumstances. In your own interest, do disclose all conditions that you may have. Especially:

  • Absolute contraindications are diseases of neuromuscular transmission such as myasthenia gravis and Lambert-Eaton syndrome.
  • BOTOX is also unsuitable for patients with dysphagia and who suffer from chronic breathing difficulties.
  • Furthermore, BOTOX should not be administered during acute infections and inflammations of the intended injection sites.
  • There are also interactions with a number of drugs that influence muscular transmission and with certain antibiotics (amynoglycoside antibiotics, spectinomycin). Before using BOTOX, it is therefore essential to consult your doctor about any existing medication.
  • Also proven hypersensitivity to one of the components of the BOTOX preparation intended for use (VISTABEL, Azzalure, Bocouture or BOTOX, Dysport, Xeomin)
  • During pregnancy and lactation. Although studies provide no compelling evidence of risks to pregnancy and the health of the baby, both the manufacturers of botulinum toxin preparations and the medical associations advise against the use of BOTOX during pregnancy and (especially) breastfeeding.

In all these cases you should consult your doctor about alternative ways of treating wrinkles. They do exist.

My BOTOX Prices

Price guidelines

The following prices are guidelines for the different BOTOX treatments I offer in my practice in Munich.

They are based on prior experience with my Munich patients.

Individual calculation of BOTOX costs according to GOÄ

The individual cost of a treatment with botulinum toxin depends largely on the amount of the toxin used (usually Allergan VISTABEL 50E) and the specific therapeutic requirements of the individual case.

The individual billing of a treatment is done according to GOÄ (German fee schedule for physicians).

Please therefore bear in mind that actual BOTOX costs can deviate significantly from the guidelines provided here.

Treatment EUR
Forehead lines 225
Frown lines 225
Forehead + frown lines 335
Eye brow lift, both sides 225
Crow’s feet, both sides 225
Nasal wrinkles 225
Teeth grinding (masseter hypertrophie) 290
Gummy smile 225
Drooping mouth corner 225
Smoker lines 225
Chin lines 225
Strong Sweating (hyperhidrosis), both sides 480
Consultation 30

The costs for BOTOX on which the above mentioned prices are based can be freely viewed on the Internet, for example here.

These are the prices at which doctors also buy the BOTOX for use in their therapies.

In accordance with the German fee schedule for physicians, these costs are passed on to the patient 1:1 (i.e. without markup) in the price for the treatment.

When comparing my BOTOX prices in Munich with those of other medical practices, please note that I only charge for full vials of the active substance and do not offer treatments with BOTOX costs “per unit“.

This is because, for quality assurance and patient safety reasons, I use strict 1:1 relationships between batch numbers and patients.

One of the advantages for patients is that they can watch how I pull up BOTOX injections from “their” vials directly before treatment and afterwards document “their” batch number of product in the patient file.

Patients can thus be sure that they will reliably receive the full dose of the active substance in the correct dilution.

This approach also facilitates communication with the manufacturer in the event of complications or the ineffectiveness of the active ingredient.

The (theoretical) disadvantage is that there may be treatments for which you will be fully charged partly used vials.

In practice, however, there is almost always a zone in which you can have the remaining quantities of active ingredient injected.

See you soon!

BOOK APPOINTMENT

BOTOX Treatment

BOOK APPOINTMENT

Dr. Eva Maria Strobl
your specialised physician for BOTOX in Munich

BOTOX Stirnfalten - LIPS and SKIN Ästhetische Medizin - München

You are looking for a reliable BOTOX specialist in Munich?

Dr. Eva Maria Strobl is the physician you can trust.

Conveniently located in downtown Munich, she helps patients achieve attractive, yet natural-looking results with BOTOX in a wide range of applications.

Read here why her expert skill in erasing facial lines with BOTOX is sought by men and women throughout the greater Munich area.

