Botox is the trade name of one of several brands of medically approved Botulinum toxin type ABOTOX works by blocking the release of Acetylcholine (a chemical neurotransmitter) from nerve endings. The lack of which the target muscles would not contract in reaction to signals sent from our brain. The muscles into which BOTOX were injected become “relaxed”, thus reducing the appearance of wrinkles. These wrinkles are termed dynamic wrinkles because they come on only with muscle action. Static wrinkles are those already etched onto the skin, even without any muscle action. Treatment options for static wrinkles include Fillers, Ulthera or Thermage, Lasers or any of these in combination with Botox.
Areas that are good to have preventive BOTOX are the crow’s feet and glabellar areas. Start in your 20s or 30s and you will delay getting crow’s feet or frown lines. This is the essence of Preventive BOTOX.
It is now commonly believed that starting young with BOTOX can delay the onset of lines and prevent the sagging of the face.
While there are doctors who will remove wrinkles, at David Loh Surgery, we use BOTOX to enhance one’s features. Already beautiful patients will look even more beautiful in our hands. We can lift (yes, LIFT by relaxing muscles) various parts of the face and neck, lessen shadows along the jaw and chin as well as to reshape faces with BOTOX alone!
Another common approach is to use BOTOX in synergy with collagen building treatments like Ulthera, Fillers and Lasers. With BOTOX used concurrently, skin is able to lay down 2-3 times more collagen than if such procedures were done alone.
USEFUL INFORMATION ON BOTOX
Action of the drug begins in 2 days, peaking at 10 days and lasts for 4 months. We generally advise a follow-up at one week and four months, for top-ups.
- Are the effects of BOTOX lasting?
In theory, it is not lasting. But in practice some effects linger.It has been shown that with BOTOX done back to back, the target muscles “forget” to contract. Thereafter, much less BOTOX would be needed each time or the periods between follow-ups lengthen somewhat. Most people will need Botox 2-3 times a year.
- Are the wrinkles going to come back with a vengeance once BOTOX has faded?
Absolutely NOT! They go back to the original state or perhaps slightly improved after 4 months when the BOTOX has worn off. There is evidence to suggest long term improvements after even one BOTOX treatment. There are long term improvements to fine lines and skin texture that cannot be explained by the muscle blocking action alone. Perhaps without the background muscle tone on the face, some degree of healing takes place, such that fine lines disappear.
While aspirins usage and mild hypertension or diabetes are not absolute contraindications, those with serious bleeding conditions should not have any kind of injections (BOTOX included) unless in life-saving circumstance.
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