What is Botulinum Toxin?
Botox is the purified toxin formed by the Clostridium botulinum bacteria. A miniscule amount of BOtulinum TOXin protein injected into a muscle prevents the normal nerve impulses and stops the muscle from contracting. Early uses of Botox were to prevent squints and eye spasms, but doctors soon noticed these patients had a reduction of wrinkles around the eye and Botox treatment is routinely used for wrinkle-reduction.
How Does Botox Work?
Once injected into a specific muscle, Botox works by causing preventing the muscle from contracting. This in turn stops the formation of the dynamic wrinkle. Once treated, the patient will still be able to frown and smile, but the skin will look fresher and less wrinkled.
From 2 to 3 days after treatment you will start to notice the Botox working, but it will take up to two weeks to reach its full effect. If required we can review the patient at that point and augment the treatment to reach the desired effect, at no additional cost.
Common Botox Treatment Areas:
• Forehead Lines
• 11’s or Glabellar Lines (Frown)
• Crow’s Feet (side of the eyes)
• Infra-orbital lines (below the eyes – subject to skin condition)
• Nasal flaring
• Chin puckering
• Peri-oral lip lines (lipstick bleed lines – sometimes combined with dermal fillers)
What types of wrinkles are there?
On the forehead wrinkles commonly appear in two ways:
Firstly, “the elevens”, or Glabella lines, which present as vertical lines just above the nose and result from squinting, scowling, worrying or just plain thinking.
Secondly, horizontal lines across the forehead may result from holding the brows up with the primary muscle of the forehead (the frontalis) during times of stress or simply from normal animation while talking.
These lines can become quite deep over time as they are primarily the result of continual muscle contraction.
Some very deep lines may need additional dermal filler treatment alongside the Botox injections if the lines do not go away when the muscle is at rest.
“Crow’s feet” around the eyes are caused by smiling and squinting. They can start at the eyebrow, continue down the side of the eye and often extend underneath. Botox Treatment can be performed under the eye to a certain extent (skin condition allowing) but it is limited by the proximity of the cheek muscles.
Less well-known uses of Botulinum toxin in facial muscles are:
• in the sides of the nose for people who tend to wrinkle up their noses
• in the chin if the muscle is very strong and causing puckering of the skin
• in the sides of the mouth for people who have a down-turned mouth at rest
• in some cases, it can also be used around the mouth in combination with dermal fillers to rid a patient of unsightly and aging smoker’s lines
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