Dr. de Clermont-TonnerrePlastic Surgeon

Paris 16th & Pontoise (95)

Botox

Botulinum Toxin — Paris 16th & Pontoise

Botulinum toxin (Botox) is the most widely performed injectable treatment in the world for reducing expression lines. By relaxing the muscles responsible for contractions, it naturally smooths forehead lines, glabellar lines and crow's feet. Performed by Dr. de Clermont-Tonnerre in Paris 16th and Pontoise, this approach guarantees safety, medical expertise and natural results.

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Procedure

What happens during a Botox session?

01

Initial consultation

Analysis of your face, identification of areas to treat, discussion of objectives. Assessment of your medical history and any potential contraindications.

02

Injection session

Local disinfection. Injections at a few precise points using very fine needles. Duration: 15 to 30 minutes. No anaesthesia required.

03

Progressive result

The effect appears gradually over 2 to 5 days, with maximum effect at 2 weeks. The result lasts 3 to 6 months.

04

Follow-up

Check-up consultation at 2 weeks to evaluate the result and make any adjustments if needed. Renewal at 3 to 6 months according to individual needs.

In practice

Session duration
15 to 30 minutes
Discomfort
Mild (fine needles)
Recovery
Immediate
Visible effect
2 to 5 days
Duration of effect
3 to 6 months
Price
From €400
Reimbursement
Not covered

Advantages

  • Significant reduction of expression lines
  • Natural result (not frozen when dosage is appropriate)
  • Quick session with no social downtime
  • Reversible treatment
  • Prevention of deepening wrinkles
  • Performed by an experienced plastic surgeon

Possible side effects

  • Bruising or haematoma at the injection site (transient)
  • Eyelid ptosis (if imprecise technique; reversible)
  • Temporary asymmetry
  • Transient headaches
  • Insufficient or excessive result
  • Contraindications: pregnancy, breastfeeding, myasthenia gravis

Insurance coverage

Botulinum toxin injections for cosmetic purposes are not covered by health insurance. They remain entirely at the patient's expense. Exception: treatment of severe hyperhidrosis and certain neurological indications may be eligible for coverage.

Expected results

Botox significantly reduces expression lines while preserving the natural mobility of the face when correctly dosed. The result is subtle, natural, and gives a rested appearance. The effect is visible within 2 to 5 days and is maximal at 2 weeks.

Frequently asked questions

What is Botox?+
Botox is the brand name for botulinum toxin type A. This purified protein blocks nerve transmission in the injected muscles, preventing them from contracting. Used at very low medical doses, it relaxes the muscles responsible for expression lines (dynamic wrinkles) to smooth the skin.
Which areas can be treated with Botox?+
The areas most commonly treated with botulinum toxin are: forehead lines (horizontal wrinkles), glabellar lines (the "11" lines between the eyebrows), and crow's feet (wrinkles at the corners of the eyes). Other indications exist: bunny lines (nose bridge), drooping mouth corners, excessive sweating (hyperhidrosis), and migraines.
How long does Botox last?+
The effect of botulinum toxin generally lasts 3 to 6 months. After that, nerve transmission gradually recovers and the muscles regain their activity. Regular injections (2 to 3 times a year) maintain the result. Over time, some patients require less frequent injections.
Are Botox injections painful?+
Botulinum toxin injections are performed with very fine needles and are generally well tolerated. The discomfort is mild, comparable to a mosquito bite. No anaesthesia is required. Sessions last 15 to 30 minutes and allow an immediate return to normal activities.
Can Botox and hyaluronic acid be combined?+
Yes, the two treatments are complementary. Botox treats dynamic wrinkles (wrinkles caused by muscle contractions). Hyaluronic acid treats static wrinkles (wrinkles present at rest) and restores lost volumes. Their combination achieves a more complete overall facial rejuvenation result.
How many units of Botox are needed for the forehead, crow's feet and frown lines?+
Doses vary according to each patient's anatomy and muscle strength. As a guide: the forehead generally requires 10 to 20 units, the glabella (frown lines) 20 to 30 units, and crow's feet 10 to 15 units per side. These figures are adjusted during the consultation by Dr. de Clermont-Tonnerre according to your facial morphology and the desired effect.
Can Botox be used preventively, before wrinkles appear?+
Yes, preventive botulinum toxin injection is increasingly practised from the first appearance of marked expression lines, generally between the ages of 25 and 35. By limiting repeated muscle contractions, it prevents the deepening of wrinkles and delays their permanent inscription in the skin. Dr. de Clermont-Tonnerre adapts the dosage to preserve a natural expression.
Can men have Botox?+
Absolutely. Male Botox is growing notably: men now account for nearly 15% of treated patients. The approach is slightly different — doses are generally higher due to greater muscle mass, and the objective is to smooth wrinkles while preserving a natural, masculine appearance. Dr. de Clermont-Tonnerre is skilled in this specific approach.
What is "on-demand Botox"?+
"On-demand Botox" refers to the possibility of receiving a botulinum toxin injection without any commitment to a defined protocol, whenever the patient wishes — before an important event, when the wrinkles reappear, etc. There is no mandatory minimum frequency; the treatment is renewed according to individual needs, typically every 3 to 6 months.
Is there a risk of paralysis or a frozen expression with Botox?+
The risk of a frozen expression or "botoxed mask" is related to overdosing or poor injection technique. When performed by an experienced practitioner with appropriate doses, Botox preserves the natural mobility of the face while reducing wrinkles. If an excessive effect occurs, it is temporary and fades within a few weeks. Permanent paralysis is not possible with the aesthetic doses used.

Patient testimonials

★★★★★

“I started Botox injections with Dr. de Clermont-Tonnerre 2 years ago. The result is very natural — no one guesses I've had treatment. The forehead lines and crow's feet have reduced considerably. Highly recommended.”

Isabelle

★★★★★

“A plastic surgeon who performs the injections himself: that's a guarantee of quality and safety. The result is subtle and natural, exactly what I wanted. Quick, painless sessions. I am very satisfied.”

Sylvie

★★★★★

“I have been combining Botox and hyaluronic acid for 3 years with Dr. de Clermont-Tonnerre. The result is remarkable: a rested face, reduced wrinkles, restored volumes. The expertise of a plastic surgeon truly makes a difference.”

Delphine

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See also

Aesthetic Medicine — all proceduresHyaluronic acidCollagen inducersSkin BoosterChemical peelFaceliftBlepharoplastyFees & pricing
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