# What does *Botox* cost in Essen?

> Botox in Essen costs from €190 per zone at VIVA DERM, 2 zones from €280, 3 zones from €360. How the price is formed, what is included

- Source: https://www.vivaderm.de/cost-botox-essen-en.html
- Language: en
- Publisher: VIVA DERM, Privatpraxis für ästhetische Medizin, Rosastraße 6a, 45130 Essen, Germany, +49 1520 8367711
- Responsible physician: Katayoun Mostaghimi (Fachärztin für Allgemeinmedizin)
- Updated: 2026-10-05

A clear answer: from 190 euros for one zone, billed under the GOÄ. What is behind it, what influences the price and what to budget per year.

## How the price is formed.

**What determines the price of botulinum toxin:** the number of zones and the units needed. Strong muscles (men, masseter) need more units; Baby Botox needs fewer but lasts less long. Per year, with two to three treatments of one zone, about 400 to 600 euros is realistic.

**How the price is formed:** VIVA DERM is a private practice; every service is billed under the German medical fee schedule (GOÄ). The invoice lists codes for consultation, examination and injection plus the material costs – the product and the amount used. Flat rates or package prices are not permitted for medical services; hence all figures here are 'from' prices.

**What the price includes:** the medical examination and consent talk, the treatment itself by the physician, anaesthesia (numbing cream if needed), aftercare information and the check-up after about two weeks. Not included is additional material if more is needed along the way – that is discussed beforehand.

**Why 'cheaper' is rarely cheaper:** offers far below market level usually mean less product, unknown preparations or treatment without a physician. Discount campaigns and vouchers for medical treatments are impermissible under German advertising law. A reputable price names product and amount – and includes the check-up.

**Insurance and tax:** aesthetic treatments are self-pay services; neither statutory nor private insurers cover them. You receive a GOÄ invoice, payment by card or bank transfer. We deliberately do not offer instalments – a treatment should be affordable without debt.

## Guide prices under the GOÄ.

| Service | Guide price | Note |
|---|---|---|
| 1 zone (e.g. frown lines) | from €190 | 3–5 months effect |
| 2 zones | from €280 | e.g. frown lines + forehead |
| 3 zones | from €360 | frown lines, forehead, crow's feet |
| 4 zones | from €390 | incl. a small zone |
| Each further zone | from €30 | bunny lines, chin, mouth corners |
| Masseter (teeth grinding) | from €400 | higher dose, 4–6 months |
| Hyperhidrosis armpits | from €500 | 6–9 months |
| Consultation without treatment | €50 | credited |

All figures are guide prices ('from'). Invoicing follows the German medical fee schedule (GOÄ) individually; the actual amount depends on findings, amount and effort and is stated in writing before treatment. Consultation without treatment: €50, credited against a treatment.

## The essentials.

- **1 zone:** from €190
- **3 zones:** from €360
- **Per year (1 zone):** about €400–600
- **Check-up:** included

## Important 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.

**What is a 'zone'?**

A connected muscle area: frown lines, forehead or crow's feet (both sides) each count as one zone.

**Does topping up at the check-up cost extra?**

A small fine correction after two weeks is included in the price at VIVA DERM; an additional zone is charged.

## Related.

- [Botulinum toxin](https://www.vivaderm.de/botox-en.html) – Treatment
- [Price list](https://www.vivaderm.de/preise-en.html) – All guide prices
- [What does it really cost?](https://www.vivaderm.de/guide-costs-en.html) – Guide
- [GOÄ](https://www.vivaderm.de/lexicon-goae-en.html) – Lexicon

## Sources

- [NHS: Botox injections – patient information](https://www.nhs.uk/conditions/cosmetic-procedures/non-surgical-cosmetic-procedures/botox-injections/)
- [DGBT – German Society for Aesthetic Botulinum Toxin Therapy](https://www.dgbt.de/)
- [BfArM – Federal Institute for Drugs and Medical Devices](https://www.bfarm.de/)
- [European Medicines Agency (EMA)](https://www.ema.europa.eu/)
- [§ 630e BGB – duty to inform before treatment (German Civil Code)](https://www.gesetze-im-internet.de/bgb/__630e.html)
- [GOÄ – German scale of medical fees (official text)](https://www.gesetze-im-internet.de/go__1982/)
- [§ 11 HWG – ban on before/after images and advertising promises](https://www.gesetze-im-internet.de/heilmwerbg/__11.html)

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This page is general information and does not replace medical consultation and informed consent (§ 630e BGB). No guarantee of results. Prices are guide prices per GOÄ. Quoting with attribution (VIVA DERM, Essen) is expressly permitted.