B*tox is the trade name of one of several brands of medically approved Botulinum toxin type A
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 B*tox.
Areas that are good to have preventive B*TOX 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 B*TOX.
It is now commonly believed that starting young with B*TOX 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 B*TOX 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 B*TOX alone!
Another common approach is to use B*TOX in synergy with collagen building treatments like Ulthera, Fillers and Lasers. With B*TOX used concurrently, skin is able to lay down more collagen than if such procedures were done alone. This little appreciated fact has been documented in clinical trials from the early 2000s.
USEFUL INFORMATION ON B*TOX
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 B*TOX lasting?
In theory, it is not lasting. But in practice some effects linger.It has been shown that with B*TOX done back to back, the target muscles “forget” to contract. Thereafter, much less B*TOX would be needed each time or the periods between follow-ups lengthen somewhat. Most people will need B*tox 2-3 times a year.
- Are the wrinkles going to come back with a vengeance once B*TOX has faded?
Absolutely NOT! They go back to the original state or perhaps slightly improved after 4 months when the B*TOX has worn off. There is evidence to suggest long term improvements after even one B*TOX 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 (B*TOX included) unless in life-saving circumstance.