Botulinum toxin preparations have been used by cosmetologists for many years. Despite the solid experience of use, this type of injection procedures does not become obsolete at all even against the backdrop of the newest and most advanced facial rejuvenation techniques. Moreover, innovative methods regularly appear, new schemes are developed, additional indications for the use of botulinum toxin preparations are offered, including in complex anti-aging procedures.
Anna Funikova, dermatologist, head of the training center "Academy professional training of specialists in the beauty industry», head of the clinic "Academy of Health and Beauty".
– How long have you been working with botulinum toxin preparations? What were your first impressions of meeting them and has this attitude changed today
AF I have been working with botulinum toxin preparations for more than 10 years. This is one of the few drugs in cosmetology with a proven clinical effect and a good safety profile. My personal impressions are as follows: expectations (and they were quite high) were fully confirmed by practice. Given that the procedures with botulinum toxin preparations remain one of the most frequently performed in my clinic, I can only state that if the attitude towards these preparations has changed, then only for the better.
Can complications occur when working with botulinum toxin preparations and how to avoid them?
A.F. Problems, if they occur, usually lie not in the drug, but in the fact that, firstly, you need to properly approach its use , and, secondly, manipulations must be carried out professionally, according to all the canons of rules and techniques. This also means that botulinum toxin cannot be perceived as a kind of panacea for everyone: it is important to understand whether the procedure itself is suitable for a particular patient. And, of course, it's important to do everything right. For example, in our training center we pay special attention to this issue: the student is taught not only to work with the drug in the right way, but also to determine whether it is necessary in principle to use it in a particular situation.
Is it possible to somehow influence the duration of action of botulinum toxin injections? What does it depend on?
A.F. Let's start by saying that the clinically proven average duration of action of botulinum toxin – 4 months. But what does such averaging mean in itself? And this means that individual adjustments are necessarily present here. There are different versions about the factors of influence for this period: this may be the effect of previously made vaccinations or introduced vaccines, the effect of other drugs, etc. But no clearly proven dependence has been found yet.
Is the botulinum toxin preparation used according to strictly established schemes, or is the doctor allowed to use his own method?
А.Ф. Schemes for the use of botulinum toxin do exist, but they do not depend on the desire of the doctor: the doctor just needs to correctly determine the points for injections with specification of the muscles for a particular patient. Therefore, each time the doctor must use those schemes that are recommended to him in relation to the choice of muscles and the number of units of the drug administered. But schemes are important to understand, choose and use correctly.
Are botulinum toxin preparations promising in your cosmetologist's practice? Are they sacrificing today to more modern technologies and drugs?
AF Botulinum toxin is the only drug that fights mimic wrinkles. I do not see an absolute alternative to it, and other variations are used only when there are contraindications for a particular patient in the use of botulinum toxin preparations.
Is there any progress in the development of technologies for the use of botulinum toxin, and if so, how can specialists expand their knowledge and keep up with the achievements of science?
AF Yes, there is definitely progress, it is constantly developing, and at a rather high pace. Separately, we note that there are more and more official recommendations for the treatment of therapeutic and neurological pathologies (headache, overactive bladder, etc.), where the use of botulinum toxin is required. Moreover, botulinum toxin is increasingly becoming the drug of choice for an ever-growing list of pathologies. Now let's talk about knowledge and experience. School of Ukrainian Injection – one of the best in the world, so our conferences and seminars are at least as good as international ones. A real example: the conference "Business and practice" Edgar Kaminsky, which will be held February 20-21 in Kyiv. During the conference, we will share safe authoring techniques. In addition, we will talk about the correct sale of your procedures and yourself as a doctor, about opening your own business. This is – one of the most popular and demanded formats for conferences of this type and level.
If the procedure for injecting botulinum toxin preparations is so effective, then why do not all cosmetologists practice it?
A.F. Firstly, it is important for a doctor to have deep knowledge in this area, it is important to have the necessary skills, to be confident in his abilities. But even if there are no problems with all of the above, then there is another difficulty: doctors often do not know how to sell their services, they cannot properly convey to the client information about the list of procedures that can be effective for solving specific problems.
Ideally, every doctor should master the three components of success:
effectiveness of the procedure;
- her safety;
- favorable price and regularity of service sale.
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