{"id":11541,"date":"2026-11-06T10:00:00","date_gmt":"2026-11-06T09:00:00","guid":{"rendered":"https:\/\/www.medespoir.ch\/blog\/?p=11541"},"modified":"2026-11-06T09:06:38","modified_gmt":"2026-11-06T08:06:38","slug":"facial-injections-switzerland-botox-filler-guide","status":"publish","type":"post","link":"https:\/\/www.medespoir.ch\/blog\/facial-injections-switzerland-botox-filler-guide\/","title":{"rendered":"Botox, lip filler and under-eye filler in Switzerland: what should you know before facial injections?"},"content":{"rendered":"<p><strong>In short:<\/strong> facial injections fall into three families: botulinum toxin, which relaxes muscles to soften expression lines; hyaluronic acid fillers, which restore or add volume to the lips, under-eyes, chin, jawline or cheeks; and skin boosters and biostimulators, which aim to improve skin quality or stimulate collagen. In Switzerland, botulinum toxin is a prescription medicine and fillers are medical devices; cantonal health authorities reserve these injections for doctors or for nurses working under a doctor&rsquo;s direct responsibility, in a medical setting. Most complications are minor, but injecting a filler into a blood vessel is a true emergency, and your injector must be able to recognise it and treat it immediately with hyaluronidase, the enzyme that dissolves hyaluronic acid. This guide goes area by area through the questions people really ask, from \u00ab\u00a0baby Botox\u00a0\u00bb to lip and under-eye filler, dissolving, and what to do if something goes wrong.<\/p>\n<p><em>This article is general information. It does not replace a consultation or medical advice from a qualified doctor.<\/em><\/p>\n<h2 id=\"contents\">Contents<\/h2>\n<ul>\n<li><a href=\"#news\">What changed in 2025 and 2026<\/a><\/li>\n<li><a href=\"#rules\">The Swiss rules: who may inject what<\/a><\/li>\n<li><a href=\"#toxin\">Botulinum toxin: the questions people ask<\/a><\/li>\n<li><a href=\"#lips\">Lip filler<\/a><\/li>\n<li><a href=\"#undereye\">Under-eye filler<\/a><\/li>\n<li><a href=\"#chin\">Chin, jawline, cheeks and temples<\/a><\/li>\n<li><a href=\"#boosters\">Skin boosters and biostimulators<\/a><\/li>\n<li><a href=\"#complications\">Complications and hyaluronidase<\/a><\/li>\n<li><a href=\"#planning\">Planning, aftercare and timing<\/a><\/li>\n<li><a href=\"#consultation\">What a good injection consultation looks like<\/a><\/li>\n<li><a href=\"#scenarios\">Real-life scenarios<\/a><\/li>\n<li><a href=\"#choose\">Choosing an injector<\/a><\/li>\n<li><a href=\"#abroad\">Switzerland, Tunisia and combining with surgery<\/a><\/li>\n<li><a href=\"#faq\">FAQ<\/a><\/li>\n<\/ul>\n<h2 id=\"news\">What changed in 2025 and 2026<\/h2>\n<h3>ISAPS 2025: toxin first, filler down<\/h3>\n<p>The International Society of Aesthetic Plastic Surgery (ISAPS) published its Global Survey for 2025 on 29 September 2026. Botulinum toxin remained the most common non-surgical procedure worldwide, with 7.3 million procedures performed by plastic surgeons, followed by hyaluronic acid fillers with 4.7 million. ISAPS reported that hyaluronic acid injectables fell by 25% among both men and women. Non-surgical procedures totalled 17.3 million. The survey counts only procedures performed by plastic surgeons, so the real number of injections is much higher.<\/p>\n<h3>ASPS 2025: half of minimally invasive procedures are toxin<\/h3>\n<p>The American Society of Plastic Surgeons published its 2025 statistics on 1 September 2026. Neuromodulators (botulinum toxin products) accounted for 50% of all minimally invasive procedures and hyaluronic acid fillers for 30%. Patients aged 66 and over recorded the largest increase in procedure volume (+24%), while volume fell among 18 to 25-year-olds (\u22129%). The trend Swiss practitioners describe is similar: fewer \u00ab\u00a0trend\u00a0\u00bb treatments in very young people, more maintenance in mature skin.<\/p>\n<h3>A new botulinum toxin authorised in Switzerland<\/h3>\n<p>Swissmedic granted a first marketing authorisation to Relfydess, a botulinum toxin type A product, on 10 March 2025, for the temporary improvement of moderate to severe frown lines between the eyebrows and crow&rsquo;s feet, according to its public summary report published in June 2025. It joins other toxin products already authorised in Switzerland. For patients, the main point is that products differ in their units and dosing; your doctor should tell you which product is used.<\/p>\n<h3>Cantonal rules spelled out<\/h3>\n<p>The canton of Vaud&rsquo;s health department publishes detailed pages on aesthetic procedures, including botulinum toxin and hyaluronic acid injections. It recalls that, depending on the procedure, only doctors or specially trained nurses working under a doctor&rsquo;s direct responsibility may perform them, in a medical setting, and that beauty salons offering them act illegally.