PATIENT INFORMATION ABOUT BOTOX - VERSION 1.01

At Cosmo Laser, we treat dynamic wrinkles with Botulinum A toxin, which prevents the release of neurotransmitters between nerves and muscles, leading to muscle relaxation. Originally produced by certain bacteria, Botulinum A toxin is now synthetically manufactured and has been used in cosmetic treatments for many years.

With Botulinum A toxin, we can treat what are known as dynamic or mimetic wrinkles, which are wrinkles that result from muscle contractions in the skin. After injection with Botulinum A toxin, the muscles responsible for folding the skin in areas such as the forehead, between the eyebrows, or around the eyes are prevented from contracting, resulting in smoother skin. Sensation in the treated areas remains unchanged.

During your consultation, our specialist will work with you to create a treatment plan that ensures a harmonious, aesthetic, and natural outcome. Avoid taking blood-thinning medications such as fish oil, Treo, Ipren, Kodimagnyl, and similar drugs for four days before treatment, as this increases the risk of bruising and bleeding in the treatment area.

The treatment area should be intact, without infections, wounds, or irritation. It
is also recommended to ensure that the skin is well-maintained before starting the treatment. Well-maintained skin responds better to treatment and can
recover more quickly. If the above precautions are not followed, the treatment
will be canceled or postponed.

We cancel treatments when we assess an increased risk of side effects. We also reserve the right to charge a fee of DKK 500 if the appointment is canceled later than 24 hours before the treatment. This also applies to no-shows and cancellations made later than 24 hours before the
treatment. According to cosmetic treatment regulations, the treated area must
be photographed before treatment can begin.

The treatment plan is reviewed, and then the skin is cleansed and disinfected. The strength of muscle contractions in the treatment area is identified, and the treatment dose is determined accordingly. The treatment involves injecting small amounts of botulinum toxin into the fine facial muscles.

The treatment is not painful but may feel like small pricks or stings that pinch and may burn for a few seconds. The discomfort will subside shortly after the treatment.

Immediately after treatment, there may be slight redness and swelling in the treatment area, which will diminish after 30 minutes. In some cases, slight discoloration of the skin may occur, which is entirely normal and is due to minor blood vessels breaking in the tissue, similar to the early stages of bruising.

After treatment, there is a risk of infection in the treatment area. Therefore, it is important to avoid touching the treated area and applying makeup and creams for at least 4 hours. Also, avoid strenuous physical activity for 2 days and avoid exposing the treatment area to excessive heat or pressure on the day of treatment to prevent the toxin from spreading to unintended muscles.
Avoid taking blood-thinning medications such as fish oil, Treo, Ipren, Kodimagnyl, and similar drugs for 1 day after treatment, as this can increase the risk of bruising and bleeding.

In most cases, the treatment provides a significant reduction in dynamic wrinkles. However, the effect may vary from person to person. In some treatment courses, it may be necessary to adjust the treatment's effectiveness, which is why touch-up treatments are recommended after the initial treatment.

The full effect of the treatment occurs after 14 days and typically lasts for 3-5 months. After that, the treatment can be repeated. If the treatment's effect is not sufficient or if there is undesirable asymmetry, a "touch-up" treatment can be performed as described in the previous section. Typically, a single treatment is sufficient. Very few people are unresponsive to the treatment, likely due to the presence of antibodies that neutralize the toxin's effect.

Bruising usually disappears for most people within 4-6 days. In rare cases, larger hematomas, which are blood collections in the skin, may occur. These typically resolve within 2-4 weeks. During this period, the tissue may be tender, reddish-blue, and exhibit increased swelling, with some irregularities felt in the tissue.

Treatment in the lower face can cause the mimetic muscles around the mouth to be paralyzed, resulting in, for example, an inability to whistle. Since the effect of Botulinum A toxin diminishes over 3-5 months, the above-mentioned side effects will fade within this period. Some individuals may experience headaches in the first few days. Other side effects are extremely rare. Serious allergic reactions, such as anaphylactic shock, are exceedingly rare and require prompt treatment.

There have been no reported long-term effects. Intensive use of Botulinum A toxin in multiple areas of the face can lead to reduced facial expression and is discouraged. When treating wrinkles in the forehead just above the eyebrows, there have been a few cases of drooping eyelids, which typically resolve within a few weeks. In severe cases, these can be treated with Iopidine eye drops.

The following are reasons why you cannot be approved for the treatment:

• Pregnancy and breastfeeding
• Anticoagulant therapy (blood-thinning treatment)
• Known allergy to the solution's ingredients (Botulinum toxin, human albumin, sodium succinate)
• Some rare neuromuscular diseases (e.g., myasthenia)
• Hemophilia (bleeding disorder)
• Active herpes outbreak in the treatment area on the day of treatment
• Flu-like symptoms

According to cosmetic treatment regulations, there is a 48-hour consideration period before you can provide consent for the treatment once verbal information has been provided. A companion is always welcome to be present during consultation and treatment. We are always available to address any further questions.