Dr. José Henrique Effgen

Método SKIMS

Botulinum Toxin

Botox for wrinkles and expression lines

Book an evaluationHow it works
Botulinum Toxin
Duration
On average 20 to 40 minutes, varying by the areas treated.
Sessions
A single application per treatment cycle; maintenance is typically reassessed every 4 to 6 months, depending on individual response — no fixed number or interval is guaranteed, it is defined at the consultation.
Recovery
No downtime; small redness at the injection sites may last a few hours.
Anesthesia
Anesthesia is always used — assessed at the consultation, and can be oral medication, local anesthesia and/or applied during microneedling, depending on the treatment indicated. Additional sedation is rarely needed (about 98% of patients do not need it).

The treatment

What is Botulinum Toxin

Botulinum toxin (Botox) is a treatment for expression lines in areas such as the forehead, glabella, nose (bunny lines), eyes and brows, for a more rested look.

Full Face Toxin covers the regions treated by traditional botulinum toxin plus Nefertiti toxin (neck and lower contours), barcode lines and marionette lines. It also includes microneedling + botulinum toxin drug delivery for facial and neck skin quality, which softens microlines and brings radiance, glow and youthfulness to the skin.

Protocol

How it works, step by step

  1. 01

    Assessment

    Assessment of facial muscles and of the expression-line areas to be treated.

  2. 02

    Skin priming

    [not specified in the Knowledge Base]

  3. 03

    Application

    Botulinum toxin application to the indicated areas; combined with microneedling and drug delivery where indicated.

  4. 04

    Follow-up

    [not specified in the Knowledge Base — confirm follow-up/review timeframe]

Frequently asked questions

What patients usually ask

What is "Full Face Toxin"?

It includes the areas of traditional botulinum toxin + Nefertiti toxin (neck and lower contours), barcode lines and marionette lines.

Can it be combined with other procedures?

Yes — toxin is often combined with microneedling and drug delivery to enhance improvement in microlines.

Do I need ongoing maintenance?

Results are long-lasting, but follow-up every six months to a year is recommended — the exact interval is adjusted at the consultation, based on each patient’s response.

Schedule your evaluation for Botulinum Toxin

The recommended protocol depends on an in-person evaluation at SKIMS House clinic, in São Paulo.

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See also