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allergic reaction"],"pain":"Mild: brief pinprick discomfort from several fine-needle injections; usually tolerated without anesthesia, topical numbing cream is optional.","preparation":["Consultation on facial anatomy, brow position and expectations","Discuss medical history, allergies and neuromuscular conditions","Arrive makeup-free or have skin cleansed at clinic","Avoid alcohol and bruising-promoting agents beforehand"],"recovery_timeline":[{"phase":"First hours","description":"Small bumps at injection sites settle within about an hour; mild redness possible.","restrictions":["Avoid rubbing or massaging the treated area","Avoid lying flat for about 4 hours"]},{"phase":"First 24 hours","description":"Return to normal daily activities.","restrictions":["Avoid strenuous exercise, heat exposure such as sauna"]},{"phase":"Days 3-14","description":"Gradual onset of muscle relaxation with full effect by about 2 weeks.","restrictions":[]}],"rehabilitation_days":{"min":0,"max":1,"unit":"days","qualifier":"Ordinary functional recovery is immediate to within one day; no rehabilitation needed."},"result_longevity":"Effect typically lasts about 3-4 months, varying by individual and dose; repeat treatment is needed to maintain the result.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Touch-up injection within about 2-4 weeks for uneven or insufficient effect; excludes routine maintenance repeats."},"scars":"No scarring expected; tiny needle marks resolve within hours to days.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One injection session for the initial treatment; repeat sessions are maintenance."},"stages":[{"code":"injection","label":"Botulinum toxin injection into forehead muscles","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the first and only initial session."}}],"qualifier":"Initial treatment is a single session; maintenance repeats are usually every 3-4 months or longer."},"success":{"metric":"Investigator-rated improvement of forehead lines at maximum eyebrow raise","value":80,"unit":"% of patients responding","horizon":"4 weeks after injection","population":"Adults with moderate to severe dynamic horizontal forehead lines","evidence_status":"limited"},"techniques":[{"name":"Intramuscular botulinum toxin type A injections into frontalis","suits_whom":"Adults with dynamic horizontal forehead lines and adequate brow position, often combined with glabellar treatment to balance brow movement.","recovery":"Minimal downtime; effect appears in about 3-14 days."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.5,"unit":"hours","qualifier":"About 10-30 minutes for one forehead treatment session including preparation."},"initial_assessment_documents":["Front photo of face at rest","Front photo with eyebrows raised","Side and three-quarter photos of forehead","Previous botulinum toxin treatment record (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single injection session; fly home same day or next day. Optional 2-week review can be remote."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/city=santiago-de-caballeros/procedure=botoks-v-lob/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":1},"manualSeo":[],"updatedAt":"2026-11-05T02:20:10.707Z","activeCountries":["DO","TR","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}