Medical Cosmetic and Aesthetic Medicine | Aesthetical Clinic

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  • Botoks Injection
    Botoks, derived from the bacterium Clostridium botulinum, is a FDA-approved toxin renowned for its ability to tighten skin and muscles, combating sagging, lines, and wrinkles. This injectable procedure, a staple in cosmetic enhancements, rejuvenates by relaxing facial muscles, particularly in areas prone to wrinkles. Beyond its cosmetic prowess, Botoks finds utility in treating headaches, excessive sweating, eye twitching, and muscle contractions.

Candidates for Botoks Injection Procedure:
Ideal candidates for Botoks injections include individuals who:

  • Exhibit mild facial wrinkles and sagging.
  • Experience specific facial conditions like sleepy eyes, tremor eyelids, or drooping eyelids.
  • Desire a fresher, younger facial appearance.
  • Encounter facial fat imbalances due to weight loss.
  • Fall within the age range of 18 to 65.

It’s noteworthy that Botoks injections can be beneficial even in one’s 20s for those seeking a radiant and wrinkle-free appearance in the future.

Possible Side Effects:
While Botoks is generally safe, improper administration may lead to side effects such as:

  • Difficulty swallowing or breathing.
  • Muscle weakness.
  • Eye problems like dryness or excessive tearing.
  • Loss of bladder control.
  • Double vision or blurred vision.

In the hands of a qualified professional, these side effects are rare. However, immediate consultation with a doctor is essential if any abnormalities occur.

Pre-Botoks Injection Procedure Tips:

  1. Medication Adjustments:
    • Avoid blood-thinning medications and anti-inflammatories.
  2. Smoking Cessation:
    • Refrain from smoking for two weeks to one month before the procedure.
  3. Alcohol Abstinence:
    • Abstain from alcohol for two weeks to one month before the procedure.

Stages of Botoks Injection Procedure:

  1. Clinical Examination:
    • Assessment of the patient’s general health, medical history, and determination of injection areas.
  2. Local Anesthetic Application:
    • Administration of local anesthesia through cream, spray, or injection for patient comfort.
  3. Botoks Injection:
    • Precise injection of Botoks into targeted areas to relax facial muscles and reduce wrinkles.
  4. Post-Injection Tips:
    • Avoid rubbing or massaging injected areas for specified durations.
    • Lie down for two to three hours post-procedure to stabilize the injected Botoks.
    • Quick recovery allows the patient to resume daily activities within a week.

Recovery and Maintenance:

  • Botoks injections exhibit a rapid recovery process, with patients typically resuming normal activities within a week.
  • Effects last three to six months, varying between individuals.
  • Maintenance may involve repeat injections or touch-ups every 4-5 months for sustained results.

The Botoks injection procedure, a quick and effective solution, not only erases wrinkles but also addresses various facial concerns. Under the skilled hands of a certified professional, Botoks becomes a powerful tool for turning back the clock, offering individuals a refreshed and youthful appearance.


  • Masseter Botox

Masseter Botox injections, a sought-after treatment for both aesthetic and medical purposes, target the masseter muscles—the powerful jaw muscles connecting the lower jaw to the cheeks. Administered by skilled professionals, this procedure not only addresses tension headaches but also contributes to muscle hypertrophy treatment.

Choosing a Professional:

Given the critical role of masseter muscles in chewing, it’s imperative to entrust Botox injections to a seasoned and highly trained dentist or medical practitioner. The precision required in injection sites demands expertise to avoid affecting other facial muscles or, in extreme cases, causing paralysis.

Pre-Procedure Considerations:

Before undergoing Masseter Botox, it’s essential to:

  • Seek well-trained and qualified doctors with a track record of successful Masseter Botox injections.
  • Obtain referrals from your dentist or explore online reviews for reputable clinics.

Pre-Operation Instructions:

  1. Consultation:
    • Thorough examination of medical history, conditions, and current medications.
    • For TMJ disorder, a dentist must be involved or supervise the injection.
  2. Examinations:
    • If another practitioner administers the injections, additional jaw examinations may be necessary.
    • A recent medical report detailing the patient’s current dental conditions is essential.
  3. TMJ Disorder:
    • Botulinum toxin (Botox) injections can alleviate pain associated with temporomandibular joint disorder (TMJ).

Procedure Execution:

 After consultations and examinations:

  • The dentist determines the suitable technique and injection points.
  • Ice may be applied to numb the area, minimizing discomfort.
  • Precision is crucial, and correct injection sites are outlined on the jaw lines.
  • The patient clenches the muscle during injections.
  • The process, taking around 15 minutes, allows patients to resume regular activities.

Post-Procedure Care:

To ensure optimal results and prevent side effects:

  • Maintain a straight position for around seven hours post-injection.
  • Avoid alcohol, smoking, and exercise on the first day.
  • Steer clear of hot baths, saunas, and direct sun exposure.
  • Refrain from stress, rubbing, or pressure on the treated area.

