Various aesthetic cosmetology methods are used to treat wrinkles. This is filling voids in the skin with fillers, introducing hyaluronic acid into the upper layer of the epithelium, etc. One of the most common techniques is Botox for the face. The difference between this anti-aging technology and others is the area of impact. Botulinum toxin preparations are not introduced under the skin, but into certain muscle groups.
Indications and contraindications
Botulinum toxin is a protein neurotoxin that is a waste product of Clostridium botulinum. In fact, it is one of the most powerful natural poisons known to science. Naturally, its use for cosmetic purposes has both indications and critical contraindications.
Botulinum toxin injections
In fairness, it should be noted that modern anti-aging procedures use safe botulinum toxin. It blocks the transmission of nerve impulses from the cerebral cortex to certain areas on the face, without having an aggressive effect on other tissues.
Indications for using Botox:
- The presence of deep wrinkles in problem areas of the face. This is the frontal lobe, nasolabial folds, the so-called. “bunny” wrinkles are sharp depressions on the bridge of the nose.
- Acute hyperhidrosis. Neutralized bototoxin is actively used in the treatment of excessive sweating.
- Age-related changes in facial oval. This procedure is called Botox lifting and is used as an alternative to surgical intervention.
Contraindications for Botox for the face:
- Pregnancy, lactation.
- Sessions are prohibited while taking “aggressive” medications, including antibiotics and chemotherapy. Experts say that such rejuvenation is not used even with the use of calcium-containing vitamins.
- Syndrome of rapid fatigability of striated muscles or false paralysis.
- During menstruation, premenstrual period (2 days before bleeding) and during menopause.
- Exacerbation of herpetic disease.
- Impaired normal circulation or other blood diseases (including hemophilia).
- Myopia, farsightedness.
Botox procedure for face
Botox injections are performed under completely sterile conditions. They cannot be done at home - infection may occur at the skin puncture sites. In addition, storing botulinum toxin requires special conditions: the slightest rise in temperature and injection can cause serious illness.
Injection process
The thickness of the needle for the procedure does not exceed 0.3 mm. This is slightly thinner than a human hair.
How are Botox injections performed for the face in the frontal area:
- Before the session, the skin is completely cleansed of cosmetics and secretions. To do this, it is treated with an alcohol-free disinfectant solution.
- Conventionally, the forehead is divided into several areas: the central point, the sides, the hairline, and the lower zone. The central zone is worked out first.
- The cosmetologist grabs the skin in the middle of the forehead. The result should be a thin fold (up to 5 mm wide). The needle is inserted into it all the way. The piercing occurs literally to the bone.
- As soon as the needle rests on the bone, the technician releases the skin and begins to slowly inject the solution. Muscle injection
- If after removing the needle there is bleeding, then it is stopped with a simple cotton pad soaked in Chlorhexidine.
- The next injection point is located at the same level as the previous one. The action is completely repeated: the fold is clamped, the needle is inserted into it until it stops, and then the injection is made.
- Depending on the number and complexity of wrinkles, 6 to 8 injections are required on the forehead.
Sometimes lumps form at the injection site. This is kind of a side effect. Accumulations of botulinum toxin resolve on their own over time.
Where can Botox be injected on the face - diagram
There are two options for administering Botox:
- Subcutaneously. B, so-called, layer of lemon peel. This session is performed if the patient is diagnosed with excessive sweating. Also, intradermal administration is promoted as a means of combating small facial wrinkles.
- Intramuscularly. To ovalize or eliminate complex nasolabial wrinkles, botulinum toxin is injected into the lower part of the face, strictly into the muscle area. Muscle injections are used to remove deep wrinkles on the bridge of the nose or in the area of the brow ridges.
Botox injection areas
To determine points on the face where Botox can be injected, a cosmetologist performs electromyography. This is a study of muscle responsiveness. Afterwards, puncture sites are marked on the skin. An injection is given at these points.
Skin examination
Botox injection schedule:
- To remove longitudinal wrinkles on the forehead, punctures are carried out in the central zone and points located 1.5 centimeters further from it.
- To “soften” the fold on the bridge of the nose, botulinum toxin is injected into the side edges of the wrinkle. Here the distance is maintained by eye.
- Subcutaneously the solution is injected in approximately 1 centimeter increments.
