Botox on the forehead: a safe toxin against deep wrinkles!

Botox - the principle of action on the body

Botulinum neurotoxin is the most poisonous substance known. It is a complex amino acid produced by the bacterium Clostridium botulinum and is the causative agent of human botulism (a neuroparalytic disease). There are eight types of toxin, labeled A through G. Inhalation of 1 mcg of this toxin by a person is fatal. It acts on the nervous system, paralyzing the muscles. However, the muscle paralyzing function of the toxin, when used for good, has proven useful in more than 50 pathological conditions, including use in cosmetology.

In high concentrations, botulinum toxin causes the development of botulism, a serious, life-threatening disease. Botulism, if left untreated, can lead to respiratory failure and death.

Botox is the trade name for a drug containing botulinum toxin type A, which is used medically to treat certain muscle conditions, as well as cosmetically to eliminate wrinkles by temporarily paralyzing the facial muscles. The drug is approved for the treatment of a variety of medical conditions, including chronic migraine, excessive sweating, blepharospasm, dystonia-related strabismus, and cervical dystonia. The product, known as BOTOX® Cosmetic, was approved in 2002 for the treatment of glabellar lines and in 2013 for the treatment of wrinkles at the corners of the eyes.

Although Botox is a powerful poison, when used correctly it has a number of uses in medicine and cosmetology.

The botulinum toxin drug is administered to patients in very small concentrations. Its action is to block nerve impulses transmitted to the muscles. In order for muscles to contract, nerve endings release a special substance called acetylcholine (a neurotransmitter). Acetylcholine acts on muscle fiber receptors, causing them to contract, or shorten. Botox injections temporarily stop the release of the neurotransmitter, which prevents the muscles from contracting. As a result, the muscles become less rigid and deep wrinkles are smoothed out. The clinical effect of botulinum toxin injections lasts from 2 to 6 months and then wears off. The treated muscles gradually regain their function and usually return to their previous appearance. Injections can be repeated to maintain the smoothed skin effect.

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By date: 10/08/2020 — 10/09/2020 — 10/10/2020

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Indications for the use of Botox injections

For cosmetic purposes, botulinum toxin is considered a safe and effective treatment for reducing facial wrinkles, especially in the upper third of the face. Injecting botulinum toxin into the muscles beneath the expression lines causes those muscles to relax, resulting in a smoother appearance of the skin above them. Wrinkle smoothing usually begins to be noticeable three days after treatment, and the maximum effect is achieved two weeks after the procedure.

Indications for the correction of cosmetic defects using injections are wrinkles in the area:

neck;
chin;
mouth;
nasolabial folds;
dorsum of the nose (“bunny wrinkles”);
Rabbit lines are folds of skin that gather on the bridge of the nose.
corners of the eyes (“crow’s feet”);
interbrow (vertical facial space between the eyebrows);
forehead (horizontal wrinkles).
Horizontal wrinkles on the forehead are successfully eliminated with Botox injections

Botulinum toxin is not a medicine. When its effects wear off after 2-6 months, the face gradually returns to its pre-procedure state.

With the help of Botox, you can perform non-surgical tightening of facial tissues (Botox lifting), correction of facial asymmetry, elimination of weak and moderate overhang of the upper eyelid (ptosis), correction of hypertrophy of the masticatory muscles. The injections treat excessive sweating in various areas of the body, including the feet, palms and armpits. Botox is also used in the preparatory period before facial plastic surgery, as well as for restorative purposes after plastic surgery.

For or against Botox injections?

To do or not to do Botox? Some say that the drug quickly eliminates wrinkles and signs of aging, some discuss the harmful properties of Botox. In order to decide to carry out such a procedure on your face, you need to know all the pros and cons of the method.

The presence of Botox injection under the skin relaxes facial wrinkles, and, better yet, relaxes the muscle fibers that form wrinkles. As a result of this, the person previously cannot frown. This property of the neurotoxin is used in those areas of the face where the first signs of aging first appear. These include the forehead, batial between the eyebrows, periorbital and perioral areas.

In addition, it has been recorded that injections of botulinum toxin into the armpits, palms and feet reduce sweat loss, which has become widely used in the treatment of hyperhidrosis. And many patients, after injections, completely get rid of migraines and migraine-like pain. These undoubted advantages also include the fact that the sensitivity of the skin does not suffer from this presence, and the neurotoxin itself is eliminated from the body from head to toe after 6-9 months.

The ultra-thin needles that are used for injections do not leave any marks on the skin, which was the reason to call them “dinner” injections of beauty. In the countries of Western Europe and America, these injections have been given since time immemorial during the lunch break, so they take little time and are now highly effective on the second day.

