Botox treatment consultation at Dr. Havva Duru İpek Kliniği, Nişantaşı, Istanbul

Facial Balance

Botox

Surgeon-administered Botox in Istanbul Nişantaşı — forehead, glabella, crow's feet, masseter and lip flip by Dr. Havva Duru İpek.

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Dr. Havva Duru Ipek wrote and medically reviewed this article · · Credentials and sources

Key facts
Duration of the operation10-15 minutes
AnaesthesiaNot needed
Onset of effectFirst effect at day 3-5; full result at day 14
Permanence3-4 months
Return to daily lifeSame day
Not carried out inNot stated in source material
Number of sessionsSingle session per treatment interval

What is Botox?

Botulinum toxin (Botox, Dysport, Xeomin and others) temporarily blocks the signal between nerves and the small facial muscles that create dynamic wrinkles — the lines that appear when you frown, raise your eyebrows, or squint. Within 3-7 days, those muscles soften; within 14 days the result is visible. The nerve signal returns gradually over 3-4 months and the muscle slowly resumes activity. In Istanbul, full upper-face Botox costs €350-€600 with licensed physicians using certified Allergan, Galderma or Merz products.

What it does and doesn't do

Botox is excellent for forehead lines, frown lines between the brows, crow's feet around the eyes, bunny lines on the nose, and gummy smile correction. It's also useful for jaw slimming via masseter injection, neck banding (Nefertiti lift), and excessive sweating in the underarms or palms. It's not a filler — it doesn't add volume. It doesn't fix sun damage, deep static wrinkles or sagging skin.

The big change in modern aesthetics is dosage: less is more. Modern injectors use smaller doses placed precisely, often beginning treatment in patients in their late 20s or early 30s as preventive Botox ("baby Botox"). The result is movement that looks natural — friends notice you look fresher, not that you've had Botox.

Who is it for?

Patients with dynamic wrinkles from forehead lines, frown lines, crow's feet, bunny lines, gummy smile, jaw bulk from the masseter muscles, or neck banding are good candidates. Many patients in their late 20s or early 30s now begin treatment proactively as preventive Botox to stop deep wrinkles from forming. Botox is not a solution for sun damage, deep static wrinkles, or sagging skin, and does not add volume.

Procedure process

The treatment itself takes 10-15 minutes. Tiny needles are used with a mild pinprick sensation, and no anaesthesia is needed. Modern injectors use smaller doses placed precisely for a natural result, rather than the heavier, more frozen-looking dosing of a decade ago.

After the procedure

You can return to work the same day. Avoid lying flat, intense exercise, and rubbing the treated areas for 4 hours. First effect appears at day 3-5, with the full result visible at day 14. For most patients, the effect lasts 3-4 months; with consistent treatment over years, the muscle "learns" to be less active and intervals can stretch slightly.

Risks

Real complications are rare in trained hands: temporary asymmetry, droopy eyelid (ptosis), or a heavy brow if injected incorrectly. Higher doses can last longer but also produce a more frozen look, which is why experienced injectors prefer dosing for natural movement. The biggest risk in any market is unlicensed injectors using counterfeit product — in Istanbul, always confirm your provider is a licensed physician using certified Allergan, Galderma, or Merz products.

Related procedures

Botox is often combined with facial mesotherapy and jawline contouring (masseter slimming) as part of a broader treatment plan.

Frequently asked questions

How long until I see results?

First effect at day 3-5, full result at day 14.

Is Botox safe long-term?

Yes. Botulinum toxin has been used cosmetically for over 25 years with an excellent safety record.

Can I exercise after Botox?

Avoid intense exercise for 4 hours; resume normal activity the next day.

Is preventive Botox a good idea?

For many patients in their late 20s or 30s, yes. Smaller doses placed proactively prevent deep wrinkles from forming.

Will Botox make me look fake?

Not when dosed conservatively by an experienced injector. Modern Botox preserves natural movement.

Havva Duru Ipek

Written and medically reviewed by: Dr. Havva Duru Ipek — Facial Plastic Surgery / Otolaryngology (Ear, Nose & Throat), Istanbul

Last reviewed: · Next review: 2027-09

Site editor: · Our editorial policy

Disclaimer: This page is for general informational purposes only; it does not replace diagnosis or treatment. Treatment decisions are made individually after a physician's examination.

Sources

  1. Botulinum Toxin · 2023
  2. Botox (Botulinum Toxin) · 2022

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The information here is general. What it means for your specific case will become clear after examination and any necessary tests. If you have prior test results or reports, please bring them with you.

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