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Home » Botox Cosmetic medical uses, procedures, side effects 2023

Botox Cosmetic medical uses, procedures, side effects 2023

Botox Cosmetic medical uses, procedures, side effects 2023

Botox Cosmetic medical uses, procedures, side effects 2023

Everything you need to know about Botox

We don’t know if it’s because of the rise of Zoom meetings, in which we look more at ourselves than others, because of our constant exposure to social networks, or simply because we have become more flirtatious (and flirtatious) than ever. Still, Few are the groups of friends in which there is no talk of getting some cosmetic touch-up

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There is a lot of talk about the crisis of the 40s, but every time I see more friends around 35 who begin to notice how their skin changes and are encouraged to go to an aesthetic medicine clinic.

Only a specialized doctor can recommend the most appropriate treatment depending on your skin’s condition and goals. Still, botox is indeed one of the most demand when it comes to curbing the aging process. That is why we have decided to put this guide in the hands of qualified aesthetic doctors because if you are thinking of trying it but you are not sure, it is best to have all the information about it to dispel your possible doubts. Let’s go there!

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What is Botox?

As the Mira+Cueto Clinic explains to us, “Botox, Botulinum Toxin type A, is a modulator of muscle action: an injectable substance, the only one admitted for cosmetic use, capable of slowing down the progression of dynamic wrinkles, thanks to softening or relax the muscles responsible for expression lines .” Precisely this ability to soften or relax the muscles gives it that ability that could slow down the passage of time on the skin, especially in forming expression wrinkles. “Botox is the treatment par excellence to treat expression wrinkles,” they explain. “The best results are always obtained when we act directly on the source of the problem. Botulinum toxin type A softens the muscle activity responsible for certain wrinkles, such as those between the eyebrows or crow’s feet, which are produced by repeated muscle contraction. Only by reducing this activity can we correct these wrinkles effectively.”

Despite being one of the most demanded and effective treatments for preventing and treating aging, why does it continue to have such a bad reputation? The person responsible for this is the lack of information and, above all,” the terrible news that some media outlets pour about its effects, especially those with sensationalist overtones,” they tell us. But Botox is a completely safe treatment. Moreover, it is one of the safest treatments in aesthetic medicine. “There are few products that have been used for so many years, clinical studies, and so many controls as botulinum toxin type A; we know its short and long-term effects very well. Secondly, is a treatment much safer for wrinkles since the doses used are minimal if we compare them with those used in its purely medical application.”

Of course, to guarantee this safety, it is essential to bear in mind that Botox “is regulated by the health system. Only centers and professionals who meet the essential requirements for the conservation and administration of this medicine can apply botulinum toxin type A.”

And at what age is it recommended? Well, it all depends on the countenance of each one, the quality of the skin, etc. “You always have to make a previous diagnosis before puncturing100% personalized Botox treatments are not radical as long as it is based on the need to improve without losing the naturalness and essence of each person.”

When can you NOT use Botox?

As Mira+Cueto explains, “in minors, pregnant women, nursing mothers, people with neuromuscular diseases or who take certain medications. On the other hand, we also would not use it in a person who did not have a good understanding of the real results of the treatment.”

All that Botox can do for you.

We already know that Botox is a powerful asset to slow down aging, but if we summarize it like this, we will fall short. That is why the Mira+Cueto Clinic has explained everything that Botox can do to stop this aging process.

– It can be applied to achieve a lifting effect on the neck and jaw: “this area is one of the first telltale signs of aging, which in it translates into a loss of definition of the mandibular angle: the skin becomes thinner, and it becomes flaccid, the musculature relaxes, and sagging makes an appearance with the consequent blurring of the lower contours of the oval.” With adequate Botox infiltration “it is possible to highlight the mandibular arch of the face, reaffirming the neck and tightening the skin in the area.”

– To rejuvenate the cheeks: “to erase lines and reposition volumes, restoring their turgor and a healthy, fresh and nourished appearance.” As Mira+Cueto explains, it is usually combined with hyaluronic acid infiltrations to “adequately treat the two types of typical wrinkles in the area: mechanical and static.”

– Nasal remodeling: the nose also ages and gives rise to what we call bunny wrinkles, which are the product of constant puckering in the area. 

“This supposes, in addition to marked lines, the collapse of the entire structure due, mainly, to the partial resorption of the nasal bone, the distension of the muscles that kept the nose ‘upright’ and, of course, the flaccidity of the skin.

