ALL ABOUT BOTOX

Are you interested in finding out how to get smoother, tighter, and wrinkle-free skin? The answer may be BOTOX® treatments

Read the following chapters to find out if BOTOX is right for you.


TABLE OF CONTENTS:

  1. What is BOTOX® and how does it function?

  2. How and why did BOTOX® attract so much attention in the world of cosmetic procedures?

  3. How do we get wrinkles?

  4. How can BOTOX® improve gummy smiles?

  5. BOTOX® does wonders with excessive sweating.

  6. How much BOTOX® is enough?

  7. Baby BOTOX® - smaller doses

  8. Can gents use BOTOX®?

1. WHAT IS BOTOX® AND HOW DOES IT FUNCTION?

BOTOX® is a derivative of the bacteria Clostridium botulinum. It was first discovered by Belgian scientist Emile van Ermengem after a botulism outbreak in Belgium. Today, it is a therapeutic agent also known as Botulinum Toxin Type A. This rod-shaped bacterium is widespread, can be found in the soil, and produces the neurotoxin botulinum. In the early 1900’s, Karl Friedrich Meyer developed techniques for growing and extracting the toxin. Today, BOTOX® is made in laboratories under controlled conditions and it is administered in extremely small doses.

To BOTOX® or not?


Toxin – you might ask yourself, how is BOTOX® safe then? YES! Yes to BOTOX®, and YES it’s safe! When placed strategically in small doses it can do wonders in the cosmetic and medical world.

Now that we know what BOTOX® is, let’s talk about its Mechanism of action, or how the product works.


Botulinum toxin is a neurotoxic protein that stops the release of the neurotransmitter called Acetylcholine. Acetylcholine is a molecule that works in the body as a messenger between the neuromuscular junctions of cells. It is released by motor neurons in the nervous system and activates muscle contraction.

Botulinum toxin works by releasing an enzyme that stops muscle contraction.

WHY IS THIS INTERESTING TO YOU?

When you get BOTOX® injections they relax the muscles on your face that create wrinkles around the eyes and on the forehead. The wrinkles are reduced and your face looks smoother. Magic!


After BOTOX injections, muscle movements that create wrinkles are reduced. In general, BOTOX® lasts between 3 to 4 months. There are some patients in who it lasts longer, up to 6 months or shorter less than 3 months. How long BOTOX® lasts varies from patient to patient.

But now that we get the chemistry and pharmacological attributes, let’s dive into history of BOTOX®.

2. HOW DID BOTOX® ATTRACT SO MUCH ATTENTION IN THE WORLD OF COSMETIC PROCEDURES?

Today, the uses for BOTOX® are many. But before BOTOX® was even considered for cosmetic treatments it was used for completely different purposes - to treat crossed eyes and eye twitching. Scientists, that conducted this research, noticed that botulinum toxin reduced wrinkles in the glabellar (between the eyebrows and above the nose) part of the upper face. The first human patients who suffered from strabismus were injected with botulinum toxin type A in 1977, and soon after that hundreds of ophthalmologists were using it in the treatments.

In 1989, after thousands of patients received this treatment, Allergan received approval from the Food and Drug Administration to market Botulinum toxin type A to treat strabismus and blepharospasm (eye-twitching) under the trademark BOTOX®.

The potential for other usages of it was discovered quickly. Thus, it was in the early 1990’s that Botulinum toxin got its role in cosmetic procedures for wrinkle reduction. BOTOX® was on its way to becoming popular, and misunderstood.


HOW DID BOTOX® EMERGE INTO THE COSMETIC WORLD?

Botulinum toxin was used for cosmetic purposes for the first time when a plastic surgeon treated forehead asymmetry. The asymmetry was caused by forehead nerve paralysis on the left side. More importantly, the treatment was successful and it made wrinkles on the right side smoother - it matched the left side that was paralyzed.

Other specialists from ophthalmology and dermatology fields noticed that patients who were treated from eye-twitches and received Botulinum Toxin type A around the eyes and upper face ended up with reduced glabellar lines (frown lines).

Overnight BOTOX® got became the aesthetic star of the show! In 2002, the FDA cleared BOTOX for temporarily reducing the appearance of moderate to severe glabellar lines.

