Tridimensional Dermatology - A look beyond the surface.

All you need to know about the Botulinum Toxin

Everyone has heard about the Botulinum Toxin. I myself have commented on the “powers” of this toxin to attenuate scars.

So, what is it after all? What is it for and in what other cases can I use the botulinum toxin? I selected these and other common questions and answers are here.

What is the Botulinum Toxin?

There are several products in the market with different names for the Botulinum toxin, which only change by the company that distributed the toxin. Botox – Allergan, Dysport, Xeomin and Galderma – Merz are some examples.
This toxin is derived from bacteria and is used since the 1980s for medicinal purposes.

What can I use it for?

The most common use of the botulinum toxin is to smooth dynamic wrinkles – that is, those wrinkles that are strongly marked when we move our face muscles, as the forehead and eye wrinkles.
In addition, treatment is usually used for other purposes such as: lifting the corners of the mouth, arching eyebrows, smoothing wrinkles on the neck and the cleavage, gently lifting the nose tip, disguising visible gums when smiling and improving neck wrinkles.
In addition to these aesthetic purposes, this toxin is also used for the treatment of hyperhidrosis (excessive sweating), strabismus, facial spasms, certain types of headaches and scarring after the removal of stitches.

From what age can I use the toxin?

To identify whether the patient really needs treatment is more important than the age factor. Today it is very common for people to seek this treatment from the age of 23 years old, when the wrinkles will start to crease the skin.
When patients look for a doctor early on, it is possible to block the formation of these wrinkles, so they won´t need to do more aggressive treatments later. This will vary depending upon the need of each person and their expectations. It is always important that patient and doctor reach a consensus in these cases.

Will my face lose expression?

The way this toxin is used has evolved over the years, which contributes to a more natural look. However you still need to be careful with the amount of the material injected in each region, the technique used and the aesthetic sense of the dermatologist. So it’s important to choose a physician experienced in the subject. Applying the right amount brings a young, natural and healthy look.

Is it painful?

Most say that the pain is bearable. It is common to use an anesthetic cream before the injections, which are applied with thin needles in the regions of the muscles to be paralyzed. And there is still the possibility of using an imported serum that can significantly reduce the pain.

Are there side effects?

They are rare. The most common is a temporary drop of the eyelid, which may last from four to six weeks. Headaches and purple bruises on application points may also occur.

When will the results appear?

The initial signs will begin to emerge in three to four days, however the final results will usually appear after one week.

How long does the effect last?

This varies depending on the amount of toxin used and also on each patient. The average is between four and six months.

Extra tip!

It is important not to lie down for a period of up to 4 hours after the application, to avoid physical activity and to not massage the face vigorously or repeatedly. In short, I know that the botulinum toxin can be a great ally in the quest for a youthful and natural appearance. Above all, the important thing is to feel good about yourself, outside and inside!

Author Info

Gabriela Casabona

Dermatologista há mais de 9 anos, residiu nos Estados Unidos, onde fez especialização na Umassmed, Universidade de Massachusetts e na Dermatology Associated. Atualmente, trabalha em duas das clínicas mais respeitadas do país.

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