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Botox: myth and truth

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Botulinum toxin rejuvenation treatment is fast, painless, with visible and surprising results. As tempting as it is controversial, from indications to contraindications and side effects. Thus, a whole collection of legends was created around botulinum toxin (entered in the vocabulary as "botox").With the help of one of the most famous dermatologists in Europe - Dr. Amalia Anghel, Primary Care Physician, Dermatovenerology / Medical Aesthetics at Skinmed Clinic, we dispel, in the following, the myths related to these procedures that get rid of wrinkles, especially those from the forehead and the so-called "goose foot", the wrinkles in the outer corner of the eyes.


Myth 1 - You will not be able to move your face
The most common myth when it comes to Botox is the loss of the ability to have facial expressions and gaining a frozen appearance. There are many people who believe that Botox injections lead to immobilization of the facial muscles and thus lead to the inability to express their emotions. However, the key effect of Botox is subtlety and improving facial appearance by reducing fine lines and wrinkles. The injections target specific facial muscles, leading to their relaxation.
Myth 2 - Botox has the same effect as dermal fillers
Both involve injectable treatments and reduced the appearance of fine lines and wrinkles. However, they have different purposes. For expression wrinkles, caused by facial muscle hyperactivity, such as those on the forehead, glabella (area between the eyebrows) and the corner of the eye (goose foot), treatment with botulinum toxin is recommended.Dermal is recommended for adding facial volume and restoring the density of the facial test. Thus, dermal fillers are recommended for the middle and lower thirds of the face.
Myth 3 - Botulinum toxin injections are unsafe
Botulinum toxin injection has a long history and a well-established safety profile, with over 16 million treatments performed since its introduction on the market. There are even medical indications for health problems such as: bruxism, ptosis, migraines, axillary, plantar and palmar hyperhidrosis (excessive sweating), or even bladder hyperactivity.
Myth 4 - There are creams that are more effective than botulinum toxin
There is no scientific evidence to suggest that there are creams with a more effective action than botox injection. Creams can have a beneficial effect on the epidermal level, while botulinum toxin acts on the muscle, by relaxing the facial muscles, which causesthe formation of fine lines and wrinkles, thus having an indirect effect on the epidermis.


Myth 5 - Botulinum toxin is botulism
Botox does not lead to botulism. Botulinum toxin is a purified protein, with proven efficacy through extensive research and testing.
Myth 6 - There is a minimum age for botulinum toxin injection
There is no age restriction for botox injection, the most important thing is to have the patient indicated for the injection. After reaching the age of 30, it is ideal to start treatments if your face is furrowed with expression wrinkles.
Myth 7 - Botox is only for women
Botulinum toxin treatments are used to reduce facial wrinkles, regardless of the patient's gender. It is important to remember that the injection is performed for each sex to improve male or female features. According to studies, men need a higher amount of botox for the treatment of the same area.

 

Myth 8 - If you perform plastic surgery treatments, you will not need Botox
Plastic surgery and botox work differently. Plastic surgery is used for face sculpting or facelift. Although a facelift leads to stretching of the facial tissue, it will not stop the muscles from contracting, this being the main cause for the appearance of expression wrinkles. Plastic surgery cannot lead to decreased muscle activity, while botox injection is the treatment indicated in reducing expression wrinkles.
Myth 9 - The effect of botulinum toxin sets in immediately
The effect of botulinum toxin is established gradually, within 7 days of injection, because it requires the integration of the toxin at the level of the neuromuscular synapse. The duration of treatment is 4-6 months, depending on each patient, the injection technique and the amount injected.
Myth 10 - Botox can be used to increase lip volume
Botox is used to decrease muscle activity, thus reducing wrinklesphrase. It can be used off-label for injection into the orbicularis muscles of the mouth, thus helping to slightly reverse the lips. But the treatment indicated to increase the volume of the lips remains the injection with hyaluronic acid.
Truth 1 - Botulinum toxin has a temporary effect
The effects of botulinum toxin injection are temporary, but the duration of the results depends on how the body integrates and degrades botulinum toxin. At the same time, the duration depends on the injection site of botulinum toxin. At the periocular level, treatment with botulinum toxin can take 3-4 months initially, while for hyperhidrosis it can even take 9-12 months. The time interval between injection sessions increases in direct proportion to the number of toxin injection sessions. As muscle activity gradually returns, fine lines and wrinkles also return, leading to the need for a new botulinum toxin injection. Lines and wrinkles can often appear with aless accentuated appearance as muscle activity decreases.
Truth 2 - Botox does not necessarily require an anesthetic
Botox is a non-surgical cosmetic treatment, whose administration lasts only a few minutes and does not necessarily require an anesthetic, being associated with reduced pain. However, each patient has a different pain threshold, so discomfort when injecting botulinum toxin may differ from patient to patient.