The cosmetic use of BOTOX® has become widespread.


Below are the dates of various FDA approvals for botulinum toxin:

  • Crow's feet in 2013

  • Urinary incontinence in 2011

  • Chronic migraines in 2010

  • Axillary hyperhidrosis in 2004

  • Glabellar lines in 2002

  • Cervical dystonia in 2000

  • Strabismus and blepharospasm in 1989

Now that we covered history, let’s move on to the most popular usages of BOTOX®.


3. WHY DO WE GET WRINKLES?

Wrinkles are a normal sign of aging; genetics may help determine how early you develop wrinkles, the depth and number of wrinkles, and where you get the wrinkles. However, lots of social and environmental factors play a part in the severity of wrinkles or rhytids. The big ones are UV exposure, smoking, a demanding work life balance, environmental pollutants, lack of good skin care, a diet deficient in fruits and vegetables, and repeated facial movements. Luckily, BOTOX® can really do wonders when it comes to wrinkle reduction around the mouth and eyes. BOTOX® can even help reduce some of the sagging that occurs in some areas of the face from repetitive movements.

Before we reveal the secrets of BOTOX® let’s talk about wrinkles in more detail.



CAUSES OF WRINKLES

Wrinkles are essentially dermal scars in the form of lines, furrows, and creases in your skin. This long term dermal trauma is a result of aging, is worsened by collagen and volume loss but is completely natural. Also, your skin loses elastin over time, and its ability to rejuvenate itself decreases. Your skin also gets pulled down by gravity.

How many and how severe your wrinkles will appear, depend tremendously on your lifestyle. A stressful, busy life can greatly contribute to these signs of aging.

NOT ALL WRINKLES ARE THE SAME

Throughout our lifetime, we may develop three types of wrinkles: dynamic, static, and folds. Dynamic wrinkles are the ones that appear when your facial muscles move - when you laugh smile or squint. They are caused by contraction of muscles that are attached to the overlying skin. Each muscle contraction causes the skin to bunch together and form the lines between the bulk of the muscles. When the skin is still young, it can bounce back to being smooth, after the facial expression is over. That’s because it’s full of collagen, elastin, and other important proteins that keep it flexible and youthful. BOTOX® is an awesome solution for dynamic lines because it works as a prevention measure - it keeps dynamic lines from actually becoming wrinkles and staying on your face.

Some of the dynamic wrinkles include

  • Forehead wrinkles

  • Frown lines (between your eyebrows)

  • Crow’s feet (at the outer corner of your eyes)

  • Smile lines

  • Lip lines

Then as time passes and the skin gets older, dynamic wrinkles turn into STATIC WRINKLES….They are the bad ones, and they have a bad reputation for good reason. Once they appear on the face, they are there to stay. Their visibility is strong, and even though they start as small lines, they get deeper and deeper. The major cause of static wrinkles is the natural loss of collagen and elasticity. As the skin begins to age, collagen starts to break down and this results in folds, creases and lines. Static lines may also appear because of smoking, extended sun exposure or genetics.

Static wrinkles may Include:

  • Tear through lines (under the inner corners of the eyes)

  • Marionette lines (from the edge of the mouth down to the jawline)

  • Nasolabial lines (from your nose down to the outer corners of the mouth)

  • Lateral cheek lines

  • Necklines

BOTOX® TO THE RESCUE

BOTOX® is the most appropriate procedure for treating dynamic wrinkles because it reduces the muscle movements that cause them. BOTOX® injections relax the muscle contraction and dynamic wrinkles no longer occur.

Static lines are a bit trickier, but a proper dose of BOTOX® and repetitive treatments can soften them over time. Or the best solution would be a combination of BOTOX® and dermal fillers.

FACIAL WRINKLES THAT CAN BE TREATED WITH BOTOX®

Do you want to find out how BOTOX® does wonders on the following facial wrinkles? Check out the list below.


1. Glabellar lines

More colloquially known as frown lines or ‘11’ lines, glabellar lines appear between your eyebrows and above your nose.

They are the first sign of aging for many people and they can first appear in the mid-20s. A lot of young people start with BOTOX® to stop the advancement of these wrinkles.

