Botox
BOTOX® (onabotulinumtoxin A) is a purified botulinum toxin type A protein that is obtained from Clostridium botulinum bacteria and it should be prescribed and used by physicians. It is the first medical botulinum toxin type A that is approved by the FDA (USA Food and Drug Administration) in 1969 and first used in strabismus treatment on children.
While varying from one patient to another when injected into the muscles or glands in proper doses, BOTOX® can be effective for approximately 3-10 months.
The physician to apply Botox should have a solid grasp of face anatomy at the first place. Applying Botox without any comprehension of facial mimic muscles that are in a close relation with each other and facial nerves that are of vital importance along with their variations is an incredibly high risk. Botox that are applied without considering the anatomical structures can lead to irretrievable complications.
Wrinkles on the skin emerge not only due to cellular alterations, collagen loss or the damages of free radicals, but also as a result of many different factors.
When you scowl or peer at something, the muscles between your eyebrows contract and lead to wrinkles and deepened facial lines on that area.
Similarly, when you squint to look to a distance, the muscles around your eyes mobilize and lead to thin wrinkles also known as the crow’s feet.
The lines that emerge on the forehead during amazement form with the movement of a strong and large muscle there. The muscles around the mouth which smokers purse up while smoking also lead to vertical lines on the lips.
As a result, they all cause wrinkles and deepening lines on the skin over the muscles that are used for various movements on different areas of the body.
The temporary impairment of these muscles between your eyebrows or around your eyes with an appropriate refreshing botox will prevent these wrinkles and hinder the deepening of existing lines, and may also suspend a possible operation for many years.
I define my patients’ complaints and my capability in certain anatomical limits during the examination and dialogue with them. Then, for instance, if a 10-unit botox should be applied to turn your entire face into a mask, I apply 3-4, or at the patients’ demand, 5-6 units. Then I call the patient for a follow-up examination after one week, and if we wish, we apply another 2 units – maybe another unit following a meeting a week after. So, we stop at a point when the patient says “THAT’S IT!” during the process.
I call this procedure the Refreshing Botox. Because the new emerging look after this procedure is your own face with less wrinkles from maybe 5-10 years before- not an alien, expressionless face which smiles differently or cannot smile at all.
Sloppy botox applications lead to faces that are all resemble each other.
As a matter of fact, removing all mimics on your face, creating an expressionless face and making or not making everybody look alike is at the hands of the plastic surgeon. If applied to everyone at the same places in the same doses, botox leads to mask-like faces that all resemble each other.
