Micro-Botox

Micro-Botox against large pores and oily skin

new way to smooth skin

Micro-Botox (often also referred to as “Baby Botox”) is a relatively new treatment originating from South Korea. For this treatment, botulinum toxin is prepared in higher dilution than usual and injected superficially into the skin. Classic botox injections target the muscle, but this is not the case here. Micro-Botox helps with oily skin and large pores. When applied regularly, it leads to an even skin texture, which is considered an ideal of beauty among women in Korea (“Glass Skin“).

In addition, Micro-Botox into the skin can help against shallower wrinkles and lines where the injection of Botox into the muscle is not yet necessary. Therefore, it is well suited for sensitive areas of the face. The added benefit is that facial expression is under no risk of being impaired.

Dr. Eva Maria Strobl, has been practicing Micro-Botox for years. Thanks to her experience from many treatments, she advises her patients comprehensively and reliably. She has a strong sense of aesthetics and attaches great importance to a sympathetic look. That’s why she often prefers to use Micro-Botox in sensitive areas of the face, for natural-looking results.

Learn more about Micro-Botox in Munich with Dr. Eva Maria Strobl on this page.

Competence in Botox and Micro-Botox

your Benefits with dr. strobl

quality thanks to specialization

Many years of experience with Botox and micro-botox

Sufficient time For and full attention on patients

A relaxed atmosphere in a central location in Munich

Direct accessibility via cell phone and e-mail in aftercare

Fairly calculated treatment costs

The most important facts about Micro-Botox in a nutshell

Micro-botox at a glance

Duration:30-60min
Effect holds:3-6 months
Anesthesia:topical (lidocaine cream)
Downtime:none, slight redness and hematoma possible
Botox prices:from approx. €290
The prices are indicative only; individual costs are calculated and billed according to GOÄ. Botox costs are usually not reimbursed by health insurance.
Find complementary information in the following blog articles

Micro-botox in the blog

“Botox Light” for subtle smoothing of lines and radiant skin

what is micro-botox?

Micro-Botox is a relatively new application of botulinum toxin A. The treatment differs from classical Botox in 2 ways: On the one hand, the toxin is significantly more diluted. Depending on the circumstances of the treatment, by 3 to 5 times more. On the other hand, the injection is made flat into the skin instead of precisely targeting a certain muscle.

injection Grids instead of precise points

In Micro-Botox treatments, numerous injection points are distributed over the zone to be treated. The diluted Botox is then injected in small amounts (“wheals“). From one vial of Botox, which is just enough for a 1ml syringe in the classical technique, 5-6 syringes are prepared in Micro-Botox, which are then injected into the skin in a grid of about 1 × 1 cm.

Microbotox, Baby Botox or Microtox

Due to the high dilution, Micro-Botox is only suitable for a subtle smoothing of wrinkles and lines. The small amount of toxin injected into the skin reaches only the upper muscle fibers that run along the skin. But not the muscle itself. This is too little for deep wrinkles. Micro-Botox therefore smoothes only subtly. However, the effect is still visible. One advantage of the method is that negative consequences for facial expressions are hardly possible. Patients who are undergoing Botox treatment for the first time, but are afraid of an artificial expression, can be treated with Micro-Botox as a “small solution“, so to speak. This is why people also talk about “Baby Botox” or “Microtox“, mainly in the USA. And often also call the technique “Botox light” – which I personally think is appropriate.

Mesobotox

In Germany, the term “mesobotox” is also in circulation. Micro-Botox does not have much in common with mesotherapy, which is a completely separate therapeutic concept. Specifically, Micro-Botox does not pursue any mesotherapeutic goals and does not adhere to any corresponding protocols. However, the name is obvious in that Microbotox is usually not injected specifically at a few points, but over a wide area in entire zones. Mesotherapy is also known for this. For this purpose, some doctors use injection guns, which are also commonly used in mesotherapy. But that’s all there is in common.

Large pores and oily skin

However, the subtle smoothing of wrinkles that can be achieved with Micro-Botox is typically not the main concern of patients in my practice in Munich. In the majority of cases, they are much more interested in the possibility of using Micro-Botox to improve large pores and oily skin. To this end, Micro-Botox works very effectively in many cases.

The exact process by which Micro-Botox acts on porous skin has not yet been clarified in detail. It is thought to be due to the influence of the toxin on sweat and sebaceous glands. Likewise, it is considered possible that the fine muscles in the skin that are responsible for raising the hair are weakened by the Botox.

Micro-Botox for a porcelain face

The effect can be seen in any case. I treat Asian patients in particular with Micro-Botox every few months in my practice to achieve a very smooth complexion that looks almost porcelain-like. In countries like South Korea, this is considered the ideal of beauty under the term “glass skin“.

However, an important note at this point: Micro-Botox is not suitable for severe forms of acne. Especially not in the case of inflammation. In such cases, it is necessary to work with the dermatologist to ensure that the condition subsides before considering cosmetic interventions such as Micro-Botox.

Microneedling and Botox

Micro-Botox can be combined with Microneedling. Instead of injecting the diluted Botox into the skin, this simply allows it to penetrate through the perforated skin into deep layers of the skin. The numerous, micro-fine channels that needling stabs into the skin are perfect for this. They are permeable enough for about 30 minutes to deliver the Micro-Botox to the subcutis; and even more evenly than by injection. In fact, needling creates a grid of thousands of such channels, spaced fractions of millimeters apart. The dilution is thus evenly distributed in the treated zone. The following video shows the treatment for a male patient (who happens to be my husband).