Glabellar lines become more noticeable as the skin loses collagen and elastin and are a natural part of aging. Muscles that contract between eyebrows in a downward movement make these lines stay permanent on the face. The result - people get a constant frowning look, and they appear older and angry all the time.

BOTOX® is a safe and absolutely effective non-surgical treatment for avoiding or reversing the frown face appearance. BOTOX® injections decrease your ability to contract the glabellar muscles re-creating a smooth and youthful forehead.

2. Crow’s feet (would like a lateral view of Crow’s feet)

These lines are also called lateral canthal lines or periorbital lines. They branch out from the outer corners of the eyes while squinting or smiling.

Crow’s feet appear because of the loss of collagen and skin elasticity and extensive sun exposure.

When we repeatedly make facial expressions like squinting, the muscle around the eye contracts and causes the skin to fold, eventually causing crow’s feet to appear. Sadly, these wrinkles can occur at a really young age like mid-20s. The skin around the eyes is quite thin and loses elasticity with age and wear. It has limited capacity to bounce back to its relaxed state as it used to.

Fortunately, BOTOX® is a fast and effective treatment to reduce the muscle activity underneath the skin and improve these wrinkles. It reduces the visibility of crow’s feet by relaxing the muscles that surround the eyes. After obicularis oculi (eye muscle) BOTOX®, you should notice that the skin underneath and around your eyes looks smoother, and the difference should be particularly distinctive when you smile.

3. Forehead Wrinkles

Forehead wrinkles are caused due to many factors like losing skin elasticity and using the forehead muscles to open your eyes and raise your eyebrows. Repeated use of the frontalis muscle causes wrinkles across the forehead.

So, as the skin matures it loses its laxity. Combined with gravity and facial muscle contractions forehead wrinkles and fine lines are formed.

BOTOX® is actually one of the most effective ways in reducing forehead wrinkles. It smooths the horizontal lines and vertical wrinkles between the eyes. The injections work to relax the muscles that cause these wrinkles to form. It prevents the muscles from contracting and thus the creases get softened. After the treatment, the forehead is much smoother as the wrinkles don’t appear anymore.


4. Bunny Lines

These wrinkles appear on the bridge of your nose especially when you scrunch up your nose when laughing. When you overuse facial muscles called nasalis muscles they show up straight or a bit diagonally on both sides of your nose under the bridge. As you get older, they stay around appearing as fine lines, even if your face is relaxed.

They might have a cute name but they are still a type of wrinkles that you worry about. Botox injections temporarily limit the movement of your facial muscles. It is an effective way to minimize the appearance of bunny lines.


5. Lipstick Lines

Lipstick or smokers’ lines are wrinkles that appear on the lower and upper lip and fan out from the lip border. They are also known as pucker lines or perioral rhytids.

These wrinkles get even more prominent when you pucker your mouth by using Orbicularis Oris muscle that borders the mouth. These lines also appear because of the loss of collagen that happens as the skin ages and the constant clustering of the tissue because of muscle contractions. They make the lipstick run and smudge outside the lips - that’s how they got their name.

BOTOX® is a very common treatment for lipstick lines no matter how deep the lines are. It is effective because it relaxes the lines and eventually smooths them. Both upper and lower lip lines can be effectively treated. Botox is a simple in-office procedure and takes about 10 minutes. It causes minimal pain and downtime.

BOTOX® is injected in Orbicularis Oris muscle which results in temporarily freezing its movements. But you are of course still able to move your mouth as you normally do.

That’s one of the advantages of BOTOX® - it gives an absolutely natural appearance to the treated area.


6. Marionette Lines

These wrinkles extend from the corners of the mouth down to the chin. They cause the mouth to look as if turned down and give you a sad appearance. They are wrinkles that perhaps make people look the oldest.

They look like the borders of the jaw on a marionette puppet - hence the name.

As the skin ages, the fat pockets in your upper face start disappearing, while at the same time the fat pockets in your lower part of the face get more filled. So, your skin starts to sag down and create folds - marionette lines.

BOTOX® is an awesome option for treating these wrinkles because its injections relax the muscles that pull the corners of your mouth downward.


7. Chin Dimpling

As your skin ages, it can look bumpy on the chin area and give the appearance of orange peel, or in French ‘peau d’orange’. This effect is a result of over-flexing of the mentalis muscle found in the chin.

