What is butox. Botox: what is it? Botox - contraindications

Botox is a preparation of botulinum toxin, a purified natural protein that blocks the neuromuscular transmission of nerve impulses, thus contributing to the relaxation of facial muscles of the face and prevents the formation of wrinkles.

Botox action

The facial muscles have a peculiarity of the anatomical structure: they are attached to the bone at one end, and the second end is woven into the skin.

Due to their arrangement, the muscles during their contraction shift the skin, and certain emotions are displayed on the face.

Familiar emotions and increased tone of certain facial muscles lead to the formation of facial wrinkles.

Nerve fibers are suitable for each muscle, which are responsible for the transmission of nerve impulses from the brain to the muscle and cause its contraction. The active substance of Botox, botulinum toxin, after its introduction into muscle tissue, penetrates the ends of nerve fibers and blocks the transmission of nerve impulses. The muscles relax and stop pulling or wrinkling the skin, because wrinkles and creases are smoothed.

Video: Botox® drug mechanism of action

Analogues of the drug

In addition to Botox, botulinum toxin-based drugs such as Dysport and Xeomin are now common on the cosmetic market. Basically, drugs differ in the dosage of botulinum toxin and resistance to changing storage conditions.

Estimated consumption of Botox, Dysport, Xeomin

Indications for administration

Elimination and smoothing of wrinkles:

1. Horizontal forehead wrinkles;
2. Vertical wrinkles between the eyebrows;
3. Oblique wrinkles on the nose (they are also called "rabbit wrinkles");
4. Wrinkles at the outer corner of the eye;
5. Raised or low brow;
6. Pronounced nasolabial folds;
7. Vertical and horizontal neck wrinkles;
8. Treatment of hyperhidrosis, severe sweating of the palms, feet, armpits;
9. Non-surgical facelift, the so-called Botox lifting.

Contraindications

1. Pregnancy and the period of breastfeeding;
2. Inflammatory processes and injuries of the skin at the injection site of Botox;
3. Reception of antibiotics, calcium preparations, anticoagulants;
4. The omission of the upper eyelid, fatty hernia of the eyelids;
5. Individual intolerance to the components of the drug;
6. Myasthenia gravis;
7. Severe myopia;
8. Alcoholism;
9. Age to 18 years;
10. Menstruation and a few days before it;
11. Diseases of the liver and lungs, both acute and chronic;
12. Early recovery period after any surgery;
13. Hemophilia and other blood diseases in which blood coagulation is impaired;
14. Herpetic rash on the lips.

Preparation for the procedure

The day before the procedure you can not:

1. Take alcohol;
2. Perform any work on an incline, even such simple actions as trying on shoes, mopping, etc .;
3. Attend massage sessions, during which you will have to lie face down.

It is imperative to stop taking antibiotics and, if possible, anticoagulants.

Antibiotics and Botox in the body are combined, but can mutually affect the severity of the effects of each other. So tetracycline antibiotics can reduce the effect of Botox administration, while aminoglycosides increase the severity of muscle paralysis.

Anticoagulants can cause hematomas at injection sites. This is not life-threatening, but the appearance of bruises can limit the patient's normal activity and communication with other people for a while.

How is the procedure

1. After determining all the indications and contraindications for the procedure, the patient gives informed consent to the procedure;
2. On the patient's face, areas in which muscle tone is increased, which leads to the formation of wrinkles, are determined, and these areas are marked with a marker;
3. For each area, points of injection are marked with points, circles are dotted with circles with a diameter of 1-1.5 cm (the size of the distribution zone of the drug in the tissues around the injection site). Distribution zones must be in contact.
4. The injection sites are cooled with ice or an Emla type pain medication is applied;
5. Using the EMG apparatus, the location of the syringe needle with the drug is determined exactly in the thickness of the muscle, the drug is administered;
6. In some cases, the injection site, after removing the needle, is slightly pressed so that hematomas do not form, squeezed by gentle massage movements from the eye area or other muscles located in this area, so that the toxin acts only where necessary;
7. Within 30 minutes, the patient is under the supervision of a doctor;
8. The patient is given recommendations for facial after the procedure.

Video: Tatyana Amzorovna Tlatova - Botox, Disport, Xeomin.

Introduction technique

The experience of cosmetologists shows that the introduction of Botox in the following muscles gives the best results:

Muscles lowering the angle of the mouth

Injections allow you to lift the corners of the mouth up, remove the “mournful” facial expression, straighten small wrinkles in the corners of the mouth, remove the “wrinkles of the puppet”.

The Botox administration procedure will be effective only for those who do not yet have pronounced sagging tissues of the lower face.

An effective combination of the introduction of Botox and fillers based on hyaluronic acid.

1-2 Botox units are injected just below the corner of the mouth, 1 point on each side.

Platism (subcutaneous muscle of the neck)

  Photo: the introduction of Botox into the subcutaneous muscle of the neck

The introduction of Botox allows you to give the neck a more natural shape, eliminate the stretching of the subcutaneous muscle in the form of "turkey pallets" and give the skin of the neck a more youthful appearance.

In addition, immobilized platism stops pulling the skin of the cheeks down, which is an excellent prevention of the formation of "bulldog cheeks."

An overdose of Botox in this area can provoke a violation of the act of swallowing. Therefore, only the minimum dose of the drug is administered in the first procedure, the rest of the botulinum toxin is administered no earlier than two weeks later.

The procedure will be ineffective in individuals with a significant amount of subcutaneous fat in the area of \u200b\u200bthe second chin and neck, as well as in those who have significantly expressed gravitational sagging of the soft tissues of the lower part of the face.

Enter 2 units. Botox on both sides of the muscle cord at a distance of 2 cm between the injection sites.

Circular muscle of the eye

  Photo: the introduction of Botox into the circular muscle of the eye

Botulinum toxin is administered intramuscularly only in those areas of the muscle that is located at the outer corner of the eye.

Botox injections can reduce the severity of “crow's feet” and are a prevention of deepening of skin creases in this area.

Immobilization of the upper part of the circular muscle of the eye allows the frontal muscle to raise an eyebrow and give the eyes and face a generally vigorous and open expression.

At the outer corner of the eye, you can enter 6-10 units of Botox both subcutaneously and intradermally. In the lower eyelid, injections are only given intradermally using the minimum amount of botulinum toxin administered. To raise the eyebrow, 6-10 units of Botox are introduced above the line of the eyebrow, closer to the inner edge of the eye.

