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Botox: how much does an injection cost and why does it vary so much?

published on 19.08.2025 by Dr. Djian
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Summary
  • UNDERSTAND WHAT YOU'RE PAYING FOR: WHAT IS BOTOX?
  • HOW MUCH DOES A BOTOX® INJECTION COST?
  • WHY ARE BOTOX® INJECTION PRICES SO DIFFERENT FROM ONE PRACTITIONER TO ANOTHER?
  • COMPARE TO CHOOSE: BOTOX® VS. OTHER AESTHETIC TREATMENTS
  • THE TRUE PRICE OF BOTOX® IN PARIS OVER 15 YEARS
  • CONCLUSION
In short
  • Botox is a targeted muscle injection used for smooth out expression lines on the upper face (forehead, crow's feet, lion wrinkle), sometimes combined with hyaluronic acid for an overall effect.
  • It is an effective, non-invasive and non-durable method, a perfect alternative to plastic surgery.
  • The session price varies according to the practitioner, the treated area, The price depends on the type of treatment, the quantity injected, the reputation of the doctor and the location of the practice. In Paris, a complete session generally costs between €300 and €550.
  • Dr. Djian charges a flat rate per session, including up to three zones with no hidden surcharges.
  • Over 15 years Botox injections are more expensive than a facelift, making them a temporary solution ideal for gradual effects, but more costly in the long term.
  • Avoid bargain prices or non-medical injections: these present major risks (paralysis, necrosis, infections) and are never covered by insurance. Safety depends on the choice of practitioner and injection site.

From the first consultation at aesthetic medicine, many people wonder how much a Botox injection, why the tariff by zone varies, and what is included in the price of an injection. In reality, several factors influence the overall cost of the treatment: type of botulinum toxin injected, area of the face treated (forehead wrinkles, crow's feet, frown lines...), product quantity used, location of the aesthetic practice and, of course, the doctor's experience.

Are you considering an injection but still unsure about the right method or timing? This comprehensive guide will help you make the right decision. Read carefully, you may reconsider your approach to Botox.

 

 

UNDERSTAND WHAT YOU'RE PAYING FOR: WHAT IS BOTOX?

 

BOTOX, BOTULINUM TOXIN, CLEAR DEFINITION

 

Botox®, or botulinum toxin type A, is an injected cosmetic product derived from the bacterium Clostridium botulinum. This neurotoxic compound acts by blocking the release of acetylcholine, a neurotransmitter responsible for muscle contraction. Injected into low dose, It prevents targeted muscles from contracting, allowing wrinkles to relax and skin to appear smoother.

 

HOW DOES BOTOX WORK?

 

In aesthetic medicine, Botulinum toxin is mainly used to treat areas of the face marked by repeated muscle contractions. Visit upper face is the most frequently targeted area, along with the frown lines, horizontal forehead folds and leg wrinkles goose.

 

Botox injection areas on the face

 

But other areas of the face and neck can also be targeted:

  • chin, in case of uneven skin or bitterness folds,
  • the nose, to reduce bunny lines,
  • the eyebrow, when a subtle enhancement is required,
  • lip contour, in particular to correct a gummy smile,
  • the neck, in the treatment of platysmal cords or cervical loosening,
  • underarms, to reduce excessive sweating
  • and masseters, in the case of bruxism (involuntary teeth grinding or clenching), to relieve muscle tension and visually refine the jaw.

In a more comprehensive approach, Botox® can also be combined with hyaluronic acid to fill certain fine lines around the eyes, cheekbones or nasolabial fold, when the effects of skin ageing are not solely due to muscular dynamics.

 

HOW MUCH DOES A BOTOX® INJECTION COST?

 

HOW MUCH DOES A BOTOX® INJECTION COST IN FRANCE?

 

The billing method for botulinum toxin injections varies from doctor to doctor. Some charge by the overall session, others by the number of units or ampoules used, or by the number of units or ampoules used. treated area. These pricing approaches reflect different care philosophies. In Paris, the average price of a Botox® session is generally between €300 and €550 incl. VAT, depending on the extent of the treatment and the methods chosen.

 

WHAT FACTORS INFLUENCE THE PRICE OF A BOTOX® INJECTION?

 

The cost of botulinum toxin injections depends on a number of technical and medical factors. The product brand used (Botox®, Dysport®, Azzalure®), geographical location (e.g. Paris vs. province), and the reputation of the aesthetic doctor directly influence the amount of the fee.

Other elements are specific to each patient:

  • the fold depth,
  • the muscle strength injected (such as the corrugator muscle for frown lines),
  • the gender (men often require higher doses),
  • and above all the’desired effect Discreet, natural or more pronounced.

An experienced doctor adapts the injection protocol to the morphology, age and expectations of each face.

 

DR DJIAN'S RATES

 

Dr. Djian practices a flat rate per session, regardless of the number of treated areas (usually up to three). This choice guarantees a coherent, harmonious result with no hidden extra costs.

During the first consultation Doctor Djian establishes a personalized diagnosis and proposes a clear, detailed estimate, taking into account your objectives, the muscle strength to be corrected, and the strategy best suited to your face.