These are the topics:

At a glance

BOTOX wirkt nicht? Dr. med. Eva Maria Strobl sagt Ihnen wieso

I offer you the following advantages for your BOTOX treatment in Munich:

  1. Flexible appointments, with easy booking online
  2. Thorough expert skills and continuous education
  3. Sufficient time and full attention: from the first consultation onwards, you will only be looked after by me personally
  4. A relaxed and discreet atmosphere
  5. Direct accessibility via mobile phone and email during aftercare
  6. Fairly calculated BOTOX costs 

I treat my patients in Munich with BOTOX against a multitude of lines and wrinkles. These include in particular frown lines (glabella), forehead wrinkles, eye wrinkles (crow’s feet), nasal wrinkles (bunny lines), perioral lines (smoker lines) and wrinkles of the chin.

Moreover, BOTOX is also suitable to achieve a subtle lifting the eyebrows (brow lift) and the tip of the nose.

The main advantage of BOTOX are its quick results, which are usually fully visible within 2 weeks. The treatment takes little time, between 15 and 30 minutes including consultation and preparation. The results last between 4 and 6 months.

In my medical practice in Munich I also offer the following therapies:

  • BOTOX against migraine
  • BOTOX against sweating (hyperhidrosis)
  • BOTOX against teeth grinding (masseter, bruxism)
  • To accentuate lips with BOTOX, alone or in addition to augmentation with hyaluronic acid filler, I use a technique called BOTOX lip flip.

BOTOX will not yield satisfying results when signs of aging are not of mimic origin.

This is especially the case with sleep lines and folds as a result of age-related tissue loss (such as nasolabial folds).

For successful treatments of these indications, other minimally invasive interventions are available, such as hyaluronic acid or thread lift.

About 30min for new patients, 10-15min for existing patients (as consultation will be quicker).

I do not practice BOTOX to Go in the narrow sense, not even for existing patients. Every treatment is always preceded by an examination/consultation.

A BOTOX treatment in my practice in Munich begins with a detailed patient self disclosure sheet in which you tell me everything about previous illnesses, medication, allergies and the like.

In subsequent consultation I compare your desires with what I see in your face.

Together we discuss what is medically feasible and what is aesthetically reasonable. In addition, I will inform you about all risks, side effects, the expected results and possible treatment alternatives.  I also will point out to you that your health insurance company will probably not cover the costs of the BOTOX treatment.

On the basis of our discussion, we will determine a detailed treatment plan and agree on a fee. In addition, you must sign a declaration of consent in which you agree to the treatment, confirm that you were informed about risks and side effects and agree to my professional fee.

This is followed by a detailed photo documentation of the initial condition.

After that we start the treatment. First I remove any make-up, thoroughly clean and disinfect the areas to be treated and prepare the BOTOX injections. If you wish numbing, we apply numbing cream and let it take effect while I prepare the BOTOX injections.

After the injections I will give you ice bags for cooling. After about 10 minutes any redness is usually gone. Any small haematomas, which unfortunately can never be completely ruled out, can be covered with medical make-up.

That’s about it. After 14 days I will ask you to come and visit me again for a check-up and potential fine-tuning of results.

Yes, you will be immediately up and running again. The treatment will not cause any downtime. Your skin may be reddened at the injection sites, usually only briefly, but if you want to be on the safe side, factor this into your schedule for the rest of day.

There are also no severe restrictions to your daily life. On the day of treatment and during the next 1-2 days, however, I advise you to avoid intensive sports, sauna and solarium visits.

Possible side effects after BOTOX injections are redness and smaller hematomas in the treated areas.

The treatment of the glabella region sometimes causes slight headaches and a noticeable “pulling“.

A BOTOX treatment in my practice in Munich starts at about 255 Euro (including consultation and VAT).

This price is based on the consumption of a complete vial of VISTABEL 50 AE, which means that you can have forehead and frown lines treated in one session, for example.

Additional guideline prices can be found in the table at the end of this page. All prices are approximate and including VAT.

The actual price of an individual treatment will be calculated in line with the German fee schedule of practitioners (GOÄ).

What patients say:

I am absolutely convinced of Dr. Strobl’s work and had the best experience with her botulinum therapy. I am a migraine patient and she recommended botulinum toxin injections. My migraine attacks have become significantly less. I would not have thought it possible! Excellent work, I now visit Dr Strobl regularly.

Read this and other patient testimonials at Jameda.de

What is BOTOX?

Learn more about botulinum toxin A, the principal active ingredient in BOTOX injections.

BOTOX – the most popular minimally-invasive cosmetic treatment worldwide

BOTOX is the most common non-surgical medical intervention for cosmetic purposes worldwide.

