BOUTULIQUE TOXIN for the treatment of wrinkles

Botulinum toxin

La botulinum toxin is a drug used since 1975 in neurology and ophthalmology, initially to treat blepharospasm in particular.

In aesthetics, the doses are on average 3x lower than those used in neurology. In Switzerland, several molecules are marketed under different names. We cannot advertise them according to Medisuisse recommendations but certain brand names have become part of common language.

Molecule B. is the oldest and best known, but molecule A. generally acts more quickly and is more powerful, which is quite interesting in men who often have more toned facial muscles. What is the mechanism of action? Botulinum toxin limits the action (release of acetylcholine). This neurotransmitter acts at the level of neuromuscular junctions, its absence reduces or even blocks muscle contraction depending on the dose.

Scientifically, it has been proven that this phenomenon is completely reversible in 4 to 6 months, which corresponds to the usual duration of action of botulinum toxin treatment. The toxin is therefore injected into contact with the muscles in the form of mesotherapy or injection and will therefore modulate muscle contraction. Strictly speaking, botulinum toxin does not have an action on the wrinkle itself but on muscle contraction. It therefore acts on dynamic wrinkles but not on established wrinkles which are similar to breaks in the skin which should then be filled with hyaluronic acid.

Consequently, in terms of aesthetic medicine, Patient monitoring is carried out over several years to optimize treatment. Dr Smarrito is also a specialist in eyelid surgery, he will be able to assess at the forehead level, if the wrinkles are due to simple aging and contracture of the frontal muscle or to a heaviness of the skin of the eyelids, in In this case, the strategy will be oriented more towards a small surgery called blepharoplasty of the upper eyelids than injecting the forehead. We also guarantee an optimal strategy depending on age, in fact, the older the patient, the lower the dose will be high so as not to obtain an excessively smooth forehead. Expected side effects. As you understand, the side effects described are mild and reversible. Sometimes headaches can appear the same evening.

An eyebrow that remains high after injection can be corrected by a touch-up during a check-up; an increase in the heaviness of the eyebrow generally stabilizes in 3 to 4 weeks unless a blepharoplasty would have been a better indication. It also sometimes happens that a bruise or a slight millimetric hematoma appears at the site of the bite which regreases in a few days.

After how long does it take to repeat the injections?

Unlike women where injections are rather carried out every 6 months, in men, the injection sequence is rather to reinject every 4 to 5 months, in fact the muscles are more powerful and the current philosophy is not to If the effect is not too smooth, the injections must be repeated more frequently than in women.

Other treatments with the toxin. We frequently treat men for hyperhidrosis phenomena (excessive armpit sweating) with the same product but in larger doses, which helps stop excessive sweating for several months. We remain at your disposal for any additional information and will be happy to welcome you for a precise diagnosis thanks to our experience of more than 20 years with this molecule.

Botulinum toxin injection area

Botulinum toxin injection areas and dosage. Doctor Smarrito will explain the different areas to be treated but also the dosage of the toxin. It should be noted that today the injection can be carried out very concentrated to have a fixed effect or much more diluted to have an effect of blurring fine lines and wrinkles, but keeping muscle contracture present and natural. It is also possible to do prevention in young patients. Even mesobotox, it is then a real mesotherapy using the product. Forehead wrinkles and frown lines are improved thanks to botox injections with a softer look, the face appears less hard and this erases negative expressions, at the level of crow's feet the injection is moderate, it allows keeps normal eye movements when laughing and closing the eyelids, but fine lines fade. This is also an area where prevention is essential so that these fine lines do not set in and become breakages. The expression remains natural in any case. It is well known that with these injections it is possible to improve the position of the eyebrow with a slight lateral rise. You must pay all the necessary attention during these injections around the eyebrow, in fact forehead wrinkles can be the consequence of excess skin on the upper eyelid, in this case the surgeon will suggest that you perform an upper blepharoplasty instead. rather than this toxin injection. The toxin injection can lead to lowering of the eyebrow and thus accentuate the heaviness of the upper eyelid. It is also possible to inject at the chin to smooth out the bitter folds, so these injections have very good results on the superficial muscles acting on the skin. Cannot act on broken skin or deeper areas. For Asian clients it is quite common to inject the masseters. Likewise in cases of bruxism, grinding teeth, injections can have a soothing effect on this phenomenon. Injecting the masseters thus allows you to have a less square, less harsh face.

What protections should be taken? On the one hand, you must consult an experienced doctor and check the person’s CV. If any doctor can inject, only certain categories of doctors are experienced, or even insured, for these procedures. The analysis must be as precise as possible to put aside erroneous indications, so if the muscle is already relaxed, the injection will accentuate the phenomenon, the main errors seen in consultation are injections at the eyebrow level while the eyelid is already in place. excess skin and a blepharoplasty is indicated, this accentuates the phenomenon. Likewise at the clinic level we ban excessively intense uses leading to frozen features and expressionless faces; we hardly have this problem with our customers by correctly dosing the injection. On the other hand, we were able to observe complications following botox treatments carried out in England or in Switzerland by beauticians. The results can be catastrophic, especially since in many cases, it is not just a simple botulinum toxin but mixtures made with various products whose traceability within the context of these botox parties is problematic. Likewise, certain very expressive faces are treated differently in order to maintain an expression but above all not to unbalance a feature by muscular action. In most cases the injection of this toxin has no side effects even if some patients describe a transient migraine, with a result stable over time and very easy to obtain with a very high patient satisfaction rate to the point that some Patients have been followed in the clinic for many years and come 2 to 3 times a year to have their wrinkle injections done.