For more than 25 years, botulinum toxin has been used for various cosmetic treatments. The drug became rapidly popular in the 1990s as treatment with botulinum toxin proved to be the ultimate anti-ageing solution. Nowadays, women and men increasingly opt for treatment with botulinum toxin to maintain a fresh, youthful appearance. Botulin toxin is mainly used to relax the muscles that tighten when you make certain facial expressions. Think for example of frowning, looking surprised or laughing. The typical deep wrinkles caused by facial expressions will fade with botulinum toxin. The best effect is visible where the facial expression is best expressed. The agent is used for various mimic muscles. Usually, women and men opt for a treatment of frown wrinkles, forehead wrinkles and crow’s feet. In addition to reducing wrinkles, botulinum toxin is also used for eyebrow lift, excessive perspiration, migraines, tooth grinding and visible gums when laughing (gummy smile).
Botulinum toxin is a natural protein produced by the bacterium Clostridium Botulinum. Originally it was used to treat muscle spasms and other muscle tensions. Only later it was discovered by chance that it is also a suitable agent for cosmetic purposes. To tighten a muscle, it needs a stimulus from a nerve. This so-called stimulation transfer happens by the release of a stimulating substance from the nerve to the muscle. Botulinum toxin ensures that this substance is hardly or not released and the stimulus transfer is thus partially or even completely blocked. As a result, the muscle can hardly or no longer contract. In the treatment of excessive perspiration, botulinum toxin works in the same way. Blocking the stimulus transfer prevents the sweat glands from producing sweat.
Botulinum toxin and fillers are not the same. Botulinum toxin is often confused with fillers. Botulinum toxins and fillers are substances belonging to the injectables. As the name says, these are substances to inject. Both products work very differently. Botulinum toxin is used to treat dynamic wrinkles, i.e. wrinkles caused by muscle tightening, and fillers are used to treat static wrinkles, i.e. lines caused by sagging and ageing skin. What botulinum toxins and fillers have in common is that they are used to reduce wrinkles.
People often talk about Botox, but they mean botulinum toxin. Botox is a protected brand name of manufacturer Allergan, but nowadays there are several brands of botulinum toxin, varying from very reputable A-brands to small, unknown brands. Different brands of botulinum toxin are used in the Netherlands and abroad. The best known and most reliable brands are Botox, Vistabel, Dysport, Azzalure and Bocouture. At Betan Clinics, plastic surgeons use only safe and highly effective botulinum toxin brands from reliable manufacturers. The botulinum toxin products of Betan Clinics are sourced from reputable suppliers of exclusively A-brand products. A great deal of scientific research has been conducted in the past into the effect of the botulinum toxin brands used by Betan Clinics, and millions of people in the Netherlands and abroad have already been treated with them. The plastic surgeons at Betan Clinics have years of experience with these brands and the use of botulinum toxin in general. The choice of the right product and the extensive expertise ensure optimal results and safety of the treatment.
At Betan Clinics, plastic surgeons use only safe and highly effective brands of botulinum toxin from reliable manufacturers.
Before you undergo a botulinum toxin treatment at Betan Clinics, a free consult is scheduled to discuss your request for help and to check whether you qualify for a botulinum toxin treatment. During the consultation, you will have all the space you need to discuss your wishes. The plastic surgeon listens attentively and always gives free and honest advice to come to a personal treatment plan. He will clearly explain what is feasible in your case and what you can expect from the results. Before you come to the consult, we will send you a short questionnaire with medical questions by email. This will ensure that during the consultation with the plastic surgeon, there will be more time for your questions and discussing your wishes. The plastic surgeon will look at your medication use, medical background and the questionnaire you have already filled in digitally at home. All these details are necessary to ensure that a botulinum toxin treatment can and may safely take place. How the treatment is carried out will also be discussed. The plastic surgeons at Betan Clinics will assess your facial expressions and take into account that the natural features of your face will remain visible.
Philosophy of Betan Clinics: less is more! The typical media examples of excessive botulinum toxin use is an absolute ‘no go’ for Betan Clinics, and therefore we choose to use less rather than more botulinum toxin. In other words: less is more.