<\/p>\n<table>\n<thead>\n<tr>\n<th>Date<\/th>\n<th>Source<\/th>\n<th>Key point<\/th>\n<th>What it means for you<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>10 March 2025<\/td>\n<td>Swissmedic<\/td>\n<td>Relfydess authorised for frown lines and crow&rsquo;s feet<\/td>\n<td>Several toxin products exist; ask which one is used<\/td>\n<\/tr>\n<tr>\n<td>1 Sept. 2026<\/td>\n<td>ASPS 2025 statistics<\/td>\n<td>Toxin is 50% of minimally invasive procedures; fillers 30%<\/td>\n<td>Toxin and fillers remain the core of facial injections<\/td>\n<\/tr>\n<tr>\n<td>29 Sept. 2026<\/td>\n<td>ISAPS Global Survey 2025<\/td>\n<td>7.3 million toxin and 4.7 million filler procedures; filler down 25%<\/td>\n<td>A shift towards more measured use of filler<\/td>\n<\/tr>\n<tr>\n<td>Ongoing<\/td>\n<td>Canton of Vaud<\/td>\n<td>Injections reserved for doctors or supervised nurses; salons act illegally<\/td>\n<td>Check who injects you and where<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"rules\">The Swiss rules: who may inject what<\/h2>\n<h3>Is Botox a medicine in Switzerland?<\/h3>\n<p>Yes. Botulinum toxin products are prescription medicines authorised by Swissmedic for specific indications. Using them requires a doctor&rsquo;s prescription and, under cantonal rules, administration by a doctor or under a doctor&rsquo;s direct responsibility. Swissmedic has warned in the past against cosmetic toxin treatments offered outside a proper medical setting.<\/p>\n<h3>And fillers?<\/h3>\n<p>Hyaluronic acid fillers are regulated as medical devices, not as medicines. That does not make them harmless: injecting them is a medical act because of the risk of injury to blood vessels and nerves. In Vaud, they may be injected only by doctors or by trained nurses under a doctor&rsquo;s direct responsibility, in a medical setting.<\/p>\n<h3>Can a beautician inject lip filler in Switzerland?<\/h3>\n<p>No. Beauty salons offering injections act illegally, according to the canton of Vaud. \u00ab\u00a0Needle-free\u00a0\u00bb devices that push filler into the lips under pressure are also not a safe alternative, because the depth of injection cannot be controlled. If you see such an offer, avoid it.<\/p>\n<h3>Can I bring products bought online to a practitioner?<\/h3>\n<p>No reputable practitioner will inject a product you bring. Products sold online may be counterfeit, badly stored or not authorised in Switzerland, and Swissmedic regularly warns about medicines purchased on the internet. The product should come from the practice&rsquo;s own supply, with its name and batch number recorded in your file.<\/p>\n<h3>Does Swiss insurance pay for any injections?<\/h3>\n<p>Not for cosmetic purposes. Botulinum toxin can be covered for medical indications such as certain cases of excessive sweating, chronic migraine or muscle spasticity, according to the conditions of the list of reimbursed medicines. Fillers can be covered on prior approval for facial lipoatrophy caused by illness or medication, according to Annex 1 of the benefits ordinance. Treatments for wrinkles, lips or contouring are self-funded.<\/p>\n<h2 id=\"toxin\">Botulinum toxin: the questions people ask<\/h2>\n<h3>How does botulinum toxin work?<\/h3>\n<p>It blocks the signal between nerve and muscle at the injection site, so the muscle relaxes. Lines caused by repeated movement, such as frown lines between the eyebrows, horizontal forehead lines and crow&rsquo;s feet, soften because the skin is no longer folded as strongly. It does not fill static lines that are visible at rest, although these can improve gradually with regular treatment.<\/p>\n<h3>When does it start working and how long does it last?<\/h3>\n<p>The effect appears after two to five days and reaches its peak at about two weeks. It usually lasts three to four months, sometimes longer in small muscles or with repeated treatments. A review appointment at two weeks allows a small adjustment if needed.<\/p>\n<h3>Which areas are usually treated?<\/h3>\n<ul>\n<li><strong>Frown lines<\/strong> between the eyebrows, the most common indication.<\/li>\n<li><strong>Crow&rsquo;s feet<\/strong> at the corners of the eyes.<\/li>\n<li><strong>Forehead lines<\/strong>, with care to avoid lowering the eyebrows.<\/li>\n<li><strong>Brow lift<\/strong>: small doses to raise the tail of the eyebrow.<\/li>\n<li><strong>Masseter muscles<\/strong>: to slim a square jaw or reduce teeth grinding.<\/li>\n<li><strong>Neck bands<\/strong>, the \u00ab\u00a0Nefertiti\u00a0\u00bb lift along the jawline.<\/li>\n<li><strong>Gummy smile and lip flip<\/strong>: small doses around the mouth.<\/li>\n<li><strong>Chin dimpling<\/strong> and downturned corners of the mouth.<\/li>\n<\/ul>\n<p>Some of these uses are within the authorised indications of a given product, others are off-label. Off-label use is legal for a doctor under certain conditions, but you should be told.<\/p>\n<h3>What is \u00ab\u00a0baby Botox\u00a0\u00bb, and is preventive Botox useful?<\/h3>\n<p>\u00ab\u00a0Baby Botox\u00a0\u00bb means lower doses spread over the area, to soften movement while keeping natural expression. It is a style of treatment, not a product. Preventive Botox in people in their twenties, before lines appear, is debated: it may reduce the formation of deep lines in people with very strong expression muscles, but it is not necessary for most young people. The ASPS figures showing a fall in procedures among 18 to 25-year-olds suggest a move away from this trend.<\/p>\n<h3>What are the side effects of botulinum toxin?