It is the form of the toxin secreted by the bacterium, whose Latin name is Clostridium Botulinum, which has been processed under laboratory conditions and rendered therapeutic for humans. While it has been used for many years in the treatment of neurological diseases in medicine, it has been increasingly used in aesthetic applications in the last 10 years. Botox is known as the easiest and fastest wrinkle removal method, the use of which increases as its purpose and results are learned all over the world.
WHAT IS BOTOX ?
Botox (Botulinum Toxin) is a toxic toxin with purified protein content, derived from the Clostridium Botulinum bacteria found in nature in the laboratory environment. However, there is no harm in giving it to people in extremely small concentrations. It is used for both aesthetic and surgical purposes.
When people want to convey their emotions, a chemical called Acetylcholine is released by the nerves. This chemical attaches to receptors on facial muscle cells. Receptors stimulated by acetylcholine cause muscle contraction and facial expressions. Botox blocks the nerve endings by preventing the release of acetylcholine by the nerves, weakens the muscles, inhibits impulses and contraction. Since it is a muscle relaxant with a long-lasting effect, it helps to reduce wrinkles and lines on the skin surface, and to prevent / delay new wrinkles and lines. The application area is mobile wrinkles and lines. Static wrinkles and lines are treated with filling. Botox and filling application can be used together in aesthetic interventions.
Botox can be applied to all healthy individuals between the ages of 18-65, between adulthood and old age, except pregnant and lactating women. Usually the effect lasts for 4 to 6 months. The lifespan of the Botox application can be extended to some extent by repeating the Botox application, by protecting from the sun or using moisturizing creams.
Facial Botox is the injection of botox under the skin to intervene in the mimic muscles in the area where the moving lines and wrinkles are in order to eliminate the shallow lines and wrinkles that occur in the face area over time and to prevent possible wrinkles. Botox applied to mimic muscles weakens the muscles and prevents the skin from folding and wrinkling due to muscle movements. With facial botox; tired, unhappy and angry facial expressions change; have a rejuvenated, vigorous and wrinkle-free facial expression.
WHAT ARE THE INDICATIONS OF BOTOX IN COSMETIC DERMATOLOGY ?
Prevention and removal of wrinkles between eyebrows
Forehead wrinkle prevention, removal
Eye area wrinkle prevention, removal
Nose laughing wrinkles (bunny lines) prevention, removal
Chin muscle thinning, face thinning
Alleviation of facial sagging
Underarm, hand and foot sweating
Before the face botox application, a detailed image of the face and the area to be applied is taken. Considering the patient's complaints and demands, the intervention is planned with the help of two-dimensional or three-dimensional simulations and the possible image that will occur after the operation is evaluated.
There is no need for any preliminary preparation before facial botox. Botox should not be applied to pregnant and breastfeeding women. Patients with high blood pressure, those who use blood thinners, those who have skin problems, those who have allergies, those who have had surgery on the face area before, and those who use any medication should inform the doctor before the application.
Facial botox is injected into the muscles under the skin with the help of cannulas or fine-tipped needles. The application time is 15 – 30 minutes depending on the application area. varies between Since the application area is anesthetized with anesthetic gels and creams, pain is not felt during and after the procedure, only slight burning and pain can be felt, and these aches can be reduced by applying ice therapy (cold compress) to the injection areas.
Daily life is continued in the days after the application. However, for the first 2-3 days, heavy activities such as sports and saunas and extreme heat should be avoided, lying face down, botox areas should not be rubbed. Facial botox starts to show its effect in 2-3 days and the desired result is obtained up to 2 weeks.
In Botox applications; Although the risk of side effects is very low, numbness, pain, inflammation, redness, bruising, swelling and bleeding, dry mouth, headache and neck pain can be seen rarely in the application area. In addition, complaints such as itching, weakness, dizziness, and rash were encountered in patients with allergy problems.
Botox therapy has no known permanent side effects for wrinkles. However, it has the following side effects, which are known to be temporary:
A temporary swelling and bruising may occur after botox application. This effect usually disappears within a few days.