 With Botox treatment, “the goal is to achieve a more harmonic and rejuvenated profile, smoothing wrinkles, repositioning the nose and subtly correcting the angles.

– Correct the eyebrows and the look: an aged look puts many years on us. The loss of thickness of the skin of the eyelid and forehead, as well as the increase in the flaccidity of the muscles, cause the eyebrows to lose elevation, falling towards the eyes, ‘dragging’ the skin of the eyelids with them and creating a look looking tired,” they explain to us from Mira+Cueto.

 With Botox infiltrations, it is possible to “reposition the eyebrows, correcting the feeling of excess skin over the eyes to widen and rejuvenate the look. Also, redraw those eyebrow formats that are not very flattering for expressions, such as flat-straight ones with hardly any curvature or excessively arched ones.”

– Comprehensive facelift: over time, there is a “global aging of the face with sagging or sagging of structures in various facial planes.” But a comprehensive rejuvenation of the face can be achieved thanks to Botox “through a soft and natural lifting effect with which the repositioning of structures and the ‘tightening’ of the skin is achieved.” It is a procedure that combines all of the above and offers excellent results.

Botox Cosmetic medical uses, procedures, side effects 2023

What is the difference between Botox and facial fillers?

If Botox is a well-known treatment, facial fillers are not far behind. But while it is true that they are sometimes combined to create a more global treatment, such as when treating sunken cheeks, they are completely different assets and techniques. While Botulinum Toxin type A softens or relaxes the muscles responsible for expression lines, “the fillers or projectors of the features are injectable health products whose purpose is to recover and modify facial harmony and proportion, reprojecting lost volumes (such as cheekbones that tend to droop and sink), lifting depressed structures (wrinkles and furrows) and redefining the contour of those regions (such as the lips or the mandibular arch) that, due to the passage of time, have sunk or become blurred,” Mira+Cueto explains. The three most used and recommended substances in this regard are cross-linked hyaluronic acid (of which we tell you everything), collagen, and calcium hydroxyapatite.

What is preventive botox?

As Mira+Cueto explains, the infiltration of Botox between 30 and 35 is preventive Botox. “It should not be understood only as a treatment to avoid the fixation of future furrows, but rather it works as a flash retouch with very flattering effects at the moment, since by relaxing the strength of the corrugator muscles, that so typical effect of an angry face is softened, giving the face a more relaxed, affable and flattering general expression .”

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Its application is preventive because it anticipates that moment in which expression wrinkles become too marked. It responds to the typical prevention rather than cure since “it is not used as a remedy for already fixed lines, since, in general, fewer doses are needed.” For this reason, it is also cheaper, in addition to the fact that “as a preventive treatment, it will generally only be necessary to have one session a year.”

And what happens then with the Baby Botox?

Baby Botox is an ideal treatment for all who want to care for their skin. “The age to start is usually between 25-30 years old“, they tell us from Mira+Cueto, “but, as we always say, sometimes our face does not reflect the years that it says on the DNI. That said, a multidimensional diagnosis is performed to determine the most appropriate dosages and treatment, and from there, we begin to beautify the face.”

The treatment consists of “applying small amounts of botulinum toxin in shallow doses to the entire upper third of the face“:

  • “Lower part of the forehead: to modify the eyebrow .”
  • “Upper part of the forehead: for frontal wrinkles without falling eyebrows.”
  • “Upper part of the eyelid: to clear little wrinkles in the area .”
  • “Lower part of the eyelid: upper and lower to open the gaze .”
  • “Lateral part of the eye: to raise the tail of the eyebrow.”
  • “The central area between the eyebrows is to remove the angry face .”

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It is a protocol that “we recommend to prevent and slow down the appearance of wrinkles.** We manage to educate the muscles so that they do not exert too much effort** in performing certain movements with a plus: there is no ironed-face effect.”

Not everything is wrinkles: other Botox applications to improve the skin.

We have already mentioned that Botox treatment is one of the most effective to prevent aging, but it is not its only application to improve our skin. The general surgeon and aesthetic doctor Virtudes Ruíz, from Virtud Estética, explains them to us:

– To improve acne. “Botulinum toxin, infiltrated in a more diluted way and with the mesotherapy technique in the affected area, can regulate sebaceous secretion and improve mild or moderate acne,” says Dr. Ruíz. “This active ingredient acts on the acetylcholine system, the neurotransmitter involved in sebum production, decreasing its activity. In addition, it helps prevent acne breakouts and stimulates collagen and elastin production, reducing the marks and scars that may remain.”

