Treatments in the field of aesthetic cosmetology and anti-aging medicine are
very popular nowadays. Botox is a substance that is a youth elixir for some. It gives
shivers and disgust to others. What is it? And should we be afraid of it? What are the
indications and contraindications of it? You can find out in this article. Enjoy your
1. WHAT IS BOTOX?
Botox- (botulinum toxin type A) is one of the most popular curative
used in aesthetic cosmetology and rejuvenating treatments. Its’ main purpose
on anti-aging medicine is a relaxation of facial muscles, however botox is also
- hyperhidrosis treatments,
- stomatology (bruxism, gummy smile),
- ophthalmology (squint, lagophthalmos),
- neurology (treatment of paralysis and paresis),
- migraine treatment,
- dystonia treatment.
Botox, despite the a number of doubts about synonyms like botulinum toxin and
botulism is used in medicine for many years. You can state that it is one of the most
tested active substances used in aesthetic medicine.
The most popular areas of botulinum toxin use in wrinkles treatment are: muscle
- located in the outer corner of the eye – so called “crow’s feet”
- near the mouth – so called “smoker’s lines”
- transverse – so called “lion’s wrinkle” and vertical forehead.
Moreover Botox is used to:
- lifting the tips of the mouth
- reduction of wrinkles on the nose – so called “bunny lines”
- relieving overactive chin muscles
- relieving strong masseters – bruxism treatment, grinding one’s teeth treatment
- neck lifting.
Botox effectively eliminates the appearance of mimic wrinkles, created in result of
excessive muscle activity in the certain areas of the face. Wishing to remove
permanent, deep furrows, it’s important to take into consideration that doctor of
aesthetic medicine can recommend different ways to correct the imperfections – fore
example : application of product that has an excipient (hyaluronic acid or other) in its’
2.PRE-PROCEDURE RECOMMENDATIONS USING BOTULINUM
TOXIN TYPE A
Botox injections do not require complicated diagnostic test. Doctor of aesthetic
medicine that qualifies for the anti-aging treatment precisely examines the facial
physiognomy, muscle movements during facial expressions and the way the certain
wrinkles behaves. The doctor will check the current skin condition for any non-healed
infections or inflammation.
During the medical history examination please inform your doctor about
pharmacological drugs (if any taken) – some of them require to be set aside for at
least 7 days before the botox procedure can be taken place in a safely manner.
Furthermore it’s important to inform your doctor about any earlier infections
(especially with permanent fillers) and any potential planned aesthetic or surgical
treatments in the future.
3. WHERE TO INJECT BOTOX?
Places of injections are set up individually, depending on muscle function and facial
expressions of the client. There is no specified scheme for the injections. Its’ density
depends on the type of used product – preparations that consists of botox are
characterized by a different degree of penetration, what an experienced doctor
considers in the injection technique.
4.ARE THE BOTOX INJECTIONS PAINFUL?
Discomfort of botox injections performed with micro needle can be compared to a
mosquito bite. Even the most sensitive ladies admit that injections are almost
painless. Treatments in Bently Beauty office by a doctor of aesthetic medicine are
always carried out with empathy and respect of dignity. We are taking our time. If
you are not ready for the treatment we can always reschedule the appointment and
perform at another time.
The procedure lasts 20-30 minutes. Small doses of products are given locally.
5. WHAT IS THE AGE RESTRICTIONS FOR BOTOX?
Sometimes the wrinkles are visible even in young age, when facial muscles are
relaxed. Botox injection is an individual choice for everyone. Sometimes we carry out
botox procedures for 25 year old clients that need the anti-aging, preventive
treatment which prevents the fixing of mimic wrinkles. Unfortunately there are
individuals that show up in our office for whom it is already too late to have botox
procedure. If there is too much skin in the area of the upper eyelid and forehead a
procedure in the field of plastic surgery such as: forehead lift, brow lift, eyelid
surgery, might be suggested.
6. HOW DOES THE BOTOX WORK?
Botulinum toxin causes the temporary loosening of the muscle tension in which the
botox has been injected. Botox eliminates neuromuscular transmission on the
brain-tissue line. The lack of pulse flow means that muscles do not shrink despite the
signal. Due to this, the collagen joints are not extended and the formation of wrinkles
is stopped for the duration of botox.
Temporary duration of the botulinum toxins has its’ pros and cons. The pros includes the
absolute reversibility of the treatment, the cons are the necessity for regular visits to sustain the effect.