Circular muscle of the mouth

Injections allow you to smooth out purse-string wrinkles around the mouth, visually enlarge the lips by eliminating the habit of constantly tightening the lips.

Enter 1 unit. Botox at 4 points above the upper lip and at two points below the lower lip.

Chin muscle

The introduction of Botox allows you to smooth out uneven skin on the chin, especially if the skin roughness becomes more pronounced during a conversation.

4-6 units are administered. Botox in two symmetrically located on the chin of the skin intramuscularly.

Nasal muscle

Usually, the nasal muscle is stabbed with Botox at the same time as botulinum toxin is injected into the proud muscles and muscles that wrinkle the eyebrow.

  Photo: Botox injection into the nasal muscle

This is due to the possible appearance of longitudinal wrinkles on the nose during blinking as a compensatory reaction after immobilization of muscles in the area above the inner ends of the eyebrows.

The nasal muscle is blocked by the introduction of 1-2 units of botulinum toxin in 1-2 points.

Proud muscle and brow-wrinkled muscle

With paralysis of these muscles, vertical creases of the skin between the eyebrows are smoothed.

Botox is administered in an amount of 8-16 Units at 4-6 points in the projection of the location of both muscles.

Frontal muscle

Longitudinal forehead wrinkles are smoothed out.

The introduction of the drug can be entered into different areas of the muscle and depending on this, get various effects: the elimination of wrinkles on the forehead, the raising of certain areas of the eyebrows, the formation of the effect of a wide eye.

An overdose of the drug leads to the formation of a frown when the eyebrows hang low above the eyes, and sometimes with the lowering of the inner ends of the eyebrows under the arc of the eye socket.

Various techniques can be used to immobilize the frontal muscle, the most common of which is V-shaped. In this area, 12–20 Botox units are usually required.

The rate of onset of the effect and the expiration dates of the drug

The first signs of muscle paralysis, in which Botox was injected, will be noticeable within a few hours after the injection.

The weakening of muscle contractions usually occurs on the second or third day after the procedure. It is with this speed that botulinum toxin enters the nerve endings.

The maximum effect of the injection will develop within 1-2 weeks after administration of the drug.

The rate of onset of the maximum effect depends on the administered dose of botulinum toxin and the individual characteristics of the patient and his sensitivity to the action of the drug.

The effect of injections ends as quickly as new synapses of nerve endings with muscles can form (zones where the impulse directly transfers from a nerve to a muscle cell). Usually this process takes from 3 to 6 months. In some cases, the effect of Botox may persist for up to a year.

An indication for a new injection is such a weakening of the action of Botox, when the contraction of the facial muscles becomes visually noticeable.

It is proved that with the help of ozone therapy it is possible not only to treat existing problems with the skin of the face, but also to prevent their occurrence. We recommend reading the article.

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Do you know that one of the most effective methods is microcurrent massage? To read .

In the armpits

Before the introduction of Botox into the skin of the axillary region, a Minor test is performed, thanks to which you can determine the exact location of the sweat glands and their functional activity.

Each armpit requires about 50 units. botulinum toxin. Sweat glands cease to function for a period of 3 to 6 months. The method is good for those who suffer from excessive sweating.

Vileo: Medical Cosmetology

Under the eyes

To smooth small wrinkles in the lower eyelid, the intradermal papular administration of the drug in a minimum concentration of 1 Unit can sometimes be used. There can be no more than 4 such injections in the area of \u200b\u200beach eye.

Botox between the eyebrows (between the eyebrows)

Immobilization of the arrogant muscle and the muscle wrinkling the eyebrow is often performed by young patients in those cases where there is a habit of constantly straining muscles or the tone of these muscles is constantly increased.

In some cases, repeated injections in this area may not be required for a long time. This is due to the fact that the habit of dropping eyebrows and frowning can fade away after 3-5 months of the drug’s action, and in the area of \u200b\u200bcreases, the skin will have time to smooth out and can resist the formation of creases for some time.

It is extremely rare that nasolabial folds are corrected by Botox. This is due to the high risk of developing such a complication as omission of the corners of the mouth. At the same time, the simultaneous use of a filler based on hyaluronic acid or collagen with injections of small amounts of Botox allows you to get excellent results.

  Photo: the introduction of Botox into the nasolabial folds

This is due to the fact that when the muscles are relaxed, the preparation of much hyaluronic acid or collagen lasts much longer in the tissues and helps to improve the structure of the skin, especially at the bottom of the creases, where collagen is usually deposited slowly.

Botox for migraine

Botox is usually given for medical reasons to those patients who suffer from migraines for more than 15 days per month. In this case, injections are carried out in the head and neck every 12 weeks.

Such injections help only those who have been diagnosed with a severe form of migraine. If the head hurts from time to time and the intensity of the pain is weak or moderate, then the introduction of Botox may not give any result.

For men

Yes. Men are now increasingly introducing themselves Botox to give the person a well-groomed appearance, and the whole appearance of youthfulness.

With the introduction of Botox in men, such significant differences as:

1. Thicker and denser skin, therefore Botox injections often need to be carried out to a greater depth;
2. The dose of the drug administered is usually higher in men compared with women, since their facial muscles are more developed and their contractions are stronger;
3. The points of administration of the drug in men can differ significantly due to the fact that what is beautiful on the female face (for example, raised curved eyebrows) on the male face will look bad.

Face skin lifting

On the face there are pairs of muscles that perform exactly the opposite actions. For example, lower the angle of the mouth and vice versa raise it, lower the eyebrow and raise it.

If you immobilize with Botox those muscles that contribute to the lowering of facial tissues, then you can get the lifting effect of varying degrees of severity.