BOTOX® works wonderfully in this case because precise injection in the mentalis muscles (the only elevator of the lower lip and chin) makes it relaxed and thus the chin gets a smoother contour.


8. Neck Bands

The neck is another area that can reveal our age. As the skin on the neck gets mature, dynamic muscles become more noticeable and cause wrinkles and lines that make us look older.

The neck consists of a pair of vertical bands that are called platysma muscle bands. They are placed at the front and sides of your neck. When they become hyperactive during the years there increase and combined with the loss of elasticity and volume your neck appears much older.

BOTOX® works great for neck wrinkles because when it is injected into muscles, they become relaxed and decrease hyperactivity. They become less prominent and your neck appears smoother, tighter and younger.

Another BOTOX® usage that is specifically efficient is -

A Nefertiti Neck Lift

It targets the neck and jawline and BOTOX® really contributes to the lifting and rejuvenating effect.


WHAT’S THE ORIGIN OF THE NAME A NEFERTITI NECK LIFT?

Remember the ancient Egyptian Queen Nefertiti? Her bone structure is still admired - a smooth, well-defined, long neck is a sign of grace and beauty. Today, this procedure is the tool of choice to sculpt a well-defined jawline and slender neck.

This treatment helps you if you lack jawline definition, have a sagging neck, loose jowls or you frequently tense the neck area, which causes you to appear older. The treatment reverses the signs of aging in the lower face, neck and jaw and results in a smooth appearance and tighter skin.

BOTOX® injections are administered along the lower jawline in order to relax the upper Platysma which is responsible for pulling down the jawline. The result is a lifted appearance and enhanced definition of the jawline.

The second area of BOTOX® injections administration is muscles in the neck area. The result is smoother neckbands.

Also, some other areas that are treated are the Masseter muscles (the muscles used for chewing) and DAO - Depressor Anguli Oris. DAO is a muscle used for making facial expressions and it pulls the corners of the mouth downward and produces a frown. The results of BOTOX® treatments include reducing some of the downward pull and raising the corners of the mouth. BOTOX® injections in the Masseter slim down the face and make it look more heart-shaped instead of masculine square.

Aging is something we can’t escape, but we can reverse the signs with BOTOX®. BOTOX® injections cause facial muscles to relax and thus decrease the appearance of wrinkles and fine lines.


4. HOW CAN BOTOX® IMPROVE GUMMY SMILES?

Take a look in the mirror and smile. Do your lips go up higher than your teeth and sit on the gums? Chances are you have a gummy smile. It may not bother you, but if you are self-conscious about your smile and never feel comfortable when you smile, you can improve it with BOTOX® treatment.


WHAT ARE THE CAUSES OF A GUMMY SMILE?

We can’t be all blessed with the ideal smile – exposing only 1 millimeter of pink upper gum, above our teeth. There is a genetic predisposition, so some people have an overly grown upper jaw. Others have a short or overactive upper lip that shows more gums when they smile. Then there are teeth – they can be smaller or hidden and thus more gum is exposed. Lastly, there is gingival hypertrophy – a condition when the gum tissue is enlarged or long.


HOW DOES BOTOX® WORK FOR A GUMMY SMILE?

The biggest advantage of BOTOX® treatment for gummy smiles is that it’s non-surgical and really quick. Not to mention that it’s highly effective. When BOTOX® is injected, it relaxes the upper lip muscles so the upper lip doesn’t rise so much when you smile. The treated area is on both sides at the junction of the nostril and nose to mouth fold.

The result – no gums showing. You get a natural and more attractive smile.

BOTOX® treatment for a gummy smile has a lot of advantages. It is non-surgical and therefore causes only a little discomfort. The results last for 3 months but when you repeat the procedure gradually you get more time between treatments.

There is no recovery time and you can continue with your daily activities right after the procedure.

After the procedure, you will see the first results as early as two days. The full results are visible two weeks after.

One more thing - your BOTOX® therapist will advise you to actively use the targeted muscles for a few hours. Also, you will need to avoid extreme cold or heat, street clear of excessive exercise and sit straight without leaning over for 4 to 6 hours. These aftercare measures are there to avoid any unwanted side effects.

So, return your confidence and smile again because the smile is the best cure for everything.