Would you like more information or a clear quote tailored to your face, age and budget?
Doctor Jérémy Djian welcomes you in complete confidentiality to his practice at 5 square Thiers, Paris 16th arrondissement.
.

 

 

A Botox® injection takes place in several stages, generally over a total period of 20 to 30 minutes :

  • First consultation The practitioner carries out a complete facial diagnosis, observing the quality of the skin, the activity of the muscles of expression, the areas to be treated, and determines the quantity of botulinum toxin required. Hyaluronic acid may also be suggested, depending on the indications.
  • Patient preparation for more sensitive areas of the face, such as the upper lip or eye contour, a anaesthetic cream can be applied to enhance comfort. However, its use remains optional.
  • Product injection The procedure is performed with an ultra-thin syringe, enabling high precision. The botulinum toxin is introduced at a very high low dose in the targeted muscles, according to the plan defined during the initial consultation.
  • End of session This is a non-surgical medical procedure performed in the aesthetic office, without the need for general anesthesia or hospitalization. Patients can resume their normal activities immediately afterwards, provided they observe a few simple precautions (no intensive sports, no facial massage, etc.).

 

RESULTS: WHEN DO THEY APPEAR? HOW LONG DO THEY LAST?

 

The results of a botulinum toxin injection are not immediate. The first signs of improvement generally appear between day 3ᵉ and day 4ᵉ., The result is a visible reduction in muscle contraction and a gradual smoothing of wrinkles. The maximum effect is reached between day 10ᵉ and day 15ᵉ., when a 15-day touch-up check can be offered if necessary.

Average duration of action is 4 to 6 months, but it can vary according to several parameters: the type of muscle targeted, the injected quantity, and above all each patient's metabolism. Intense physical activity, a highly expressive face or a muscle under heavy strain may slightly reduce the longevity of the rendering.

When the effect begins to fade, a new session can be envisaged to maintain a harmonious result. A regular protocol, well adapted to your biological rhythm, helps preserve the benefits of your treatment. without freezing natural facial expressions.

 

WHY ARE BOTOX® INJECTION PRICES SO DIFFERENT FROM ONE PRACTITIONER TO ANOTHER?

 

EXPERTISE HAS A COST: QUALIFICATIONS AND QUALITY OF SERVICE

 

The price of a Botox® injection is not limited to the cost of the injection. quantity of product used. Above all, it reflects the physician's level of expertise, his detailed knowledge of facial anatomy, and his ability to adjust each gesture to the patient's morphology. An experienced practitioner will know how to dose with precision, anticipate asymmetries, avoid complications (such as ptosis) and suggest an appropriate natural result, adapted to facial expression. The price also takes into account the time required for the initial diagnosis, the personalization of the protocol, the safety of the procedure, and any follow-up. Conversely, a fee that's too low may conceal a lack of training or a standardized approach, to the detriment of the finesse and harmony of the final result.

 

ROCK-BOTTOM PRICES: WHAT THEY HIDE

 

Abnormally low tariffs may conceal high-risk practices: use of unapproved products, injections performed outside the authorized medical framework, or by unauthorized persons. These acts are illegal in France (article L4161-1 of the French Public Health Code) and expose patients to serious complications such as ptosis, partial paralysis, infection and even tissue necrosis, which should not be underestimated.

The media affair of the “Botox sisters”A reminder of the very real dangers of these abuses.

In the event of a problem, no insurance will cover the damage if the procedure was not carried out by a qualified healthcare professional in an authorized medical facility. The choice of doctor and place of care is not simply a question of comfort: a guarantee of medical safety.

 

WHEN IS BOTOX® COVERED BY SOCIAL SECURITY?

 

Botox® may be reimbursed by the Assurance Maladie, but for therapeutic purposes only, never for cosmetic use. These are very specific medical situations, such as :

  • blepharospasm (eyelid spasms),
  • severe bruxism,
  • chronic migraines,
  • or excessive sweating of the armpits, hands or feet.

These procedures must be prescribed by a physician, performed with an approved product, and have a specific reimbursement code on the list of reimbursable products and services (LPPR).

 

COMPARE TO CHOOSE: BOTOX® VS. OTHER AESTHETIC TREATMENTS

 

BOTOX® OR HYALURONIC ACID: WHAT'S THE DIFFERENCE?

 

The two are often confused. the difference between botox and hyaluronic acid is important. Le Botox® relaxes muscles to smooth wrinkles, while’hyaluronic acid is a dermal filler. used to restore volume or for deep moisturizing, particularly in the case of a lip injection, and nasolabial folds, for reduce dark circles or redefining the jawline. The former temporarily paralyzes, the latter hydrates and structures.

 

CAN BOTOX® BE COMBINED WITH OTHER TREATMENTS?

 

Yes, Botox is frequently combined with hyaluronic acid injections. and provides complementary action on the signs of time. While botulinum toxin relaxes parts of the face marked by repeated movements, hyaluronic acid acts on volume deficits or sagging facial contours. This combined approach, adapted to the specificities of each morphology, is implemented progressively after a precise assessment of the areas to be corrected.

