Before Botox or filler in Lebanon, ask whether your line needs toxin, filler or both, how a frozen look is avoided, how much a first treatment involves, what it feels like, who should not have it, how long it lasts, what the risks are, what happens if you do not like the result and who will inject. These are the questions, with short answers from this practice. Whatever depends on your own face is decided at the examination in person.
Will I be examined in person, and how is the plan made?
Yes. The examination is done in person, by the surgeon who will operate. The plan is made from your own examination and your own photographs, not from a catalogue. Photographs of other people can be brought as a starting point for conversation, never as a target. The risks are gone through in full, and nothing is booked under pressure. Some patients are advised not to have the operation.
Do I need toxin, filler or both?
They do different jobs. Botulinum toxin (Botox is one brand) relaxes the muscle that creases the skin: frown lines, forehead lines and crow’s feet. Filler is hyaluronic acid that replaces lost volume, in the lips, the cheek or a hollow. A line that disappears when your face is still is a movement line; one that stays at rest, or a hollow, is lost volume. Many faces have both. This is decided with your face moving in front of the surgeon, not from a photograph. See Botox or filler: which one does what.
Will my face look frozen?
Not if it is dosed properly. The aim is a face that still moves and still shows what you feel. A forehead that cannot move is a dosing error, not a style.
How much will I need the first time?
A first treatment is deliberately conservative. The dose is set by the strength of your own muscles, not by a fixed number of units, and the result is reviewed at 10 days, when a small amount can be added if needed. Taking dose away is not possible, which is why the start is low.
How long does it take, and does it hurt?
Treatment takes fifteen to thirty minutes in the clinic, and you go straight back to your day. Discomfort is usually mild: toxin is given through a fine needle in small amounts, and most patients describe a series of quick pinches. For filler, a topical anaesthetic cream is applied beforehand.
Who should not have it, and what should I tell you?
Toxin is not given during pregnancy or breastfeeding, over an active infection at the injection site, or to anyone with a known hypersensitivity to the product. People with a neuromuscular junction disorder such as myasthenia gravis or Lambert-Eaton syndrome are not treated with it. Tell the surgeon about any medication you take, particularly blood thinners, which increase the chance of bruising.
How long will the result last, and when do I judge it?
Toxin begins to work at three to five days and is fully settled at 10 days, which is when the result is judged. It lasts three to four months at first and often longer with repeated treatment. Filler is visible at once, though swelling in the first days exaggerates it, and it lasts months, not years, depending on the product and the area. See how long Botox and filler last.
What are the risks?
Bruising at the injection point, which is common, brief and easily covered. A temporary heaviness or asymmetry of the brow after toxin, which settles as the dose wears off. Swelling and lumpiness after filler in the first week. Rarely, vascular occlusion with filler, where it enters a blood vessel; this is the reason injections should be done by someone who knows the anatomy and holds the reversal agent. Sudden severe pain, skin that changes colour or a change in vision after filler needs urgent medical care.
What if I do not like the result?
Toxin wears off gradually over three to four months, and a small asymmetry can be balanced at the 10-day review rather than waited out. Hyaluronic acid filler can be softened or dissolved with an enzyme called hyaluronidase if the result needs adjusting. Toxin has no reversal agent.
Can Botox or filler replace eyelid surgery?
No. Toxin and filler treat lines and volume. Excess eyelid skin has to be removed surgically. They are often used together, but one does not substitute for the other. See eyelid surgery or Botox for tired eyes.
Who will operate, where, and who sees me afterwards?
Dr. Vincent ElKhoury is a board-certified plastic and reconstructive surgeon and a member of the Lebanese Order of Physicians. He sees every patient himself at the clinic, and he operates on every case himself, at Hayek Hospital or Bellevue Medical Center. The same surgeon is there at every visit. The clinic is on Mkalles Main Street in Mansourieh, Metn, open Monday to Friday, 10:00 to 18:00.
More on the operation, with the risks and the recovery written out, is on the Botox and filler in Lebanon page. This page is information, not advice, and it does not replace the examination in person.
Questions
FAQ
What should I ask before Botox or filler in Lebanon?
Ask whether your line needs toxin, filler or both, how a frozen look is avoided, how much a first treatment involves, what it feels like, who should not have it, how long it lasts, what the risks are, what happens if you do not like the result, and who will inject.
Will Botox make my face look frozen?
Not if it is dosed properly. The aim is a face that still moves. A first treatment is deliberately conservative and the result is reviewed at 10 days, when a small amount can be added if needed.
What if I do not like the result of Botox or filler?
Toxin wears off gradually over three to four months, and a small asymmetry can be balanced at the 10-day review. Hyaluronic acid filler can be softened or dissolved with the enzyme hyaluronidase if needed.
Who gives Botox and filler at this practice, and where?
Dr. Vincent ElKhoury, a board-certified plastic and reconstructive surgeon, gives both treatments himself at his clinic on Mkalles Main Street, Mansourieh, Metn, after a consultation.
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