Effects

1. Pain at the injection site.
2. Hemorrhages at the sites of skin puncture can occur with improper administration of the drug and inadequate care after the procedure, when the injection sites are pressed insufficiently or not enough in time, as well as in violation of the rules for preparing for the procedure.
3. After Botox, a headache occurs in cases where a large dose of the drug is injected immediately when several areas of the face are chipped. This complication usually disappears within a few days after the procedure.
4. The spread of poison to nearby muscles can disrupt the normal movement of the eyelids, lips and other parts of the face:

• paralysis of muscles located in the zygomatic region can cause drooping of the corners of the mouth and salivation;
• muscle paralysis in the eye area can cause impaired blood flow and lymph outflow, which will cause swelling under the eyes after Botox;
• an unsuccessful injection in the eyebrow area can provoke ptosis of the upper eyelid, in which the eye will not open completely;
• excessive introduction of Botox into the upper part of the circular muscle of the eye can lead to a sharp rise in the eyebrow with the formation of a hypertrophied surprised facial expression;
• paralysis of the muscles of the larynx during injections in the neck can lead to a violation of the act of swallowing;
• the transition of botulinum toxin to the muscles of the eye located in the eye socket can lead to strabismus, the appearance of double vision in the eyes;

Unprofessional administration of Botox using large doses of the drug can lead to the formation of a mask-like face, impaired ability to show emotions, smile, eat, speak.

Limitations and contraindications after the procedure

1. After Botox, you can not touch the injection sites of the drug and massage them;
2. For several hours after the procedure, you can not lie down, play sports, take antibiotics and painkillers;
3. Within a week after injections, you should not visit the bathhouse, sauna, lie in a hot bath;
4. For two weeks after the introduction of Botox, you can not take alcohol;
5. Within a day after the procedure, it is recommended that you often and often strain your face muscles to accelerate the onset of the Botox effect;
6. When carrying out injections in the area around the eyes, it is recommended to refrain from taking excessive amounts of liquid, spicy and salty foods for two weeks to prevent the appearance of edema on the face.

What procedures can be used after drug administration

1. Photorejuvenation;
2. ELOS rejuvenation:
3. Massage and manual lymphatic drainage;
4. Gas-liquid peeling;
5. Microdermabrasion;
6. Oxymezotherapy.

All of the above procedures do not affect the result of the introduction of Botox, therefore, they can be performed both before the introduction of botulinum toxin and after it without restrictions.

What procedures reduce the duration of Botox and help restore the mobility of facial muscles?

1. Magnetostimulation   (exposure to a low-frequency magnetic field) due to the activation of the conduction of impulses along the preserved synapses, blood flow and metabolism helps to restore the connections of nerve endings with muscle fibers. The method is used to correct such complications after botulinum therapy as double vision (diplopia), squint.
2. Electromyostimulation   causes and enhances the contraction of smooth and striated muscles. Her appointment two weeks after the introduction of Botox contributes to a faster restoration of facial muscle mobility. If you apply electromyostimulation immediately after the introduction of Botox, then the effect of Botox will be stronger and will come sooner.
3. Microcurrents, affecting both the muscles and the nervous system, significantly weaken the effect of Botox.
4. Ultrasound therapy   accelerates the conduction of impulses along the nerves, improves metabolism and cellular respiration, which leads to faster restoration of synapses and weakens the effect of the toxin.
5. Galvanization allows under the action of a constant electric current to deliver drugs deep into the tissue, including those that promote the regeneration of nerve endings. Therefore, galvanization is used to eliminate almost all the undesirable effects of botulinum therapy.
6. An infrared laser helps restore peripheral nerves and conduct electrical impulses from the central nervous system. This leads to a weakening of the action of Botox.

Video: Contouring (Botox) in the Telos Beauty clinic

Botox Benefits

1. Expression wrinkles are smoothed out not only as a result of the removal of facial muscle spasm, but also due to the fact that collagen and elastin are formed in the area of \u200b\u200bthe smoothed crease in quantities that even after the end of Botox can maintain skin elasticity for some time;
2. Botox injections allow you to get the effect of facial rejuvenation, avoid plastic surgery or postpone it much later;
3. Can be used to correct neurological disorders;
4. Botox helps with sweating.

disadvantages

1. Botox injections may not result if the person has an individual insensitivity to the drug;
2. The result largely depends on the professionalism of the doctor conducting the injection of the drug;
3. Does not remove deep wrinkles;
4. It is practically not effective in the area of \u200b\u200bthe cheeks and chin, where wrinkles are formed not from the work of facial muscles;
5. Limited period of action, the need for repeated injections of the drug;
6. Over time, the adjacent muscles take on the load of paralyzed muscles, and new “compensatory” wrinkles may appear from here.

Alternative

1. Plastic surgery;
2. The introduction of hyaluronic acid preparations;
3. Comprehensive skin care using procedures aimed at moisturizing, nourishing and rejuvenating the skin;

  Photo: the introduction of Botox under the eyes

With hypertonicity of the forehead muscles, bio-reinforcement and volumetric modeling of the superciliary and temporal region with hyaluronic acid fillers helps well.

Botox under the eyes with hypertonicity of the circular muscle of the eye is administered only intradermally, because its effect is usually not pronounced.

A much more pronounced effect in this area is obtained by fractional laser rejuvenation.

The area around the mouth: lipofilling and laser resurfacing of the face are excellent for eliminating purse-string wrinkles.

Botox and alcohol - can or cannot you combine? And what could be the consequences?

Drinking alcohol before the procedure significantly increases the risk of developing hematomas.

After the procedure, alcohol can cause swelling, as it contributes to the expansion of capillaries of the skin and the flow of blood to the face (after taking the alcohol, the face turns pink, and sometimes blushes noticeably).

The Botox effect is no longer a novelty for anyone. However, not everyone knows that there are no cosmetic creams and serums containing botulinum toxin, since it breaks down in solution within a few hours, and under the influence of oxygen within a few minutes.

Basically, such skincare cosmetics contain proteins and peptides that have a botox-like effect (at least manufacturers say so).

Argireline is an example of such a compound; it is currently the most common cosmetic component that has a Botox effect.

In fact, practical cosmetology does not really count on the effect of such products, since it’s hard to imagine that the components of cosmetics can overcome the entire thickness of the epidermis, dermis and subcutaneous fat, not enter the bloodstream and lymph vessels, reach the muscles and accumulate in them an amount sufficient to block neuromuscular transmission.

It seems that the effect of such cosmetics is based on the pronounced effect of moisturizing and nourishing the skin, as a result of which fine wrinkles are straightened.

Procedure cost

In the table, prices are presented for 1 Unit of the drug in Russian rubles.

The cost of Disport is lower than Botox or Xeomin, but here it should be remembered that one unit of Botox corresponds to 3-4 units of Disport.

Botox prices in Moscow in a number of clinics may differ not only depending on the number of units required for the procedure, but also on the day of the week when injections are performed.

Today, thanks to the dynamic development of laser technology, the removal of warts or papillomas has become a quick and effective procedure. Learn more in the article.

