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Botulinum toxin “botox”

Used to eliminate mimic wrinkles, mainly in the upper part of the face. The treatment removes tension in muscles, which cause wrinkles each time they shrink, so it also has a preventive effect, and can be used in young people. The effect appears after about 3 days, but we can fully assess it after about 2 weeks. It lasts 3 to 4 months (forehead, wrinkles between eyebrows, crow’s feet).

If the fight against wrinkles is to be fast, effective and non-invasive… Then nothing surpasses the botulinum toxin, which is your ally in eliminating the signs of passing time on the face and neck. The properties of botulinum toxin are used not only in aesthetic dermatology. The treatment consists of several small injections and is almost painless. You can return to normal activity and daily routine immediately after the procedure.

Botulinum toxin

Indications

• Mimic wrinkles mainly in the upper part of the face:
  • Wrinkles around the eyes (“crow’s feet”)
  • Horizontal wrinkles on the forehead
  • Wrinkles between the eyebrows (“frown lines”)
• Wrinkles on the lower part of the face:
  • sagging corners of the mouth
  • wrinkles of the upper lip (“smoker’s lines”)
  • wrinkles on the chin
• wrinkles on the neck
• Gummy smile
• Gnashing – bruxism
• Migraine pains
• Hand and feet hyperhidrosis

Treatment description

Botulinum toxin – a very potent natural toxin that inhibits the release of acetylcholine, the neurotransmitter responsible for transmitting impulses between nerves and muscles. Botulinum toxin works by blocking connections between nerve endings and innervated muscles, i.e. it blocks the so-called nerve-muscle synapses. Therefore, no contractions appear in the paralysed muscle. Botulinum is equally effective in men as in women.
Botulinum toxin is used in medicine to treat various diseases such as strabismus, neurological diseases with excessive muscle tension as well as excessive sweating. To eliminate mimic wrinkles, very low concentrations of the toxin are used, which do not affect other elements of the nervous system outside the injection site.

Is the treatment painful?

Many patients compare it to an ant or mosquito bite lasting just few seconds. The procedure does not require local anesthesia. For the sake of patient’s comfort, sometimes an anaesthetic in cream (e.g. EMLA) is applied about 1 hour before the procedure.

When are the effects visible and how long do they last?

The effects appear after about 7 days and last for about 4-6 months. The procedure should then be repeated

Therapy regimen

Administration of botulinum toxin does not require any specific diagnostic tests. Botox is injected using a disposable syringe equipped with a very thin needle. A small amount of the preparation is injected precisely into several points on the face. The procedure is short. Depending on the number of treated areas (injection points), it takes about 15-20 minutes. The pain associated with injection is minimal.
Treatments may be repeated every 6-8 months, not more often than once every 3 months. This is one of those treatments that patients want to repeat, because it gives very fast and long-lasting effects that everyone around them notices, while being non-invasive and simple to perform.

Post-treatment recommendations

• avoid massages at injection sites
• for 4 hours after the procedure, do not lean your head down
• you must not consume alcohol within 12 hours of treatment

After the procedure, the patient can return to his everyday activities. The puncture marks are almost invisible.

Contraindications

• Neuro-muscular conduction disorders (myasthenia gravis, Lambert Eaton syndrome)
• Hypersensitivity to preparation ingredients (human albumin)
• Use of the following medications or a period of up to 1 week from their discontinuation:
  • aminoglycosides (streptomycin, gentamicin, amikacin, kanamycin, etc.)
  • aminoquinolones (chloroquine, hydroxychloroquine)
  • D-penicillamine
  • cyclosporine A
  • tubocurarin, pancuronium, galamine
  • succinylcholine
  • lincomycin, tetracycline, polymixin
• Pregnancy, breastfeeding
• Skin inflammation and active skin infections (herpes, acne)
• Coagulation disorders

Side effects

• the pain at injection;
• small haematomas that may occur at the injection site if the needle hits a small vessel;
• too lowered or lifted eyebrows when treating forehead wrinkles;
• minor, temporary swelling with a slight tingling sensation at the injection site;
• excessive muscle relaxation (dropping of the eyelid, dropping of the corner of the mouth);
• headache, which disappear after the application of the pain reliever.

All these reactions are temporary, most of them usually subside after a few days. The effect of excessive muscle relaxation may last 2-6 weeks.