In 2016 alone, almost 5 million people had BOTOX injections. Predominantly to reduce facial lines and wrinkles.

By comparison, breast enlargements are performed some 1.6 million times each year, liposuction 1.4 million times.

In metropolitan Germany BOTOX has long since become commonplace

BOTOX is now also firmly established in this country.

A quick Google search such as “BOTOX Munich” provides instant proof of this, returning over 500,000 results.

According to recent surveys, over 220,000 people in Germany receive BOTOX treatments every year.

Although data on regional distribution is not available, it can be safely assumed that metropoles such as Munich, Düsseldorf or Hamburg are BOTOX hotspots in Germany, just as for other aesthetic procedures.

Main drivers: lower BOTOX prices, procedure quick, easy, versatile

The surge in popularity of the BOTOX treatment is mainly due to the fact that BOTOX prices have fallen sharply over recent years, rendering the treatment affordable to everyone.

Moreover, BOTOX is  a quick and easy treatment with a wide range of applications, making it the therapy of choice in many cosmetical interventions.

Wrinkle Treatment with BOTOX is the global No. 1 treatment in non-surgical cosmetical medicine

BOTOX is low risk

Considering the huge number of treatments and the fact that year after year almost no serious incidents are reported, BOTOX can be considered a very safe treatment.

One major reason for the relative safety of BOTOX certainly lies in the fact that it may only be administered by trained physicians in most countries.

Cosmetical BOTOX is used in low doses

Moreover, in cosmetical applications BOTOX doses are so low that the risk of major side effects or even poisoning can be considered as virtually non-existent.

However, it is always an important prerequisite for safety and comfort that the treatment is carried out by a well-trained and experienced physician.

For your safety: NO! to BOTOX Parties

In Germany, only trained physicians are legally allowed to administer BOTOX. Moreover, they are only permitted to do so in their registered office. Practicing outside their office, e.g. during a “BOTOX party”, is prohibited by law.

Nevertheless, dubious providers will offer their services at dumping prices, often enough at BOTOX parties, using toxins that they obtained from dubious sources.

They represent a serious health & safety risk against which medical associations strive to take legal action.

Whilst, wrinkle treatment with BOTOX may seem to be the most normal thing in the world today, the idea should sound rather strange to someone who hears about the origins of the toxin for the first time: it is a protein extracted from the bacterium Clostridium botulinum. Botulus is Latin and means “sausage”.

Botulinum toxin therefore literally means “sausage poison”.

At first, this does certainly not sound like a decent cure for facial wrinkles. But “sausage poison” is exactly the term that went through the mind of the physician Justinus Kerner around 1818 when he first discovered the substance.

He examined symptoms of paralysis and deaths which were preceded by the consumption of spoiled food.

Due to the general shortage of food and the poor hygienic conditions, food poisoning was a widespread cause of death.

The toxin produced by Clostridium botulinum soon turned out to be the culprit. Consequently, poisonings caused by Clostridium botulinum were called “botulism“.

Cosmetic Botox: Risk of poisoning very low

Nowadays, thanks to progress in food safety and hygiene standards, cases of botulism are rather rare.

Occurrences in the course of cosmetic BOTOX treatments have to date not been reported and are considered almost impossible in practice.

Where cases of botulism occur today, they are usually a direct consequence of contaminated food.

The permanent forms of the toxin are resistant and survive both heating and refrigeration.

In addition, Clostridium botulinum is an anerobic germ, which means that it can multiply even in vacuum-sealed food.

Poisoning is therefore usually the result of poorly or improperly preserved or insufficiently heated food.

How strong a poison is BOTOX?

It is sometimes said by sceptics that the active ingredient administered in a BOTOX treatment is a poison. And to be fair: That’s true.

Though BOTOX is not derived from a snake poison, as is often falsely claimed, it is still very toxic.

Botulinum toxin is the metabolic product of a certain type of bacteria called Clostridium botulinum. In its raw natural form, botulinum toxin is even the strongest known poison in the world.

Biochemically speaking, botulinum toxin is a neurotoxin. It prevents the release of a neurotransmitter called acetylcholine at the signal transmission point between nerves and muscles. This leads to partial or complete paralysis.