Did you know that the procedure for lip augmentation with hyaluronic acid has a number of features that the patient should know about in advance? Read more in the article at this link.

Frequently asked Questions

How does Botox work?

Botox blocks neuromuscular transmission in the synapse - the contact area between the nerve ending and the muscle cell. Muscle relaxation leads to smoothing of the skin above them.

Where do Botox inject?

Botox is injected into the muscles of the face, in some cases subcutaneously or intradermally.

The main areas of application of the drug: face, scalp, front of the neck.

How much does Botox cost?

The cost of the procedure depends on a number of factors, the most important of which is the unit price. The number of drug units per area is usually not much different in different patients. If several areas of the face or the area of \u200b\u200bthe armpits are chipped, then a number of clinics offer discounts "for wholesale".

What is dangerous and harmful?

Botox itself is safe. Side effects, complications and consequences of Botox are largely due to the human factor: underestimation of the severity of contraindications, improper storage of the drug, violations of equipment and dosage when administering the drug, non-compliance with recommendations and restrictions before and after the drug administration procedure.

When does it begin to act? How long does it take?

The maximum effect of Botox occurs 7-10-14 days after administration. The first changes can be observed already on the second or third day after the procedure.

How long does Botox hold?

Complete muscle immobility lasts from 3 to 5 months. After the appearance of visible muscle contractions, the effect of the Botox administration procedure can be noticeable for another year and a half.

Is Botox excreted from the body?

Botox in the body does not accumulate. You can make repeated injections no more than 4 times a year without fear of adverse health effects.

Could there be an allergy?

There may be an allergy to both Botox itself and any other component of the drug.

What can not be done after the procedure?

After the procedure, you should not lie, touch or massage your face for 4-6 hours. For several days after the procedure, you can not take antibiotics, painkillers, do thermal procedures (sauna, bath, solarium), play sports, drink plenty of fluids. Two weeks after the procedure, you can not drink alcohol.

Can I use antibiotics?

Taking antibiotics before and after the administration of Botox is undesirable, since drugs can weaken or alter the effect of botulinum toxin.

Can I sunbathe after Botox (solarium)?

Can. But it should be remembered that thermal procedures activate blood flow and metabolism in tissues and reduce the duration of Botox.

Which is better, botox or mesotherapy?

It depends on the patient's age, skin condition and those problems that he wants to get rid of. There are a number of cosmetic defects in the skin of the face, in which the maximum effect is achieved by a combination of these two methods.

Do sweat injections help?

Botox blocks nerve impulses that travel from the central nervous system to the sweat glands. As a result, sweat ceases to be released. Because Botox is often used to treat hyperhidrosis. The only drawback of the method is the price of Botox injections. One axillary area needs about 50 units. the drug. So the cost of the procedure for both armpits can be about 35 thousand rubles.

Is it harmful to health?

Botox in the concentrations at which it is introduced during the procedure is absolutely harmless to the body, provided that all contraindications to its use have been taken into account.

Which is better, botox or thread?

Botox is effective when there is no significant sagging tissue, a pronounced layer of subcutaneous fat in the area of \u200b\u200bthe second chin and neck (if Botox is planned to rejuvenate the neck area) and it is the facial muscles that pull the skin down. In other cases, the use of threads is warranted.

What to do if you haven’t acted?

Firstly, find out from your doctor how many Botox units were administered, how many hours before the procedure the drug was in a diluted state. If the rules for storing the drug, the dosage and the technique for administering the drug were correct, then perhaps you are among the people who are not sensitive to the effects of botulinum toxin. You will have to use other methods of facial rejuvenation.

Could there be an overdose?

An overdose of botulinum toxin may be. At the same time, not only the facial muscles are immobilized, but also the muscles responsible for eye movements, swallowing, and speech. Such patients should be under medical supervision for several days. Most often they are hospitalized.

Is it possible to do peeling after Botox?

Can. Peelings do not affect the duration of Botox, if applied no earlier than two weeks after its introduction.

Should I limit my exercise after injections?

Sports should be limited to 1-2 weeks after the procedure. Then you can do it in the usual way.

At what age can I enter?

Botox is most effective at the age of 30-40 years, when the skin is elastic, only wrinkles appear and the contribution of facial wrinkles to their appearance is maximum.

Up to 25 years, usually there are no indications for the use of Botox, the effect obtained may be far from expected, and the possible harm to Botox is higher than the potential benefit.

At the age of 50-60, Botox injections should be reinforced by the action of drugs for mesotherapy or biorevitalization, fillers based on hyaluronic acid.

After 60 years, Botox is practically ineffective due to the fact that the formed wrinkles are already too deep for smoothing them by relaxing the deeper muscles or fillers.

How often can Botox be injected?

Significant muscle atrophy after the administration of Botox does not occur, since the synapses of the nerve endings with the muscle are gradually restored. It usually takes from 3 months to six months. The frequency with which Botox should be reintroduced is individual. The procedure is carried out when muscle contraction becomes visually noticeable.

It should be noted that the action of Botox to relieve excess facial muscle tension persists for about a year. Therefore, even if Botox is administered once every 1-2 years, the effect of its use in terms of rejuvenation and smoothing of wrinkles will be significant.

Can I stab it in the third trimester of pregnancy?

Manufacturers of the drug did not test the drug on pregnant women, since there may be a risk to the fetus, therefore, the use of Botox when planning pregnancy, while carrying a child is prohibited. Continued lactation is also a contraindication for the procedure because of the possible risk to the fetus and the changed hormonal background of the woman, in which the effects of various cosmetic procedures can be unpredictable.

One of the most popular ways to fight wrinkles are Botox injections. This operation occurs without surgery. The agent introduced into the skin leads to a weakening of the motor activity of the muscles. That allows you to smooth out not only small, but also quite large wrinkles.

Many people know about this unique method of combating skin aging and wrinkles. On the network you can find a lot of positive reviews. The composition of Botox includes the botulinum toxin. It is thanks to him that the muscles relax, the skin becomes smooth and supple.

With the help of injections with this drug, you can not only smooth out wrinkles, but also improve age-related changes in the shape of the face. A few injections with this tool will help get rid of sagging eyelids, improve the shape of the cheeks and chin.

Many looking at themselves in the mirror fantasize about how the face will look after applying Botex. Practice shows that the face after injection of this remedy is significantly different for the better. Wrinkles are removed, facial contours become clear, and skin is smooth.

