Treatment of facial wrinkles

Treatment of facial wrinkles is one of the most popular esthetic procedures for rejuvenation. Treatment with Vistabel and Bocouture is the most effective way of removing the wrinkles around the eyes and on the forehead. The goal of the treatment is to achieve a smooth, youthful, and fresh look.

Dr. Markovina performs hair transplantation with the FUE method

Experts around the world have been using botulinum toxin-derived products to treat wrinkles and rejuvenate the face. Botulinum toxin has proven efficacy in removing wrinkles on the forehead, around the eyes, and ones due to facial expression. This, potentially the most popular, the method is very safe.

The effect of botulinum toxin is temporary- it lasts only for a couple of months, Due to its popularity, different pharmaceutical companies have developed their own formulations.

The ones we work with are OnabotulinumtoxinA, ( Botox and Vistabel) and IncobotulinumtoxinA (Bocouture and Xeomin) Botox and Bocouture formulations of botulinum toxin are clinically tested, effective and safe methods of facial rejuvenation which have slight differences which make it possible to make a decision about ideal individual treatment approach after consultation with a doctor.

Botox is the most researched formulation of botulinum toxin in clinical trials. This formulation, which is produced without preservatives, consists of a neurotoxin complex of C botulinum type A, human albumin, and sodium chloride. It has been approved by FDA for the treatment of glabellar wrinkles, crows’ feet, and forehead wrinkles but it is widely used for the treatment of other wrinkles and shaping the face.

What is Vistabel?

Vistabel is the treatment for rejuvenation which consists of highly purified protein that tones down deep wrinkles and erases the smaller ones. It is designed for the treatment of forehead wrinkles and wrinkles around the eyes.

Vistabel is produced using the Clostridium Botulinum. Initially, it has been used first in the various branches of medicine- ophthalmology, neurology, ENT, gynecology, pediatrics and for the past 20 years- aesthetic procedures.

What is Bocouture?

Bocouture is a novel formulation that is similar to Botox with one major difference- it is produced without complex proteins which make the formulation purer. This decreases the risk of sensitization and production of antibodies against the toxin.

Because of this, this formulation is best used for younger patients who are just getting started with the treatments in order to mitigate the chance for antibody formation during the years of treatment.

What is the difference between Botox and Bocouture?

In general, both formulations start to show the results within 1-3 days and the maximum effect is achieved within 7-28 days. The effect gradually decreases in the period of 3-4 months, depending on the localization, dose, and formulation of the product.

However, some patients notice the beneficial effects of the treatment for more than 6 months– usually ones which treated a certain area multiple times.

When are Vistabel and Bocouture used?

Vistabel treatment for rejuvenation is used when a person is dissatisfied with their facial appearance due to wrinkles. Candidates wish for a natural and smooth and natural look which is made possible by the precise aesthetic surgeon in Pantovcak Polyclinic.

Who is the candidate for treatment?

Healthy adults who wish to rejuvenate their face in an effective way are candidates for treatment with Vistabel. Usually, the patients are in their 40s and 50s. Sometimes candidates are also patients in their 30s with more pronounced facial wrinkles.

What does the treatment look like?

Vistabel is applied by a simple procedure but the doctor’s experience and precision are very important in order to detect the appropriate locations to apply Vistabel to make the effect perfect.

Vistabel is applied to certain muscles that make wrinkles. The procedure itself lasts around 15 minutes and it is almost painless- the only thing the patient feels is a slight puncture at the site of the application. The treatment prevents the spread of nerve impulses and muscle movements that are responsible for facial wrinkles.

Application of Vistabel into muscles of facial expression means that the signals are not being sent into muscles and the wrinkles disappear.

The advantage of this treatment is the fact that the result is visible within days. The period between two treatments is usually 6 months and the state of the patient’s skin determines how long do the results last.

Which areas can be treated by Botox?

Botox can be used to treat the wrinkles on the forehead and around the eyes which are formed by the daily activity of the facial muscles. This procedure effectively reduces and erases the crow’s eyes, vertical wrinkles on the forehead, and horizontal wrinkles on the forehead.

In addition to reducing the wrinkles, Botox is being used to make up for slight irregularities, facial asymmetry, and treatment of excessive sweating. When used to treat excessive sweating in the armpits, the Botox effect lasts up to 8 months.

What are the side effects and are there any risks?

There is a possibility for temporary side effects with Vistabel treatment. There are, on rare occasions, facial pain, erythema, and muscle weakness on the site of the application. The aesthetic surgeon’s precision is very important since side effects are associated with the procedure itself. Sometimes patients can experience headaches, dizziness, and temporary ptosis but all of these last for only a short period of time.

How long does the Botox last?

The period between two treatments with Vistabel is usually up to 6 months long. The efficacy depends on the skin type and condition which means that the period of time depends on the individual. Another advantage of treatment with Vistabel is that its effect lasts longer with repeated applications.

Can it be unmade?

The effect of botox is not permanent and it is being degraded naturally. It is not possible to immediately cancel the effect of Botox after the application, it is necessary to wait until the effect goes away naturally.

Come and visit for a free consultation with Dr. Markovina.

Autor: Dr. Držislav Markovina

Find out if you are a candidate for facial wrinkle treatment

Make an appointment


  • Molimo označite cup
  • This field is for validation purposes and should be left unchanged.

Come to the free consultation

at Dr. Markovina