Botulinum treatment

Enjoy looking in the mirror again!

Whether an excessively deep frown line or annoying forehead wrinkles, crow’s feet around the eyes or drooping corners of the mouth, with a good botulinum treatment the skin on the face can be smoothed in a simple, surprisingly quick and very effective way.

The effect is a more attractive appearance, smoother skin, no to fewer deep wrinkles. The treatment is perceived as a rejuvenating cure. Together with regular facial care, good sun protection and, if desired, in combination with other aesthetic treatment options, this therapy can work wonders. We all want to look fresher, more rested and more relaxed, and thanks to little pricks, looking in the mirror is fun again.


How does a botulinum treatment work?

Botulinum treatment, usually also referred to as Botox® treatment, is a cosmetic procedure used to smooth facial wrinkles and lines, particularly in the upper third of the face.

Before the treatment, a consultation with a detailed analysis of the face takes place in our practice on Lake Zurich. Here, the areas to be treated are discussed and the patient is informed about the procedure.

The area of skin to be treated, such as the forehead or the areas of the face next to the eyes, are cleansed and prepared. If desired, a local anaesthetic cream can be applied to minimize discomfort during the injections. Botulinum toxin, the main agent in Botox®, is injected in small doses into the exact facial muscles in the forehead area, in the frown lines, which are responsible for the formation of wrinkles.

By blocking the nerve signals that control these muscles, the muscles relax, resulting in smoother skin. The effect occurs after a few hours to a few days, lasts for several months and can be safely repeated.

Wrinkles gone !

Which areas of the face can be treated with botulinum?

Botulinum can be used to smooth out annoying wrinkles and fine lines, especially in the upper part of the face. At the same time, with precise anatomical knowledge of the facial muscles, it is also possible to correct lower parts of the face such as drooping corners of the mouth or smooth out lip wrinkles – without unnecessarily increasing the volume of the lips.

Botolinum is also used in the treatment of migraines, severe headaches, heavy sweating, persistent tension and teeth grinding or strong, abnormal jaw movements.

  • <b> Forehead wrinkles:</b> the depth of wrinkles decreases massively or the wrinkles disappear completely
  • <b> Eyebrow lift:</b> very nice lift of the eyebrow, especially in the outer third
  • <b>Crow's feet:</b> significant reduction in wrinkle depth or complete disappearance
  • <b>Lip wrinkles:</b> the so-called "smoker's lines" can be treated effectively, especially with a combination therapy with hyaluronic acid fillers
  • <b>Marionette lines: </b>also known as corner of the mouth or mentolabial folds, these run from the corners of the mouth towards the chin and disappear noticeably with the help of combination therapy
  • <b>Frown lines: </b>strong reduction to complete disappearance and clear effect of the botulinum treatment, as according to patients their - often unconscious - "angry" facial expression disappears
  • <b>Bunny lines: </b> unwanted nose wrinkles disappear
  • <b>Frown lines:</b> strong reduction to complete disappearance and clear effect of the botulinum treatment, as according to patients their - often unconscious - "angry" facial expression disappears
  • <b>Thinker's wrinkle:</b> The so-called transverse frown line disappears Smile lines: the wrinkles that are often perceived as annoying despite the beautiful term are reduced
  • <b> Eye wrinkles: </b>significant reduction
  • <b>Lip flip: </b>desirable change in shape of the upper lip without increasing volume Headaches and migraines: significant reduction after medical indication Teeth grinding: can be greatly reduced by botulinum injections after appropriate preliminary examination and diagnosis
  • <b>Excessive sweating: </b> unpleasant, often hormonal body reaction, for example during the menopause, can be greatly reduced if not completely stopped by botulinum injections


How satisfied are our patients with the results?

My goal is to have happy patients who feel younger and more attractive after a treatment with me – be it with botulinum, which most people know under the brand name Botox®, or with hyaluronic acid or a combination of both – and who look more relaxed and fresher at the same time.

The best thing many of my patients find after a session with me is that those around them comment on their improved appearance, but no one can say exactly what the cause is and no one suspects an aesthetic treatment.

Dr. Susanne Kristof
SK-AESTHETICS, Rapperswil-Jona


How long has botulinum been around?

Botulinum toxin was first discovered at the end of the 19th century by the Belgian bacteriologist Emile van Ermengem. He identified the bacterium Clostridium botulinum as the cause of food poisoning and isolated the toxin. Research on botulinum toxin continued in the 20th century, particularly with regard to its medical application. In the 1950s and 1960s, the first studies were carried out into the therapeutic use of the toxin, particularly for the treatment of strabismus and other eye muscle disorders. In the 1980s, botulinum toxin type A (which later became known as Botox®) was approved by the US Food and Drug Administration for the treatment of strabismus and blepharospasm (involuntary twitching of the eyelids).