– Hide surgical scars. “Keloids are the excessive growth of the skin in a scar after a cut (surgical incision) and are annoying and difficult to treat the complication. To solve them, Botox injections are being used at the end of the surgeries and thus avoid the formation of keloid scars, reduce them and make them more aesthetic.”

– Avoid outbreaks of rosacea. It has been proven that Botox has an anti-inflammatory effect that dramatically improves the symptoms of this skin pathology that affects the face and is very unpleasant. “In this case, the botulinum toxin, very diluted, infiltrates to act on cells called mast cells, thus preventing them from releasing pro-inflammatory agents. Get a reduction in edema, erythema, and redness .”

– Recover the luminosity. “It has been shown in scientific studies that it stimulates the production of collagen and elastin and therefore regenerates fibroblasts, which improves turgor and adds an instant glowing effect,” explains Dr. Ruíz. “The skin where it is injected obtains a juicy, luminous appearance and a spectacular natural glow, especially in young people who do not have marked expression wrinkles.”


Botox and bruxism

If you do not have bruxism, you likely know someone who does. How often have you clenched your teeth and jaws for no apparent reason? Bruxism is grinding teeth, especially at night, squeezing them, something that, due to stress, can happen even during the day. If you have bruxism, your dentist has likely recommended a discharge splint to sleep (and sometimes to work or drive) because its consequences are terrible.

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As aesthetic doctor Leo Cerrud explains, “on the one hand, there is the wear of tooth enamel and the teeth themselves, which can cause a piece to fracture or move, or the gums to become inflamed. On the other hand, there is the fact that when it is pronounced, it affects sleep and causes disorders of the temporomandibular joint, which in turn can cause headache, ear or neck pain, difficulty chewing, and even, if it is severe, speaking. But also, grinding the teeth produces an exaggerated development of the masseter muscles, so that the jaw develops excessively and acquires a square shape .”

For this reason, Botox can also be a great ally against bruxism. “Botulinum toxin can be applied in any case of mild, moderate or severe bruxism, and what is achieved is to neutralize the action of the masseter muscle, which is responsible for this condition when it is very hyperactive and contracted and produces the typical “chattering.”

 Of the teeth against each other during sleep, which generates, in addition to the above, possible facial asymmetries or the face becomes squared. In addition, an unwanted but very satisfactory side effect for patients with severe bruxism “who usually have hypertrophied and square jaws is the thinning of the face,” explains Dr. Cerrud. “As the muscle relaxes, hypertrophy becomes less evident.” However, as Dr. Cerrud emphasizes, “the indication for Botox is to relieve bruxism, which produces the refinement of the face, but this is a side effect and should not be the objective.”

Myths and fears around Botox

We have already commented that Botox is a regulated drug and its effects are more than well-known. Even so, sensationalism has spread the legend that Botox paralyzes the face and that the results are artificial. Why is this happening? “The fact that botox paralyzes the face is a widespread belief because, unfortunately, there are quite a few cases of public and ‘non-public’ faces that ‘have gone too far,'” Mira+Cueto tells us. “Here it should be pointed out that, in our opinion, the fault of any overtreatment lies mainly with the doctor: it is the specialist who should put the brakes on.”

Another of the widespread beliefs around Botox is that if they puncture a nerve, they can paralyze your face. “This is a false statement,” they explain to us, “the botulinum toxin for medical-aesthetic application exerts its action at the level of the neuromuscular plate where it does not, in any case, pose a risk of paralysis. If a large nerve were mistakenly ‘touched’ during the infiltration (something complicated in this treatment), nothing would happen: only some additional pain would be felt in the area, which would subside on its own or with the help of an analgesic without more problems.”

In any case, this would not have to happen since the mission of Botox for aesthetic use “is to relax the muscle and not paralyze it: its action depends on the dose and the size of the power treated. Thus, depending on the units used, muscle mobility and expression lines can be slightly attenuated without losing the expressiveness or natural gestures of the face. 

Personalization is the key: adjust the doses to each muscle’s strength and size and the patient’s objective.”

What should we take into account when opting for Botox?