How Botox works in wrinkle treatment

Seven botulinum variants with different grades of toxicity

Today, seven variants of the botulinum toxin are known, the so-called serotypes A, B, C, D, E, F and G.

They differ from each other mainly in their toxicity. Type A is about 10 times more toxic than type C.

However, and this must be emphasized here, the toxin used in BOTOX treatments today has little in common with its origins.

Especially in cosmetics, its toxicity has been reduced to a level that does not pose a significant threat to life and health, even in generous dosages.

Botulinum toxin A

The botulinum toxin currently used in medicine is almost exclusively of type A.

For some time now there have also been attempts to make BOTOX type B usable for medical applications.

Among other things for those patients who show a tolerance for type A, causing therapy failure.

Cosmetic BOTOX treatment since the late 1990s

Also in the decades and centuries after Justinus Kerner, the use of BOTOX for medical purposes was far from being on the agenda.

It was only towards the end of the 20th century, that BOTOX was rediscovered for medicine.

Initially it was used exclusively for the treatment of neurological disorders.

BOTOX for cosmetics again came only several years later, and by now has been around for some 20 years.

On the fringes of neurological studies, it was found that in some of the patients marked wrinkles had suddenly disappeared. Without this result having been intended or even only foreseen. Coincidence once again took the lead, as was often the case in the history of medicine.

In 2002, the BOTOX treatment was then officially approved by the American health authority (FDA) for use in wrinkle treatment.

BOTOX – a success story since 2002

The stunning effectiveness of BOTOX in the treatment of facial wrinkles gave rise to a worldwide success story soon thereafter.

BOTOX was quickly considered a new “miracle cure” that conquered aesthetic medicine around the globe.

As always, the celebrities and the “Beautiful People” were the first to jump on the bandwagon and get BOTOX treatments.

Allergan Vistabel used as Micro BOTOX

BOTOX becomes VISTABEL

The original BOTOX product from the world’s leading manufacturer ALLERGAN is now marketed under the brand VISTABEL in all cosmetic applications. The original name “BOTOX” is reserved for drugs for the treatment of neurological disorders.

At LIPS and SKIN in Munich I exclusively use VISTABEL for cosmetical interventions.

On the one hand, because I appreciate the high quality standard of ALLERGAN and this is the only way to guarantee my Munich patients top results with the lowest possible risks when I inject them with BOTOX.

VISTABLE without animal testing

On the other hand, ALLERGAN is also worth a special appreciation from an ethical point of view.

For example, the company announced years ago that it would soon discontinue all animal testing in the production and control of BOTOX and switch to cell culture-based processes.

This has in the meantime been accomplished. At least in the case of Allergan, no more laboratory animals have to suffer or die for cosmetics. For me, this is an important argument in favour of the company and its VISTABEL product.

BOTOX prices mainly reflect quantity of VISTABEL

At the end of this page I am informing you about my prices for different BOTOX treatments.

Please assume that these are guideline prices. The actual price may differ, mainly as a function of the amount of VISTABEL used in the treatment.

The current price of VISTABEL can easily be researched on the internet. It is (almost) identical throughout Germany and most of Europe.

No imported BOTOX at dumping prices in my practice

From time to time I hear from patients that they have been offered treatment with imported VISTABEL (from countries like Greece) at significantly lower prices.

To these patients, as well as to my readers on this website, I would like to point out that such practices are illegal under German drug law. Practitioners who use illegally imported drugs are liable to prosecution.

For this reason, I also refuse to treat patients who have obtained BOTOX themselves from whatever source outside the official channel.

How much poison is contained in a BOTOX injection?

How much poison is actually absorbed during an aesthetic BOTOX treatment? I am asked this question quite frequently by my patients in Munich. Here is an answer:

The amount of active substance contained in BOTOX injections is measured in so-called Allergan Units (AU).

1 such unit is exactly the dose which is lethal for 50% of a precisely defined population of laboratory mice (so-called “Swiss-Webster mice” of female sex, with a body weight between 18 and 20g).

This 1 unit is accordingly the so-called LD-50 dose, the amount of poison that is the lethale dose for 50% of the population.