<\/h3>\n<p>Common and temporary: small bruises, redness, a mild headache. Less common: a heavy or lowered eyebrow after forehead treatment, an asymmetric smile after treatment around the mouth, and, rarely, a drooping eyelid (ptosis) when toxin spreads to the muscle that lifts the lid. These effects wear off as the toxin does, usually within weeks; eye drops can help a drooping lid. Serious effects such as difficulty swallowing or breathing are exceptional at cosmetic doses but require immediate medical help.<\/p>\n<h3>Why do my eyebrows feel heavy after forehead Botox?<\/h3>\n<p>Because the forehead muscle is the only muscle that lifts the eyebrows. If it is relaxed too much, or if the injections are placed too low, the brows drop and the upper eyelids can feel heavy. Experienced injectors treat the forehead with lower doses and often treat the frown muscles at the same time to balance the forces. If you already have heavy lids, mention it, as forehead treatment may not suit you.<\/p>\n<h3>Can you become resistant to botulinum toxin?<\/h3>\n<p>Rarely. A small number of people develop antibodies that make treatment less effective, mostly with high doses or frequent injections. Spacing treatments at least about three months apart and using the lowest effective dose reduces the risk. If an injection seems to have no effect, the cause is more often the dose, placement or product than resistance.<\/p>\n<h3>What should I avoid after Botox?<\/h3>\n<p>For the first few hours, avoid lying flat, rubbing or massaging the area and strenuous exercise. Most practitioners also advise avoiding saunas and facial treatments for a day. You can go back to work immediately. Make-up can usually be applied after a few hours.<\/p>\n<h3>Do men need different doses?<\/h3>\n<p>Often, yes. Men generally have stronger facial muscles and may need higher doses for the same effect. The shape of the eyebrows also differs: a flat, low male brow should not be arched like a female one. Ask your injector for male results.<\/p>\n<h2 id=\"lips\">Lip filler<\/h2>\n<h3>What can lip filler do?<\/h3>\n<p>Add volume, define the border of the lips, correct asymmetry, support the corners of the mouth and hydrate the lips. Different hyaluronic acid products are used for structure and for softness. The best results respect the natural proportions of the face; in most faces the lower lip is slightly fuller than the upper lip.<\/p>\n<h3>How much filler is a \u00ab\u00a0natural\u00a0\u00bb result?<\/h3>\n<p>Usually less than people expect. Many practitioners start with half a syringe or one syringe, then reassess. Building up gradually over several sessions gives a more natural result and reduces the risk of migration. Social media \u00ab\u00a0overfilled\u00a0\u00bb lips are often the result of repeated top-ups before the previous product has disappeared.<\/p>\n<h3>How long does lip filler last?<\/h3>\n<p>Commonly six to twelve months, because the lips move constantly and break down hyaluronic acid faster than other areas. Duration depends on the product, the quantity and your metabolism. Some product remains longer than it is visible, which is one reason to space treatments.<\/p>\n<h3>How swollen will my lips be?<\/h3>\n<p>Swelling peaks in the first 24 to 48 hours and settles over about a week; bruising can last a few days. Do not judge the result before two weeks. Avoid important events, photos and dental treatments in the week following treatment.<\/p>\n<h3>What is lip filler migration?<\/h3>\n<p>It is filler moving beyond the intended area, most visibly above the border of the upper lip, giving a \u00ab\u00a0shelf\u00a0\u00bb or \u00ab\u00a0duck lip\u00a0\u00bb appearance. It is associated with large volumes, repeated treatments, superficial injection and some techniques. It can be dissolved with hyaluronidase, after which the lips can be treated again more conservatively.<\/p>\n<h3>Can lip filler trigger cold sores?<\/h3>\n<p>Yes, in people prone to them, as injections can reactivate the herpes virus. If you have had cold sores, tell your injector; an antiviral treatment may be prescribed beforehand. Do not have injections during an active cold sore.<\/p>\n<h2 id=\"undereye\">Under-eye filler<\/h2>\n<h3>Who is a good candidate for tear trough filler?<\/h3>\n<p>People with a hollow, a shadow or a groove between the lower eyelid and the cheek, with good skin quality and little fat bulging. Under-eye filler can soften the \u00ab\u00a0tired\u00a0\u00bb look in these cases. It is not a solution for true bags, where fat is bulging, for very loose skin, for dark circles caused by pigmentation or for chronic puffiness. In those situations, it can make things worse.<\/p>\n<h3>Why do under-eye fillers sometimes cause puffiness?<\/h3>\n<p>Because the area is prone to fluid retention and hyaluronic acid attracts water. Too much product, a product that is too absorbent, or product placed too superficially can lead to persistent swelling, sometimes months later, and occasionally a bluish tint visible through thin skin, known as the Tyndall effect. Experienced injectors use small quantities of suitable products and often prefer to treat the cheek first.