5. BOTOX® DOES WONDERS WITH EXCESSIVE SWEATING

Have you ever felt that your quality of life is greatly diminished by the excessive sweating and constant underarm pit stains on your shirts? Did it bother you so much that you couldn’t enjoy your social life? Well, what would you say if I told you that BOTOX® is absolutely effective in solving this problem and can prevent soaking through your clothes?

Find out how in the following chapter.


HYPERHIDROSIS - CONSTANT SWEATING

Excessive sweating or medically known as hyperhidrosis refers to any atypical sweating for example when it isn’t hot. People who suffer from hyperhidrosis drip sweat or soak through their clothes. Even if they use antiperspirants, it doesn’t help them.

People can experience excessive sweating on one area of the body or on large areas. If the hyperhidrosis occurs just underarms, feet, hands or heads it’s called focal hyperhidrosis. It is also known as The Silent Handicap, as it significantly affects the quality of life socially, emotionally and professionally.

Luckily, BOTOX® comes to the rescue again. It is safe and FDA-approved for the treatment of underarm excessive sweating.


HOW DOES BOTOX® WORK FOR HYPERHIDROSIS?

BOTOX® injections block the nerves that activate sweat glands. In normal conditions, the nervous system triggers the sweat glands when the body temperature increases. This is how the body naturally cools itself. But when people suffer from excessive sweating the nerves that trigger the sweat glands are hyperactive.

When BOTOX® injections are administered in the area of the body that sweats too much the hyperactive nerves get numbed. If the nerves can’t trigger the sweat glands, a person doesn’t sweat. BOTOX® injections are tiny and placed just under the surface of the skin.

The results show that BOTOX® can decrease sweating from 82 to 88%. The treatment starts to work 2 to 4 days post-procedure and the full results are noticed after 2 weeks. Sweating doesn’t occur from 4 to 12 months. This is when patients usually come for touch-ups because the BOTOX® treatment constantly shows long-lasting improvement in excessive sweating. It greatly improves the quality of life and patients report that they function much better in their daily activities.


WHAT CAN YOU EXPECT DURING BOTOX® FOR HYPERHIDROSIS TREATMENT?

Patients handle the BOTOX® injections really well, which means that they don’t hurt, they are only mildly uncomfortable. The very treatments for underarm sweating can last for just 10 minutes. There are no special preparations, prior to the procedure, just avoiding shaving for 3 or 4 days. During the BOTOX® treatments, therapists use tiny needles to inject a very small amount of BOTOX® just beneath the skin across the area of sweating – they follow a grid about every 1 to 2 centimeters. The therapists first assess the area of excessive sweating and determine the number of needles they need to inject.

After the treatment is over, you can continue with your daily routine. You are advised to come again and have a follow-up in 1 or 2 weeks. This is because the therapist might have missed some sweating areas in the first round of treatment. These touch-ups actually make sure that you are getting the full benefit of this treatment.

STOPPING SWEATING WITH BOTOX® – IS THAT SAFE?

Absolutely!

There are more than 2 million sweat glands in your body. Only 2% of them are localized in the underarm pits. So, when you temporarily block them with BOTOX® you are not interfering with the body’s natural ability to cool itself. You are just making your life easier.

6. HOW MUCH BOTOX® IS ENOUGH

The right dosage of BOTOX® for each targeted area is different for every individual. There are guidelines for the number of units that are used for the different targeted areas, but every treatment is tailored to your specific needs at that time.

Let’s talk about the number of BOTOX® units in more detail.

Everyone is different.

That’s why not every patient will get the exact number of units as recommended. BOTOX® treatments are awesome because you can get a customized plan just for yourself. Customization depends on gender, your targeted areas and the strength of your facial muscles.

Men especially might need a little more unit than recommended. Simply because their facial muscles are stronger so they need more BOTOX® to relax the muscles.

But women may also need more units if their forehead wrinkles are especially prominent. So, as you can see the number of BOTOX® units can vary.

Before every treatment, your Provider will first assess the targeted areas and determine how many BOTOX® units you actually need. Sometimes the BOTOX® practitioner will decide to start off with fewer units and add more at your follow-up treatment if necessary.

REMEMBER: BOTOX® can always be added but it can’t be removed!

