Botulinum Toxin Injections

Mimic Wrinkles Correction

Face is a mirror of our emotions – we are happy, sad, angry, and focused. Our emotions leave trace on our face over time, which are called mimic wrinkles. They are barely noticeable at first, but later they become deeper and more significant. It is caused by a slower cell division as well as collagen and elastin synthesis, which starts at the age of about 30 years. Therefore facial and human body skin in general starts aging, becomes less elastic, loses its moisture and other important microelements.

Wrinkles correction with botulinum toxin injections is the most popular and the least invasive aesthetic procedure in the world. Officially, more than 5.5 million procedures are provided every year. Botulinum toxin injections can be used not only for wrinkle treatment, but also for their prevention. The injections can be made in the following cases:
– forehead mimic wrinkles;
– fine wrinkles, ‘geese feet’ at the corners of eyes;
– mimic wrinkles at the lower part of face.

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Mimic (dynamic) wrinkles occur due to contractions of facial muscles: horizontal wrinkles on the forehead, anger/concern wrinkles between eyes, ‘geese feet’ at the corners of eyes. Mimic wrinkles usually start to form at early age and become deeper over time. Mimic wrinkles can be temporarily reduced or eliminated using botulinum toxin injections.

Botulinum toxin was introduced in the field of medicine about 1980. Firsly it was used in neurology for treatment of various diseases, caused by strong muscle action. Later researchers noticed that wrinkles disappear on the areas of botulinum toxin injections, so since 1990 it has become widely used in the field of beauty to correct undesirable facial wrinkles. Many people see botulinum toxin as poison, but it is safe and effective when used for correction of wrinkles. It is used at very low doses and injected into certain muscles or under the skin, thus it acts locally and there is no systemic effect. Nowadays botulinum toxin is used in neurology, ophthalmology, otolaryngology, gastroenterology, urology, plastic surgery, and dermatology.

Botulinum toxin interferes with transmission of nerve impulses between a nerve and muscle, therefore it prevents from muscle contraction. Once botulinum toxin is injected, the mimic muscles relax and do not contract, the skin on them becomes smooth and wrinkles disappear.

Procedure
Mimic muscle action and depth of wrinkles are assessed before the procedure. During the procedure a microneedle is used to inject low doses of product in the mimic muscles (forehead, corners of eyes, between eyebrows, etc.). The procedure is almost painless. The sensitivity to injections is reduced by resorptive anaesthetics.

Duration
The procedure lasts about 15–30 minutes.

Result
Barely noticeable punctures and slight redness can be seen after the procedure. They usually disappear in an hour. The effect of injections can be noticed within 2-7 days after the procedure, and its full effect – after 2 weeks. The effect remains from 4 to 10 months. As the effect ceases, former wrinkles begin to reappear but do not become deeper. Once the effect ends, the procedure can be repeated, but not earlier than three months after the procedure.
Repeated procedures provide longer effect; therefore the number of procedures needed is less. Moreover, wrinkles do not become deeper over time.

Before and after procedure
Do not use alcohol or blood thinners a day before the procedure. Do not massage the treated area 24 hours after procedure. Do not lie down for 4 hours after the procedure. It is recommended to avoid direct sunlight, solarium, sauna, and active sports for 1 week.

Botulinum toxin injections can be combined with hyauronic acid procedures, chemical skin peeling and other cosmetic procedures.

Hyperhidrosis (Excessive Sweating) Treatment

Sweating is a natural protective reaction of human body which occurs during physical activities or in stressful situations, at higher ambient temperatures, and hormonal changes in the body, etc. Sweating is individual and depending on many factors, such as a number of sweat-glands in the skin, peculiarities of nutrition, inheritance or use of certain medicaments. In case of pathological sweating, hyperhydrosis or increased sweating is diagnosed.

One of the most effective ways to avoid excessive sweating is botulinum toxin injections. The effect of botulinum toxin is manifested by blocking nervous impulses to the sweat-glands of the skin, inhibiting their activity and largely reducing the production of sweat. The procedure can be performed in the region of armpits, forehead, palms or feet. Moreover, the procedure in one region is likely to result in a decrease in other problematic regions.

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Duration
The procedure lasts about 20-60 minutes.

Anaesthesia: the sensitivity of punctures is reduced with a resorptive anaesthetics, wire anaesthesia or intravenous sedative anaesthesia.

Result
Strong sweating gradually decreases in 2-4 days after the procedure and its full effect can be noticed in 1-2 weeks. The effect of injections on sweating lasts for 6-12 months. Later, the sweat-glands regain their activity, so it is recommended repeating injections in order to keep lower sweating of the organism.

After procedure
There is no significant physiological side discomfort felt after the procedure, so it is possible to wash, do sports and practice other usual activities on the same day. It is not allowed massaging the place of the injection for 24 hours after the procedure and it is recommended to avoid direct sunlight, solariums or sauna for about 1 week.