Rehabilitation period
As such, there is no recovery period after an injection rejuvenation session. Immediately after the session, the patient can return to his normal life.
Of course there are some restrictions:
- Alcohol inactivates botulinum toxin. Therefore, you should not drink for a week after the injections.
- It is important to avoid physical activity (especially heavy lifting and bending forward), otherwise the solution will spread.
- It is recommended to avoid hot rooms and direct sunlight. In windy weather, we recommend staying at home. After punctures, microtraumas remain on the skin. If bacteria gets on the damaged shell, infection may begin.
- You cannot wear makeup until the punctures are completely healed.
- It is better to wash your face with plain water, without soap or gels.
After two days, the toxin will begin to act actively. There will be a “mask effect” on your face for some time. It occurs as a result of muscle relaxation. Over time, you will get used to this feeling. In the end, it is thanks to this effect that the tightening occurs.
Another common side effect is swelling. This is a normal reaction to the introduction of an aggressive drug under the skin. The accumulation of fluids will stop 3-5 days after the procedure.
How often can you do Botox on your face?
The first correction with botulinum toxin can be carried out already on the 14th day after the session. It may be necessary if the master, for some reason, was unable to work on the entire area at once. Full injections are given no more often than once every six months. Botox has a cumulative effect, i.e., after each subsequent procedure, the rate of resorption of the toxin slows down.
Botulinum toxin
Dynamic wrinkles are the first to be corrected - these are folds around the eyes, “smiles” in the corners of the lips and other facial signs of aging. Injections in these areas can be done once every 3 months. Complex static wrinkles (nasolabial folds, sagging cheeks) are corrected every six months.
How long does the effect last?
Reviews from doctors claim that Botox for the face lasts from 3 to 6 months. In many ways, the duration of the effect depends on the patient’s age and skin condition.
Forehead after Botox injections
Where and how long does the effect of botulinum toxin last:
- Lips, corners of the mouth – from 4 to 12 months.
- Crow's feet, brow ridges - from 3 to 6 months.
- The area of the chewing glands, cheekbones – up to 6 months.
- Nasolabial folds – from 2 months to six months.
What not to do after facial Botox
The most important thing that you should not do after facial Botox is take hot baths, steam in saunas and play sports. Such strict requirements apply only in the first 7 days after injections.
Bruises after Botox
Also for a longer lasting effect Not recommended:
- Specially strain the muscles in the chipped areas. But, remember, immediately after the session you need to make a special grimace for better distribution of botulinum toxin.
- Paint your face in the first 7 days after the procedure.
- It is forbidden to take antibiotics - they can inactivate the toxin solution.
- Touch and scratch the skin.
- Facial cleansing after Botox is carried out only with soft preparations without abrasive particles.
- Girls who practice rejuvenation using Japanese methods often wonder whether it is possible to do facial massage after Botox. This is strictly prohibited in the first week after the procedure.
Consequences of Botox
If not properly cared for, Botox for the face may not only fail to take root, but also cause irreparable harm to the body.
Consequences of Botox
What can happen:
- Quincke's edema. This is an extremely dangerous allergic reaction that can be fatal. Occurs due to an allergy to botulinum toxin.
- Displacement of parts of the face. For example, when eyebrows are pierced, one eyebrow goes up and the other goes down. This occurs as a result of the lack of professionalism of the doctor or the “spreading” of the drug.
- Mask effect. After a long period of inactivity, the muscles simply “forget” how they worked before the injections. As a result, the face may appear lifeless.
- Weakening of natural turgor, sagging muscles.
Recovery after beauty injections
Analogs
Despite its proven safety (taking into account proper use and sterility of the procedure), Botox injections cause some concern among many girls. Therefore, doctors often use analogues of botulinum toxin for injection rejuvenation. They are considered less harmful. This:
- Relatox. This is “Russian” Botox made from type A toxin. Its cost is much cheaper than natural Botox, but the effect is similar.
- Dysport. This is one of the variants of the hemagglutinin toxin. It is used to treat muscle spasms and prevent the formation of wrinkles. The drug relaxes muscles and has a strong muscle relaxant effect.
- Xeomin. German Botox. An excellent alternative to Dysport. The drug is characterized by a long-lasting effect and lack of muscle addiction. This explains its cost, which is twice as high as regular botulinum toxin.
