Botox / Dysport — Full Upper Face

Physician-injected botulinum toxin (Botox or Dysport) to relax dynamic wrinkles across the full upper face — forehead horizontal lines, glabellar frown lines between the brows, and crow's feet at the lateral eyes. VESUNA MED physicians administer injections for natural-looking relaxation rather than frozen immobility.

Botulinum toxin injections at VESUNA MED are administered exclusively by physicians with aesthetic medicine specialisation. The full upper face protocol addresses the three primary zones of dynamic expression — the forehead, the glabellar complex (the muscular zone between the brows responsible for frown lines and the characteristic '11' lines), and the periorbital zone (crow's feet at the lateral canthus) — in a single appointment. Botulinum toxin works by blocking the release of acetylcholine at the neuromuscular junction, preventing the targeted muscle from contracting. The forehead frontalis muscle is the primary target for horizontal forehead lines; the corrugator supercilii and procerus muscles drive glabellar frown lines; the orbicularis oculi generates lateral orbital creasing during smiling and squinting. Each muscle group requires a different injection map, depth, and volume to achieve a natural relaxation without erasing the natural brow arch or creating the flat, immobile forehead associated with over-treated outcomes. VESUNA MED physicians assess facial dynamics during the consultation — asking patients to animate fully — before marking injection points. The choice between Botox (onabotulinumtoxin A) and Dysport (abobotulinumtoxin A) is made based on the physician's preference and the specific facial anatomy: Dysport diffuses slightly more broadly than Botox and can be advantageous in larger muscle groups such as the forehead, while Botox's more localised spread is preferred for precision areas like crow's feet. Onset of effect takes 3 to 5 days and reaches full expression at 10 to 14 days. Duration is typically 3 to 4 months. Patients receiving their first full upper face treatment are brought back at 2 weeks for a complimentary assessment, allowing the physician to identify any asymmetries or under-treated areas and make a small corrective addition if needed. Consistent treatment over multiple cycles progressively weakens the habitual contraction patterns, extending the inter-treatment interval for many patients.