To avoid problems, remember that it should always be a specialized aesthetic doctor who diagnoses you and recommends Botox infiltration. “We must never consent to a substance being injected into us without knowing what it is, and making sure that the person who diagnoses us is a doctor and not a salesperson is a basic guarantee,” they remind us from Mira+Cueto. In addition, “by law, the patient must also sign an informed consent in which he accepts the treatment details, including its possible adverse effects. It is also convenient if there are doubts or he does not inform you to confirm that the doctor is registered as a specialist in Medicine-Aesthetics in the College of Physicians .”

“Members of the Spanish Society of Aesthetic Medicine recommend distrusting treatments at home or in places not certified as clinics. Also, avoid treatments if a personalized and exhaustive medical diagnosis has not been carried out if clinical history is not carried out if the doctor who is going to carry out the treatment does not provide detailed information about it: the diagnosis, what treatment is recommended, for what exactly is it, how does it work, what can you expect from it without creating false expectations and what possible adverse effects can it cause.” And, of course, a big red alert is those miraculous and mysterious injectables: the doctor is obligated to inform us about what he will apply to us. It is illegal not to specify which drugs will be supplied to us.”

Botox: what is it? Use on the face and effects.

Many people have heard of Botox but do not know what it is, how it is used on the face, and what effects it produces, and here we explain it to you.

One of the most popular and demanded facial aesthetic treatments, especially since the mask was imposed, is the one carried out with botulinum toxin. Botox is one of the brands under which this medicine is marketed.

Botox or any other brand of botulinum toxin allows us to temporarily eliminate expression wrinkles, rejuvenating the look with practical and immediate results.

What is botulinum toxin?

Botulinum toxin is a medication made up of a neurotoxin that is injected into specific muscles of the face, paralyzing them and preventing them from contracting. In this way, the muscle relaxes and stops forming wrinkles or smoothes them to such an extent that they are hardly noticeable.

How is botulinum toxin used on the face?

Not all facial wrinkles can be treated with Botox or another botulinum toxin. The action of the poison only affects those that are found in the upper third of the face, and that is known as dynamic wrinkles because they are the ones that are formed when making gestures with the facial muscles, for example, when smiling. We refer to the following:

  • The so-called “crow’s feet” are on the outer side of the eyes (periorbital wrinkles).
  • The frown lines.
  • Frontal or forehead wrinkles.

The botulinum toxin is injected in small doses in these areas. It makes the skin recover its smoothness, exerting a lifting effect, making it smoother, or hides wrinkles until they are almost invisible.

As we advance, not all facial wrinkles can be treated with botulinum toxin; for example, those produced by aging or those caused by being exposed to the sun a lot.

Where is the treatment with Botox or botulinum toxin performed?

The treatment is usually carried out in the exact consultation. The oculofacial aesthetic specialist applies an anesthetic ointment before proceeding to avoid possible discomfort to the patient. He then injects the botulinum toxin in small amounts into the facial muscles until the desired effect is achieved.

How long does its effect last?

The definitive results can be seen approximately four days later, and the effects last between 5 and 6 months, gradually disappearing. After this time, the treatment can be repeated. In some cases, the successive repetitions make the effect of the botulinum toxin last longer, and each time fewer or more spaced punctures have to be made.

What is recommended after treatment with botulinum toxin?

After treatment with botulinum toxin, it is advisable to take some precautions to achieve the best results:

  • Do not exercise in the following 24 hours.
  • Do not expose yourself to UVA rays.
  • Do not perform facial massages in the treated area.

What are the side effects of botulinum toxin treatment?

If the application of botulinum toxin is performed by an ophthalmologist specialized in oculofacial aesthetics, such as Dr. Rondón from the Info Center, complications will rarely occur.

Most side effects are due to an erroneous application of botulinum toxin, hence the importance of putting ourselves in the hands of a specialist who takes into account the patient’s natural facial expression and how to rejuvenate it without drastic changes.

The main problem of a wrong application is that it occurs, for example, the drooping of the eyelid or the facial muscle where the injection has been applied. Consequently, it can make it difficult to close the eye entirely or produce constant tearing, among other inconveniences.

Keep in mind that this toxin paralyzes the muscle where it is injected and, if not applied correctly, can change the expression of the face in a different way than desired.  injections block certain chemical signals from nerves, mostly signals that cause muscles to contract. The most common use of these …

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