<\/p>\n<h3>How long do under-eye fillers last?<\/h3>\n<p>Often longer than in the lips, sometimes a year or more, because the area moves less. This longevity is a double-edged sword: if the result is not right, it persists. Dissolving is possible.<\/p>\n<h3>When is surgery better than under-eye filler?<\/h3>\n<p>When there are real bags, a lot of loose skin or both. A lower blepharoplasty, often with repositioning of the fat into the hollow, gives a more lasting correction. Our guide to <a href=\"https:\/\/www.medespoir.ch\/blog\/facial-plastic-surgery-switzerland-guide\/\">facial plastic surgery in Switzerland<\/a> explains eyelid surgery in detail.<\/p>\n<h3>Is the under-eye area risky?<\/h3>\n<p>It is one of the more delicate areas, because of thin skin and the blood vessels around the eye. Many practitioners use blunt cannulas here. The rare but most serious risk of facial filler, injury to vision, is linked to injection into arteries connected to the eye&rsquo;s circulation, which is why the area should only be treated by experienced doctors.<\/p>\n<h2 id=\"chin\">Chin, jawline, cheeks and temples<\/h2>\n<h3>Can filler replace a chin implant?<\/h3>\n<p>For a moderate lack of projection, filler can give a good result without surgery and lasts often around a year or more. For a significant correction, or if you want a permanent result, a chin implant or genioplasty is more suitable. Large volumes of filler in the chin can look heavy and may need repeated top-ups, which over time can exceed the cost and effort of surgery.<\/p>\n<h3>What does jawline filler do?<\/h3>\n<p>It defines the angle and line of the jaw, which can sharpen the profile and reduce the appearance of early jowls. It is popular among men who want a more angular face. It does not tighten loose skin, and if too much is used, it widens the lower face. A combination with toxin in the masseter, when the jaw muscles are bulky, is sometimes proposed.<\/p>\n<h3>What about cheeks and temples?<\/h3>\n<p>Restoring cheek volume can lift the midface slightly and soften the nasolabial folds indirectly. Hollow temples, frequent after weight loss and with age, can be filled to soften the frame of the face. These areas often need more product than lips, but the results can last longer. Temples carry their own vascular risks and require a careful technique.<\/p>\n<h3>What can be done for \u00ab\u00a0Ozempic face\u00a0\u00bb?<\/h3>\n<p>The term describes a face that looks hollow or aged after rapid weight loss, whatever the cause. Fillers or biostimulators can restore support in the cheeks and temples; when the skin has really sagged, a lift or fat grafting are more effective. Waiting until weight has stabilised avoids treating a moving target.<\/p>\n<h3>Are \u00ab\u00a0full face\u00a0\u00bb or MD Codes treatments a good idea?<\/h3>\n<p>Approaches such as MD Codes map injection points across the face to treat it as a whole rather than chasing individual lines. They can produce harmonious results in skilled hands. The risk is the total volume: a plan that injects many syringes in a single session deserves questions. Medespoir describes its approach in French on its page on <a href=\"https:\/\/www.medespoir.ch\/md-codes-harmonisation-visage.php\">MD Codes facial harmonisation<\/a>.<\/p>\n<table>\n<thead>\n<tr>\n<th>Area<\/th>\n<th>Main product<\/th>\n<th>Typical duration<\/th>\n<th>Delicacy<\/th>\n<th>When to consider surgery instead<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Frown lines, forehead, crow&rsquo;s feet<\/td>\n<td>Botulinum toxin<\/td>\n<td>3 to 4 months<\/td>\n<td>Low to moderate<\/td>\n<td>Heavy eyelids or brows: eyelid or brow surgery<\/td>\n<\/tr>\n<tr>\n<td>Lips<\/td>\n<td>Soft hyaluronic acid<\/td>\n<td>About 6 to 12 months<\/td>\n<td>Moderate<\/td>\n<td>Very long upper lip: lip lift<\/td>\n<\/tr>\n<tr>\n<td>Under-eyes<\/td>\n<td>Low-absorbency hyaluronic acid<\/td>\n<td>Often 12 months or more<\/td>\n<td>High<\/td>\n<td>Bags or loose skin: lower blepharoplasty<\/td>\n<\/tr>\n<tr>\n<td>Chin<\/td>\n<td>Firm hyaluronic acid<\/td>\n<td>About 12 months or more<\/td>\n<td>Moderate<\/td>\n<td>Large deficit: implant or genioplasty<\/td>\n<\/tr>\n<tr>\n<td>Jawline<\/td>\n<td>Firm hyaluronic acid<\/td>\n<td>About 12 months or more<\/td>\n<td>Moderate<\/td>\n<td>Loose neck skin: neck lift<\/td>\n<\/tr>\n<tr>\n<td>Nose<\/td>\n<td>Firm hyaluronic acid<\/td>\n<td>About 12 months<\/td>\n<td>High (vascular risk)<\/td>\n<td>Most changes: rhinoplasty<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>Is a \u00ab\u00a0non-surgical nose job\u00a0\u00bb safe?<\/h3>\n<p>It can disguise a small hump or lift a tip, but the nose is one of the highest-risk areas for vascular complications, including skin necrosis and, rarely, vision loss. It should be performed only by a doctor with specific experience, with small quantities. If you have had a previous rhinoplasty, the risk is higher because blood supply may be altered.<\/p>\n<p><strong>Considering treatment as part of a wider plan?<\/strong> Medespoir offers aesthetic medicine and facial surgery in Tunisia. You can ask for a <a href=\"https:\/\/www.medespoir.ch\/devis.php\">free, personalised quote<\/a>, sent within 48 hours.