Methods for increasing the duration and effectiveness of botulinum toxin action

There are two approaches to the introduction of botulinum toxin: medical and cosmetic. In cosmetology, it is used to smooth mimic wrinkles. For medicinal purposes, it is used quite extensively, for various diseases, such as cerebral palsy, torticollis, after a stroke, it is injected into the axillary areas to prevent excessive sweating, to eliminate facial asymmetry resulting from some diseases, etc.

Find out in the article on estet-portal.com all the features of the use of botulinum toxin depending on the area and purpose of using the drug, as well as modern combined techniques from a plastic surgeon, cosmetologist, member of the OPREH, EADV, OSEM, Interregional Organization of Botulinum Therapy Specialists, Elena Razumovskaya .

• The main concerns when working with botulinum toxin
• The most effective combined methods with the use of botulinum toxin
• Features of the use of botulinum toxin when working with static wrinkles
• Gender differences in the use of botulinum toxin
• Methods for preventing complications when using botulinum toxin
• Features of the use of botulinum toxin in various areas of the face

The main concerns when working with botulinum toxin

ER: I am not afraid of anything when working with botulinum toxin, only it is possible that another 25 years will pass and maybe we will see the result differently. Patients who are currently on long-term botulinum toxin injections will react differently to the injection of the drug.

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I'm not afraid of anything when it comes to the studied botulinum toxins, like the drug Botox® of the Allergan Company. At the moment we have 20 years of experience with Botox®, we know how to use this botulinum toxin, how patients react to the drug. Another point is that other botulinum toxins have appeared and each has its own face, its own program of action. Therefore, there may be some difficulties in the future, when patients come to us after using various botulinum toxins. But as long as there is only botulinum toxin serotype A on the market and in general around the world, serotype B may appear, since neurologists are very interested in it, liquid forms will appear.

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The most effective combined methods with the use of botulinum toxin

E.P.: I can use Botox®. absolutely with all methods. Another thing is that now it is impossible to use only one botulinum toxin in cosmetology. These are, of course, various combinations, everything is decided by time, exposure, the reasonableness of the choice of certain methods, depending on the needs of the patient. But I must say that in any case, each tissue has its own point of application with methods that are aimed at improving its condition. If this is the dermis, then of course, these are biorevitalizants, and mesotherapy, and contouring, and all hardware techniques, and thread technologies.  

If the question is about muscles, then only Botox®, nothing else, it cannot be replaced.

In case of excess fabrics – this is surgery, if it is a lack of tissue, then it can be surgery, and fillers with voluminous techniques.  Therefore, of course, combined techniques with botulinum toxin − this is a complex and competent distribution, appointment of a doctor of the order of procedures, which forms the success of the patient in the end, ensures his safety, normal appearance and, by and large, his health.

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Features of the use of botulinum toxin when working with static wrinkles

ER: It's important to know what caused the static lines. If the dynamics caused it, then it is clear that the doses of botulinum toxin should be adjusted, the injection points, in terms of the choice of target muscles.  In this case, there is no age limit, everything is − the issue of dose, muscle selection and an adequate combination of combined techniques, which should be required in each specific case.

Gender differences when working with botulinum toxin

E.R.: Of course, they are: muscle strength is different and muscle activity, and the needs are different for men and women.  Therefore, we are all very glad that men are also not alien to beauty and the desire to change something in themselves. As far as botulinum toxin is concerned, we must not forget that our aesthetic − this is a small part of the big medicine where Botox® is used. In particular, the treatment of headaches, tension headaches, migraines. These processes are independent of age and gender. Also, botulinum toxin − this is also a big part of the treatment of stress, stressful, depressive conditions, therefore, I think that the demand is huge among all patients.

Methods for preventing complications when using botulinum toxin

E.R.: Generally speaking, Botox is like a bright star, as the drug is so well studied that, by and large, there should be no problems with its introduction, application and use in patients. The only thing that can be said is that if something happened during the use of botulinum toxin, 90% of the cases it is the doctor's omission. This may be in the wrong choice of either dose or target points, not taking a complete patient history, and so on.

If we talk specifically about botulinum toxin, then there is practically no negative point in the preparation, just like in the patient. Here is a question for the doctor.

In relation to dermal filler injections, I would say that if something happens − These are problems that are related to the patient. But again, it is important to take into account the anamnesis, not only cosmetic, but also medical. In any procedure, there are three components: the doctor, the patient and the drug. These interactions decide the issue of success, but in aesthetic practice, of course, safety, knowledge, reliability should be the most important arguments in favor of choosing a product!

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Features of the use of botulinum toxin in various areas of the face

E.R.: Gold standard – these are the upper third and glabella. Here, for the use of botulinum toxin, all conditions converged: facial expressions, negative emotions, as well as safety. Work in the area of ​​crow's feet is always attractive, but we must not forget about the emotional status, that this is the area where we are positive. You should always consider when it should be corrected and when not.

A lot depends on how a person works with the lower third: if the patient has a smile with a tucked in chin, then in no case should you remove the crow's feet. Let the person laugh, as he is supposed to laugh.

Everything comes from the top third, everything is placed in the center, including the elevators of the middle third − this is a facial expression that also carries negativity, this is the chin muscle, which also transforms negative emotions.

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But when working with botulinum toxin in the lower third, you need to be extremely careful about anatomy, orthodontics of the bite, and so on.  In the lower third – these are muscles and zones that are located laterally, because the muscles of mastication, m.platysma, the muscle that lowers the angle of the lip, are the most successful in terms of therapy using the drug

Botox® .

It is also very important when working with botulinum toxin to evaluate the patient's facial expressions, to see which muscles are involved, first of all, when the patient experiences certain emotions.

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