Published on Jan 23, 2017 and last reviewed on Sep 07, 2018 - 2 min read
Wrinkles on the face are often due to expression, which includes frowning, concentrating or smiling. These wrinkles get deeper as we grew old, because of loss of elasticity of our skin. But, with the administration of Botulinum toxin (Botox) our facial muscles are gently relaxed and the wrinkles improve.
Botulinum toxin is a neurotoxin derived from Clostridium botulinum. There are eight distinct antigenic serotypes of exotoxins and among these only A and B are used for various medical indications. Exotoxin A is the most commonly used and it is more potent than exotoxin B.
How does It work?
Botulinum toxin inhibits the release of neurotransmitter (Acetylcholine) at nerve terminal, so it impedes the nerve impulse and leads to paralysis of muscles.
Cosmetic Use of Botox:
Other Uses of Botox:
It is utilized for the treatment of muscle spasm like in torticollis, palmoplantar and axillary hyperhidrosis (excessive sweating).
Preparation of Botox:
Your treating doctor will mix 1 to 2.5 mL of preservative-free normal saline to reconstitute the 100 unit of neurotoxin. This prepared solution can be stored at 2 to 8 degrees Celsius for up to four weeks. Its 0.1 mL contains four units of Botox.
For forehead wrinkles and frown lines use 10 to 25 units, for crow’s feet use 9 to 15 units per side, for bunny lines 3 to 5 units per side, for chin correction use 5 to 15 units and neck bands 20 to 50 units.
The Technique of Injection:
Usually, local anesthesia is not required for cosmetic correction of the face, but in the case of palmoplantar or axillary hyperhidrosis, it is required. The toxin is injected with an insulin syringe, which causes very minimal pain. The needle should be used at 45 degrees to a depth of 2 mm to avoid the back flow of toxin
Instructions to Follow After Procedure:
Side Effects of Botox:
Common side effects are redness, bruising and pain at the injection site. Other side effects include eyelid drooping, eyebrow drooping, ectropion (lower eyelid turn outwards), weakness of hands and deep injection in neck muscles can lead to difficulty in swallowing or bending of the neck.
To know more about botulinum toxin, consult a botulinum toxin therapy specialist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist/botulinum-toxin-therapy
Query: Hello doctor, I am having one doubt in my mind. Previously, I read that all cleft palate children usually undergo multiple surgeries. Is this statement valid for the soft cleft palate as well? Children with soft cleft palate also need to undergo multiple surgeries? My child was having only soft cl... Read Full >>
Answer: Hello, Welcome to icliniq.com. Multiple surgeries in cleft palate children depend upon the extent of the cleft and the age of the child at the time of operation. Only cleft soft palate rarely need another surgery. But, it is quite often that there is an underlying defect of the hard pal... Read Full
Query: Hello doctor, I suffer from abductor spasmodic dysphonia diagnosed nearly 11 years ago and I have received Botox injections every three to four months since then. Generally, they did work over the years until the last two years or so outcomes have been very poor. The last Botox shots by GA (six un... Read Full >>
Answer: Hi, Welcome to icliniq.com. First of all, you have to know that among spasmodic dysphonias, abductor variety is the least common type. In this, your vocal cord is away from the other vocal cord and the muscle is in unrestricted contraction resulting in voiceless or breathy voice. So, the treatment... Read Full
Query: Hi doctor, I am suffering from Sjogren's syndrome. I have a few questions about safety of cosmetic procedures. Is botox injectable safe? Is ultherapy or laser safe for a patient with Sjogren's? Kindly advice. Read Full >>
Answer: Hi, Welcome to icliniq.com. Laser is completely safe. Safety of Botox depends on indication. Botox (Botulinum Toxin) is also given in other medical conditions. Please let me know the reason for laser and Botox treatment. The elaborate history will help me to give you better advice. Revert back with... Read Full
Do you have a question on Cosmetic Procedure or Botox Injections?Ask a Doctor Online