After Botox application, a slight headache may occur in some patients. This pain usually goes away in less than 24 hours and can be treated with pain relievers.
A slight pain similar to a headache may be felt at the injection site. This pain ends in a short time.
Sometimes, slight asymmetries can be observed in the first week of application. This situation is corrected with touch injections when necessary.
Eyebrow twitching after Botox treatment is a temporary side effect. If it is continuous, it can be corrected with touch injections.
For a few days after the treatment, some patients may feel numbness in the treated areas. In fact, this is the change in sensation perceived by some botox patients in the treated areas. Does not require treatment.
Eyebrow and eyelid drooping (ptosis), double vision (diplopia) are seen in 1-2% of patients receiving botox therapy. It is temporary and usually mild, lasting 2-4 weeks. It can be treated with special eye drops.
As can be seen, the damages of botox are not many and are temporary.
EXCESSIVE SWEATING TREATMENT WITH BOTOX
Some people especially complain of excessive armpit sweating. Excessive sweating can cause a wet look on the clothes and the spread of bad odor can disturb both the person himself and the people around him. In such patients, botox applied to the armpit before the summer months allows to spend the summer period when sweating is high. Some people may experience excessive sweating on the palms and soles of the feet. In cases where this is a social and psychological problem, botox treatment can be applied with great success.
In axillary hyperhidrosis, that is, underarm excessive sweating, after diluting with 4 ml of Botox, 0.1-0.2 ml of the drug (2.5-5 U Botox) is injected in each injection. Injection is made from multiple points at 2 cm intervals under the armpit. A total of 50 U of Botox is used under one armpit. Minor iodine-starch test can be applied to determine the points with the most sweating. The effect occurs within 1 week after injection and lasts approximately 4-6 months. In some cases, it persists for a longer period of time.
WHAT ARE THE SUGGESTIONS AFTER BOTOX ?
After the Botox application, it is inconvenient to lean forward, lie down, do heavy sports, enter the bath, sauna or Turkish bath, and massage the face for 4 hours. In addition, it is inconvenient to make massage-like movements on the face in order to remove make-up or apply cream.
After 4 hours, all movements can be done freely.
It is recommended to make lots of facial expressions immediately after Botox application. In this way, it is easier for botox to settle between the muscles.
Since Botox application is a needle method, there may be bruising in the application area. Apart from this, no side effects are expected.
The effect of Botox lasts for an average of 6 months. However, in people with very mimics, re-application may be required in a shorter time after the first application.
FREQUENTLY ASKED QUESTIONS
Is Botox a method that makes the face puffy?
Botox does not inflate the face, it is only a method that weakens the muscles.
When can I notice the effect after botox is applied, how often should I have it done?
The effect of Botox starts from the 3rd day and starts from the 10-14th day. at the end of the day it is fully revealed. For the repetition of Botox application, it is useful to wait for the effect to disappear completely, which is 5 to 6 months. Frequent and unnecessary applications may trigger the development of botox antibodies, which will reduce the effectiveness of future applications.
Will I have a dull, confused expression on my face after Botox?
Botox application does not cause any expression disorder if it is done in appropriate doses, taking into account the patient's wrinkle structure and the tonicity of mimic muscles. Therefore, it is beneficial to have it done by a specialist, preferably dermatology or plastic surgery specialist.
In which age group is Botox applied?
Botox is recommended to be applied between the ages of 18-65.
Anyone who suffers from lines and wrinkles due to facial expressions, whether 18 or 70, can benefit from botox injections. When the Botox injection is started after the lines or wrinkles are well settled and deepened, the treatment should be supported with filler injections. The result is more successful when the lines are made before they get deeper.
Does Botox work on the whole body?
Botox is applied as an injection to the problem area. Therefore, it only affects the muscles at the injection site. It does not spread in the body.
How long does the effect last?
Although it varies from person to person and the amount of dose injected into the application area, the effect of botox injections lasts for an average of 4-6 months. When the effect of Botox wears off, the treated area returns to its original state. It has been observed that the effects of the injection last longer when five or six sessions of botox are regularly applied to the same area. Take care to support the positive effects of the treatment with the products recommended by your doctor.