IMPORTANT: This remedy can help not only in smoothing wrinkles, but also in a benign tumor of leiomyoma. American experts were able to neutralize the body's reactions associated with the appearance of this problem with the help of Botox.

Botox History

One of the most dangerous poisons is the botulism toxin. When ingested, it can lead to respiratory paralysis. In the 70s of the last century, a small amount of purified and highly diluted botulism toxin was used to treat muscle cramps. After the success of such injections, ophthalmologists began to use this toxin in the treatment of strabismus, blepharospasm and other diseases. They noticed an unusual “side” effect: smoothing facial wrinkles. So “Botox” came to cosmetology.

IMPORTANT: But not only to smooth facial skin and treat strabismus, you can use “beauty injections”. According to studies by specialists from the Norwegian University of Science and Technology, Botox can defeat stomach cancer. Injections of this substance can block signals from the vagus nerve, which passes from the brain stem into the abdominal cavity. This helps stop the growth of a stomach tumor.

Release form

• The drug is available in the form of lyophilized powder for the preparation of a solution for injection
• The active substance is botulinum toxin type A - hemagglutinin
• As excipients, the composition of this tool includes sodium chloride and human plasma albumin
• Available in bottles packed in cardboard boxes.

Indication for use

Botox is used for:

• Paralytic strabismus
• Blepharospasm
• Spasmodic torticollis
• Hemifacial spasm
• Local muscle spasm
• The appearance of hyperkinetic wrinkles on the face and neck

IMPORTANT: German specialists from the Hanover Medical School were able to prove the benefits of Botox injections to reduce symptoms of depression. And their colleagues from the University of Lincoln (New Zealand) discovered a new method of treating epilepsy by introducing botulinum toxin into the muscles.

Botox for children

Injections of this drug are used to treat spasms in cerebral palsy from 2 years.

Botox injections

The introduction of the drug into the muscles of the face does not require anesthesia. By pain, such injections are comparable to mosquito bites. The patient is comfortable in the chair. Before injection, a specialist should examine the injection site, disinfect it, and carefully inject with a thin needle syringe. After the injection, the injection site is cooled by an ice compress.

After entering Botox, its effect lasts 3-4 months. But, this does not mean that after this time you need to again inject this drug. The frequency of use of Botox is determined by the reaction to its input of the body's immune system. There is a risk of an allergic reaction to this drug.

Before using this tool, you need to get professional advice. The effectiveness of such injections is affected by age, bad habits, diet, facial structure, facial expressions and other factors.

IMPORTANT: Not so long ago, a unique "side" effect from Botox injections was discovered. Neurologist Anneke Van Der Volt and her colleagues from the Dutch Institute of Health were able to remove tremors in patients with multiple sclerosis with this drug.

Botox for the face

  The appearance of wrinkles is one of the very first factors indicating the aging of the body. The use of Botox to improve the structure of the skin on the face is the most popular rejuvenation procedure. It has been used for over 30 years.

“Botox” for face can be used from 25 years old. This is exactly the time when the physiological aging process begins in the body. This tool is recommended to eliminate wrinkles:

• Around eyes
• On the forehead
• In the eyebrows
• In the cheeks and cheekbones
• In the nasolabial folds

In addition to the main effect using this tool you can achieve:

• Elimination of the vascular "mesh" on the face
• Improvements to the contour of the eyebrows and corners of the mouth
• Elimination of the "second" chin

The use of Botox for the face becomes noticeable already 2-7 weeks after injection. Beauticians recommend injections of this product to smooth wrinkles in the first year every 4 months. Then their intensity can be reduced to 2 per year.

After Botox injections you need to:

• Stay upright for at least 4 hours
• Actively work with facial expressions so that the product is evenly distributed

Massaging the face is strictly prohibited.

Botox for lips

Today, it is very popular with the help of Botox to do lip correction. The use of this procedure is indicated for people with thin or asymmetric lips. Injections of this product into the lips can be combined with this cosmetic procedure to smooth out wrinkles in other parts of the face or be carried out separately.

Botox injections into the lip area are carried out with a 2 mm deviation from the lip rim. 4-6 injections are made around each lip. After 3-4 days, the skin around the mouth is smoothed. Deep wrinkles completely disappear, and lips become expressive.

Botox for hair

Recently, it has become very common to improve the structure of the hairline and scalp, which is called "Botox for hair." It is made by applying the product to the hair and rubbing it into the scalp. The active substance of this tool is Intra Silan. There is no botulism toxin in its composition. The name "Botox" in this case is just a marketing ploy.

Botox dosage

  The dosage of this drug depends on the specific areas of its use. With the introduction of the drug at one point, the dosage can be from 1 to 5 units. Specific points and doses of the drug are determined individually. The maximum amount of funds introduced into the body in one procedure should not exceed 350 units.

Average dosage:

• In the muscles of the face - 25 - 100 units
• In the muscles of the neck - 100 - 200 units
• In the muscles of the limbs - 50 - 300 units

IMPORTANT: The maximum dosage of Botox is 38-42 units / kg body weight.

Botox contraindications

• There is a described tool and cons. It can not be used for myopia, cancer, protein allergies, liver and lung diseases. Introducing botulism toxin into the body can lead to fever, coughing, runny nose, and muscle fatigue. Bruising and swelling may appear some time after the injection. But, they will subside in 5-7 days
• Botox is contraindicated for nursing mothers and pregnant women. Injections with this agent should be discarded when taking antibiotics, vitamin and mineral complexes containing calcium and when taking aspirin. Alcohol is also incompatible with Botox.
• In summer, it is better to refuse injections with this remedy, since after it it is contraindicated to be in the sun

After such injections, sex, fitness training and other active exercises are contraindicated.

Side effects

• Injections of “beauty injections” have been used for over 30 years. During this time, more than 200 documented studies on the effects of Botox on the human body have been conducted. But, there is still a debate about the safety of this drug
• Injections with this agent can cause pain. Within a week, a person who has been injected with this substance may experience weakness. Such reactions, as a rule, do not require special therapy and pass on their own
• Side effects may occur with unskilled administration of a substance into the skin. There may be a risk of a needle entering a blood vessel or nerve.

