Botox injections for wrinkle correction (Botox, Dysport, Relatox)

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Avdeyuk Elena Vladimirovna Dermatovenerologist, cosmetologist

Publication date: April 30, 2022

Review date: November 07, 2022

A person's face is in constant motion. We smile, frown, squint our eyes, raise our eyebrows, purse our lips in displeasure... And all this several hundred times a day.

The facial muscles located under the skin are under constant tension because of this: they stretch or, conversely, contract. As a result, more and more wrinkles appear on the skin, it stretches and sags.

Botox (Dotox) will help you relax spasmodic muscles and “wean” your face from harmful facial expressions.

Today, the name Botox has become almost a household word; it is used to refer to the procedure for smoothing wrinkles on the forehead.

Zhmurina Natalya Borisovna

Director, Chief Physician of “A Clinic” Dermatovenerologist, cosmetologist

But in fact, Botox is a world-famous American drug created on the basis of botulinum toxin type A.

Why do wrinkles appear?

The first wrinkles on the face usually begin to appear after 25 years.
This phenomenon is associated with active contraction of the muscular facial frame. The most common place for their location: forehead, nose, around the eyes and mouth, chin. By the age of 40, creases become so pronounced that they do not disappear even with absolute relaxation. After the onset of menopause, due to changed hormonal levels, the severity of wrinkles increases even more, and gravitational changes also form (oval deformation, nasolabial folds, etc.). The appearance of facial wrinkles is not always associated with age and active facial expressions. Their occurrence can be caused by many other reasons. The skin on the face is very delicate, so improper care and poorly selected cosmetics can lead to premature aging

.
In addition, such factors
may include:

• unhealthy lifestyle: drinking alcoholic beverages, nicotine, drugs;
• errors in diet and rest;
• sudden weight loss;
• abuse of peelings and facial massage;
• hormonal imbalance;
• violation of water-salt balance in the body;
• diseases of internal organs (urinary system, liver, heart, gastrointestinal tract and others);
• stress.

Changes in facial skin are also greatly influenced by external factors: wind, sun, cold. Burdened heredity, transmitted from older relatives, is important. Among all the means for correcting facial wrinkles without surgery, drugs containing botulinum toxin A

.

What is botulinum toxin and how it works?

Botulinum toxin is a neurotoxin

protein nature, on the basis of which medications are produced that allow you to relax muscle tissue. Botulinum toxin blocks the activity of the neurotransmitter acetylcholine, which is an intermediary in the transmission of nerve impulses from a neuron to the cerebral cortex. Due to the lack of a signal, the central nervous system does not respond to irritation, and the muscle remains in a relaxed state, and the areas of skin above them are smoothed out.

Source of botulinum toxin

The bacterium Clostridium botulinum is the causative agent of severe food intoxication - botulism.
This circumstance serves as the basis for questions that arise about the dangers of drugs based on this substance. To which scientists confidently declare: “It is impossible to get poisoned with a toxin injected into a muscle for aesthetic purposes
(in a clinical setting). The dose used is hundreds of times less than that which poses a health threat. In addition, the drug is administered locally, so the effect applies only to a specific muscle.

Currently, considerable experience has been accumulated in the use of Botox for the face in cosmetology practice. Possible Botox injection sites and the dosages of the drug required for muscle relaxation were studied in detail. You don’t have to worry that your facial expressions will be affected after the injections: you will look natural, your facial expression will not be affected.

The most popular and recommended drugs for use in Moscow with botulinum toxin: Botox
, Dysport , Relatox, Xeomin, Lantox
. Medicines have some differences in their effects. Only a cosmetologist can determine the most optimal option for a particular case.

Attention!

Self-administration of Botox is not permitted. Its use is indicated only in medical and cosmetology clinics, where proper transportation and storage are guaranteed. We provide Botox injections for the face in Moscow, at prices 30% lower than our competitors. Positive reviews from hundreds of clients confirm this.

Drug manufacturers

The most famous drugs of the botulinum toxin group:

Botox

The brand has become the personification of the procedure, produced by an American company. Over the years of use, the drug has proven its effectiveness and safety. The hypoallergenic stabilizer eliminates the occurrence of unexpected reactions.

Botulax

The South Korean drug was recently registered in Russia. Short practice showed not only positive results. Many patients note a number of side effects, as well as short-term effects. The only thing that captivates is the affordable price.

Dysport

A popular drug for anti-aging injections. A special feature is the reduced concentration of toxin compared to the original. Therefore, more units will need to be administered to obtain the desired effect. Results appear within a few days, but the toxin tends to migrate and may not spread to the target muscles.

Relatox

A domestically produced product, it is characterized by painful injections. But the correction effect will please you for quite a long time - up to 9 months. You will also be pleased with the cost - several times cheaper than foreign analogues.

Xeomin

Produced by a German company, it is recommended for the first botulinum therapy procedures. The toxin has a high degree of purification, which reduces the risk of allergic reactions and side effects.

Lantox

Produced in China, patients note that the procedure is painful. Allergic reactions often occur. The main advantage is the prolonged action of 10 to 12 months.

Indications for use of wrinkle correction

Preparations based on botulinum toxin are used in cosmetology for the following purposes:

• smoothing facial wrinkles on the bridge of the nose, in the frontal region, folds between the eyebrows;
• correction of wrinkles in the periorbital area (“crow’s feet around the eyes”);
• smoothing the facial skin in the perioral zone (corners of the lips) and near the nose;
• elimination of skin deformations (horizontal and vertical wrinkles) in the décolleté and neck area;
• increased sweating (hyperhidrosis).