Masks with Botox effect
Botox injections are not performed at home, but as an alternative, you can make a face mask. Of course, their effectiveness is much lower than that of injections, but they are characterized by a complete absence of side effects. Preparations for external use do not contain Botox, since the toxin is almost instantly inactivated when exposed to air.
Botox analogs
The most famous masks with the lifting effect of botulinum toxin:
- Face mask Botox Active Expert. Ideal for facial contours and treatment of deep wrinkles in the nasolabial folds. The product contains hyaluronic acid, sakura honey extract, shea butter and peanut base oils. Botox Active Expert
- Dizao Boto Mask 8. Heavy product for the care of mature skin. It contains petroleum jelly, tocopherol, green tea extract, aloe extract, and mineral compounds. Dizao Boto Mask
- Face cream with Botox effect Evalar Cream Qi-Clim botoeffect or Cyclim Botox. Contains a unique complex of peptide argireline. This component is characterized by its unique ability to relax muscles and moisturize the epidermis. In addition to the peptide, the cream contains hyaluronic acid, lecithin, D-panthenol, and rice extract. Evalar Cream Qi-Klim
- Nano Botox facial serum. This is a unique emulsion enriched with silver ions and synthetic peptides. As a result of the effect of the drug, small facial wrinkles are smoothed out. Nano Botox
- Serum Shary. Korean anti-aging elixir contains Argireline, hyaluronic acid and a complex of plant extracts. Shary
An excellent analogue of artificial lifting products is a homemade face mask made from starch instead of Botox. It consists of completely natural ingredients, does not pollute pores and does not dry out the skin.
Step-by-step instructions for preparing a home remedy for wrinkles:
- A tablespoon of potato starch is dissolved in 100 ml of water. The mixture must be mixed thoroughly so that there are no lumps.
- At the same time, you need to boil 50 ml of water. After boiling, pour cold starch mixture into hot water and stir until a thick mass forms.
- After this, the pulp is cooled and combined with chicken yolk.
The composition is applied to the face, neck and décolleté. The holding time ranges from 20 to 30 minutes. The procedure must be repeated every 3 days.
Mask with potatoes and starch
Essentially, this is the same thing. Botox is a highly concentrated botulinum neurotoxin. It is produced by Allergan (USA). Dysport is the same toxin, but only with a concentration 2 times less. This is a French drug from Beaufour Ipsen. Accordingly, the latter drug has a higher consumption and less danger to health.
Botox Allergan
Other differences between botulinum injections:
- Price. Dysport is much cheaper. On average, an ampoule of the drug costs from 15 to 20 dollars. Botox is exactly twice as expensive.
- For those interested in whether Botox is harmful for facial rejuvenation, it will be interesting that the product from Allergan is more dangerous than the drug Beaufour Ipsen. An allergic reaction occurs as a result of the active production of antibodies. The higher the concentration of botulinum toxin, the more likely the body’s negative reaction.
- The effect after Botox appears on days 5–7 and lasts up to 1 year. The results from Dysport appear within a day after the injections. But, the duration of its action is up to 3 months.
Photos before and after Botox injections
In the before and after photos of Botox for the face, it’s hard not to notice the result. Two weeks after the injections, even deep wrinkles are completely smoothed out. Over time, the toxin is eliminated from the body, but a certain effect remains even after its complete dissolution.
Recently I heard from my 25-year-old friend that she decided to get Botox to remove small wrinkles on her forehead. Her cosmetologist doesn’t mind and is ready to take up the “needle.” Has Botox really made you look younger?
The issue here is not age. There is no such indicator for Botox. It is important to understand here that injections of drugs based on botulinum toxin type A are used in cosmetology to temporarily eliminate facial wrinkles. As a rule, these are precisely the wrinkles that arise as a result of constant involuntary muscle contraction.
Most often, such “traces” appear in very emotional people who actively “work” with their faces. You've probably noticed that during a conversation, some people not only gesticulate, but also constantly grimace.
This is where these “emotional” wrinkles appear in the first place. Another thing is that for some they become noticeable earlier, for others later. That's why botox injections has no age - they can be done from 18 to 65 years of age (however, after 60 years of age, Botox should be used with great caution). The most reasonable solution - if you are worried about wrinkles - is to resort to Botox after 27 years.
dermatocosmetologist at the international institute of preventive and anti-aging medicine PreventAge and leading specialist at the Ideal beauty salon |
Do I need to prepare in any way for Botox injections?