Video: When to do Botox injections and when you shouldn’t inject Botox

Does Botox have any disadvantages?

The health ministries of many countries, while researching Botox, tried to discover its negative effect on human health, but they never found it. In some cases, after injections, patients complain of discomfort in the area of influence, but if the procedure is performed by a highly professional cosmetologist, then these incidents do not exist. Unpleasant sensations occur in cases where Botox is administered too quickly or more often than once a year.

You can also be calm about the toxicity of the drug - death) there is no poisoning or intoxication with botulinum toxin, since for this it is necessary to introduce doses into the body that are thousands of times higher than cosmetic ones.

Are you still afraid to carry out such a procedure? A cosmetologist can advise you on alternative methods of rejuvenation and correction of age-related changes. These include:

Biorevitalization with hyaluronic acid
Facial mesotherapy
Facial contouring plastic surgery
Thread lifting
Threadlifting with 3D mesothreads

Technique of drug administration

Botox injections are performed exclusively by qualified medical professionals in clinics or cosmetology centers. Before the procedure, the doctor conducts a conversation with the client, during which he clarifies whether the latter has certain diseases or physiological characteristics that must be taken into account before prescribing the procedure. The doctor assesses the mobility of the patient’s facial muscles, asking him to “make a little face” in order to engage the desired area. Then the patient signs a paper recording his consent to the use of Botox. The dose, number of injections, injection site, and frequency of treatments will depend on the client's individual needs and response to the drug.

Preparatory stage

No special preparation is required before the procedure. In many clinics, the patient will be asked to take a photo of their face before injection treatment in order to visually evaluate the result a few days later.

On the day of the procedure, it is not recommended to attend procedures or activities that may affect the condition of facial blood vessels, such as sauna, massage, or sports training. Cosmetic care procedures can be combined with botulinum therapy, but they should be carried out before Botox is administered.

The required dose of Botox depends on the area being treated, as well as the individual needs of the client.

Botox must be diluted and prepared in a sterile environment using sterile equipment. Such conditions can be provided by a specialist with a medical education in a legal specialized institution.

Carrying out the procedure

The administration of the drug lasts about 10–15 minutes. Injections are practically painless due to the use of very thin needles and small doses of the drug:

The patient sits comfortably in a cosmetology chair.
Immediately before the procedure, the area for future injections is marked.
The specialist cleans the face of makeup (if necessary) and treats the skin with a disinfectant.
The patient is asked to tense the muscles of the treated area: frown, wrinkle his forehead, smile broadly. Injections are performed with disposable insulin syringes with a non-removable needle.
Botulinum toxin is administered by dissolving the powder in saline and injecting it directly into the neuromuscular tissue. Delicate areas around the eyes and lips are treated with intradermal injections, and the cosmetic effect is not affected at all.
After the procedure is completed, the skin is re-treated with an antiseptic.

Injecting Botox into the eyebrow area: video

How does Botox work for the face?

Botox contains botulism neurotoxin; such injections were first used in our country at the end of the last century. If previously their cost was quite high, now they have become available to almost everyone. Botox injections into the forehead help a woman look younger without resorting to the services of plastic surgeons.

Video: injections of the drug for the face - effect and features

Video of Botox injections on the forehead:

You can learn about eyebrow lifting with Botox by following the link.

Indications and contraindications

Botox is a drug that affects muscle tissue and nerve endings; it can be both beneficial and harmful. Before performing the procedure, the specialist must familiarize the client with a list of contraindications and side effects. Both women and men over 18 years of age can undergo Botox injections.

The main indications for their placement are:

the presence of facial wrinkles on the forehead;
increased muscle activity;
the appearance of deep folds;
drooping brow ridges;
the presence of insensitive areas of skin;
facial asymmetry.

The drug should not be administered:

during pregnancy and breastfeeding;
in the presence of allergic reactions, cancer and problems with blood clotting;
when treated with antibacterial and hormonal drugs (read why you can’t inject Botox during antibiotic treatment here).

Contraindications are neurological disorders, skin rashes on the forehead, exacerbation of chronic diseases.

Why inject Botox injections into the armpits, read this article.

The absence of the need to violate the integrity of the skin and the recovery period are the main advantages of Botox injections. The disappearance of wrinkles is what women go for injections for. If at an early age creams and lotions help to cope with the problem, then only cosmetic procedures allow you to look younger after 40 years. Before administering the drug, the treated areas are numbed, which is why the client does not experience any discomfort.