All manipulations using this neurotoxic substance are carried out according to strict indications and are permissible no earlier than 18 years of age. At the age of over 45 years, the possibility of using botulinum therapy in Moscow is decided individually in consultation with a dermatocometologist.

Where is Botox injected?

Botox is most effective in the upper third of the face. The forehead and area around the eyes are its zones of influence. This is where the results of the procedure will be most noticeable.

Wrinkles and folds in the lower part of the face in most cases are not the result of excessive muscle work, but depend on the characteristics of the bone structure of the face, the elasticity and density of the skin and subcutaneous fat, as well as age-related loss of facial volume.

It is recommended to correct the lower part with Botox if there is an obvious muscle spasm: for example, a person constantly clenches his jaw or purses his lips. In this case, Botox will be able to soften the emerging nasolabial folds, relax the jaw, and even slightly enlarge the lips if the pursing of them is eliminated.

There is also the mesobotox technique. This is a subdermal injection of microdoses of the drug, which allows you to smooth out fine purse-string wrinkles around the mouth.

Contraindications

Before receiving permission to perform the procedure, the patient of the clinic is carefully questioned to ensure that he has no contraindications to the use of Botox. The following pathologies may be prohibited for manipulation:

• oncology;
• diseases of nervous and muscle tissue;
• blood clotting disorder;
• epilepsy;
• infection or injury in the area where the medication was administered;
• allergy to drug components;
• unstable psychostatus of the patient;
• taking certain medications (antibiotics, muscle relaxants, antiplatelet agents).

Absolute contraindications for injections with botulinum toxin are periods of pregnancy and breastfeeding. Temporary limitations that do not allow the procedure to be performed are acute respiratory infections and exacerbation of chronic diseases.

Preparation

In order for the botulinum therapy procedure to be as successful as possible and with minimal consequences, you need to properly prepare for it.

First of all, the patient must first visit a specialist who will conduct a thorough examination of the skin, determine its type, the amount of work, and also tell how the manipulation is performed and what complications can be expected if the outcome is unfavorable.

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In addition, the doctor must collect all the necessary information regarding the client’s general health, and, if necessary, conduct a certain diagnostic examination that will help identify the presence of hidden contraindications.

If there are no reasons for the refusal of the method, then the patient proceeds to the next preparatory stage. 7 days before the expected date of Botox injection into the nasolabial folds, you must stop taking medications that can have a negative impact on the quality of blood fluid clotting.

For 2-4 days you need to stop smoking and drinking alcohol, as this can cause the formation of hematomas.

If possible, you should not subject your body to heavy physical activity or engage in strenuous physical exercise.

Visiting a solarium and prolonged exposure to direct sunlight are also prohibited.

Procedure for botulinum toxin injections for wrinkle correction

1. Before the manipulation, the aesthetic medicine doctor conducts a conversation with the patient, during which the indications for its implementation are identified. In addition, the doctor will determine the injection sites and the dose of the substance.
2. The patient's face is prepared (makeup removal, antiseptic treatment). Botulinum toxin injections are quick and painless. In case of increased skin sensitivity, the specialist will apply an anesthetic.
3. The drugs Botox, Dysport, Relatox, Xeomin and Lantox are available in the form of tablets or lyophilisate for the preparation of a solution for injection. Immediately before the procedure, the doctor dilutes the drug with saline solution in the required volume.
4. For administration, use a syringe with a thin needle (insulin). The patient is placed on the couch (on which he takes a comfortable semi-lying position) and asked to tense his facial muscles (frown, feign disgust, smile).
5. The drug is injected into the muscles of problem areas of the face. The procedure will take no more than 15 - 20 minutes.
6. Repeated treatment of the facial skin with an antiseptic.

Patient reviews

The forms contain mostly positive opinions about Botox injections.

The user writes about the absence of side effects after injections, as well as the need to check the drug’s license.

But there are other opinions. The participant writes about the ineffectiveness of Botox to solve the problem of nasolabial folds, and the preference for other methods of aesthetic medicine.

The review writes about the effectiveness of not only Botox, but also its analogue Xeomin.

The user points out the effect of rapid aging after injections.

Other reviews can be found on the forum.

Advantages and effects of Botox injections for wrinkle correction

1. Professionally performed injections and the correct dosage of botulinum toxin smooth out wrinkles on the face. It does not harm health and is safe.
2. The procedure is performed in a beauty salon and does not require hospitalization.
3. Does not cause muscle atrophy, motor activity of facial muscles is completely restored no later than after 1 year.
4. Botox injections enhance the effect of most injection and hardware rejuvenation programs.
5. The procedure is easy to perform and does not take much time (10 - 20 minutes).
6. Short rehabilitation period (2 days).
7. Possibility of repeated manipulation after the end of the effect of the substance.

The effect of botulinum toxin injection in Moscow occurs 2 to 6 days after the injection. The maximum result is observed after 14 - 21 days and lasts up to 6 - 9 months. Each subsequent administration of Botox prolongs the effect.

How long does the effect last?

The effect of Botox begins to appear 3-4 days after injections. A person is getting younger right before our eyes. At the same time, a good doctor will make sure that you can smile, frown and raise your eyebrows in surprise, as before, but wrinkles and creases will not remain on the skin.

The effect of Botox will last for 4-6 months, sometimes longer. This depends on the rate at which the drug is eliminated by the body. Botox is a biodegradable drug; it does not accumulate in the body, but is removed from it through the lymphatic system. By the way, with regular administration of Botox, the effect of the drug lasts longer and the frequency of procedures can be reduced to once a year.