Certainly! There are standard preparation rules. There is no need to do anything supernatural. The main points can be listed literally on one hand.
- Before the procedure, you should not drink alcohol (otherwise there is a high risk of hematomas and bruises after the session).
- You should not take antibiotics, anticoagulants, or calcium-based medications.
- It is not advisable to carry out the procedure in the first days of the menstrual cycle.
How simple it all turns out to be. When will the results be noticeable after the Botox procedure (after what period of time)?
As a rule, the effect of the drug occurs after two to five days. The final result will be noticeable only after 14 days.
Wow! You will have to be patient to see the result. Will the effect be positive in any case? Or is there a possibility that Botox will not have the desired effect?
If we talk about insensitivity to a neurotoxin, this is extremely rare. According to various statistics, from 0.1 to 2% of people may experience this. Agree, this is too small a figure.
Do you have an allergic reaction to Botox?
Allergic reactions are even rarer - less than 1% of people.
How often should Botox be done? Perhaps there is a “schedule” for different zones?
No more than once every 6 months for complete restoration of nerve fibers. Although, I think it is unlikely that anyone will take part in this issue. After all, the effect after the first procedure will please you for approximately 7 months, or even more - it all depends on the zone. Wrinkles return most quickly to the eye area.
Can Botox become addictive?
Yes, but only in a positive sense. After repeated injections, the habit of frowning gradually disappears. Botox is successfully used in the correction of the lower third of the face (the oval of the face is tightened)
Do I need to change my usual home care routine after the Botox procedure?
In general, no. But here, as before the procedure, there are rules. To ensure that Botox injections do not disappoint you:
- For 4 hours after the procedure, you need to be in an upright position and not tilt your head down.
- You should not perform actions that will lead to dilation of blood vessels at the injection sites, since the distribution of the drug should be strictly limited - into the injected muscle.
- Prohibitions also include taking tetracycline antibiotics, calcium supplements, and aspirin.
- You will have to limit yourself in such entertainment as going to the bathhouse or sauna for at least 4 days. Active sports are also undesirable, at least until the effect of the drug appears.
What can you do?
Be a child, that is, make a face. After the procedure, you can and even need to tense your muscles.
If we compare Botox with Dysport, what are their main differences?
Botox and Dysport are different brand names. Botox is owned by the American company Allergan, and Dysport is owned by the French company Beafour-Ipsen-Speywood. Only a specialist can see the real difference - it lies in the storage conditions and units of measurement. Tolerability, effectiveness and side effects are the same for both drugs.
What cosmetic procedures can Botox be combined with?
Perhaps there is only one ideal combination - Botox and contouring procedures (fillers). Much more forbidden combinations. For example, Botox cannot be combined with microcurrents, myostimulation, ultrasound procedures, magnetotherapy, RF lifting, fractional laser and massage techniques.
* You can consult Irina on her Instagram irinabodnya
Anti-wrinkle cream, Botox or hyaluronic acid injections
I have been given the image of being against injections, but this is not entirely true. I am not against injections, I am against injections “for growth” and abuse. You need to do something for which there are real, not hypothetical, prerequisites.
“I’m 32, maybe it’s time to take drugs? On the other hand, I was told that you get hooked on the needle, and the later you start, the better. So, should we now wait until 60?”
In fact, the invention of “beauty injections” is a revolution in cosmetology. Thanks to them, we have reconsidered what methods have the right to be called effective. For cosmetologists, the emergence of Botox and hyaluronic acid injections is the same as for dentists the introduction of implantation and metal-ceramic prosthetics. You can, of course, still insert gold teeth into patients, but in general they don’t wear them anymore. You can, of course, still walk around with deep wrinkles on your forehead, but actually now there is Botox.
The problem is not that injections are evil. The problem is that many cosmetologists and their patients are so carried away by these injections for “preventative purposes” that they remind me of children from low-income families who were sewn dresses to grow into when they were children.
Hyaluronic acid: who needs volume replenishment
This is especially true for the now fashionable “volume replenishment” with the help of fillers based on hyaluronic acid, which are placed in the cheekbones or “pumped up” in the lips. Some cosmetologists recommend doing this “in reserve.” I believe that until degradation begins, until the body begins to spend its reserves and its own volumes begin to decrease, there is no need to “replenish” them. You can live without injections.