Botok or Dysport

Very often described tool is compared with "Dysport". The manufacturer of this drug is the French company Beafour-Ipsen-Speywood. The active substance in Dysport, as well as in Botox, is type A botulinum toxin. The side effects of the drugs are identical. But, thanks to the "untwisted" name, Botox injections are more popular in our country.

Botox analogues

"Myobloc"   - a product based on botulinum toxin type B used in cosmetology. It is produced by the American company WorldMeds. It is indicated for body getting used to Botox injections.

Xeomin   - Wrinkle smoothing preparation from the German company Merz. Unlike all known drugs with a similar effect, it has the smallest molecular weight. That allows you to use "Xeomin" even for smoothing small muscle groups.

Neuronox   - a tool for smoothing wrinkles from the South Korean company Medi-Tox Inc. The competitive advantage of Neuronox is the best price-quality ratio.

Lantox   - a medicine for injections based on botulinum toxin type A. The competitive advantage of Lantox is its convenient packaging and lower cost compared to Botox.

Nina.   I'm afraid to make injections and so I tried a cream based on Botox. By its consistency, it is rather a gel. After application to the face, it immobilizes the muscles, and wrinkles are smoothed. The packaging says that it should be applied only after deep cleaning of the skin. I used my peeling, and then applied this gel and left it for 2 hours. So it was written in the instructions. The action of the cream made me very happy. Maybe no injections are needed anymore?

Christina. Botox injections against acne were advised. I was very afraid to decide. But, after watching videos on the Internet, I found a beauty salon in my city where such a procedure is carried out. The beautician did everything neatly. A week later, the number of acne was reduced significantly. At the same time, the skin has become firm and supple. I will continue to solve my skin problems with Botox.

Video: Beauty injections: mesotherapy, biorevitalization, hyaluronic acid, botox. What to choose?

Botox   Is the name of a drug manufactured by one American company. Since 1989, this tool has been used in neurology in the treatment of people suffering from muscle spasms. Nowadays, Botox is a popular cosmetic procedure. What kind of procedure is this, how it is going on, what contraindications there are for its implementation — we will consider all this in this article.

What is Botox?

Botox is a remedy that includes a purified and weakened neurotoxin of botulism A. It is when ingested that causes muscle paralysis. In other words, you stop frowning your forehead if you are used to it.

What is interesting about Botox is that it does not contain protein-containing substances that can cause allergies or other complications.

The drug, getting on the muscle fiber, stops the transmission of motor impulse from the nerve. Thus, there is a relaxation of facial wrinkles. However, the blood supply to wrinkles is not disturbed.

Application for face rejuvenation

Botox for the face should smooth wrinkles. In people with a moving face, facial wrinkles are able to form even in early youth. The fact is that the skin of our face is very close to the muscles under it and is closely connected with them. Moreover, the situation will worsen if the appearance of early wrinkles is genetically predisposed.

As a result of the injection, the expression muscles are blocked, the skin above them becomes elastic again, and wrinkles gradually smooth out.

At the same time, neither muscles nor nerve fibers are affected. The substances contained in the drug do not completely immobilize the muscle, but only remove its increased tone.

Procedure cost

What effect to expect

Every woman at all times wanted to preserve her youth and beauty longer. Botox injections allow this. This is an effective tool with minimal cash costs.

What else can Botox be useful for? It calms, removes toxins from the body and is absolutely safe for humans.

The effect of Botox may be noticeable already for 2-3 days or appear after 3-4 weeks. It depends on the individual characteristics of the person.

Botox injections are also carried out in the armpits. This helps stop excessive sweating.

To achieve maximum effect for the first year, Botox is recommended to be done every six months. In the second year, inject once every 8 months. But within 3-4 years - only once.

What is botulinum toxin?

Botulinum toxin   - These are drugs that block the transmission of neuromuscular impulses. Get them from the bacteria. In medicine, however, it is considered the strongest poison.

Therefore, botulinum toxin should be administered only by a qualified specialist.

This drug does not smooth out all muscle groups, but only facial expressions on the neck, forehead, corners of the eyes, nose bridge, above the upper lip.

With periodic administration, facial muscles are constantly maintained in a relaxed form, which contributes to the gradual smoothing of wrinkles.

Description of procedure

Before this cosmetic procedure, minimal preparation is required:

1. You should refuse to take medications a few days before the injection.
2. For a day, it is better to stop taking alcohol.
3. Immediately on the day of the injection, you should not engage in physical labor, sports.

At the preliminary consultation, the specialist determines the severity of wrinkles, the role of facial muscles in their formation, the points where Botox should be administered and its amount.

Then the surface of the skin is disinfected, as a rule, local anesthesia is used during the procedure. For these purposes, the skin is treated with a special anesthetic cream.

After that, the doctor injects the solution with a very thin needle, the diameter of which is only 0.3 mm, into those muscles that are planned to be affected.

The procedure itself does not take much time, it usually lasts 3-5 minutes.

After the procedure is completed, the skin is treated with antiseptics, and its surface is cooled.

All information about the administered drug: lot number, expiration date - is entered on an outpatient card.

The amount of the drug in the vial is usually measured not in grams, but in units of action (UNITS). Accordingly, the cost of the procedure will depend on the amount of units spent.

• On the horizontal folds on the forehead, 4 to 15 units are needed.
• From 8 to 25 units are consumed per eyebrow fold.
• To remove the "crow's feet" injected from 8 to 16 units.
• On the procedure Botox lifting in the corners of the mouth you need from 4 to 6 units.
• Wrinkles of the upper lip: from 2 to 4 units.

Of course, you will receive more accurate information directly in the salon, which deals with Botox injections.

Contraindications

Botox injections are contraindicated in the following cases:

• Inflammatory processes on the skin, acne, etc. For injections, the skin must be absolutely healthy.
• Unexpired rehabilitation after any surgery at the site of the alleged injection. Typically, the rehabilitation period for final tissue healing is three months.
• Weakness of the muscles of the face (gravitational ptosis, hernias of the upper and lower eyelids).
• The presence of any infectious disease in the patient.
• Weakening of the eye muscles (myopia).
• Violation of the normal functioning of the facial muscles.
• Allergy to albumin, which is part of the injection.
• During pregnancy and during breastfeeding.
• The patient took antibiotics less than two weeks before the injection procedure.

In no case should you neglect contraindications or hide these facts from your doctor. Botox is a toxin, the consequences after improper use can be very negative and entail a severe deterioration in health and the emergence of new diseases.

