Treatment with Botulinum Toxin type A (Botox) is indicated for the temporary improvement of moderate to severe vertical wrinkles, more commonly known as expression lines.

The botulinum toxin is a substance produced by the bacterium Clostridium botulinum. Injected into the muscles it causes a transitory block of the release of acetylcholine which is the substance that is released by the nerves to transmit the stimulus for contraction to the muscle. Then the muscle in which the toxin is injected freezes (paralysis).

Type A of this toxin, treated and purified, is called Botox, and can be injected in minimal doses (50 times less than the risk dose) into the facial mimic muscles to reduce its contractile activity and thus relieve moderate to severe expression lines such as forehead, eye area and rhinolabial. In some cases the operation can also be performed on the neckline and neck.

Ways of Treatment With BOTOX® – BOTULINUM

Certainly Botulinum Toxin can reduce and attenuate expression lines that are caused by continuous use of the mimic muscles of the forehead, frowning or wrinkling the nose, or having an expression that is always frowning and worried.

How The Treatment Takes Place?

The procedure is controlled and reversible and has been practiced for many years now, making it perhaps the best known aesthetic medicine treatment. False myths are therefore those that claim that botulinum toxin is a poison and that it “freezes” the expression: the results are natural and freshly relaxed, obviously provided that the treatment is practiced by a professional in the sector.

The injection, which tends to be painless, is practiced in an outpatient session, without hospitalization and without anesthesia, in about 15-20 minutes.

After Treatment With Botox

The face after infiltration is slightly reddened where the injection was made Botox®, but for a few minutes. Occasionally there may be a bruise which tends to reabsorb in a few days. Only slight burns may be present for the first two days. It is possible to start applying make-up already after 10 minutes from the infiltration of Botulinum (Botox®), and you can expose yourself to the sun after about ten days.

The resumption of all normal activities is immediate. It should be remembered that after the treatment on the day it is performed, the treated area must remain in a vertical position, you should not massage it, saunas should be avoided, alcohol and physical activity to reduce the risk of spreading the drug. Sun exposure is to be avoided in the following 10 days.

Duration of BOTOX® Results

The infiltrations of Botox® – Vistabex begin to give appreciable results after 2-5 days from the treatment, with the relaxation of the corrugator muscle, and reach maximum effectiveness after one month. The results last for another 4-5 months, and then gradually disappear.

Side Effects & Contradictions TO BOTOX®

The Botox® or Botulinum produced has been widely tested for many years in the eye field and in the field of aesthetic medicine, and there are no particular contraindications or complications. Small redness and bruising are possible which reabsorb in a few days. There can rarely be a ptosis or lowering of the upper eyelid, lasting 3-4 weeks and therefore reversible.

Instead, there are some conditions in which the choice of this treatment is not recommended, in particular:

1. Pregnancy and breastfeeding
2. Active infections in the treatment area (herpes simplex, active acne)
3. Hypertrophic / keloid scar diathesis
4. Coagulopathies (thrombocytopenia, anticoagulants)
5. Skin atrophy (chronic corticosteroid therapy)
6. Active dermatoses in the treatment area (eczema, psoriasis)
7. Allergy to the constituents of the product (botulinum toxin, human albumin, lactose, sodium succinate)
8. Motor deficits in the treatment area (poliomyelitis, Bell’s palsy)
9. Muscle diseases such as ALS
10. Ocular or periocular surgery in the previous 6 months
11. Drugs that inhibit neuromuscular transmission (penicillin, quinine aminoglycosides)
12. Unrealistic expectations or dysmorphophobia

What age for Treatment?

If the patient requests it, and there is a real and valid therapeutic indication, it cannot be said that there is a precise age to undergo this intervention (from 20 to 90 years of age). Generally the use of botulinum under 12 years is not recommended.

Why Choose the Treatment with BOTOX®

It is a simple technique with short treatment times; it is a safe and effective product especially in the upper third of the face and has a high satisfaction for the patient.