If this is extrapolated to a human body weight of about 60kg, the theoretical LD-50 in humans would be about 3000 units.

However, studies with apes have shown that the direct extrapolation from mice to humans is too conservative. It is therefore assumed that the LD-50 in humans is about 5000 units.

5000 units correspond to about 100 commercial vials of BOTOX in cosmetics (50 AU each) or 50 commercial vials (100 AU each) in neurology.

Cosmetic BOTOX treatments usually contain between 15 AU and 100 AU per session. In neurology, maximum doses can also reach 200 AU (migraine) or even 400 AU (spasms).

The distance to the LD-50 dose in cosmetic BOTOX applications is therefore between 50 times and 300 times. In neurology, despite the significantly higher doses, the distance is still 12.5 times.

Thus, statements by laypersons who suspect a direct toxicity of a regular treatment (“if even only slightly overdosed you die”) are certainly wrong and way exaggerated.

On the other hand, however, statements on some medical websites claiming that regular botulinum doses would be “a thousand times” lower than the human LD-50 are also wrong.

BOTOX Treatment

Consultation is followed by photo documentation and cleaning as well as the preparation of the toxin injections (VISTABEL 50AE).

Depending on sex, age and the thickness of the wrinkles, 3-5 injection points are set.

If frown lines and eyebrows are also treated, 5 + 2 injection points are added, so that the entire BOTOX treatment comprises 10-12 injection points.

Since about 4 Allergan units are administered per injection point, this type of BOTOX treatment requires almost exactly one vial of toxin with a total of 50 Allergan units.

Including consultation and preparation a session will last approx. 30 minutes. The injections themselves usually take no longer than 10-15 minutes.

Yes, you will be immediately up and running again. The treatment will not cause any downtime.

Your skin may be reddened at the injection sites, usually only briefly, but if you want to be on the safe side, factor this into your schedule for the rest of day.

There are also no severe restrictions to your daily life. On the day of treatment and during the next 1-2 days, however, I advise you to avoid intensive sports, sauna and tanning beds.

A guideline value is € 250 incl. consultation and VAT. Final price of a treatment will be calculated according to the German fee schedule for practitioners (GOÄ).

BOTOX wrinkle treatment

BOTOX against facial lines and wrinkles

Most lines and wrinkles in the face are a consequence of our own facial expressions.

As we constantly contract muscles to smile, laugh, look surprised or angry, lines and wrinkles form over time.

The youthful skin compensates for this thanks to its elasticity and regenerative capacity. But as the skin ages, the wrinkles remain and become more and more visible.

What BOTOX treatment does in wrinkle therapy is, in a nutshell, to prevent facial muscles from contracting.

BOTOX relaxes the muscles so that their tensile and compressive forces no longer affect the overlying skin layer in full strength.

To avoid BOTOX fails, consult experts only!

For safety and best results, detailed anatomical knowledge and rich practical experience are required by the practitioner. Lack of either one can lead to over- or underdosing of the toxin and paralysis of the wrong muscles, causing unintended aesthetic consequences (“botox fails”), discomfort or even health issues.

Does BOTOX help against all wrinkles?

As BOTOX causes a relaxation of muscles, it works well against wrinkles caused by frequent, mostly unconscious muscle tension.

Classic wrinkles treated with BOTOX are therefore frown lines, forehead wrinkles or laughter lines (crow’s feet).

These wrinkles can usually be treated very well when they are not yet too deep.

Therefore, it is actually possible to apply BOTOX to the face in a preventive manner, ideally in a patient’s late 20s.

Botox gegen Zornesfalte

The origin: BOTOX treatment of frown lines

Historically, the treatment of frown lines lies at the origin of cosmetical BOTOX therapy.

Frown lines are caused by prolonged, strained vision and form in the zone between the eyebrows, the so-called glabella area.

Smoothing of glabella wrinkles was the first officially approved application of BOTOX in aesthetic medicine.

As far as I am concerned, BOTOX treatment of frown lines is still today my preferred therapy option for frown lines, as in my opinion the least risky and the most cost effective.

BOTOX gegen Stirnfalten

Subtle smoothing, low risk of BOTOX fail

BOTOX against forehead wrinkles promises good results as long as the wrinkles have not dug in too deeply.

