This is a question
concerning potential clients who would like to consider having anti-wrinkle
injections but who are put off by popular misconceptions of ‘botox’ treatments.
Numerous examples of celebrities with frozen faces don’t help to give it good
press.
What is Botox?
Botulinum toxin is a
purified protein manufactured under stringent control processes in
pharmaceutical laboratories. It works by stopping the release of a chemical
neurotransmitter so that nerve signals do not reach muscles and the effected muscles
no longer contract. When injected into the face, reduced creasing of the skin
allows the natural repair mechanisms of the dermis to fill in the wrinkle. This
is why it works best on expression lines (dynamic wrinkles) rather than
wrinkles unaffected by facial expression (static wrinkles).The latter are
better addressed with dermal fillers.
Is Botox a
poison?
Yes, it is.
Originally produced by the bacterium Clostridium botulinum, botulinum toxin is
one of the most powerful neurotoxins known. In the 1800s it caused many deaths
by botulism (generalized muscle paralysis), usually after eating poorly
prepared meat. When used medically, however, it is produced in a laboratory in
purified form and given in minuscule quantities, so that there are no dangerous
side effects.
Is Botox
safe?
The drug has now been
used in medicine for over 30 years. There are approximately 1800 published
studies about it, making it one of the best-researched medicines ever. Dosages
used to treat children with cerebral palsy may range from 100 to 400 units,
whilst typical dosage for cosmetic use is 50-125 units. Botox is used in these
small quantities to treat very specific areas of the face. It will not travel
into your blood system in any way and effect other parts of your body.
What are
the side effects?
There will be a temporary tiny
pink mark and a little swelling at each injection site, which usually lasts for
a matter of minutes. Occasionally a bruise may occur,
as in any type of injection. You can reduce the risk of bruising by avoiding
aspirin or ibuprofen-type drugs in the week prior to treatment. Rare side
effects can include a headache. Laziness of an eyelid or mild double vision may
occur due to technical error by a less experienced aesthetician. Fortunately
these effects are temporary and reported to last one to two weeks.
How long
does it last?
Botulinum toxin will
reduce facial lines and wrinkles for approximately three to four months, so most
people have treatment three or four times a year. The results of treatment are
not immediately apparent, taking about two days to appear and a week or two to
reach maximal effect. Repeated treatments will, after about 2 years, have a
longer lasting effect, meaning that twice yearly injections will be sufficient.
What about
migraines and excess sweating?
Botox is also very
effective in reducing excessive sweating and has been approved for the
treatment of migraine in the UK.
Will it
produce a blank, expressionless face?
Only if used inappropriately ..and certainly not in
my clinic! Unfortunately, many practitioners think that because reduced muscle
activity reduces wrinkles, the more the face is paralysed the better. However,
it is possible to subtly reduce wrinkles whilst still maintaining effective
facial expressions and a very natural appearance.