Botox at a Glance
Botox is a neurotoxin that weakens muscles, thereby smoothing expression wrinkles.
Since Botox is broken down by the body, its effect is temporary, lasting 4-6 months.
Botox injections are minimally painful, so anesthesia is usually not necessary.
Typical reactions to Botox injections are redness, swelling, and bruising, which typically subside after 2–3 days.
There is no downtime with Botox; you can immediately resume your activities.
The treatment takes 45–60 minutes for the first appointment and 15–30 minutes for follow-up appointments.
How Botox Works Against Wrinkles
Smoothing out mimic wrinkles with botulinum toxin
Wrinkle treatment with Botulinum toxin (short “Botox”) is popular because it is the most effective remedy against expression wrinkles. Youthful skin is elastic enough to smooth out after facial expressions, but as we age, wrinkles become more prominent.
Botox costs and benefits
Many people find wrinkles bothersome. Botox offers a quick and simple solution, usually without significant risks or dangerous side effects. The costs of Botox have decreased compared to the past, making it more affordable.
For me as a medical practitioner, it is of key importance, that with Botox costs and benefits are in reasonable proportion. That’s why I prefer Botox in facial treatments whenever possible.
Botox only from the expert
Caution is advised as smoothing wrinkles with Botox sounds simple but requires good anatomical knowledge and extensive experience in injecting Botox to avoid mistakes, such as the overdosage or weakening of the wrong muscles.
Video of a Full Face Botox Treatment
5-Step Treatment Process
Treatment with Botox in my practice in Munich follows a fixed scheme in five steps. Regardless of the specific treatment goal being pursued. My top priority is always patient safety and the quality of the result. And since no two faces are alike, I take enough time for each patient and plan the procedure individually.
Discussion of the initial situation and aesthetic goals of the patient. Usually takes 15-30 minutes during first visit.
Usually not necessary for classic wrinkle treatment, but recommended for larger treatments.
Cleaning & Disinfection
Essential to prevent bacterial infections. This step takes 5 minutes.
The actual Botox injection is relatively quick.
Aftercare & Control
A joint look in the mirror to check if everything is okay and the result meets expectations.
Botox Costs at LIPS and SKIN
The following Botox prices are indicative in Dr. Strobl’s practice in Munich. Individual Botox costs are always calculated according to the rules of the Fee Schedule for Doctors (GOÄ). Please note that health insurance will not reimburse the costs of cosmetic treatment with Botox.
|Indicative Price in € (incl. VAT)
|Forehead and frown line
|Drooping mouth corners
|Eyebrow lift Botox
|Eyebrow lift Botox (for thread lift)
|Hyperhidrosis (excessive sweating)
|Chronic migraine (150 Allergan units)
|Micro Botox (50 Allergan units)
How are Botox Costs determined?
Botulinum toxin is a prescription medication in Germany and is only sold through pharmacies. It is sold at fixed prices in standardized packaging, with the most common sizes being 50 and 100 units. The purchase price for 50 units of the product I use in Germany is around €116.
The remaining costs associated with an aesthetic Botox treatment are for medical services based on the Gemran Medical Fee Schedule (GOÄ). For Botox costs, this typically includes the GOÄ code 252 for injections. The total price also includes the applicable value-added tax.
Why not charge Botox Costs per unit?
Some providers advertise Botox costs per unit, but I do not. I always charge for opened vials only. This means that even if only a few units are used, the entire vial is invoiced. This is because I do not store and transfer vials that have been opened for one patient to other patients. The reason for this lies in safety considerations and is also in accordance with the manufacturer’s guidelines. Therefore, I recommend that patients choose treatments in a way that allows for the complete distribution of a full vial containing 50 units, which is usually feasible.
Botox Costs per unit and GOÄ compliance
Another reason why I do not offer Botox costs per unit is due to the regulations of the GOÄ. The GOÄ is based on a fee matrix that considers various factors such as the complexity of the treatment, time required, physician’s responsibility, and appropriate compensation. If one adheres to these guidelines for billing, then individual invoicing based on a fixed pre-determined rate for Botox costs per unit is not actually possible.
Instead, you will receive an invoice from me that separately lists Botox costs and medical services. In my opinion, this provides you as a patient with the best possible transparency.
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Frequently Asked Questions
Absolute contraindications are neuromuscular disorders. These include myasthenia gravis, Lambert-Eaton syndrome or dysphagia. In addition, Botox must not be administered in cases of chronic respiratory distress and during acute infections and inflammations. Furthermore, not during pregnancy and breastfeeding. In addition, there are interactions with a number of drugs and antibiotics.
Studies have found that a treatment with 100 units of Botox/Vistabel (Allergan) absorbs about 0.73 nanograms of active toxin. Note: A nanogram is one billionth of a gram. In comparison, the lethal dose for a human of 70 kg body weight is estimated to be between 90 and 150 nanograms.
There is currently no effective antidote to Botox. Antibodies derived from the immune serum of horses are available. They are used in cases of acute poisoning (botulism). However, they only inhibit further uptake of toxin into cells; they cannot neutralize toxin that has already been taken up. Undesirable results of Botox treatments are therefore not reversible at this time, for as long as the toxin is effective.
When you stop Botox treatment, the treated muscles and wrinkles gradually return to their original state. The effect of Botox wears off after 3-6 months. However, with long-term use, Botox causes some muscle atrophy (atrophy). The effect is similar to athletes who do not exercise for a long time. Therefore, after discontinuation, it may take a while for muscles to fully recover.