Botox is a medicine made of a neurotoxin produced by the bacterium Clostridium Botulinum called botulinum toxin. It is used for medical treatment of certain muscular conditions and cosmetic wrinkle removal, as temporary paralysis of the muscles.

How does botox work?

Botox interrupts the transmission of  nerve impulses to the muscle. By stopping the movement of certain muscles on the face it smoothes out the mimic wrinkles.

Medical and cosmetic applications of botox

Botulinum toxin is used primarily as a treatment for reducing the appearance of facial wrinkles and fine lines in elderly people. Besides aesthetic applications, Botox has been found out to be useful in treating various medical conditions including strabismus, migraine, excessive sweating, and more.

How is the botox procedure performed?

Botulinum toxin is administered by dilution of the powder in saline (sodium chloride) and injected directly into neuromuscular tissue. It takes 24-72 hours for the botox to start acting. In some cases it may take up to 5 days for the full effects of botox to be seen.

Botox should not be used in pregnant or breastfeeding women or in people who have had a previous allergic reactions to the medicine or to any of its ingredients.

Risks and side effects of botox

Botulinum toxin injections are well tolerated and have few side effects. In rare cases, an individual may have a genetic predisposition, resulting in mild, transient malaise.

The procedure involves pricking a very fine needle into the skin and injecting very small doses, which makes it almost painless. After botox treatment, the patient should not lie down for 4 hours.

Up to three weeks after the initial injection, minor corrections may be made if necessary.

Three months after the initial injection and correction, no new botox should be injected due to the risk of antibody formation.

The botox which I use in Sofia Estetic is Vistabel of Allergan.


  • 1 zone 200 BGN
  • 2 zones 400 BGN (forehead)
  • 3 zones – 500 BGN