Botox has gained worldwide popularity. Botox is a botulinum toxin – a very strong natural toxin which affects connections between nerve-endings and muscles therefore blocks neuromuscular synapses. As the result of the treatment, particular muscles do not contract. Therefore Botox is successfully used in wrinkles smoothing procedure among women and also men.
It is worth knowing that botulinum toxin has been used in medicine for many years. Strabismus, neurological disease which demonstrate excessive muscle tension, excessive sweating are just some of the examples. Wrinkle-smoothing treatment uses very low concentration of this toxin. That does not affect other parts of the nervous system outside the injection area. There should be a minimum of 3-week intervals between anti-wrinkle treatment and other skin rejuvenation methods like laser therapy, chemical peel, microdermabrasion.
Botox – who can benefit?
Mimic wrinkles in the upper part of the face are the main indications for Botox treatment:
- wrinkles around the eyes ( the so-called “crow’s feet”),
- lateral lines on the forehead,
- wrinkles between the eyebrows ( “lion’s wrinkle”)
- the lower part of face wrinkles – “marionette lines” on the neck and chin,
- hands and feet increased sweating.
What is the treatment like?
Botulinum toxin application does not require any specific diagnostic tests. The procedure is not painful. Many patients compare the procedure to a mosquito bite which lasts for few seconds. It does not even require local anesthesia, however sometimes a special anesthetic cream is used for the patient’s comfort. Such cream is applied about 30 minutes before the procedure. Botox is then injected with the use of a disposable syringe with a very fine needle. After examination, the surgeon determines the appropriate dose. A small amount of formulation is precisely injected into several locations on the face. Depending on the number of treated areas (injection points) the procedure takes about 15-20 minutes. After the procedure the patient may return to their daily activities. Injection traces are practically invisible.
Botox is one of the procedures patients are willing to repeat, as it gives instantaneous and long-lasting results everyone can notice. This is also a non-invasive procedure. Results normally appear after 7 days. The procedure is effective for about 3 to 6 months, when it be repeated. A patient undergoes a recursive treatment every 6 to 8 months, however not often than every 3 months.
- within 0.5-1 hour after Botox administration – exercise the facial muscles in the injection area;
- avoid massaging around injections;
- within 4 hours after treatment, do not bend your head down (e.g. when tying shoes, when sleeping).
- neuromuscular conductivity disorders (myasthenia gravis, Lambert Eaton syndrome);
- local skin infections;
- pregnancy, breastfeeding period;
- hypersensitivity to the formulation components (human albumin);
- the use of the following medications and 1 week after treatment discontinuation: aminoglycosides (streptomycin, gentamicin, amikacin, kanamycin, etc.). aminoquinoline (chloroquine, hydroxychloroquine); D-penicillamine (Cuprenil); cyclosporine, tubocurarine, pancuronium, gallamine, succinylcholine, lincomycin, tetracycline, polymyxin
- pain when the formulation is injected;
- small hematomas at injection points if the needle penetrates small a blood vessel;
- excessive eyebrows lowering or rising in forehead wrinkles treatment;
- small, temporary swelling and a mild tingling sensation at the injection points;
- excessive muscle relaxation (ptosis, mouth corner drooping);
- headaches alleviated with analgesics.
These reactions are temporary and normally disappear after a few days. The excessive muscle relaxation effect may continue for 2-6 weeks.