7.WHEN SHOULD WE EXPECT THE EFFECTS?
Botox usually works within 2 weeks. However there are cases when clients see the
change even within 2 days from injection. It is an individual thing. It is worth
mentioning that botulinum toxin’s effects can last 3 up to 6 months. After this period
of time the muscle activity will gradually come back to its’ function. To extend the
effect of wrinkle elimination, the injections will have to be probably repeated. Taking
the skin condition and depth of wrinkles into consideration, doctor of aesthetic
medicine arranges the next appointment for the treatment and will possibly
encourage the client to take complementary treatments.
The durability of botulinum injection effects also depends on the patient’s life
style. Patients that are highly physically active will metabolize the formulation faster.
Different aesthetic therapies have an impact as well on the speed of toxin excretion.
This includes therapies such as: fractional laser CO2, microcenthesis , treatments
using radio waves or electrostimulation. We recommend to do facial renewal
treatments before injecting botox.
8. BOTOX – RECOMMENDATIONS AFTER TREATMENT
- For about 5-6h after treatment it is recommended to try to avoid bending
down, lying, jumping and touching the treated area
- Avoid the situation in which we are exposed to temperature fluctuations at
least for next 48h after treatment (7 days is advisable) – do not use sauna,
cryogenic chambers, steam baths,solarium and the direct sunlight.
- Do not drink alcohol or do any physical workout such as gym workout/ fitness/
jogging/ running for at least 24h
- For next 4-5 days do not use face peelings and do not massage the injection
- Normally a control visit takes place 2 weeks after the treatment – the doctor
checks the correct distribution of the substance. It is also a time for any extra
injections if your doctor decides it’s needed.
Recovery time after treatment depends individually on the of each patient, but
always follow the recommendations of a botox therapy specialist.
9.BOTOX – SIDE EFFECTS
Botox is relatively new in aesthetic medicine (first procedures in Poland using
botulinum toxin began in second half of the nineties). The negative effects of
botulinum toxin were hard to verify with clinical tests.
Possible short term side effects after injecting botulinum toxin: redness of the skin,
bruising, swelling around the area where botox was injected.
Rare Complications :
- breathing difficulties, swallowing difficulties, difficulties in speaking due to the
swelling of the face (related the the consumption of botulin)
- discoloration at the injection area
- swelling of the hands, feet, ankles (due to botulin injection in neurological
- eyelid ptosis
- feeling of heaviness in the upper part of the face
- swelling of the eyelids, eyelid inflammation, eye pain, unclear vision
- swoon, tinnitus
- nausea, dizziness
- muscle vibration
- dryness in the mouth
- flu symptoms, a feeling of muscle tension at the injection area
- pruritus and tingling
- sensitivity to light
Those side effects happen very rarely. They are usually related to the injected area,
inappropriate qualification of the patient, incomplete exclusion of contraindications,
concealment of taken medicines and not following the instructions. Side effects can
as well happen if:
- the wrong amount of botulinum toxin was injected
- it was injected into the wrong muscle
- it was injected in too much concentration
- too deep or too shallow.; It can cause problems with regaining the previous
In case of inflammation ( that lasts more than 7 days) or any different side effects,
immediately, please report it to your doctor in order to start the proper treatment. In
some cases the treatment can last up to few months.
10. What are the contraindications for botox
Contraindications for injection with botulinum toxin type A are divided into relative
- pregnancy or lactation period;
- currently undergoing disease processes
- allergy to botulinum toxin
- generalized impaired muscular function ie.: myasthenia gravis, Lambert-Eaton
- immunological diseases (rheumatoid arthritis, ulcerative colitis)
- psoriatic arthritis, Crohn’s disease, Graves’ disease, ankylosing arthritis, etc.)
- immunotherapeutic treatment;
- inflammation or cutaneous infection (acne, herpes, etc.);
- tendency to create keloid (scar tissue);
- taking blood thinners;
- blood diseases;
- decompensated diabetes;
- problems with wound healing;
- streptococcal diseases (e.g., frequent angina);
- the presence of particularly drug-resistant forms of staphylococcus;
- recurrent or existing infections;
- endocrine diseases, thyroid diseases;
- neoplastic diseases.
Taking medicines ie:
- aminoglycoside antibiotics,
- muscle relaxants,
- antirheumatic drugs
may affect the action of Botulinum toxin type A.