Medical botulinum toxin may be considered in selected cases where muscle overactivity, neuromuscular tension, migraine patterns, or glandular overactivity contribute to symptoms.

Common indications include:

• Teeth grinding / bruxism
  To reduce excessive chewing muscle activity and functional overload in the masseter muscles

• TMJ syndrome
  For jaw muscle overactivity and TMJ-related tension when clinically appropriate

• Excessive sweating
  For excessive sweating in the underarms, and in selected cases also the hands, feet, scalp, or hairline

• Chronic migraine
  For medical migraine treatment protocols when symptoms and history support this approach

• Neck & shoulder tension
  For targeted treatment of overactive neck and shoulder muscles

• Back muscle tension
  For selected myofascial muscle groups in the upper back

Treatment is always individualized. Not every symptom is suitable for botulinum toxin, and the indication must be medically assessed.

Each treatment begins with a structured medical consultation and targeted assessment of symptoms, anatomy, and function.

Depending on the indication, this may include:

• Review of symptoms and medical history

• Assessment of muscle activity and tension patterns

• Evaluation of trigger factors and contributing conditions

• Discussion of realistic treatment goals and limitations

In selected muscular areas, ultrasound imaging may be used to support anatomical understanding and treatment precision.

Botulinum toxin is a medical treatment that requires detailed anatomical knowledge and careful dosing. The aim is always a conservative, function-preserving approach with a strong focus on safety.

The treatment plan depends on the medical concern, the severity of symptoms, and the anatomy of the treated area.

For example:

Teeth Grinding / Bruxism & TMJ Syndrome

In patients with teeth grinding, jaw clenching, TMJ-related tension, or overactivity of the chewing muscles, treatment may reduce excessive muscular force and support functional relief. The injection pattern and dosage are adapted to the individual anatomy, muscle strength, and symptom profile.

The goal is to reduce overload and tension — not to impair normal chewing function.

Excessive Sweating

In excessive sweating, botulinum toxin can reduce overactivity of the sweat glands in the treated region. The most common area is the underarms, while hands, feet, scalp, or hairline may also be treated in selected cases after individual assessment.

Treatment may significantly improve comfort in everyday life, clothing choices, work situations, and social confidence.

Chronic Migraine

For chronic migraine, treatment follows a medical protocol and is considered only after careful review of symptoms, history, and suitability. The aim is to reduce migraine burden while maintaining a safety-focused approach.

Neck, Shoulder & Back Muscle Tension

For overactive neck, shoulder, or selected upper back muscle groups, treatment is planned according to the involved muscles and the functional pattern of tension. The goal is targeted relaxation of excessive activity while preserving normal movement and posture.

Integration with Preventive Medicine

Medical Botox may, when appropriate, be combined with further medical evaluation.

Depending on symptoms, this can include:

• Assessment of stress-related or behavioral contributing factors

• Hormonal evaluation

• Thyroid or general preventive diagnostics

• Broader medical consultation when symptoms suggest an underlying condition

This allows treatment to be integrated into a more comprehensive medical approach where relevant.

Treatment time
Usually 20–30 minutes, depending on the treated area and indication.

Comfort during treatment
Treatment is generally well tolerated. A numbing cream may be applied if needed.

Downtime
Usually minimal. Normal daily activities can generally be resumed immediately.

When results appear
Initial effects typically begin within 3–7 days.
Full results are usually visible after 10–14 days.

How long results last
Results generally last around 3–6 months, depending on the treated area and individual response.

Repeat treatments
Maintenance treatments may be necessary depending on the indication and symptom recurrence.

Side effects & risks
Temporary redness, swelling, tenderness, or small bruises at injection sites may occur.
Possible side effects, limitations, and rare complications are discussed during consultation.

Expectations
The goal is functional improvement and symptom relief with preservation of normal movement and daily function.

Medical botulinum toxin treatments are priced according to the indication, number of treated areas, and required dosage. An exact treatment plan and final cost are determined during the medical consultation.

Teeth Grinding / Bruxism
Reduction of excessive chewing muscle activity
CHF 700

Excessive Sweating – Underarms
Treatment of excessive sweating in the axillary region
CHF 700

Excessive Sweating – Hands or Feet
Treatment of palmar or plantar hyperhidrosis
CHF 700

TMJ Syndrome
Targeted treatment of jaw muscle overactivity and TMJ-related tension
CHF 900

Chronic Migraine
Medical migraine treatment protocol
CHF 1'200

Neck & Shoulder Tension
Targeted treatment of overactive neck and shoulder muscles
CHF 700

Back Muscle Tension
Treatment of selected myofascial muscle groups in the upper back
CHF 700

A follow-up visit including a possible touch-up is included within 4 weeks after treatment.