Alternative to Botox

An alternative to Botox is the use of Dysport. This is a French drug manufactured by IPSEN.

The active component of dysport is A-type botulinum toxin. Penetrating into the tissues, it blocks nerve connections. Muscles do not receive a signal from nerve endings and stop contracting.

Dysport is administered as well as Botox by injection. A noticeable effect begins to appear within 2 to 5 days, the maximum in two weeks. To maintain the effect, the injections are repeated two or three times a year.

Contraindications for use, preparation for the injection procedure, as well as after - procedural limitations, are the same as when using Botox.

Botox or Dysport

What is better to use in each case depends on the opinion of the doctor and your decision. For your reference - the differences between these drugs will be given below.

• Producing country.   Botox - USA (since 1981), Dysport - France (since 1990).
• Dosage unit.   On average, one unit of Botox accounts for 3 to 5 units of disport.
• Effect time.   The maximum effect in both drugs is achieved the same way - in two weeks. But the duration is different, Botox has a maximum of 6 months, and disport has 4 months.
• Primary effect. At Botox, you can observe the first noticeable changes - a maximum of 7 days. At a dysport this term is lower and makes 3 days.
• Distribution of the drug from the point of injection.   Dysport extends over a larger area from the injection site than Botox. This makes it possible, having made fewer injections, to get the same result as Botox, for the introduction of which more injections are required. But do not forget that in the case of a large dosage of the drug - dysport, you will have to enter more. Sometimes this plays a decisive role in choosing a drug, as there may be times when it is better to take more injections than to introduce more units of the drug at one point.
• Shelf life.   In Botox, it is 2 years, in disport 1 year.

In fact, these are all of the listed differences between the drugs. Beauticians often use both drugs to achieve the most natural effect.

The word "Botox" is now familiar to almost everyone who pays enough attention to their appearance; both women and men. It, probably, like aspirin, can already be written with a lowercase letter, it is so common.

Botox ® is a drug manufactured by Allergan (USA).

Since 1989, it has been used in neurology for the treatment of diseases accompanied by muscle cramps, for example, cerebral palsy (see: “Botox in medicine”).

Since 1994, it has been approved by the Ministry of Health for use in the Russian Federation.

The active ingredient of Botox is purified and weakened botulinum toxin.

Application area

In cosmetology, Botox and its analogue, Dysport, are used to eliminate facial wrinkles. It is mimic, the occurrence of which is due to the motor activity of mimic muscles.

When these muscles are tensioned, the skin gathers in folds. Over time, they cease to completely straighten out and expression wrinkles form. Most characteristic is their appearance in the upper part of the face: on the forehead, between the eyebrows, in the corners of the eyes.

There are other methods for smoothing wrinkles of other origin: contouring, mesothreading, chemical peels, etc.

How does Botox work?

Traditionally, Botox is injected intramuscularly - into the facial muscles, where it temporarily blocks their susceptibility to nerve impulses. Due to this blockade, the muscle or part of it relaxes, stops contracting and the wrinkles formed by it are smoothed out.

The art of a doctor is not to completely immobilize Botox with the muscles responsible for the appearance of wrinkles, but only to remove their increased tone without violating the natural facial expressions.

Before and after

How to prepare?

• Three days before Botox injections, it is recommended to stop taking antibiotics and drugs that prevent blood coagulation: Aspirin, Heparin, Fenindion, etc.
• For the day you need to stop drinking alcohol.
• On the day of the procedure, you should not engage in sports, heavy physical labor.

How do they do it?

At the consultation, the doctor assesses the severity and nature of the wrinkles, the role of the facial muscles in their formation, the condition of the tissues, determines the points of Botox administration, and its quantity.

As with a conventional injection, the skin is treated with a disinfectant. Then, using a syringe with a short and very thin (0.3 mm diameter) needle, Botox solution is injected into those muscles whose activity must be reduced. It takes 3-5 minutes.

At the end of the session, antiseptic treatment of the skin, its cooling is performed. Data on the batch number of the drug, its expiration date is entered on an outpatient card.

The soreness of Botox injections is low. Their implementation is possible without anesthesia, but most cosmetologists prefer to make local anesthesia with a special anesthetic cream. In the case of Botox injections without anesthesia, most of our patients compare the sensations from them with mosquito bites.

How many units are needed?

The amount of Botox in the vial is not measured in grams, but in units (units of action). The price of the service is determined based on the volume of the drug used. Since price is an important factor, you can estimate in advance how many Botox units you will need to correct wrinkles:

• horizontal folds of the forehead: 4-15 units.
• interbrow fold: 8-25 units.
• "Crow's feet": 8-16 units.
• botox lifting of the corners of the mouth: 4-6 units.
• wrinkles of the upper lip: 2-4 units.

You will learn more accurate information at a doctor’s consultation.

When will the result be visible?

On average, facial muscles relax in 5-7 days. The maximum effect is usually achieved in two weeks.

But there are options due to the individual characteristics of the body, when botulinum toxin begins to act on the second day, and in some cases it takes a month.

There are people who are insensitive to botulinum toxin. Such immunity is rare, in less than 1% of people. It can occur in people who have previously undergone botulism or were treated with large doses of Botox for medical reasons.

Effect duration

After the first procedure, facial wrinkles are smoothed out on average for 4-6 months. Then the neuromuscular connections blocked by Botox are restored, muscle fibers begin to contract again, and wrinkles come back. Therefore, to maintain a permanent absence of wrinkles, it is necessary to reintroduce it after about six months.

As a rule, after 3-5 sessions, the duration of the absence of wrinkles increases to 10-12 months.

After the cessation of Botox, the motor activity of the facial muscles is restored. But during the time when the muscles were artificially relaxed, a person breaks the habit of constantly frowning his forehead or squinting his eyes. Therefore, wrinkles, the occurrence of which is due to these habits, may not return. Even if you do not repeat the introduction of Botox

Limitations

You can return to an “ordinary” life immediately after the procedure (therefore Botox injections are often referred to as “lunch break cosmetology”). But after the introduction of botulinum toxin for several hours, its distribution in the tissues occurs. More than a day is required for complete healing after injection. In order for these processes to pass in the optimal mode, some restrictions should be observed:

• do not go to bed or lie down - 3-4 hours;
• it is worth refraining from taking medications that affect blood coagulation, drinking alcohol - 1 day;
• do not touch the skin areas where the injections were done with your hands - 2 days;
• do not tilt your head down for a long time: for example, wash the floors - 2 days;
• do not do sports, fitness - 2 days;
• exclude overheating: do not go to the bathhouse, sauna, do not sunbathe, do not direct hot air from the hair dryer to your face for 10 days.