<\/p>\n<h2 id=\"boosters\">Skin boosters and biostimulators<\/h2>\n<h3>What are skin boosters?<\/h3>\n<p>They are injections of lightly cross-linked or non-cross-linked hyaluronic acid, sometimes combined with other substances, placed as small deposits across the skin to improve hydration, elasticity and fine lines. They do not add volume or lift. A course of two to three sessions is often proposed, with maintenance every few months. They suit dull, dehydrated skin, the neck, the d\u00e9collet\u00e9 and the backs of the hands.<\/p>\n<h3>What are polynucleotides?<\/h3>\n<p>Injections of DNA fragments, often derived from fish, promoted to improve skin quality and fine lines, particularly under the eyes. The evidence base is growing but remains smaller than for hyaluronic acid. They are not reversible with hyaluronidase. Ask about allergies, since products may be of animal origin.<\/p>\n<h3>What is a biostimulator?<\/h3>\n<p>A product that stimulates your own collagen production, such as poly-L-lactic acid or calcium hydroxylapatite. Results build gradually over weeks to months and can last longer than hyaluronic acid. They are used for volume loss over larger areas. Their disadvantage: they cannot be dissolved with hyaluronidase, and they can cause nodules if poorly placed or prepared. They are generally not used in the lips or under the eyes.<\/p>\n<h3>Can hands and the neck be treated with injections?<\/h3>\n<p>Yes. The backs of the hands lose fat with age and after weight loss, making veins and tendons more visible. Hyaluronic acid or biostimulators can restore a smoother contour, and skin boosters improve the quality of cr\u00eapey skin. On the neck, skin boosters can soften fine horizontal lines, and botulinum toxin can relax vertical bands caused by the platysma muscle. Neither replaces a neck lift when the skin is loose; they work best in early ageing.<\/p>\n<h3>How do I know which injectable suits my skin?<\/h3>\n<p>Think in terms of the problem rather than the product. Expression lines respond to toxin; lost volume to fillers or biostimulators; dull, dehydrated or cr\u00eapey skin to skin boosters; pigmentation, redness and texture to lasers and peels rather than injections. A doctor who explains why a product fits your problem, and what it will not do, is more trustworthy than one who proposes the newest trend.<\/p>\n<h3>Are exosome treatments safe?<\/h3>\n<p>Exosome products are widely marketed for skin and hair, but their composition, origin and regulatory status vary considerably, and robust evidence is lacking. Treat claims with caution and ask exactly what product is used and how it is regulated in Switzerland.<\/p>\n<h2 id=\"complications\">Complications and hyaluronidase<\/h2>\n<h3>Which complications are common, and which are serious?<\/h3>\n<ul>\n<li><strong>Common and minor:<\/strong> redness, swelling, bruising, tenderness, small bumps that settle within days.<\/li>\n<li><strong>Less common:<\/strong> lumps or irregularities, Tyndall effect, migration, persistent swelling.<\/li>\n<li><strong>Delayed:<\/strong> inflammatory nodules weeks or months later, sometimes after an infection or dental treatment.<\/li>\n<li><strong>Rare but serious:<\/strong> infection or abscess, and vascular occlusion, when filler blocks a blood vessel.<\/li>\n<\/ul>\n<h3>What is vascular occlusion, and how do I recognise it?<\/h3>\n<p>It happens when filler is injected into an artery or compresses one, cutting off blood supply to the skin. Warning signs during or after injection include unusual pain, blanching (the skin goes white), then a mottled, dusky or purplish pattern, and later blisters. Signs affecting the eye, such as blurred vision, loss of vision, pain in the eye or a drooping eyelid, are an absolute emergency. If you notice any of these after an injection, contact your injector immediately and, if you cannot reach them, go to an emergency department. For vision symptoms, every minute counts.<\/p>\n<h3>How is a vascular occlusion treated?<\/h3>\n<p>With hyaluronidase, injected promptly and in high doses into the affected area. The task force of the American Society for Dermatologic Surgery (ASDS), in its evidence-based guideline published in 2021 and still cited in a presentation posted by the US Food and Drug Administration in December 2025, recommends high-dose hyaluronidase injected at the site of occlusion and into the surrounding area. A multinational consensus published in 2020 advises that every clinic using hyaluronic acid fillers keep hyaluronidase on hand. The evidence comes mainly from experience and case series, not from randomised trials, which is why preparation and speed matter so much.<\/p>\n<h3>What questions should I ask about emergency readiness?<\/h3>\n<ul>\n<li>Do you keep hyaluronidase in the practice, and in what quantity?<\/li>\n<li>Do you have a written protocol for vascular occlusion?<\/li>\n<li>How can I reach you after hours if I notice a problem?<\/li>\n<li>Do you have an arrangement with an ophthalmologist in case of vision symptoms?<\/li>\n<\/ul>\n<p>An injector who hesitates over these questions should not inject you.<\/p>\n<h3>Can fillers be dissolved?