For the average woman who lives in a big city, has children, a job, “average” heredity and one or two bad habits, signs of aging appear on her face by the age of 35. And at this time they can begin to be corrected with injections.
The older we get, the more reasons and reasons we have to resort to injections. But the golden rule of medicine remains golden: go from smaller to larger trauma and from smaller to larger. There is no need to immediately experiment with large doses and radical changes.
There comes a time when not only fat, but also bone tissue of the face disappears. Bones become thinner. And at this stage, increasing the volume of the cheekbones or strengthening the brow ridge is completely justified. It will be beautiful.
But when an additional one is added to the existing volume - for the purpose of "prevention" or because the client is ready to pay, and the cosmetologist wants to earn extra money - it doesn't turn out very nice.
Yes, there are isolated cases when the diagnosis of “emaciated face” can be given to a young person. And, of course, then it would be better for him to inject fillers. But this happens rarely.
How to avoid expression lines
As for Botox, it's a different story. Often young 20-year-old girls have such active facial expressions that with the naked eye you can see how a wrinkle is laid and formed between the eyebrows or on the forehead. And it is clear that by the age of 30 she will definitely appear there.
In this case, I would start by using creams with peptides, which are good at blocking these muscles, but at the same time allow you to maintain “control of the situation.” If you inject Botox, then the girl will not record the moment when she wrinkles her forehead or moves her eyebrows: the muscles relax so much that it is simply impossible to do this. And if you use a cream with peptides, then every time she tries to frown, she will feel a clear obstacle.
If in two or three months these measures do not wean her from too active facial expressions, of course, you need to inject Botox. And it is likely that once will be enough: within six months the bad habit will disappear. And then all that remains is to simply maintain this result with the same drugs with peptides, so as not to forget about the problem and not to relax (that is, in this case, on the contrary, not to strain).
Some psychologists who are interested in cosmetology (as well as cosmetologists who are interested in psychotherapy) conduct such an experiment with patients who want to get rid of the manner of frowning and moving their eyebrows towards the bridge of their nose. They put sensors on their foreheads and show them a beautiful film about nature. As soon as the patient wants to express emotions by wrinkling her forehead, the sensor is triggered - and instead of beauty, a gray grid appears on the screen. Ten sessions give a 100% result.
That is, the habit of tense forehead muscles, like the habit of slouching, can be controlled without any Botox. But it takes time and a strong desire to get rid of it.
Yes, it is easier for some, more difficult for others. There are people who have only six attachment points for the frontalis muscle. There will be almost no wrinkles on their forehead even at 70 years old. And there are those who have 46 of these points - and who already at the age of 25 have an accordion on their forehead in seven rows. If such a person comes to a cosmetologist, yes, you need to inject Botox. And then there is the question of medical skill. If the doctor is good, he will do everything right.
20 years, 40, 60: when Botox and hyaluronic acid don’t work
There is another problem with “young” Botox. The younger a person is, the more actively antibodies are formed in his body, which develop immunity to botulinum toxin injections. At first, the effect of the injections decreases, and then Botox stops working altogether.
By the way, Botox used to be used exclusively in neurology, and doctors have repeatedly noted that after a certain time, young patients become insensitive to the drug. It is reversible but takes up to 15 years to recover. Therefore, at a young age, if there is evidence, you should, of course, inject yourself. But you shouldn’t overuse it and it’s better to reduce everything to one or two procedures.
After 40 years, these antibodies form very slowly, and if you start injecting at this age, you will most likely get a fairly long-lasting effect.
And after 60 years, other problems begin: with the introduction of Botox, for example, the risk of developing asymmetry increases. Of course, this drug is still administered to such patients, although the label clearly states: from 18 to 60 years.
But with injections of hyaluronic acid, the scheme is different. The younger the person who is injected with these fillers, the faster they dissolve: the body begins to actively produce the enzyme hyaluronidase, which is nothing more than a natural “antidote.” The older the patient, the slower the body produces hyaluronidase and the slower the filler dissolves.
All this (and a million other factors) should be taken into account by the doctor you visit. It’s good if he asks you to show your early photos - at the age of 18, 20, 25 years old - and tries to understand how your face has changed. But in general, choose a doctor who will not try to rip off the maximum from you here and now. The doctor who is going to be in this office for the next 40 years is exactly the one you need.