BTX (Botulinum Toxin A)
Treatment in Zurich
At Metropolitan Clinic Zurich, we offer individually tailored treatments with Botulinum Toxin A. This therapy targets expression lines, such as those on the forehead, around the eyes, or between the eyebrows. The result is a relaxed facial expression – without appearing unnatural.
What is Botulinum Toxin A?
Botulinum Toxin A, also known by the trade name "Botox" or abbreviated "BTX", is a well-researched neuromodulator that has been successfully used for many years in aesthetic medicine as well as in certain medical specialties.
It is a prescription drug that specifically reduces the activity of certain facial muscles – precisely, locally, and for a limited time. The muscular relaxation leads to the smoothing of the overlying skin. In this way, expression lines can be visibly softened, for example, on the forehead, around the eyes, or between the eyebrows.
Thanks to the finely dosed application by experienced doctors, the result looks natural and individually tailored – without making the facial expression appear rigid or unnatural.
Typical Application Areas for Botulinum Toxin
Treatment with Botulinum Toxin A can be performed for both aesthetic reasons – such as reducing expression lines – and can also be helpful for certain medical-functional complaints. These include, for example, recurrent tension headaches, migraines, or nocturnal teeth grinding (bruxism). Excessive sweating (hyperhidrosis) can also be effectively regulated in many cases.
At Metropolitan Clinic Zurich, we use Botulinum Toxin A specifically and individually tailored – always taking into account the personal initial situation.

approx. 15–30 minutes
usually not required, local cooling or cream on request
Depending on the product, treatment area, and individual metabolism, the result usually lasts between approx. 3–6 months
none, you are socially presentable immediately or after a few hours
after approx. 10–14 days
From 150 CHF The exact price depends on the treated area, the required amount of hyaluronic acid, and the product used
Application Areas
Botulinum toxin can be used in various facial areas to smooth wrinkles and harmonize contours. In addition to the zones shown here, we also treat the décolletage, pebble chin, and neck.

Forehead wrinkles
Smoothing of horizontal lines, for a more open, alert appearance
Frown lines (Glabella)
Smoothing of the wrinkle between the eyebrows, for a more relaxed facial expression, can also reduce emotional tension and headaches.
Crow's feet (eye wrinkles)
Refinement of the eye area, fresher look
Eyebrow lift
Subtle lift without surgery, more open gaze
Bunny Lines (nose wrinkles)
Rejuvenation of the nasal region, harmonious overall impression
Upper lip wrinkles
Smoother lip contour, aesthetically younger appearance

Forehead wrinkles
Frown lines (Glabella)
Crow's feet (eye wrinkles)
Eyebrow lift
Bunny Lines (nose wrinkles)
Upper lip wrinkles

Medical-Functional Application Areas
Botulinum Toxin A is not only used for wrinkle treatment but also for certain functional complaints with muscular causes. By specifically relaxing overactive muscle areas, Botulinum Toxin A can help alleviate symptoms such as chronic headaches, nocturnal teeth grinding, or excessive sweating. In these cases, treatment always takes place after medical clarification and is based on individual complaints and findings.
Migraine prophylaxis
For certain forms of chronic migraine (after neurological diagnosis)
Tension headache / muscular headaches
Especially in the forehead and neck area
Teeth grinding (Bruxism)
Relaxation of the chewing muscles to relieve nocturnal discomfort and prevent tooth damage
Masseter treatment (also for jaw contour slimming)
For strongly developed masseter muscle or jaw joint complaints
Hyperhidrosis
Excessive sweating, e.g., in the armpits, hands, or feet
After a Botulinum Toxin A treatment, the effect usually begins within 3 to 5 days. The final result is visible after about 10 to 14 days. How long the effect lasts depends on various factors – including the treated area, individual muscle activity, and personal metabolism. On average, the duration of effect is 3 to 6 months. After this, muscle activity may gradually return. With regular application, the duration of effect can be extended, as the musculature develops less strongly due to repeated relaxation. Metropolitan Clinic Zurich offers you precise dosing and, upon request, regular follow-up checks.
As with any medical treatment, temporary side effects can occur with the use of Botulinum Toxin A. These are often mild redness, swelling, or small bruises at the injection sites – which usually subside within a few hours to days. In rare cases, a temporary muscle imbalance may occur, for example, due to too high a dosage or incorrect placement. With us, treatment is carried out exclusively by experienced specialists, so the risk of undesirable effects is very low. Botulinum Toxin A is one of the most thoroughly researched medications in aesthetic medicine and has been safely used for decades.
A frequently expressed wish is that Botulinum Toxin A treatment should appear natural and subtle. With professional application by experienced doctors, individual facial expressions are preserved; only specific muscle groups are selectively relaxed. The goal is not a "mask-like" face, but a fresh, relaxed expression that makes you look younger and more rested – without appearing "treated." Especially for first-time applications, we place great importance on a gentle, adapted dosage.
In Switzerland, treatment with Botulinum Toxin A may only be performed by qualified doctors. It is a prescription drug that requires a medical indication and sound specialized knowledge. At Metropolitan Clinic Zurich, every application of Botulinum Toxin A is performed exclusively by our experienced specialists in plastic and aesthetic surgery, Dr. Volker Rippmann and Christian Roessing. This guarantees not only the highest safety standards but also an optimal treatment result – individually tailored to your anatomy and your wishes. Comprehensive medical consultation before the first treatment is a matter of course for us – as is an honest assessment of whether and to what extent the treatment is appropriate.

Why choose us?
- Medical expertise at the highest level
- Individual & transparent consultation
- Use of high-quality original preparations
- Many years of experience with Botulinum Toxin applications
- Modern, discreet premises in the heart of Zurich