In my practice in Munich, I treat numerous women in their late twenties/early thirties with BOTOX to smooth out incipient forehead wrinkles and prevent them from deepening.

However, the forehead is of particular importance for a natural, sympathetic look. Overcorrection therefore needs to be avoided at all costs.

BOTOX also works well against wrinkles under and around the eyes.

However, these lines, often called crow’s feet, play an important role in certain facial expressions (like smiling).

It is therefore important to carefully weigh up  how strongly muscles are inhibited in their action, to preserve the ability of naturally looking mimic expressions.

As with forehead wrinkles, it is always better to smooth out wrinkles subtly rather than overdose and provoke a BOTOX fail.

BOTOX works well against nasal wrinkles (bunny lines), perioral wrinkles (upper lip wrinkles, smoker lines) and lines in the chin area.

So-called puppet wrinkles are particularly worthy of mention here. Although these wrinkles can also be treated very well with hyaluronic acid, in early stages well-placed and moderately dosed BOTOX injections are usually sufficient for good results.

Unfortunately, botulinum toxin delivers only mixed results in wrinkle treatment of the neck and décolleté. Vertical wrinkles on the neck can be eliminated very well, but on horizontal wrinkles BOTOX usually fails to produce satisfactory results.

In rare cases, BOTOX can also be useful for gravity-induced wrinkles such as the nasolabial fold, which in most people is caused by tissue changes that come with the aging process.

The standard protocol for wrinkle treatment here is injection of hyaluronic acid, possibly supplemented by a thread lift.

However, if the cause of the nasolabial fold is not the ageing process but an untypically strong mimic muscle, the use of BOTOX may indeed help also here, especially in younger patients. The relaxation of the muscle is then often sufficient to mitigate the folds.

The general rule of thumb is that BOTOX is best used in the upper third of the face.

The area of the cheeks and chin area, on the other hand, is often treated more effectively with hyaluronic acid fillers or PDO threads.

This is also often so because of the formation of wrinkles being the result of tissue volume loss and a lasting effect therefore requires the replacement of the lost volume.

BOTOX for mimic lines only

No. BOTOX only helps against wrinkles caused by muscle tension.

Gravity induced wrinkles such as sleep lines and wrinkles due to sagging tissue (such as nasolabial folds) cannot be treated with botulinum toxin.

Also wrinkles caused by UV-radiation cannot be successfully treated with BOTOX.

In all these cases, alternative treatments need to be envisaged, for example augmentation with dermafillers or thread lifting.

Temporary relaxation of facial muscles using BOTOX is not only used for wrinkle treatment, but in certain cases also can accomplish a gentle facelift.

Two applications in particular should be mentioned: on the one hand, eyebrow lifting (Eye Brow Lift, Chemical Brow Lift); on the other lifting of the tip of the nose.

In both applications, however, the effect of BOTOX is limited. Significantly stronger effects can be achieved by using PDO threads as an alternative or supplement.

Frequently asked questions

One of the first medical applications of BOTOX was the treatment of dystonia.

Dystonias are involuntary contractions of muscles that are in themselves arbitrary. First therapeutic experiences were gained in patients with blepharospasm. Cervical dystonia and dystonia of the extremities followed. Good results were also achieved with spasm, tremor, tics and spasticity.

More recently, BOTOX has also been used in pain therapy, especially for tension headaches and migraines. However, the results are contradictory. BOTOX has been officially approved for the treatment of migraine in Germany in 2011. Being a migraine patient myself, I tested the pain therapy with botulinum toxin and was stunned by the improvement.

Already shortly after the treatment I noticed clear signs of relaxation in the neck and the headaches subsided considerably. Although the migraine attacks did not disappear completely, they became much more bearable.

Due to my positive personal experience with BOTOX against migraine, I now also offer the treatment to my Munich patients.

BOTOX inhibits the signal transmission between the nerve and the muscle, which is thus immobilised.

The same mechanism of action is found on the sweat glands. The botulinum toxin can block the transmission from the nerve to the sweat gland.

This reduces sweat secretion. Which makes BOTOX an effective remedy against heavy sweating.

During the treatment, BOTOX is injected into the skin at square centimetre intervals. An injection scheme of 10 – 20 points on average is used per armpit.