Duration of Results:

Results may be instant, with noticeable contouring within 14 days. Effects last approximately 3-6 months, reducing teeth grinding and creating a slimmer jawline.

Possible Side Effects:

Mild side effects like swelling, redness, bruising, and pain are transient. Severe side effects, though rare, require immediate medical attention and include nausea, muscle weakness, bleeding, difficulty breathing or swallowing, and strong allergic reactions.

Ineligible Candidates: Not everyone is suitable for Masseter Botox if pregnant, breastfeeding, experiencing bleeding disorders, neuromuscular disorders, skin infections, or allergic to Botox ingredients.

Cost Considerations: The cost varies based on factors like gender, muscle size, and geographic location. Generally, women’s injections for jaw slimming are more affordable. Aesthetical in Istanbul, Turkey, offers competitive prices with exceptional VIP services.



  • Filler

Filler injections, a non-surgical cosmetic marvel, aim to revitalize the skin by restoring volume and addressing facial concerns like wrinkles, saggings, and fine lines. Diverse in types and applications, these injections can artfully enhance various facial features, offering a non-invasive path to aesthetic transformation.

Key Treatment Areas:

  1. Lip Filler Injection:
    • Augments lips for a plump, fuller appearance.
  2. Fillers For Cheek:
    • Adds volume to cheekbones, enhancing facial contours.
  3. Fillers For Chin:
    • Sharpens facial features by sculpting the chin.
  4. Nose Fillers:
    • Reshapes the nose without resorting to surgery.
  5. Scar Reduction:
    • Improves the appearance of scars, providing a smoother skin texture.
  6. Wrinkle Treatment:
    • Targets wrinkles, especially on the forehead and nasolabial folds (smile lines).

Types of Fillers:

  1. Calcium Hydroxylapatite Fillers:
    • Long-lasting, biocompatible with human tissue.
  2. Hyaluronic Acid Fillers:
    • Utilizes a naturally occurring component for temporary results.
  3. Poly L Lactic Acid Fillers:
    • Plant-based, stimulates collagen production for semi-permanent effects.

Categories Based on Duration:

  1. Temporary Fillers:
    • Common and dissolvable, requiring periodic injections for maintenance.
  2. Semi-permanent Fillers:
    • Durable, lasting between 12 to 18 months.
  3. Permanent Fillers:
    • Long-lasting, with effects enduring up to 5 years or more.

Ideal Candidates for Filler Injections:

Both men and women are suitable candidates, particularly those experiencing:

  • Wrinkles and fine lines.
  • Desire for lip augmentation.
  • Nose reshaping without surgery.
  • Signs of aging in mid-thirties.
  • Lack of facial volume.

Pre-Filler Injection Instructions:

  1. Skin Tests:
    • Confirm skin suitability for the injection.
  2. Smoking Cessation:
    • Refrain from smoking one week prior.
  3. Medical History Disclosure:
    • Share medical history and current medications.
  4. Blood Thinning Medication Avoidance:
    • Stop blood-thinning medications and anti-inflammatories.
  5. Vitamin E Avoidance:
    • Refrain from multivitamins containing vitamin E for two weeks.
  6. Allergy Testing:
    • Conduct allergy tests to assess potential reactions.
  7. Discuss Desired Results:
    • Clearly communicate expectations to the doctor.

Post-Filler Injection Tips:

  1. Head Position:
    • Keep head vertical for two hours after the injection.
  2. Avoid Touching:
    • Refrain from touching injected areas for 12 hours.
  3. Sunlight Avoidance:
    • Steer clear of sunlight or extreme heat for 24 hours.
  4. Facial Caution:
    • Avoid forceful facial movements and practice caution.
  5. Smoking Cessation Post-Procedure:
    • Refrain from smoking for two weeks.
  6. Rest and Recovery:
    • Minimize effort and opt for complete rest for at least two days.

Stages of Filler Injection:

  1. Clinical Examination:
    • Identification of treatment areas based on facial examination.
  2. Necessary Tests:
    • Conducting skin and blood tests to ensure procedural suitability.
  3. Local Anesthetic Application:
    • Application of anesthetic cream for patient comfort.
  4. Injection:
    • Precise injection of filler using fine needles.

Results and Follow-up:

  • Initial results are noticeable immediately.
  • Final results manifest within three to seven days.

Filler injections offer a transformative journey, seamlessly addressing various facial concerns with minimal downtime and remarkable efficacy. This non-surgical approach to facial rejuvenation, when guided by skilled practitioners, unfolds a pathway to timeless beauty.

Dr. Josan Alex

Location: 990 Brooklyn Street, 86 New York 


Phone: +988 898 6969

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He joined Financial Solutions in London at graduate entry level in 1987. Prior to moving to Australia in 1991 with Bain, he spent two years in the UK in a senior sales and marketing role