A botulinum toxin treatment takes place through an injection with a very fine needle. You don’t feel much of it, and you only notice it as a small pinprick. For comparison in women: tweezing the eyebrows or waxing the legs is much more painful. A local anaesthetic is therefore not necessary. Per treated zone, the plastic surgeon injects a tiny amount of botulinum toxin into the right muscle. Injection with botulinum toxin has no adverse health effects. After treatment, the skin may be somewhat swollen and red. This usually lasts for 1 to 2 hours. Botulinum toxin ensures that the nerves under the skin can no longer send a signal to the muscles so that the muscles can no longer tighten and wrinkles are barely or no longer visible. The treatment takes an average of 5 to 10 minutes, and you can go home immediately after the procedure. Have you had the treatment before? Then the result will remain valid for a more extended period up to about six months. Before you undergo the treatment, the plastic surgeon will ask you to sign a treatment agreement so that you and the plastic surgeon are aware of the procedure and expectations. Before and after the treatment, detailed photos will be taken to assess the result together with you as best as possible. The images will be securely stored in your medical file and will not be made public. Only with your own explicit, written permission can photographs be used for other purposes (e.g. for a congress).
After the treatment
The skin of the treated area may be slightly red, slightly swollen and sensitive during the first few hours. This is a normal reaction of the skin that retracts within a few hours. You can go home immediately after the treatment.
Living rules after a botulinum toxin treatment In case of a botulinum toxin treatment in the face, we advise you to keep your head upright after the procedure. In this way, you will prevent the substance from flowing to other mimic muscles so that these muscles can no longer be tightened and the effect will also become visible here (unintentionally), and possible side effects will occur. Therefore, for safety’s sake, do not exercise or practise yoga on the first day.After the treatment, you have no pain. The effect of the treatment is best visible after 1 to 2 weeks. If there is no result after two weeks, please contact us. After an average of 3 to 4 months, the botulinum toxin is worked out, and the muscle activity of the treated muscles is entirely back. You can choose whether or not to repeat the treatment. In many cases, people return to prevent the wrinkles from returning. By repeating the treatment, the effect of wrinkle-free skin will last longer. You will come back for a check-up two weeks after the treatment. Pictures will be retaken, and the plastic surgeon will look at the result with you and assess whether everything went well.
A botulinum toxin treatment ensures that the muscles can no longer tighten so that no wrinkles are visible. How long this result lasts varies from person to person. On average, botulinum toxin is depleted after 3 to 6 months, and you can choose to repeat the treatment or not. Botulinum toxin is not used for volume treatment such as the treatment of lips and cheeks. Fillers are used to create more volume. Besides fading wrinkles, botulinum toxin is also used for an eyebrow lift or to soften folds in the neck, but also to treat migraines, tooth grinding and excessive perspiration. The plastic surgeon will discuss with you beforehand what the expected results are and will make sure that you are well aware of this expectation pattern. Results may vary from person to person.
On average, botulinum toxin is depleted after 3 to 4 months and you can choose whether or not to repeat the treatment.
Treatment with botulinum toxin is safe. In general, there are no complications or dangers during treatment. There is a very small chance of allergic reactions. This risk is small because the dosage used is very low. There are hardly any side effects of botulinum toxin. When treated with botulinum toxin, an undesired reaction can never be ruled out 100%. In exceptional cases, injection with botulinum toxin can unintentionally cause an asymmetry. A drooping eyelid can then develop. This is temporary and will disappear over time. Infections are also rare. That is why the plastic surgeon will carefully assess during the consultation whether you qualify for treatment with botulinum toxin. For example, pregnant women, women who are breastfeeding or people with a muscle or nervous disorder for which they are being treated are not allowed. In 1 to 2% of the cases, someone has natural antibodies against botulinum toxin and the treatment will have no or insufficient effect.
The price of the treatment depends on how much botulinum toxin the plastic surgeon needs to achieve the desired result. He will always discuss this with you in advance during the consultation so that you know exactly what to expect. Usually, the areas of the face to be treated are indicated with zones. A zone is, for example, the frown, the forehead or the crow’s feet on both sides.
Treatment from € 95,- possible: It is already possible to undergo a botulinum toxin treatment from € 95,00. We call this a mini Botox. The mini Botox is intended as a small, subtle treatment of, for example, the chin, the frown, the forehead or the eyebrows. It gives a refined, minimal result for a natural-looking softening of the face.
Experiences of others
The calculated score of Betan Clinics in Groningen 9 based on 256 reviews
04 June 2020
BotoxVery nice! Knowledgeable and professional . Good advice, nice atmosphere, a beautiful location and all the time for a treatment.
Anonymous user review
26 May 2020
BotoxI’ve been here for the fouth time and have always been helped in a skillful and non-intrusive way.
Anonymous user review
15 May 2020
BotoxAfter several botox treatments, I can say with certainty that Dr. Tanaydin’s top priority is to get his client to…
04 Jan 2020
BotoxI came here for my first treatment and am now so satisfied that I call myself a regular customer.
20 May 2020
BotoxExtensive time is taken for you and realistic advice is given on what is feasible and a completely painless treatment, with a minimum of…
Frequently Asked Questions (FAQ)
Is botulinum toxin toxic and harmful to my health?