The thinnest needles are used. In order to prevent possible pain, the skin areas to be treated are treated with numbing cream in advance.

The effect occurs approximately 1 – 2 weeks after the treatment. The sweating will then noticeably subside.

The effect lasts on average for half a year. Sometimes also significantly longer, 9-12 months have been reported.

In general, very good results are achieved with BOTOX in hyperhidrosis. Patients who have undergone this treatment are mostly satisfied with the results.

Furthermore, studies show that after repeated applications, excessive sweating can be reduced to normal levels.

In many severe cases of hyperhidrosis, the use of BOTOX made surgery unnecessary.

At LIPS and SKIN I also treat teeth grinding with botulinum toxin.

For this purpose, the toxin is injected into the large chewing muscle in a relatively high dosage.

This relaxes the muscle, but of course only to such an extent that it can continue to function well in chewing and speaking.

Micro BOTOX is a relatively new application of botulinum toxin.

Basically, the procedure consists of superficial injections of the toxin into the skin (not the muscle!) in a higher dilution than usual.

The purpose of the treatment lies in the subtle reduction of finer lines and wrinkles and in improving the skin’s overall appearance.

Since the toxin is not injected into the muscle, there is no risk of impaired ability to facial expression.

Microbotox is also very effective in reducing large pores and improving oily skin.

Unfortunately, in most cases the answer is no.

As a general rule, you should assume that neither public nor private health insurance providers will cover the costs of procedures that are considered not medically necessary. This also includes most BOTOX treatments.

There may be exceptions in individual cases, such as treatment of migraine or hyperhidrosis. But I strongly advise you to clarify these with your provider in advance.

There are some contraindications for BOTOX that you should be aware of.

Please consult your doctor about your specific personal circumstances. In your own interest, do disclose all conditions that you may have. Especially:

  • Absolute contraindications are diseases of neuromuscular transmission such as myasthenia gravis and Lambert-Eaton syndrome.
  • BOTOX is also unsuitable for patients with dysphagia and who suffer from chronic breathing difficulties.
  • Furthermore, BOTOX should not be administered during acute infections and inflammations of the intended injection sites.
  • There are also interactions with a number of drugs that influence muscular transmission and with certain antibiotics (amynoglycoside antibiotics, spectinomycin). Before using BOTOX, it is therefore essential to consult your doctor about any existing medication.
  • Also proven hypersensitivity to one of the components of the BOTOX preparation intended for use (VISTABEL, Azzalure, Bocouture or BOTOX, Dysport, Xeomin)
  • During pregnancy and lactation. Although studies provide no compelling evidence of risks to pregnancy and the health of the baby, both the manufacturers of botulinum toxin preparations and the medical associations advise against the use of BOTOX during pregnancy and (especially) breastfeeding.

In all these cases you should consult your doctor about alternative ways of treating wrinkles. They do exist.

A BOTOX lip flip is a special injection technique around the upper and lower lips, which can be performed as an alternative or supplement to lip augmentation with hyaluron filler.

In this technique, BOTOX is injected into the oral ring muscle (musculus orbicularis oris) at precisely defined points in order to reach only its superficial fibres and to relax it to such an extent that the lips “flip” outwards.

On the one hand, this can achieve a subtle enlargement effect, but on the other hand, it can also prevent the lips from being “pulled into the mouth” in certain facial expressions (especially laughter), which is a condition naturally manifest in some patients.

The risk of this technique lies in a too strong weakening of the muscle and thus its movement, which can no longer be executed perfectly.

In the more harmless case, this leads to an unnatural appearance of some facial expressions. In worse cases, however, it can lead to problems with eating and drinking.

For this reason, but also because I do not consider the lip flip to always be cost-effective for my patients, I hardly ever use it as a replacement for lip augmentation with hyaluron.

In reality, I perform the BOTOX lip flip mostly on patients in whom the lip naturally “disappears” in the mouth during certain facial expressions.

The BOTOX cream has been on everyone’s lips lately, perhaps you have found references to it on the Internet, possibly even as an advertisement for specific products.

At this point I would like to make clear that All such references are false and the products are fake. A BOTOX cream does not exist. And this will remain so for some time to come.