You can return to your normal lifestyle immediately after leaving the cosmetologist’s office. Botox eliminates small scars, the effects of acne, and restores facial contours.

Despite the many obvious benefits, Botox also has some disadvantages. For example, a short-term effect: the drug is eliminated from the body after about 3 months, after which it will have to be reintroduced. Unpleasant consequences of the procedure include swelling and redness of the skin, nausea and headaches. An experienced specialist will teach you how to care for your skin after injections and tell you how to avoid complications.

Is it possible to lift the upper eyelids with Botox? Find out here.

Video: how to properly inject Botox into the forehead for wrinkles

Video on how to properly inject Botox into the forehead:

The nature of the recovery period depends on the individual characteristics of the body. Unpleasant consequences can occur if the skin is not taken care of properly after the procedure, as well as if the specialist violates the rules for administering the drug. The dose is selected based on the condition of the muscles, age and gender of the client. The tissue returns to its original appearance after about six months. In some cases, the procedure may not be effective.

Also read how Botox injects nasolabial folds.

Possibility of performing injections at home

Some people choose to self-inject Botox because they can't get their doctor to agree to what they want. For reasons that may be general or specific, a doctor has every right to refuse a patient Botox injections in certain places or in certain quantities, which prompts some clients to try to take matters into their own hands. But this is not a tool with which you can joke. There are three things about Botox injections that require special knowledge and skill:

Firstly, you need to have a perfect knowledge of facial anatomy. Botox is a muscle relaxant that must be injected directly into the muscle. Injecting the drug into the wrong place is fraught with the development of complications and cosmetic defects.
Secondly, it is necessary to very precisely control the injection quantity. Too little of the drug will not have any effect. Too large and will cause even more problems, such as drooping eyelids, difficulty opening eyes, etc.
Third, you need to have a very good idea of how the Botox will dissipate in the injection areas over the next 3 days. Muscles that are adjacent to the treated area may be affected, causing an undesirable effect.

Botox is a prescription drug only.

To summarize the above, we can conclude: Botox treatment can only be performed by a qualified specialist.

Contraindications and possible consequences

Botox for the face can bring not only benefits, but also cause irreparable harm to health. Therefore, you should carefully read the contraindications before injections. Contraindications:

infectious diseases in the acute phase;
the presence of inflammation in the area where the injection is necessary;
hypersensitivity to the drug;
pregnancy and breastfeeding;
diseases of the lungs, kidneys and liver.

Also, Botox is not used for severe gravitational ptosis, that is, drooping of the facial tissues.

At the age of over 60 years, injections are rarely used, as the likelihood of complications is high.

One of the arguments why many refuse rejuvenation with botulinum toxin is that Botox injections can cause various complications, including quite severe ones.

The most common, but not too serious, negative consequences of the procedure include:

headache;
pain at the injection site;
nausea.

These troubles usually go away within 24 hours.

More severe problems that botulinum toxin injections can cause:

the appearance of facial asymmetry (the likelihood of the problem developing is especially high if the patient’s age is more than sixty years);
drooping eyebrows;
blurred vision.

It may take several months for these effects to subside.

In order to minimize the possibility of such complications, you need to contact a good specialist who will carefully weigh the risks and do everything to ensure that the procedure is successful. In addition to a cosmetologist, you should also consult with your doctor, who will help you decide on the advisability of the procedure.

Serious complications after injection are rare and most often develop as a result of needle damage to nerves, blood vessels or trachea due to the procedure being performed by an unqualified specialist. Other possible causes are incorrect dose selection or injection of the toxin into the wrong muscle.

Rehabilitation after Botox injections

Rehabilitation is not required with this method of cosmetic correction. Immediately after a Botox injection, many experts advise their patients to avoid anything that dilates blood vessels or acts as a blood thinner for 24 hours after the drug is administered. This means avoiding activities such as intense workouts and going to the sauna. Taking Aspirin and vitamin E is prohibited. Kneading or massaging the injection area is contraindicated in the first 24 hours after the procedure. The very next day you can return to normal life, without any restrictions, including the application of decorative cosmetics and concealers. Airplane flights do not have a negative impact on the results of the procedure.

A noticeable result in smoothing out wrinkles occurs 5–7 days after the procedure.

Contraindications and compatibility with alcohol

Absolute contraindications to Botox treatment include:

pregnancy and breastfeeding;
acute general infectious processes;
blood clotting disorders;
a history of allergies to the drug or any of its components;
myasthenia gravis (autoimmune neuromuscular disease);
inflammatory processes in the area that needs correction.