<\/h3>\n<p>Hyaluronic acid fillers can, with hyaluronidase. It is used to correct overfilling, migration, lumps, Tyndall effect or persistent swelling, and urgently for vascular occlusion. The effect is visible within a day or two; more than one session is sometimes needed. Hyaluronidase can cause allergic reactions, so non-urgent dissolving is usually preceded by a discussion of allergies and sometimes a skin test. Biostimulators and permanent fillers cannot be dissolved this way.<\/p>\n<h3>Why do fillers sometimes cause lumps months later?<\/h3>\n<p>Delayed nodules can result from an immune reaction, sometimes triggered by an infection, a dental procedure, a vaccination or flu-like illness, or from a low-grade bacterial colonisation of the product called a biofilm. Treatment depends on the cause: hyaluronidase, antibiotics, anti-inflammatory medicines or a combination. See your injector or a doctor experienced in filler complications rather than massaging the lump yourself.<\/p>\n<h3>What about permanent fillers?<\/h3>\n<p>Permanent fillers, such as silicone oil or polymethyl methacrylate products, are used much less today because complications, when they occur, can appear years later and are very difficult to treat, sometimes requiring surgery. If you have had a permanent filler in the past, tell any new injector, as it changes what can safely be done.<\/p>\n<h2 id=\"planning\">Planning, aftercare and timing<\/h2>\n<h3>How long before a wedding or big event should I have injections?<\/h3>\n<p>Botulinum toxin: about two to four weeks before, to allow the full effect and a possible adjustment. Fillers: at least two to four weeks before, more for a first treatment of the lips or under-eyes, to allow swelling and bruising to settle and any correction to be made.<\/p>\n<h3>What aftercare is needed after fillers?<\/h3>\n<ul>\n<li>Avoid make-up on the injection points for the rest of the day.<\/li>\n<li>Avoid strenuous exercise, saunas, hot baths and alcohol for about 24 hours.<\/li>\n<li>Do not massage the area unless your injector tells you to.<\/li>\n<li>Sleep on your back the first night if possible.<\/li>\n<li>Use cold compresses wrapped in cloth for swelling.<\/li>\n<\/ul>\n<h3>Can I have injections before dental treatment or vaccination?<\/h3>\n<p>Ideally, space them out. Many practitioners advise avoiding fillers for about two weeks before and after dental treatment or vaccination, because these can rarely trigger inflammatory reactions in existing filler. Tell your injector about any planned dental work or vaccine.<\/p>\n<h3>Can I have injections when pregnant or breastfeeding?<\/h3>\n<p>No. Botulinum toxin and fillers are not recommended during pregnancy or breastfeeding, for lack of safety data. Wait until after breastfeeding.<\/p>\n<h3>Can I fly after injections?<\/h3>\n<p>Generally yes, but many practitioners advise waiting a day or two after fillers because cabin pressure and dehydration can increase swelling. If you travel for treatment, plan to stay long enough for a review if possible, especially after fillers.<\/p>\n<h3>What does a sensible yearly plan look like?<\/h3>\n<p>For many people: botulinum toxin every three to four months for expression lines, a filler review once or twice a year, and skin quality treatments in spring and autumn. Keep a record of each treatment, including the product name, quantity and areas. The aim is maintenance, not accumulation.<\/p>\n<h2 id=\"consultation\">What a good injection consultation looks like<\/h2>\n<p>A good result starts before the needle. The consultation is where a practitioner decides whether to inject, what, where and how much, and where you can judge whether you are in safe hands.<\/p>\n<h3>What will the doctor ask me?<\/h3>\n<p>Your medical history, including autoimmune diseases, bleeding disorders, allergies (including to lidocaine or previous hyaluronidase), cold sores, medicines such as blood thinners, recent or planned dental work and vaccinations, pregnancy or breastfeeding, and any previous injections, with product names if you know them. Previous permanent fillers or threads are particularly important. If you take a GLP-1 medicine and are losing weight, mention it too, since your face will keep changing.<\/p>\n<h3>How should the face be assessed?<\/h3>\n<p>At rest and in movement, from the front and in profile, ideally with standardised photographs. The doctor should look at proportions, symmetry, skin quality, bone support and fat pads, and explain the cause of what bothers you. A line between the nose and the mouth, for example, is often treated better by supporting the cheek than by filling the line itself. A practitioner who goes straight to the area you point at, without looking at the whole face, may miss the real cause.<\/p>\n<h3>Should I be offered a plan or a single treatment?<\/h3>\n<p>Either can be right, but you should understand the priorities, the order of treatments, the expected duration and the realistic outcome. A good plan often does less than you expected in the first session and reviews the result before adding more. Written information and a consent form describing the product, the risks and what to do in case of a problem are signs of a serious practice.