The same is true for the often-heard promise of a “BOTOX patch” (similar to a nicotine patch for people trying to quit smoking). There are no such BOTOX patches. Anyone who claims otherwise is lying.

The main reason why this is so and will not change so quickly is the size of the BOTOX molecule.

The molecule of Onabotulinum A, as BOTOX is correctly called, is very large with a so-called molecular weight of 950kDA (Kilo Dalton).

The toxin itself only takes up about a third of this weight, but the proteins, which it has firmly bound to itself as a kind of “protective armour”, weigh heavily, contributing the lion’s share to the total weight.

And here is the problem: for an active ingredient to be able to penetrate the skin from the outside through the fine openings in the outer skin layer, with the aid of a cream or patch, its molecules must be much, much smaller.

How small exactly is not known, but good estimates call for 500 Dalton.

500 daltons is not a lot.

In fact, in current pharmaceutical practice, there are only a handful of active ingredients that remain below a molecular weight of 500 daltons and are therefore suitable for administration as a cream or patch.

And – you guessed it – nicotine is one of them. Nicotine patches are therefore quite effective, although in reality they are not very strong either.

But anyway: BOTOX with its comparatively large molecular size of 950,000 Daltons is not even close to being able to pass the outer skin barrier.

And this will remain so for some time to come.

However, at least this much seems to be true: BOTOX manufacturer ALLERGAN keeps telling us that he is researching the possibility of a BOTOX cream.

However, we are still years away, if at all, from a concrete application.

But how could a BOTOX cream actually work?

Because even if it could penetrate the epidermis via a dramatic reduction in molecular weight, it would only work superficially, i.e. in the skin.

Replacing the classic BOTOX therapy, which targets not the skin but the muscles, remains completely unattainable.

The effect of a BOTOX cream would therefore be similar to the treatment I practice in my practice in Munich as Micro BOTOX.

It can reduce the appearance of smaller lines and wrinkles, reduce large pores and improve the overall appearance of the skin. But a real wrinkle therapy, the removal of forehead wrinkles or frown lines, for example, is not possible with it.

Therefore: BOTOX cream sounds good, but is currently wishful thinking. And if it really does come in the next few years, it will certainly not be a full-fledged replacement for the classic wrinkle therapy, for which one unfortunately has to accept the short pricks of injections.

My BOTOX Prices

The following BOTOX prices are to be understood as guidelines only for the different treatments I offer in my practice in Munich.

They are based on previous experience with my Munich patients.

The individual calculation of a treatment with botulinum toxin depends largely on the amount of toxin used and the specific therapeutic requirements of the individual case.

The final billing of a treatment is done according to the German fee schedule for physicians (GOÄ).

Please therefore bear in mind that costs can deviate significantly from the guideline prices below.

Treatment EUR
Forehead lines 225
Frown lines 225
Forehead + frown lines 335
Eye brow lift, both sides 225
Crow’s feet, both sides 225
Nasal wrinkles 225
Teeth grinding (masseter hypertrophie) 290
Gummy smile 225
Drooping mouth corner 225
Smoker lines 225
Chin lines 225
Strong Sweating (hyperhidrosis), both sides 480
Consultation 30

The costs for BOTOX on which the above mentioned prices are based can be freely viewed on the Internet, for example here.

These are the prices at which doctors also buy the BOTOX for use in their therapies.

In accordance with the German fee schedule for physicians, these costs are passed on to the patient 1:1 (i.e. without markup) in the price for the treatment.

When comparing my BOTOX prices in Munich with those of other medical practices, please note that I only charge for full vials of the active substance and do not offer treatments with BOTOX costs “per unit“.

This is because, for quality assurance and patient safety reasons, I use strict 1:1 relationships between batch numbers and patients.

One of the advantages for patients is that they can watch how I pull up BOTOX injections from “their” vials directly before treatment and afterwards document “their” batch number of product in the patient file.

Patients can thus be sure that they will reliably receive the full dose of the active substance in the correct dilution.

This approach also facilitates communication with the manufacturer in the event of complications or the ineffectiveness of the active ingredient.

The (theoretical) disadvantage is that there may be treatments for which you will be fully charged partly used vials.

In practice, however, there is almost always a zone in which you can have the remaining quantities of active ingredient injected.

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