As we age, wrinkles appear on our face, which are caused partly by reduction of elastic fibres of the skin and partly by the fact that the connective tissue, the fat is loosening in the lower part of the skin. On the other hand, the deep, so called dynamic wrinkles are caused by the mimicking muscles which stick to the skin of the face. These mimicking muscles are always crumpling our skin on the same area, and gradually, they form deep character-wrinkles on our face. Such wrinkles can be found on our forehead, around our eyes (crow’s feet) and around our lips. Injection, known as Botox is the purified and heat-treated active ingredient of a neurotoxin produced by an “A” type bacterium, the Clostridium Botulinum. Injecting precisely into the appropriate mimicking muscle in an appropriate amount, the product will temporarily, for a 4-5 months, inhibit these mimicking muscles responsible for the formation of wrinkles. Botox can be dosed with a very thin needle very precisely.
Some days after treatment, even deep character wrinkles will become markedly smooth. It is extremely efficient in treatment of wrinkles on the forehead, on the bridge of the nose, between the eyebrows and around the eyes. Angry look will disappear, the eyes will open. Downwards curving line in the angle of the mouth will become attractively smiling in case Botox inhibits only the little mimicking muscle showing downwards. Inhibiting the activity of the muscles is temporary, because the effect of Botox will cease after 4-6 months. On the other hand, as a result of repeated treatments, some mimicking muscles will become partly atrophied and their contraction will be gradually weakening. In this way, result of treatments in certain areas can be more and more durable. Botox treatment, started in due time will appropriately complement and in several number of cases it can help delay some plastic interventions. (Eg.: reconstruction of the forehead, of the eyelids, or of the face.)
With Botox treatment, facial expression can become attractive. Effect of the injection is based on selective inhibition of contrasting mimicking muscles. Activity of mimicking muscles responsible for normal mimicking, for the attractive, smiling facial expression, must be kept. On the other hand, tiny mimicking muscles drawing to the contrasting, wrong direction must be inhibited by Botox injection. For high-level Botox treatment, all details of these hardly visible mimicking muscular fibres must be well-known anatomically by professionals. Plastic surgeons have the most comprehensive knowledge in this field, since dealing with these mimicking muscles belong to their daily routine. This is the reason why Botox treatments performed by plastic surgeons are much more efficient. Botox treatments performed by plastic surgeons will inhibit development of disturbing, deep wrinkles for a long duration. With well-planned, continuously repeated treatments we are able gain years with slowing down development of aging marks on the face.
With Botox treatment appropriate corrective intervention can be performed to treat head-ache originated from hypertension or migraine, pathological sweating, light sensitivity of the eyes (blepharospasmus), and to inhibit muscular fibrillation around the eyes.
Frequently asked questions:
From what age can it be applied?
Botox treatments are performed not only for aesthetical purposes. It can be indicated even in young age to change facial expression or in cases of certain muscular spasm, (wry neck), tic and migrainous headache. Treatment can be ideal for those who feel disturbed because of certain early wrinkles when these deviations are not yet matured enough for a surgical intervention. Such early wrinkles around the eyebrows and concerning crow’s feet can appear as early as the second half of the thirties.
How can Botox change facial expression?
Its excessive application can cause decrease in general mimicking activities. On the other hand, with careful planning, it can make facial expression more attractive. One of our patients said: “Before treatment with Botox my face expressed ‘Life is a shit’!’ but since Botox my expression has been bright and curious”.
Is it true, that Botox can cease migrainous headache?
It cannot solve all migrainous headaches, but it can entirely cease headaches caused by temporal muscle tension and some migraines in connection with vascular spasms. Certain patients call us by phone saying: “Yesterday I had a headache first after half a year. I feel I need the next Botox treatment”.
Is it frequently applied in Hungary as well?
It became the most frequent aesthetical intervention in the United States of America in the last year. Botox treatment for the purpose of preserving youthful facial expression is becoming more and more popular in Hungary as well.
How long is Botox treatment active to inhibit sweating?
We have very good experiences both with the treatment of pathological sweating of the palm and of the armpit. Several patients come to us seasonally, and they are fully pleased with one treatment per year.
What to choose: cream or injection?
In my opinion, cream is not the best choice. Inhibition of facial muscles on a big area cannot be our purpose. Selective greasing of little fields according to a precisely established scheme is almost impossible. I have not experienced any good and deep selective effects with the application of cream yet. Of course this opinion can be overstrict, but my basic for comparison is the treatment with injection.
Is Botox the same with the bacterium proliferating in spoiled meat causing Botulism?
Yes, it has the same active agent. It is placed on the market purified, heat-treated and calibrated to effect nerve conduction. It is dosed very precisely with the thinnest needle and syringe to be used to administer insulin. The phrase – it is useful in little amounts but it is poison in bigger volumes – is true.
Are new wrinkles formed after the treatment?
Before the first treatment, we discuss the places advisable to be treated to reach the best results. Certain areas can be left without treatment if it helps shape good symmetry of the face.
Can asymmetry be formed on the face as a side effect of the treatment?
Rarely, we can observe certain tiny asymmetry in the activity of symmetric mimicking muscles. However, it will rarely surpass already existing tiny asymmetries of the face. In the same time, it can be corrected with complimentary treating of the other side.
What is Botox – party?
Friends and acquaintances often come to the treatments together. Contents of the bigger vials can be divided for three patients; in this case the treatment can be performed on a lower price. When the content of the vial is divided in front of the patients, they can be sure in the fact that they receive fresh active ingredient in it.
Botox treatment – in a slightly different manner
Active ingredient of Botox can be easily decomposed, in this way its effect is weakened. Vial containing the preparation in the form of powder must be stored in a refrigerator and freshly reconstituted preparation is not recommended to store for days, because its effect will weaken (storage is max. 2 days) our patients are registered specially for Botox days.
Those without much experience with Botox treatment make a mistake to use a thinner solution thinking that in this way dosing can be more precise. Adhering to precise dilution concentration is very important, because effect of a thinner solution is weaker and giving more of this dilution can result in spreading of the material into the surrounding tissues.
We make control photos before treatment and 2-4 weeks after treatment; this is included into the price of our treatment. Exact effect of the treatment is controlled by documentation containing photos. With this comparative follow-up, the next treatment can be more precise, planned exactly for the treated person (reduced or supplementary dosages can be planned for next time, and the treatment with the best results can be repeated in the same way).
Keeping continuous connection with our patients (by phone) can increase efficiency of treatments. When the muscle activity appears again, we repeat Botox treatment, which can result in much more durable effect in the future.
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