Relative contraindications to the use of the method are:

swelling of facial tissues;
severe ptosis of facial tissues;
exacerbation of chronic diseases;
tendency to allergic reactions;
chronic alcohol abuse;
mental disorders of a temporary or permanent nature;
taking certain medications (in particular, aminoglycoside antibiotics, anticoagulants, muscle relaxants).

The discrepancy between the patient's expectations and the potential results of the procedure is also considered a relative contraindication, in which the use of the method is unfavorable.

Alcohol compatibility

When undergoing cosmetic treatment, even one as minimally invasive as Botox injections, it is always important to ask your doctor any questions you have, especially if they relate to the safety or effectiveness of the procedure. Although there is currently no evidence that drinking alcohol affects the success of Botox treatment, alcohol can cause unwanted side effects. These include fluid retention and swelling, stimulation of relaxation and dilation of blood vessels. This vasodilation increases blood flow throughout the body, including near the surface of the skin. In addition, alcohol dehydrates and dries it out. For this reason, many medical practitioners and estheticians recommend avoiding drinking alcohol immediately before and after Botox treatment (for 24-48 hours), as bruising may occur at the injection sites.

Injection results, before and after photos

After injection of botulinum toxin, facial wrinkles are smoothed out, the face takes on a more youthful, toned and healthy appearance. This should not be considered a panacea for any wrinkles, but the effectiveness of this drug is really high.

It will not replace lifting and other cosmetic procedures, but it will allow you to change your facial features for the better and look much younger.

If the wrinkles are very deep, they may not disappear completely, but become much less pronounced. In order to eliminate this problem completely, Botox injections are combined with the introduction of fillers based on hyaluronic acid into the base of wrinkles.

The maximum effect develops one and a half to two weeks after the procedure. It lasts for 6-9 months, and in some cases - up to six months. In order for the rejuvenation effect to be maximum, it is recommended to administer the drug twice a year.

It is also worth noting that if injections are given regularly, the duration of the effect will increase. This occurs because the ability of the muscles into which the toxin is injected to contract is reduced.

See photos before and after Botox injections:

Advantages and disadvantages of the rejuvenation method

The advantages of the non-surgical method of treating wrinkles with Botox, in addition to the anti-aging effect of smoothing the face, include:

speed of the procedure - administration of the drug takes very little time, and the procedure can be scheduled even during a lunch break;
no need for rehabilitation - after administration of the drug, you can continue to live a normal life, without any special restrictions;
absence of visible marks from injections - in most cases there are no visually noticeable marks after the procedure (small dots and slight redness do not count);
affordability - one unit of the drug costs about 5-6 dollars (while, for example, the forehead area can cost from 5 to 25 units), which makes Botox injections one of the most affordable anti-aging cosmetic procedures on the market.

Today there are also more inexpensive drugs analogues of Botox, such as Dysport or Mesobotox (the cost per unit fluctuates around 2-4 dollars per unit). Although these products contain the same main active ingredient, the composition of the complexing proteins differs, which could potentially influence the effectiveness of treatment against cheaper analogues.

More inexpensive analogues of Botox (Dysport, Mesobotox) differ in the composition of additional components, which can negatively affect the effectiveness of the procedure

According to statistics from well-known pharmaceutical companies (Allergan, Ipsen), Botox injections for cosmetic purposes do not cause anaphylactic reactions. However, there have been rare cases of hypersensitivity reactions to one of the components of the drug, albumin. Some people may experience flu-like symptoms after the procedure: general malaise, migraines, nausea. Painful symptoms in the injection area, bruises, and decreased sensitivity are possible. Such side effects are due to a violation of the Botox injection technique.

One of the most unpleasant complications that can develop after botulinum toxin type A injection is drooping of the upper eyelid. But this complication occurs in less than 1% of cases. A specialist can foresee the potential for the development of ptosis in advance based on the anatomical structure of the face, age and condition of the patient’s tissues. If you have an eyelid hernia or a tendency to accumulate excess fluid, swelling of the area around the eyes may develop.

Drooping of the upper eyelid is one of the possible complications of the Botox correction procedure for the upper third of the face

It is noteworthy that the side effects of Botox treatment are not always negative. After treating the wrinkles of the upper third of the face with the drug, many patients note a significant relief from chronic headaches. Experts explain this by a remarkable coincidence of circumstances: the injection points of the drug often coincide with acupuncture points, the effects of which are used in the treatment of migraines. The muscle relaxant effect of the drug probably interrupts this pathophysiological relationship. In general, side effects vary depending on where the injections are given. The good news is that all side effects are completely reversible.