The cosmetic use of botulinum toxin, particularly for the treatment of facial wrinkles, gained popularity in the late 1990s and early 2000s. Botox® was approved by the FDA in 2002 for the cosmetic treatment of glabellar lines (frown lines between the eyebrows). Since then, botulinum toxin has become one of the most frequently used agents in cosmetic and aesthetic medicine. The development and use of botulinum toxin is a famous example of how a bacterium originally identified as poisonous became an important agent in medicine and cosmetics. Botulinum toxin is a naturally occurring protein and neurotoxin.

There are different types of botulinum toxin (such as type A, B, C, etc.) that block the release of acetylcholine, a neurotransmitter, and thus block muscle contraction. Botox® is actually a brand name for a specific type A botulinum toxin preparation manufactured by the company Allergan. It is the best known and most frequently used product of this type for cosmetic and medical applications. The term “Botox” has established itself in common parlance as a synonym for botulinum toxin treatments, similar to “Tempo” for handkerchiefs.

Both Botox® and other botulinum toxin products are used for similar applications. In cosmetics, they are mainly used to treat facial wrinkles. In medicine, they are used to treat migraines, excessive sweating, certain muscle spasms and other indications. In short, Botox is a specific brand of botulinum toxin product, while botulinum toxin is the umbrella term for the toxin itself and its various brands and formulations.


What are the advantages of botulinum compared to other cosmetic treatments for the face?

Botulinum provides us with an aesthetic treatment that is incredibly effective, takes patients very little time – a lunch break is enough – and is very popular.

There is no downtime after the application of botulinum to combat wrinkles, but also as a therapy for headaches, for example, and patients can return to work, sports or fitness, swimming or skiing immediately. No regeneration phase is necessary. In addition, botulinum is always reliable, safe, effective and quick to use.

However, for optimum results, it is important not to overdo it and not to weaken the muscles too much. In my practice in Rapperswil, I achieve optimal results for my patients by injecting very little product in very many places.

The effect of botulinum toxin is excellent and can be assessed very accurately by experienced users. I am available at any time for a consultation on skin tightening, wrinkle reduction or full face treatment and will be happy to answer any questions you may have.

  • fast
  • safe
  • proven
  • effective
  • No downtime
  • One hundred percent effect


What are the risks or side effects?

Immediately after the injections, slight swelling or redness may occur in the treated areas, but this usually subsides quickly. Sometimes small bruises appear at the puncture sites, but these also usually disappear quickly.

A cooling face mask immediately after the treatment leads to a feeling of well-being and prevents skin reactions. Patients should avoid saunas, hot baths, sunbathing or intense heat sources for at least 24 hours after treatment.

It may also make sense to avoid blood thinners and anti-inflammatory drugs for a certain time before and after the treatment to reduce the risk of bruising.

A consultation and explanation will of course take place at every appointment in my practice. The treatment for wrinkle reduction with botulinum must be repeated regularly in order to maintain the results.

My advice

As a doctor, I recommend my patients who want to look healthier, fresher or younger to have a holistic consultation about the various options for aesthetic skin tightening and wrinkle reduction.

In my experience, the best results from a facial treatment can be achieved through a combination of different cosmetic therapies, where less is often more.

This requires a precise facial and skin analysis in advance, as every person, every skin and every muscle area on the face is different and therefore every treatment is individual.

FAQs – Frequently asked questions

A small disadvantage of wrinkle reduction with botulinum is the limited duration of action of 4-6 months. The treatment should therefore be repeated 2 to 3 times a year if the skin smoothing effect is to be maintained.

In principle, nothing. A cooling face mask is a standard procedure in our practice after cosmetic botulinum injections. Afterwards, we recommend a good facial care with a cell-renewing cream and a good sunscreen.

For sensitive patients, we have a light anesthetic cream available to avoid discomfort. As a rule, however, even this is not necessary, as the punctures are very small and very thin. We also do not use normal saline water to prepare the injection solution, but specially buffered water, so that the injections are PH neutral and there is no burning sensation of pain. We also use very high-quality, special hand-ground needles.

Botulinum is indeed a very potent drug. When used correctly, however, it is simply effective and reliable.

Not really. The skin on the face is tightened by the application of botulinum because the muscles underneath are blocked. The skin itself remains unaffected, the whole face just looks fresher, less stressed and more rested. The “evil eye” is gone.

Treatment with botulinum is completely harmless. I have been using it myself for 18 years. In aesthetic medicine, very small doses are used, which are injected very specifically into the facial muscles. The active ingredient botulinum toxin itself is now used much more frequently and in much larger doses in medicine, and is already being used in children from the age of 2 who suffer from muscle spasms, for example.

When you expose yourself to the natural ageing process, the wrinkles on your face simply get a little deeper every day through the use of our mimic muscles. Botulinum interrupts this ageing process for a few months. So if you use it regularly 2-3 times a year, you can significantly reduce the depth of wrinkles and everyone looks much more relaxed.


3 regions (forehead, eye, frown line)from CHF 500.00
2 regionsfrom CHF 400.00
1 region (mouth wrinkles, frown lines, forehead, eye)from CHF 250.00
Neckfrom CHF 400.00
Axillary (against increased sweating)from CHF 600.00

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