Service
Botulinum toxin therapy
Botulinum toxin type A for medical indications — consultation- and informed-consent-based.
Botulinum toxin type A is used for specific, clearly defined medical indications. Every treatment is preceded by a thorough informed-consent talk covering effects, side effects and alternatives.
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Botulinum toxin consultation
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Many know botulinum toxin type A from aesthetics — in medicine it is a treatment established for decades that selectively dampens individual nerve-muscle signals. That is exactly what is used in certain conditions: the agent is injected in very small amounts precisely where it should act.
For chronic migraine, treatment follows the standardised PREEMPT scheme at defined points on the head and neck. For teeth grinding (bruxism), excessive sweating (hyperhidrosis) or spasticity the area is defined individually. The injections usually take just 15 to 30 minutes.
The effect begins after a few days, is fully developed after about two weeks and typically lasts 3 to 6 months — after which it can be repeated if needed. Benefit, possible side effects and alternatives are discussed calmly before the first treatment.
At a glance
- Medical indications only (migraine, bruxism, hyperhidrosis, spasticity)
- Injection usually 15–30 minutes, outpatient
- Effect after ~14 days, lasts 3–6 months
- Private service with invoice
Medical indications
- Chronic migraine (PREEMPT protocol, 31 – 39 injection sites)
- Tension-type headache
- Bruxism (teeth grinding) and chronic TMJ complaints
- Hyperhidrosis (excessive sweating) — axillae, palms, forehead
- Spasticity within pain-therapy context
Procedure flow
- 1Consultation and history including informed consent on effects, risks and alternatives
- 2Performance of injections (typically 15 – 30 minutes)
- 3Onset after 3 – 7 days, full effect after approx. 14 days
- 4Effect duration typically 3 – 6 months
Important notes
- Possible side effects are discussed in detail during the informed-consent talk.
- No treatment during pregnancy or breastfeeding.
- Suitability and expected benefit are assessed individually during the medical consultation.
Book an appointment
Botulinum toxin consultation
I look forward to advising you personally. Book online in a few clicks or send a quick question.
Private practice (Wahlarzt). Private practice with no statutory health-insurance contracts. You receive an invoice that may be submitted to your insurer for partial reimbursement.