<\/p>\n<h3>Are there situations where the doctor should say no?<\/h3>\n<p>Yes: an active skin infection or cold sore in the area, pregnancy or breastfeeding, unrealistic expectations, a request for more volume in an already overfilled area, or a problem that surgery would solve better. Some practitioners also decline patients who show signs of body dysmorphic disorder, a condition in which a person is preoccupied by perceived flaws that others barely notice; injections rarely help and may worsen distress. Being turned down is not a judgment; it is often a sign of good practice.<\/p>\n<h2 id=\"scenarios\">Real-life scenarios<\/h2>\n<p>These typical situations illustrate how practitioners reason. They are examples, not recommendations for you.<\/p>\n<h3>A 34-year-old wants \u00ab\u00a0fresher\u00a0\u00bb eyes before a wedding<\/h3>\n<p>She has a mild hollow under the eyes and fine crow&rsquo;s feet. A sensible plan: botulinum toxin for crow&rsquo;s feet about a month before the event, and, if needed, a small amount of under-eye filler at least four weeks before, with a review two weeks later. If she tends to wake up puffy, the doctor may advise against under-eye filler altogether and suggest skin quality treatments instead.<\/p>\n<h3>A 52-year-old man dislikes his tired, angry look<\/h3>\n<p>Deep frown lines and heavy upper lids. Toxin in the frown muscles can soften the \u00ab\u00a0angry\u00a0\u00bb look, with conservative doses in the forehead to avoid dropping the brows further. The heavy lids, however, are a surgical question: an upper blepharoplasty, sometimes with a brow lift, is likely to help more than any injection.<\/p>\n<h3>A 45-year-old lost a lot of weight with a GLP-1 medicine<\/h3>\n<p>Her cheeks and temples are hollow and her jawline has softened. If her weight is still falling, the doctor will usually wait or treat lightly. Once it is stable, restoring support in the cheeks and temples with filler or a biostimulator is a first step; if the skin of the neck and lower face has really sagged, a surgical consultation is the honest recommendation.<\/p>\n<h3>A 27-year-old wants bigger lips like an influencer&rsquo;s<\/h3>\n<p>The doctor discusses proportions, starts with a small volume and explains that photos online are often filtered. If the patient already has filler from a previous injector that has migrated, dissolving it first and starting again gives a cleaner result than adding more on top.<\/p>\n<h2 id=\"choose\">Choosing an injector<\/h2>\n<h3>What should I check?<\/h3>\n<ul>\n<li>That the injector is a doctor, or a nurse working under a doctor&rsquo;s direct responsibility, and that the doctor&rsquo;s registration can be found in <a href=\"https:\/\/www.healthreg-public.admin.ch\/medreg\/search\" target=\"_blank\" rel=\"noopener\">MedReg<\/a>.<\/li>\n<li>That the treatment takes place in a medical setting.<\/li>\n<li>That a consultation precedes the treatment, with your medical history and a discussion of risks.<\/li>\n<li>That the product name and batch number are recorded and given to you.<\/li>\n<li>That hyaluronidase is available and there is an emergency protocol.<\/li>\n<\/ul>\n<h3>What are the red flags?<\/h3>\n<p>Treatment in a beauty salon or a hotel room, a \u00ab\u00a0party\u00a0\u00bb setting, products brought by you or bought online, no medical history taken, pressure to add areas or syringes, unusually low prices for branded products, and an injector who does not explain what to do if a complication occurs.<\/p>\n<h3>Should my plastic surgeon or a dermatologist do my injections?<\/h3>\n<p>Both can, as can other doctors trained in aesthetic medicine. The useful question is experience: how many treatments of this kind they do, and whether they can also recognise when surgery would be the better option. A doctor who offers both injections and surgery, or works with a surgeon, can advise you more broadly.<\/p>\n<h2 id=\"abroad\">Switzerland, Tunisia and combining with surgery<\/h2>\n<h3>Is it worth travelling only for injections?<\/h3>\n<p>Usually not. Toxin and fillers are short procedures that need regular maintenance, a review after two weeks and, rarely, urgent treatment. Having them close to home in Switzerland makes follow-up and emergency care easier. The calculation changes when injections are combined with a stay for surgery or other treatment.<\/p>\n<h3>What does Medespoir offer in Tunisia?<\/h3>\n<p>Medespoir offers aesthetic medicine in Tunisia, including botulinum toxin and hyaluronic acid injections, described in French on its pages on <a href=\"https:\/\/www.medespoir.ch\/injection-toxine-botulique.php\">botulinum toxin<\/a>, <a href=\"https:\/\/www.medespoir.ch\/injection-acide-hyaluronique.php\">hyaluronic acid<\/a> and in its <a href=\"https:\/\/www.medespoir.ch\/guide-medecine-esthetique.php\">guide to aesthetic medicine<\/a>. According to Medespoir&rsquo;s price page, care in Tunisia costs around 60% less than in Switzerland; the exact price is given in a free, personalised quote. Consultations and medical documents are in French. For Turkey, the quote specifies whether a treatment is possible and where.<\/p>\n<h3>Can injections be combined with surgery?