Micro Botox and microneedling in combination for a male patient

video micro-botox + needling

The video shows the treatment with Micro-Botox on a man in his early fifties. The toxin is introduced into the skin as part of a microneedling procedure. The primary goal of treatment is to improve large pores and oily skin.
Micro Botox in 5 steps

micro-botox treatment procedure

Like all treatments in my practice, Micro-Botox follows a scheme in five steps. Since this treatment requires a topical anesthesia with lidocaine cream, and this requires about 30 minutes of exposure time to take full effect, it takes a relatively long time all in all. But since patient comfort is important to me, I take the time necessary to do it properly.

Consultation

The first step is a detailed discussion of the patient’s initial situation and aesthetic goals. What is to be achieved with Micro-Botox? Is the goal realistically achievable? What are the costs? What are the risks? Are there alternative methods that would be more suitable or cost effective? Are there any contraindications that need to be considered? If all questions are answered satisfactorily, then the patient signs a consent to treatment and a fee agreement. This bindingly records the costs of the treatment. Thus. subsequent “surprises” are not possible. This step takes 15-30 minutes for first-time patients. In follow-up treatments it will require substantially less time.

Cleaning and disinfection

Thorough cleaning and disinfection of the treatment area are essential to exclude bacterial infections. Therefore, traces of makeup and other impurities must be completely removed. I then disinfect the face with a skin-friendly disinfectant. This step takes 5 minutes.

Local anesthesia

Unlike classic Botox treatment, which includes only a few injections, Micro-Botox includes a lot of punctures and therefore is best done under topical anesthesia. As a rule, I numb the treatment area with a lidocaine cream. The cream requires a contact time of 30 minutes to take full effect. During this time you can read or surf the Internet in the waiting lounge.

Injection or needling

First, the treatment area is cleaned of the lidocaine cream. The actual injection with Micro-Botox is relatively quick and usually takes no longer than 15min. If you combine Micro-Botox with Microneedling, then add about 30 minutes for the needling procedure and the application of a soothing Detox Mask thereafter.

Aftercare and control

After the injections or the needling we take a look in the mirror together, and perform a short check if everything is okay and the result meets the expectation – and we are done! Due to the large number of punctures, your skin will be very red, especially in the microneedling variant. Hematomas are also possible. The traces of the treatment may remain clearly visible for 1-2 days. You should take this into account in your scheduling of important events. With Micro-Botox, on-site control appointments are usually not necessary. Nevertheless, we stay in touch to monitor the healing process and to be able to react immediately in case of complications.

Indications for Micro-Botox costs in my practice

what does micro-botox cost?

The following prices for Micro-Botox are indicative. Actual Botox costs are always billed according to the German Medical Fee Schedule(GOÄ). They may therefore deviate from the indicative prices quoted in the table substantially. Please note that your health insurance will only reimburse you for Botox treatment if it is deemed medically necessary. This is usually not the case with aesthetic Botox treatment, so you will foreseeably have to bear the costs yourself.

Micro-Botox treatmentPrice in € (incl. VAT)
Micro-Botox (50 AU) as injection360
Micro-Botox (50 AU) + Microneedling490
Consultation75
The prices quoted above are indicative. The actual costs of a treatment are calculated in accordance with the German Medical Fee Schedule (GOÄ).
What patients want to know about Micro-Botox

frequently asked questions

Are there risks and side effects?

The principal risks with Micro-Botox are the same as with classic botulinum toxin. And there they have been primarily a matter of high dosage. In the cosmetic application of Botox, where dosages are generally very low, more serious incidents have therefore only rarely occured. Due to the significantly higher dilution of the toxin in Micro-Botox, the risk should therefore be even lower.

When not to inject Micro-Botox

However, the aforementioned section does not apply to Botox contraindications, which do also apply to Micro-Botox. Absolute contraindications are therefore also with Micro-Botox neuromuscular disorders such as myasthenia gravis or Lambert-Eaton syndrome. Micro-Botox is also taboo for patients with dysphagia or chronic respiratory distress. Furthermore, allergies to components of the preparation as well as pregnancy and breast feeding are reasons for exclusion.

Is Micro-Botox suitable for acne treatment?

Micro-Botox treatment aims to reduce the sebum production of the skin pores. This can be beneficial in the context of acne therapy. However, the use of Micro-Botox is prohibited at the stage of inflammatory acne. Therefore, you should consult your dermatologist in advance about the possibility of acne therapy with Micro-Botox.

Does Micro Botox help against rosacea?

Rosacea is a chronic skin condition characterized by redness, erythema and flushing, among other symptoms. For those affected, this often means considerable physical discomfort and psychological stress. Satisfactory therapeutic options do not currently exist. The first indications that Botox would help with rosacea were reported ten years ago. However, they were based on only a few case observations, so their validity was questionable. More recently, however, systematic studies have now confirmed that Botox may be promising against rosacea. Flushing and gustatory sweating in the context of the so-called Frey syndrome could be significantly reduced, often for longer than 6 months. Botox is thought to have an effect on blood vessels and reduced blood flow. Flushing would thus be reduced symptomatically. The treatment protocols here were similar to what I present on this site as Micro-Botox. The dilution of the botulinum toxin was approximately three times the classical application. Administered by wheal on the skin. At present, however, the therapy has neither approval nor is it part of the current guideline of the German Dermatological Society (DDG). It is therefore practiced at best individually as an “off label use” of Botox.

Attractive at every age

LIPS and SKIN Aesthetic Medicine

Eva Maria Strobl, MD
Herzog-Heinrich-Strasse 34
80336 Munich