Botox has been used for wrinkle removal for decades, but what is it really, how does it work, is it safe, and is the effect reversible? What if you are allergic to it? Or Botox resistant?
I’ll try to give you the idea of it in an easy and approachable way.
Having Botox done is like sending your skin on Holiday for a few months. First results are observed few days (usually 4-5) after the procedure wrinkles may be softened, reduced or even removed. From my experience, after few treatments any wrinkle disappears. But! Not straight away. Usually the first symptoms of frozen muscles are visible 4-5 days after the procedure and for the full result you must wait two weeks.
Typically I will book you in for a free follow up appointment after two weeks to check on the results. If there are still some imperfections you can have a top up done, which in our Clinic is included in the price!
It is very individual, but usually after three months new connections (synapsis) between muscle and nerves occur and muscle activity slowly gets back to normal. It results with occurring gentle lines about 4-5 months after the procedure. Usually after six months you should have the treatment repeated, unless you decide that Botox doesn’t suit you and you like your cute lines, which is absolutely fair.
How would your skin look like after? Exactly how it did before the first treatment, maybe slightly smoother, but then the wrinkles will develop anyway and that process will progress.
They have nothing to do with Botox and that is the most common myth I hear almost every day. I’ll describe how you can get that disaster on your face in the fillers section.
What is the most common unwanted face disfigure caused by Botox?
There are actually two:
Clown’s eye brows, caused by the toxin. Caused by wrong Botox administration, but can be fixed pretty easily, by topping up missing areas.
The other one is dripping eyelid, which is caused by the opposite – too many units injected to close to the eye brow. Unfortunately, while reversible, the only remedy for it is time.
Botulinum toxin is the product of Clostridium botulinum. C botulinum bacteria and their spores are ubiquitous. The bacteria are found in soil and marine sediments; the spores can be detected on fruits and vegetables and in seafood.
The growing bacteria produce the neurotoxin botulinum toxin, which is often referred to as the most poisonous substance known to mankind. The neurotoxin inhibits the release of acetylcholine and results in the flaccid paralysis of the affected muscles.
Seven serologically distinct types of botulinum toxin exist: A, B, C1, D, E, F, and G.
Allergan Botox type A was the first commercially available type of botulinum toxin for medical purposes. At the moment there are many other generics available, but we commonly call them all Botox, which is a common mistake.
Medicine? Yes, Botulinum toxin was first used (and still is) for medical purposes with indication for neurologic disorders (muscle spasms, migraines, etc.), bladder disfunctions and skin disorders, such as hyperhidrosis or wrinkles.
Even though botulinum toxin IS a deadly poison in nature, it can only hurt you when you take it by mouth. Through parenteral administration (injection) it can’t do any harm. Also the type of toxin and number of units in a vial are safe, so that you can literally drink it, which is something I obviously don’t recommend.
In 1987 (over 30 years ago!) Botox was for the first time used for cosmetic purposes with spectacular results, which changed the face of beauty and became a billion dollar industry!
Obviously Botox was covered by patent, but after 30 years manufacturer is obliged to share/reveal it, so that every pharmaceutical company can produce it. The prices automatically go down, and product/treatment becomes available to everyone.
At the moment there are many generic Toxin type A products available, however in our Clinic, we only use original Botox Allegran.