Botulinum toxin, also known under the brand name Botox®, is a nerve-active substance (neurotoxin) derived from the bacterium Clostridium botulinum. In the medical field, botulinum toxin is mainly used to treat muscle spasms, but it is also suitable for treating mimic wrinkles, teeth grinding and increased sweating. Besides Hyaluronic acid botulinum toxin is one of the most commonly used substances in aesthetic medicine.

Wrinkle treatment with Botox / Botulinum
Botulinum toxin has proven to be effective in the treatment of wrinkles caused by our facial expressions (mimic wrinkles). These include frown lines, forehead wrinkles, and smile lines or "crow's feet" around the eyes. In the treatment of wrinkles with botulinum toxin, the medication is injected specifically into the muscles to be treated using a very fine needle. This relaxes the corresponding muscle and mimic wrinkles are alleviated and the skin smoothes out.
In the right dose, botulinum toxin treatment leads to a relaxed and fresh facial expression with significant wrinkle reduction, without appearing unnatural or mask-like. The effect sets in slowly after about 4 days, is fully developed after about 10 to 14 days and then lasts for 3 to 4 months. With repeated use, the effect can sometimes even be significantly prolonged.
Simona Lüdi, M.D., will be happy to advise you in her practice clinic in Basel and will draw up an individual treatment plan with you.
Botox / botulinum for the treatment of teeth grinding | bruxism
Teeth grindingalso known under the technical term "Bruxism" It mainly occurs during sleep and causes the upper and lower jaw to rub against each other. If left untreated, bruxism can lead to serious consequences for teeth and jaws in the long term. Treatment with botulinum toxin is a particularly effective method against night-time teeth grinding. Botulinum toxin relaxes the muscles. During the Treatment of teeth grinding botulinum toxin is injected into the chewing muscle at certain points on each side of the cheek so that it relaxes. The muscle does not relax completely, but is merely relaxed. Eating and chewing are still possible as normal, but the teeth grinding and strong clenching of the teeth is prevented. Affected patients usually report a rapid improvement in pain shortly after the first botulinum toxin treatment.
Botox / botulinum for the treatment of migraines
Botulinum toxin can be a very effective treatment for people with Chronic migraine be. During migraine attacks, the muscles in the shoulders, neck, throat and face become very tense. As a result, the muscles press on the blood vessels and inhibit blood circulation, causing a lack of oxygen. This results in severe migraine headaches and sometimes nausea, sensitivity to noise and light.
Botulinum treatment involves several injections in the area of the face, head and neck, which are repeated every 3-4 months. Botulinum inhibits the release of the neurotransmitter acetylcholine, which is responsible for muscle activation. This reduces muscle tension during a migraine attack. Most likely, botulinum also interrupts the transmission of pain signals. Treatment can often reduce the frequency of migraine attacks and/or the severity of headaches.
Botox / botulinum for the treatment of sweating / hyperhidrosis
Heavy sweating (hyperhidrosis) can be very unpleasant for those affected and have a significant impact on everyday life. Botulinum injections are an effective treatment option for excessive sweating and are offered by Dr. Simona Lüdi in her clinic in Basel. Dr. Lüdi will be happy to help you lead a life without annoying sweating!
Botulinum, an active ingredient known primarily from the treatment of wrinkles, can also be used to combat heavy sweating. In this case, the drug is injected with very fine needles into the skin area affected by excessive sweating (e.g. armpit region, hands, feet). Botulinum reduces the release of sweat by exerting its effect directly on the sweat glands and specifically blocking the nerve impulses that cause sweat secretion.
The effect starts after approx. 3 to 4 days and is fully developed after 10 to 14 days at the latest. The duration of the effect varies from person to person; as a rule, the effect lasts 4 to 6 months. After that, the original sweating resumes. However, many patients experience a longer duration of effect, especially after multiple botulinum injections.
Costs
Wrinkle treatment: from CHF 300
Bruxism: from CHF 450
Migraine: from CHF 800
Hyperhidrosis: from CHF 800
Frequently asked questions
Due to its mechanism of action, botulinum is suitable for the treatment of mimic wrinkles, i.e. wrinkles that arise due to excessive muscle activity. These are, for example, frown lines, forehead wrinkles and crow's feet on the side of the eye.
Yes, a slight eyebrow lift of 1 to 2mm is possible with botulinum. This opens the eye and can help to achieve a fresh look.
No, absolutely not. Many clients fear a mask-like, frozen facial expression after botulinum treatment. However, in the right and experienced hands, very natural results can be achieved with Botulinum, and facial expressions are not lost. Dr. Lüdi's experience allows her to use the correct technique and dosage so that the mimic muscles are slightly relaxed, but not completely blocked. Our goal is to achieve a fresh and refreshed appearance, while preserving the naturalness and also the facial expression.
As soon as the first superficial wrinkles appear in the area of the forehead, frown line or on the side of the eye, it can be useful to start with a first botulinum treatment. Due to its muscle relaxing effect, botulinum also has a prophylactic effect and the aim is to prevent deepening of the mimic wrinkles.
For an optimal result, you should avoid sports and sauna for the first 2 days after the botulinum treatment. Touch the treated area as little as possible and do not massage the treated area under any circumstances to prevent undesired distribution of the botulinum toxin. You may apply make-up again from the next day.
After two days, you may resume sports without hesitation.
The effect of botulinum sets in slowly after about 3 to 4 days and is fully developed after about 10 to 14 days.
The duration of effect varies individually and depends on various factors. As a rule, the effect of botulinum lasts around 3 to 4 months. With regular use, the effect can sometimes even be significantly prolonged.
Simona Lüdi, MD, will be happy to welcome you for a personal consultation at our clinic in Basel.
We look forward to seeing you.