<\/h3>\n<p>Yes, often. Botulinum toxin can complement a facelift or eyelid surgery, which do not treat expression lines. Fillers or fat grafting can restore volume that surgery does not. The timing matters: surgeons often prefer toxin a few weeks before or after surgery rather than on the same day in the operated area, and fillers in operated areas only after healing. Ask your surgeon to plan the sequence.<\/p>\n<h3>What should I bring back to Switzerland?<\/h3>\n<p>The names and batch numbers of the products used, the quantities and areas treated, and the contact details of the treating doctor. If a delayed reaction occurs months later, your Swiss doctor will need this information. Our general guide <a href=\"https:\/\/www.medespoir.ch\/blog\/botox-fillers-switzerland-2026-guide\/\">Botox, fillers and skin boosters in Switzerland: the 2026 guide<\/a> also covers lasers, peels and threads.<\/p>\n<h2 id=\"faq\">FAQ<\/h2>\n<h3>How long does Botox last?<\/h3>\n<p>Usually three to four months. The effect appears after a few days and peaks at about two weeks.<\/p>\n<h3>Who may inject Botox in Switzerland?<\/h3>\n<p>Doctors, or trained nurses working under a doctor&rsquo;s direct responsibility, in a medical setting. Beauty salons may not.<\/p>\n<h3>How long does lip filler last?<\/h3>\n<p>Commonly six to twelve months, depending on the product, the quantity and your metabolism.<\/p>\n<h3>Can lip filler be removed?<\/h3>\n<p>Yes. Hyaluronic acid filler can be dissolved with hyaluronidase, sometimes in more than one session.<\/p>\n<h3>Are under-eye fillers a good idea?<\/h3>\n<p>For a hollow with good skin, often yes. For bags, loose skin or puffiness, they can make things worse; surgery may be better.<\/p>\n<h3>What is the most serious risk of fillers?<\/h3>\n<p>Injection into a blood vessel, which can damage skin and, rarely, vision. It requires immediate treatment with hyaluronidase.<\/p>\n<h3>Is Botox covered by Swiss insurance?<\/h3>\n<p>Not for cosmetic use. It can be covered for certain medical indications such as excessive sweating or chronic migraine, under conditions.<\/p>\n<h3>Can I exercise after Botox?<\/h3>\n<p>Avoid strenuous exercise for the rest of the day. Light activity is fine.<\/p>\n<h3>Do fillers make your face sag when they wear off?<\/h3>\n<p>Not when used in reasonable amounts. Very large volumes over years can stretch tissues, which is another reason for moderation.<\/p>\n<p><strong>Ready to plan?<\/strong> Ask for your <a href=\"https:\/\/www.medespoir.ch\/devis.php\">free quote<\/a>, sent within 48 hours, for aesthetic medicine alone or combined with facial surgery.<\/p>\n<p><strong>Main sources:<\/strong> <a href=\"https:\/\/kyodonewsprwire.jp\/release\/202609296911\" target=\"_blank\" rel=\"noopener\">ISAPS, Global Survey 2025 press release (29 September 2026)<\/a>; <a href=\"https:\/\/www.plasticsurgery.org\/news\/press-releases\/lift-procedures-led-growth-as-demand-for-restoration-drove-plastic-surgery-in-2025-new-asps-report-reveals\" target=\"_blank\" rel=\"noopener\">ASPS, 2025 procedural statistics (1 September 2026)<\/a>; <a href=\"https:\/\/www.swissmedic.ch\/swissmedic\/en\/home\/about-us\/publications\/public-summary-swiss-par\/public-summary-swiss-par-relfydess.html\" target=\"_blank\" rel=\"noopener\">Swissmedic, summary report on the authorisation of Relfydess (2025)<\/a>; <a href=\"https:\/\/www.vd.ch\/sante-soins-et-handicap\/prevention-et-maladies\/interventions-esthetiques-risques-produits-et-professionnels-habilites\/injections-de-toxine-botulique\" target=\"_blank\" rel=\"noopener\">Canton of Vaud, botulinum toxin injections<\/a> and <a href=\"https:\/\/www.vd.ch\/sante-soins-et-handicap\/prevention-et-maladies\/interventions-esthetiques-risques-produits-et-professionnels-habilites\/injections-dacide-hyaluronique\" target=\"_blank\" rel=\"noopener\">hyaluronic acid injections<\/a> (in French); <a href=\"https:\/\/www.swissmedic.ch\/swissmedic\/en\/home\/news\/mitteilungen\/archive\/swissmedic-issues-a-warning-about-cosmetic-treatments-using-botu.html\" target=\"_blank\" rel=\"noopener\">Swissmedic, warning about cosmetic botulinum toxin treatments<\/a>; <a href=\"https:\/\/www.fda.gov\/media\/190352\/download\" target=\"_blank\" rel=\"noopener\">FDA presentation citing the ASDS filler guideline (December 2025)<\/a>; <a href=\"https:\/\/www.medestheticsmag.com\/news\/news\/21174150\/consensus-guidelines-to-reduce-the-risk-of-ha-filler-embolic-vision-loss\" target=\"_blank\" rel=\"noopener\">Multinational consensus on reducing the risk of filler-related vision loss (2020)<\/a>; KLV\/OPAS Annex 1, edition of 1 July 2026 (facial lipoatrophy).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Who may inject in Switzerland, botulinum toxin area by area, lip, under-eye, chin and jawline filler, skin boosters, complications and hyaluronidase: an in-depth guide to facial injections.<\/p>\n","protected":false},"author":1,"featured_media":11690,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[285],"tags":[],"class_list":["post-11541","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-switzerland"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin 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