It’s good to keep this in mind. Since the full results of BOTOX® treatment are visible after two weeks, it’s better to wait and see.


7. BABY BOTOX® - SMALLER DOSES

If you are trying BOTOX® for the first time and you are looking for a more discreet equally effective outcome? Baby BOTOX® is an awesome entry-level treatment. It provides a fresher-looking complexion and of course, it leaves your natural movements - well, natural.

Let’s dive deeper.


WHAT IS BABY BOTOX®?

BOTOX® for babies?? Of course, it’s not for babies. It’s just a smaller amount of BOTOX®. The name comes from micro-droplet units that are injected more accurately and superficially to provide you with smooth, natural-looking skin. After a Baby BOTOX® treatment your muscles won’t entirely relax, leaving you with the ability to express with less risk of creating static wrinkles.

Benefits of Baby Botox®

  • More natural appearance

  • Fewer side effects than traditional Botox

  • Retain facial movement

  • Prevent wrinkle formation

  • Release tension in the jaw

HOW IS BABY BOTOX® DONE?

When you decide to enter the world of cosmetic procedures it’s not a bad idea to start slow with anti-aging measures. Baby BOTOX® is injected across your face in smaller amounts and it is super effective if you don’t have very deep wrinkles. It’s an awesome choice for younger people as prevention. If you have deeper lines, you might not be fully satisfied with the results, and it’s better to opt for regular BOTOX® treatment. Have a discussion with your Provider about your needs and come up with a plan.

Another great thing about Baby BOTOX® is that it can cover more areas of your face. It can target the usual areas like the forehead, crow’s feet, frown wrinkles but in other areas, it can give a slight lift and make the skin tighter.


WHAT DOES THE BABY BOTOX® TREATMENT LOOK LIKE?



Well, it’s not much different than regular BOTOX® treatment, but if it’s your first time it’s good to discuss with the practitioner about your expectations. Also, you might want to be clear about what areas you target and ask all additional questions about the treatment.

During the treatment, you are injected with Baby BOTOX® in the targeted areas and the only difference from the regular BOTOX® is that you get a smaller number of needles and amount of BOTOX®.

The purpose of Baby BOTOX® is to relax the facial muscles but not completely, just to make them contract with less intensity than usual. So, your face appears smoother because there aren’t any fine lines anymore and you can still make your facial expressions naturally.

THE BENEFITS OF BABY BOTOX®

It might come as a surprise to learn that Baby BOTOX® doesn’t have some different formula than regular BOTOX®. The same botulinum toxin is used in both treatments. But administering Baby BOTOX® is more delicate than administering regular BOTOX®. The final result - you get a refreshed facial appearance.

When treating the lower part of your face doctors need to be especially careful and if possible, use fewer BOTOX®. Baby BOTOX® plays a good role here - it can treat Marionette lines, bunny lines, smokers’ lines or even make the chin appear tighter. The best part - after the treatment, the lower area of your face will appear natural.

Baby BOTOX® can be used in other parts of your body, not just the face. You can use it to lift your neck, on the décolletage to make any fine lines less visible, or even underarms to stop the sweating.

Baby BOTOX® can help people who experience pain in their jaw because it can be injected into the muscles where the jaw meets the skull. This treatment helps them to stop grinding and clenching their teeth. Another effect of this treatment is that since these muscles get relaxed, they give a V-shape look to the jawline and slim the face.


WHAT TO EXPECT AFTER THE BABY BOTOX® TREATMENT?

When you get traditional BOTOX® it can last between four to six months. On the other hand, Baby BOTOX® lasts for around three to four months, but it can vary from patient to patient. But this is not a big issue because if your muscles can’t frown or make other facial expressions you actually “educate” them not to do that even when BOTOX® wears off. It takes some time before muscles start contracting the same way as they did before you had BOTOX®. So, the bottom line is that you can get BOTOX® treatments once or twice a year and keep your face soft and smooth.

Baby BOTOX® is actually awesome prevention and along with applying sunscreen and hydrating moisturizer, you can enjoy and benefit from wrinkle free skin forever.

So in the end, Baby BOTOX® is a fabulous option if you if you wish to achieve a more natural look. Also, if you already have some fine lines, you can prevent them from becoming deep wrinkles.