10 myths about Botox.
Hardly any treatment is as well known – and as misunderstood. Ten sentences you hear all the time, and what medicine says about them.

Botox gives you a mask face, is a poison, is addictive, helps against all wrinkles, works instantly: ten common claims about botulinum toxin
Claim versus finding.
1. 'Botox gives you a mask face.' A frozen expression results from overdosing or wrong placement, not from the substance. Correctly dosed, expression is preserved – the aim is that nobody notices the treatment.
2. 'Botox is a poison.' The substance comes from a bacterium but is used highly purified in tiny, locally acting doses. It has been licensed in medicine for over 30 years and is among the best-studied products.
3. 'Botox is addictive.' There is no physical dependence. Anyone who stops has their old expression back after a few months – not more wrinkles than without treatment.
4. 'Botox helps against all wrinkles.' Only against expression lines. Static lines, volume loss and crinkly skin need hyaluronic acid or skin-quality treatments.
5. 'The effect is instant.' First effects after two to three days, the full result after about two weeks.
6. 'Botox is for women.' A growing share of those treated are men; dose and goal differ, the principle does not.
7. 'The more units, the better.' More units mean more immobilisation – and less expression. The right dose is individual.
8. 'Botox smooths the skin.' It relaxes muscles; the skin itself changes only indirectly because it is no longer folded. For skin quality there are other procedures.
9. 'Once Botox, always Botox.' You don't have to; you can. Many treat twice a year, some once, some stop.
10. 'Botox is dangerous if it is counterfeit.' That is true – which is why the substance is sourced only through pharmacies and used only by physicians. Suspiciously cheap offers in beauty salons are a warning sign, not a bargain.
The essentials.
A question about Botox myths? Send us a short WhatsApp message – we usually reply the same working day.
Ask via WhatsAppImportant note.
This text is general information. It replaces neither a medical examination nor the consultation required before any treatment under German law (§ 630e BGB). Whether and which treatment is suitable for you can only be said after examination and consultation. No treatment results are promised.
Frequently asked questions.
Can you see Botox?
Not with the right dose. You look rested, not 'done'.
May a beauty salon inject Botox?
No. Botulinum toxin is prescription-only and in Germany may be used only by physicians.
Sources and further reading.
- NHS: Botox injections – patient information
- DGBT – German Society for Aesthetic Botulinum Toxin Therapy
- BfArM – Federal Institute for Drugs and Medical Devices
- European Medicines Agency (EMA)
- NHS: non-surgical cosmetic procedures
- Medical Association North Rhine – patient information
- § 630e BGB – duty to inform before treatment (German Civil Code)
External links open in a new window; their operators are responsible for their content. Medical responsibility for this page: Katayoun Mostaghimi, specialist in general medicine. Last updated: 2026-10-15.
Talk to the physician.
Book on DoctolibOr simply call: +49 1520 8367711 · info@vivaderm.de
Or start with a consultation only: consultation appointment (€50, credited against a treatment)