Botulinum toxin is a toxic substance in very high concentrations. In cosmetic treatments, botulinum toxin is used in very diluted concentrations and is therefore non-toxic and not harmful to your health. Botulinum toxin is also a natural protein that is broken down by the body over time. The treatment is entirely safe.
Am I too young for botulinum toxin?
With age, wrinkles become more profound and more visible. An early wrinkle at a younger age can, therefore, disappear completely with botulinum toxin. For deeper wrinkles at an advanced age, a combination of botulinum toxin with wrinkle fillers is a more suitable solution. An advantage if you are treated early with botulinum toxin is that wrinkles do not get deeper because you hardly or not at all use the muscles. At a later age, you do not need additional wrinkle fillers or other treatments. The legal minimum age for a botulinum toxin treatment is 18 years.
When should I not be treated with botulinum toxin?
There are few known objections not to be treated with botulinum toxin. The treatment is not possible if you are pregnant, breastfeeding, under 18 years of age or if you have a specific muscle or nervous disorder.
What measures should I take before the treatment?
We advise not to consume alcohol for 24 hours in advance. Do you use blood thinners? Then discuss with the plastic surgeon whether you should stop them temporarily for the treatment.
Are there any medications I shouldn’t take?
The plastic surgeon will discuss the medication with you beforehand. Usually, it is not necessary to stop taking medication except for some blood thinners.
Do I have to quit smoking?
Regardless of whether or not you are undergoing treatment, we advise you to stop smoking. Smoking harms the blood flow to the tissues, especially when the tissues recover after treatment. We therefore urge you to stop smoking a few weeks before procedure and to continue this after the treatment as quitting smoking has a beneficial effect on slowing down the ageing process.
Is a botulinum toxin treatment allowed during pregnancy or lactation?
No, this is not allowed. The plastic surgeons will not treat you if you are pregnant or breastfeeding.
What is meant by zones?
By a zone we mean an anatomical region in the face that is treated with botulinum toxin. Examples of zones are the frown, the forehead or the eyes (crow’s feet).
Is the treatment painful?
Injections with botulinum toxin are made with very fine needles that usually feel like a pinprick. It is not perceived as painful by most people. The skin can be cooled with cold packs before and after treatment to reduce any discomfort.
Is the result of botulinum toxin treatment permanent?
Botulinum toxin is depleted after 3 to 4 months. The duration of the effect depends, among other things, on the number of treatments you have already had. If you have had more treatments, the result will last longer. Botulinum toxin does have a long-term improving effect on the skin if it is used for several years. Because of the treatments, the wrinkles can hardly or not deepen, and there is a good chance that you have lost the ability to use these muscles (e.g. the muscles for frowning).
Will I get a ‘poker face’ or expressionless face?
At Betan Clinics, we strive to preserve a natural mimicry. Plastic surgeons achieve this by using very selective botulinum toxin with the right amount in the right place on the face. A typical ‘poker face’ or an expressionless face is always avoided.
Do I get scars after treatment with botulinum toxin?
Treatment with botulinum toxin does not lead to scars.
What if there is a drooping eyebrow or drooping eyelid?
In exceptional cases, this is an unintended result of botulinum toxin, and you will feel heavy above your eye for a few weeks. This will disappear over time. Thanks to the vast experience of the plastic surgeons and detailed knowledge of anatomy, this risk is reduced as much as possible. By selectively injecting the botulinum toxin, this risk can be prevented.
After how much time can I get back to work?
You may and can return to work immediately after treatment provided you can keep your head upright. One day after the treatment (or even the same day), you will be fully presentable again without redness or swelling.
Do I have to adopt a different sleeping position after treatment?
We advise you to keep your head upright for up to four hours after treatment and not to lie down. This promotes the action of the botulinum toxin in the desired zone and prevents it from spreading to other muscles.
May I drink alcohol?
We advise not to consume alcohol 24 hours before treatment. You are free to drink alcohol after the treatment. This does not affect the treatment or results.
Do more wrinkles return than I had before treatment?
Apart from the natural ageing process, you will not have more wrinkles than before the treatment. Because you have hardly been able to tighten the muscle for a few months, no new or deeper wrinkles appear, and the skin has had time to recover. Also, you have not been able to use the muscle for several months, so you may have lost the ability to use this muscle frequently. Think, for example, of frowning.
What are the risks if the botulinum toxin is injected in the wrong place or the wrong way?
If botulinum toxin is injected the wrong way or in the wrong place, unintended effects such as asymmetric movements in the face, a drooping eyebrow or eyelid or an expressionless face may occur. These effects are temporary but undesirable and should always be avoided.
Is it possible to pay afterwards or in instalments?
It is not possible to pay afterwards or in instalments.