 

WHAT “NO BOTOX” ALTERNATIVES EXIST?

 

Some so-called« no botox »These "natural" or non-invasive alternatives promise a smoothing effect:

  • facial massages,
  • acupuncture,
  • facial gymnastics,
  • or cosmetic care .

Other techniques, such as focused ultrasound (HIFU), radiofrequency or LEDs, are sometimes proposed as anti-aging solutions.

While they can improve skin quality or delay the appearance of the first signs of aging, their effectiveness remains limited on deep wrinkles that have already set in. Beware of over-ambitious promises: none of these options can replace the targeted, long-lasting action of Botox on muscle activity.

 

THE TRUE PRICE OF BOTOX® IN PARIS OVER 15 YEARS

 

IS IT A LUXURY OR AN INVESTMENT?

 

In the short term, Botox® represents a flexible, progressive and reversible solution, at an affordable initial cost. But at 2 sessions a year at €400, the cumulative cost over 15 years exceeds €12,000, more than the average cost of a cervico-facial lift, estimated at €10,000 in a single operation.

 

Botox vs facelift-comparative price

If the aim is to maintain visible results over the long term, facelifts become a more cost-effective alternative, especially after 10 to 12 years of continuous treatment. Dbotox doesn't solve all problems and is often combined with hyaluronic acid to completely rejuvenate the face and neck.

The choice between the two therefore depends as much on the budget available as on the level of correction sought, age, and the aesthetic strategy envisaged.

 

IS THERE A SAFE LOW-COST ALTERNATIVE?

 

Yes, there are options to keep the budget down without compromising safety. The Baby Botox, based on the injection of micro-doses of botulinum toxin, is a preventive method ideal for smoothing the first fine lines with a natural effect.

On the other hand, injections outside the medical context are to be avoided Products bought online, pre-filled syringes, home or non-physician interventions all present major risks (paralysis, infection, necrosis), with no medical care available in the event of complications.

 

CONCLUSION

 

The price of a Botox® injection depends on a number of parameters: the area treated, the number of sessions, the number of milliliters of product injected, the doctor's experience... It's better to invest in a safe, progressive and well-supported aesthetic treatment. Ask for a personalized quote, compare fees including VAT, and opt for aesthetic medicine that respects your morphology and your skin. Botox® is today a complete, modular solution, adapted to every face, for correcting wrinkles, preserving the oval of the face, or simply boosting radiance in a natural way.

Want to take action with safe, precise and personalized treatment?
Make an appointment for an examination with Dr Djian
at 5 square Thiers, in the 16th arrondissement of Paris.
An initial discussion will enable us to assess your expectations and morphology, and define a suitable protocol.

 

Your Questions

FREQUENTLY ASKED QUESTIONS ABOUT BOTOX

IS THERE AN IDEAL AGE TO START?

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There is no no fixed age, but injections are often performed prevention from age 30, This is when the first expression lines become visible on the forehead, around the eyes or between the eyebrows. At this age, doses are often lower, with a natural, discreet effect. The doctor adapts the quantity of toxin to the desired aesthetic effect: baby botox for light action, or full protocol for more pronounced correction.

IS IT PAINFUL?

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No, injections are performed with a very fine syringe, and most patients tolerate them very well. For more sensitive parts of the body, such as the neck or lips, the application of an anaesthetic cream may be suggested. The sensation is comparable to a micro-picotement. It's rare to have to allow time for rest after a session, especially when it's well established and carried out by an experienced practitioner.

IS A TOUCH-UP INCLUDED?

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In most cases, a 15-day touch-up test is scheduled in the initial estimate, particularly if asymmetry or insufficient effect is observed. This touch-up is often billed only if an additional dose is injected. It also depends on the type of protocol used (baby botox, complete treatment, or targeted action on a single treated area).

CAN YOU DO SPORT AFTER AN INJECTION?

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We recommend’avoid strenuous physical activity for 48 hours after the session. Relative rest allows the botulinum toxin to bind well to the injected muscle, without migrating. On the other hand, gentle exercise and walking are no problem. You should also avoid medical treatments such as laser, lip filling or mesotherapy of the décolleté immediately after injection.

HOW TO AVOID FROZEN RESULTS?

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All depends on the volume of botulinum toxin inoculated and treatment strategy. A frozen effect is generally the result of overdosing or incorrect analysis of facial muscle function. By choosing a qualified doctor trained in aesthetic medicine, you can be sure of a gradual, realistic result in line with your natural expression level. A good practitioner will also be able to suggest alternative or complementary treatments, such as hyaluronic acid for cheeks, cheekbones or nasolabial folds.).

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Dr. Jérémy Djian
Dr. Jérémy Djian

Dr Jérémy Djian is a plastic surgeon based at 5 square Thiers, near the Victor Hugo roundabout, in the 16th arrondissement of Paris.

He trained in Paris and remains attached to the hospital in the prestigious department of Pr Laurent Lantieri.

 

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