Botulinum toxin is used for treating expression lines caused by the consistent contracture of the muscles sustaining the skin. The process –rather than fading targeted lines resulting from muscles spasms - is concentrating on the recovering of a facial harmonious balance respecting the overall equilibrium of forces.
The practical exam preceding the injections of botulinum toxin must be performed with greatest care.
The understanding of the precise mechanisms of actions of the injections has greatly evolved since the beginning of this practice, following and through the experience of many practitioners. The process –rather than fading targeted lines resulting from muscles spasms - is concentrating on the recovering of a facial harmonious balance respecting the overall equilibrium of forces.
The botulinum toxin has an especially remarkable action on the upper section of the face e.g. to correct the position of the eyebrow line and the expression lines surrounding the eyes.
During the practical exam, the various elements to be rectified must be observed, both in static and dynamic positions. The patient will be asked to mimic her/his familiar expressions (eyebrows lifting, nose frowning, eyes closing…). Any asymmetries can be carefully appreciated at this stage.
Other applications of the botulinum toxin appeared to be of interest.
The precise anatomical analysis of the lower third section of the face has allowed a better understanding of the peri-oral and the platysma muscles functions.
Thus, the studies of the platysma neck muscle contracture and the labial and corners depressor muscles have opened the possibilities of the correcting of anomalies in this particular area.
The perfect and complete knowledge of the muscular anatomy is essential and will allow the good practice of extremely precise technical gestures. Under this condition only can be guaranteed the excellence of the results and the prevention of secondary complications, which, as transitory as they can be, can be extremely uncomfortable for the patient.
The principal objective set when the botulinum toxin treatment is used is to minimised the wrinkles at rest with the utmost respect for the natural moves and expressions. The aim is to weaken the muscles, not to paralyse them.
The primal effects can be seen after a few days. Between the 8th and 15th day, when the muscular balance is well established, the effect is than stable.
The obtained results will last around 6 months, knowing the duration of effectiveness may vary from one person to another person.
Precise operative reports must be held to ensure the reproducibility of the results as well as the evolution concerning the willing effects. Pictures taken before the technical act will be used in order to show where the injection will be performed on the patient’s skin.
The use of the botulinum toxin is safe and secure; High quality products are specifically designed for practitioners by worldwide renowned laboratories respecting drug approval.
Side effects are generally rare and if so, are temporary. These can be small oedema or bruises where the injections have been made, headaches or tension-type headaches.