Micro-Botox at a Glance
During a Micro-Botox treatment, a diluted amount of Botulinum toxin A is injected into the upper layer of the skin using fine needles. The focus is on target areas such as large-pored and oily skin.
Since Micro-Botox is metabolized by the body, its effects are temporary. The results typically last for 4–6 months.
Local anesthesia is typically necessary as multiple injections are administered, which can cause discomfort.
Possible risks and side effects may include temporary redness, swelling, and occasionally small bruises. In rare cases, allergic reactions can occur.
There is no downtime; you can immediately resume your activities.
Including the application time of the anesthesia, the initial treatment typically lasts for 60 to 90 minutes, while follow-up appointments usually range from 30 to 60 minutes.
What is Micro-Botox?
When undergoing a Micro-Botox treatment, a diluted amount of Botulinum toxin A is injected into the upper layer of the skin using fine needles. The technique does not differ from traditional Botox in terms of the active ingredient, but rather in its application. In classic Botox treatments, the diluted Botox is injected into a few precisely placed points to target specific muscles. However, with Micro-Botox, it is distributed in the form of microdroplets evenly throughout the skin.
Microdroplets in the Skin instead of Injections in the Muscle
Numerous injection points are thus distributed across the treatment area. The diluted Botox is injected in small amounts into these points. This technique is referred to as “microdroplets”. Instead of using one 1 ml syringe per vial of Botulinum toxin, as in the traditional technique, 3–4 syringes are prepared for Micro-Botox, which are then injected into the skin in a grid pattern of approximately 1 × 1 cm.
Micro-Botox, Skin Botox, or Baby Botox?
Due to the high dilution, Micro-Botox is suitable only for the reduction of fine lines and wrinkles. The small amount of toxin injected into the skin only affects the upper muscle fibers that run along the skin, rather than the muscle itself. This is insufficient for treating deep wrinkles. Therefore, Micro-Botox provides only subtle smoothing effects. However, the effect is still visible as long as the wrinkles are still fresh.
One advantage of this method is that it minimizes the risk of negative effects on facial expressions. Patients who are receiving Botox treatment for the first time but fear an artificial appearance can opt for Micro-Botox as a kind of “small solution.” That’s why it is also referred to as “Baby Botox” or often as “Botox light,” which I find fitting. However, I would like to emphasize that Micro-Botox is not a satisfactory treatment option for already pronounced wrinkles.
In Germany, the term “Meso-Botox” is also used. However, Micro-Botox has little in common with mesotherapy, which is an entirely different therapeutic concept. Specifically, Micro-Botox does not pursue mesotherapeutic goals nor adhere to corresponding protocols.
5-Step Treatment Process
Treatment with Micro-Botox in my practice in Munich follows a fixed scheme in five steps. 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.
In the first step, a thorough discussion of the patient’s initial situation and aesthetic goals takes place. What is the desired outcome with Micro-Botox? Is the goal realistically achievable? What are the costs involved? What are the risks? Are there any contraindications to be considered? If all questions are satisfactorily answered, the patient then signs a consent form for the treatment and a fee agreement. This agreement firmly outlines the treatment costs, ensuring that there are no surprises later on. This step typically takes 15–30 minutes for new patients.
Unlike the classic Botox therapy, which requires relatively few injections and often does not require anesthesia, local anesthesia is highly recommended for Micro-Botox. In most cases, I use a lidocaine cream for numbing. It requires a 30-minute application time. During this period, you can read or surf the internet in the waiting room.
Cleaning & Disinfection
Thorough cleansing and disinfection of the treatment area are essential to prevent bacterial infections. Therefore, traces of makeup must be removed. Afterwards, I disinfect the face using a skin-friendly disinfectant. This step takes approximately 5 minutes.
Injection or Needling
First, the treatment area is cleaned of the lidocaine cream. The actual injection of Micro-Botox is relatively quick and typically takes no longer than 15 minutes. If you choose to combine Micro-Botox with microneedling, an additional 15 minutes will be added to the treatment duration.
Aftercare & Control
To conclude, we take a final look in the mirror, perform a quick check to ensure everything is okay, and assess if the results meet your expectations – and we’re done. Due to the numerous injections, your skin may be significantly red, especially in the case of microneedling. Bruising is also possible. The marks from the treatment may remain visibly noticeable for 1–2 days. It is important to consider this in your scheduling plans. For Micro-Botox, on-site follow-up appointments at the clinic are usually not necessary. However, we will stay in contact to monitor the healing process and promptly address any complications if they arise.
What is the Cost of Micro-Botox?
The following prices for Micro-Botox are indicative and for orientation only. Individual treatment costs are always billed according to the German Medical Fee Schedule (GOÄ). Therefore, they may differ from the indicative prices below. Please note that health insurance will only cover treatment costs if it is considered medically necessary. In the case of an aesthetic Micro-Botox treatment, this is typically not the case. You will be responsible for covering the costs yourself.
|Micro-Botox treatment||Price in € (incl. VAT)|
|Micro-Botox (50 AU) as injection||360|
|Micro-Botox (50 AU) + Microneedling||490|
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Frequently Asked Questions
The risks associated with Micro-Botox are similar to those of traditional botulinum toxin. However, these risks have always been primarily associated with high dosages. In cosmetic applications of Botox, where lower dosages are typically used, serious incidents have always been rare. Due to the significantly higher dilution of the toxin in Micro-Botox, the risk is expected to be even lower.
The contraindications for Botox treatment also apply to Micro-Botox. Absolute contraindications for both include neuromuscular disorders such as Myasthenia gravis or Lambert-Eaton syndrome. Micro-Botox is also contraindicated for patients with dysphagia or chronic shortness of breath. Furthermore, allergies to components of the product, as well as pregnancy and breastfeeding, are exclusion criteria.
The treatment with Micro-Botox aims to reduce the sebum production of the skin pores, which can be beneficial in the context of acne therapy. However, the application of Micro-Botox is not suitable during the stage of inflammatory acne. Therefore, please consult your dermatologist beforehand regarding the possibility of acne treatment with Micro-Botox.
Rosacea is a chronic skin condition characterized by redness, erythema, and flushing. There have been indications for years that Botox could help with rosacea, but these were based on only a few case observations. More recently, systematic studies have confirmed that Botox could be promising in the treatment of rosacea. Flushing and gustatory sweating associated with the so-called Frey syndrome could be significantly reduced, often lasting for longer than 6 months.