Why does Botox look fantastic on some people — and terrible on others?

Almost always because of wrong distribution: too many muscles were immobilised too strongly, or the balance between lifting and lowering muscles was destroyed. The medication itself is practically never to blame — the planning of the treatment is.

Because muscle strength varies enormously from person to person. A strong forehead muscle needs many times the units of a delicate one. Fixed standard doses are therefore either too weak or too strong — they fit individually only by coincidence.

No. An overdose does not last significantly longer; it paralyses the facial expression and can cause brows and lids to drop. The aim is the right residual activity of each muscle — not maximum immobility.

Because the muscles there work as opponents: the forehead muscle lifts the brows, the frown-line and eye muscles pull them down. Treat only one side of that system and the balance shifts — with visible consequences such as heavy brows or “Spock brows”.

Yes — if the forehead muscle that lifts the brows is treated too strongly or too low. In specialist hands the risk is very small, because dosage and injection points are planned so that the lifting function is preserved.

Male facial muscles are stronger and need higher doses. At the same time the male brow lies flatter and lower — the treatment must not lift and “feminise” it. A good result for men therefore requires its own treatment concept.

Especially then. Almost every face is asymmetrical, and a good treatment balances that out by deliberately dosing asymmetrically: different units and points for each half of the face. Injected symmetrically, the asymmetry would become more visible instead.

By three things. They analyse your face thoroughly in motion before units are even discussed. They answer the question of what they would not treat in your case. And they are a specialist doctor with a thorough training in facial anatomy — ideally in a medical centre that provides aftercare.

No, but very cheap Botox is almost never good Botox: a low price is paid for somewhere — in qualification, in materials or in aftercare. What matters is not the figure but what stands behind it: who injects, with what, in what setting and with what care afterwards.

Come to us for an assessment. Some things can be balanced out or softened by treating the opposing muscles precisely; others simply have to be waited out until the effect wears off after a few months. We tell you honestly what is possible in your case.

Depending on dose and region, the effect wears off after about three to six months — unwanted effects such as heavy brows also disappear by themselves within that time. Partial corrections can often make the interim considerably more bearable.

Baby Botox works with deliberately lower doses at more points — for a particularly subtle effect with full facial movement. It is a good option for beginners and younger faces. You will find more about it on our Baby Botox page.