At what age is Botox most effective?

The severity of the achieved result after using Botox depends not only on individual characteristics, but also on age:

• up to 25 years - most people have not yet indicated for the use of Botox: the skin is quite elastic and expression lines do not pose a serious problem;
• 30-40 years old - in most people, facial wrinkles are already quite noticeable and the maximum effect can be expected from the use of Botox;
• 50-60 years - the tone of muscle fibers is already weakening, the result from the use of Botox is less pronounced than at a younger age;
• after 60 years, the facial muscles lose their tone to a significant degree, its role in the formation of wrinkles is small, and accordingly, the scope of Botox is very limited.

Contraindications

For contraindications to Botox wrinkle correction, see.

Botox cosmetics

Possible complications

After the procedure, there may be slight swelling at the injection sites and, for several days, point hemorrhages may persist. They pass independently and do not require treatment.

Sometimes there is "hypercorrection" when, with an overdose of the drug, due to non-compliance with the restrictions that must be observed after botulinum therapy or due to increased individual sensitivity, the muscles relax more than planned. There is a "prolapse of tissues", a "mask-like face" or its asymmetry.

Botox has rightly earned the trust of many women. It is not for nothing that botulinum therapy is called “beauty injections”. This technique of facial rejuvenation is used relatively recently: in our country, Botox began to be used in the 90s of the last century. Botulinum therapy will help to raise the corners of the eyes, the look will become more open and expressive. She perfectly corrects the oval of the face and copes wonderfully even with deep wrinkles. The cosmetic procedure does not cause pain, does not take much time, which is very important in this age of catastrophic employment.

General information for people doubting botulinum treatment options

What is botox for face? This drug acts only on muscle fibers. It does not change the structure of subcutaneous tissue, does not worsen the condition of soft tissues.

The main active substance of the drug is botulinum toxin. It is a toxic substance, but in a small concentration does not pose a risk to human health. Face botox in a reasonable dosage is safe: the effect of the drug is local, it affects only the muscles located at the injection site. Read more about whether Botox is harmful to the face.

The cost of the procedure depends on how many units of the drug will be needed to combat age-related skin changes. At the first consultation, the cosmetologist will announce the approximate price of “beauty injections”. How many units of Botox are needed on the forehead.

The "magic power" of botulinum therapy for the face

The areas of application of botulinum toxin are different, this cosmetic product is used for the following purposes:

• Most often, the drug is injected. It perfectly eliminates deep horizontal crease.
• With the help of botulinum toxin, "crow's feet" are also removed, removes problems that cause a lot of grief for the fair sex.

Botox is not only necessary for these purposes: injections for the face are also done to get rid of wrinkles in the corners of the lips. easily erases the seal of past years. The corners of the lips rise, self-confidence and self-attractiveness return to the person.

What anti-aging techniques can Botox combine with?

Botulinum therapy is an effective technology. It perfectly copes with facial wrinkles, but if the cause of the aesthetic problem lies in the omission of facial tissues and other serious age-related changes, botulinum toxin may not bring a tangible effect. In such a situation, you need to use additional alternative rejuvenation techniques that have a good effect on the volume and structure of soft tissues.

After botulinum treatment of the face, you can:

• biorevitalization
• mesotherapy
• contour plastic.

These technologies are best used in combination with botulinum therapy. They do not affect muscle mobility, their effect is slightly different: these methods contribute to the renewal of facial skin.

An excellent result is obtained when combining botulinum therapy with rejuvenation technologies such as radio frequency RF lifting, microcurrent therapy.

After Botox, a person needs careful care: you can prepare masks that have a rejuvenating effect. They improve complexion, prevent the formation of new wrinkles, even out skin texture.

Contraindications botox treatment

It can not be used in the following cases:

• oncological disease;
• pathologies of the hematopoietic system;
• increase in body temperature;
• inflammatory disease;
• the presence of an allergic reaction to its components.

How long does the drug last and how often can injections be given?

  Two women are haunted by two questions: and how often can Botox be done on the face? The positive effect of the “beauty injection” does not appear immediately. A few days have passed from the moment of botulinum therapy: during this time, the muscles gradually relax. After all, botulinum toxin neutralizes the activity of acetylcholine receptors, which is responsible for muscle contraction. The sensitivity of nerve endings gradually decreases under the influence of the drug. After 10 days, the effect of using Botox is clearly visible.

After 2 months, the effect of the drug begins to weaken, after 4 months, Botox will be able to control the process of muscle contractions by only 20%. Therefore, after about six months, the woman, looking in the mirror, again notices signs of age-related skin changes. That's when you need to rush to the beauty salon to conduct a rejuvenating procedure.

In what cases is the effect of Botox short-lived?

In some cases, the drug is rapidly excreted from the body. Intensive sports training can quickly level the effect of Botox. Information about how many days after Botox you can not play sports.

If the injections were made by an incompetent specialist who could not correctly calculate the dosage of the cosmetic product, the skin will return to its original form after a couple of months. In this case, you can do "beauty injections" again.

Is there any “addiction” to the drug?

There is an opinion that muscles gradually get used to a certain position and atrophy little by little. Therefore, with the repeated use of botulinum therapy, the positive effect of Botox persists for a long time.

The fact is that Botox limits muscle mobility, a person unlearnes the bad habit of frowning. Botulinum toxin will no longer allow you to make a surprised face by bizarrely arched eyebrows. Therefore, a person does not form new wrinkles and skin tone significantly increases.

The cost of the procedure depends on the number of units of the drug.

Some young people believe that Botox can be used to prevent wrinkles. This is a mistaken judgment. Botulinum therapy should not be carried out for preventive purposes: it is intended to combat age-related skin changes.

You can watch the whole procedure, as well as get acquainted with the recommendations after Botox injections, in this video:

Botox treatment has many advantages, but before deciding on "beauty injections" you need to carefully weigh the pros and cons. People who are actively involved in sports may be disappointed with the short-term effect of “beauty injections”. Sports training gives the figure a seductive roundness and beauty, but in everything you need to observe the measure. Intense exercise accelerates the elimination of botulinum toxin from the body.

You can find additional information on this topic in the section.