Freshness and beauty of the skin is one of the main concerns in today’s world. Eternal youth has been a long-standing desire of man and many efforts have been made to achieve this goal.
Using a variety of cosmetics, natural and chemical face masks, and cosmetic surgeries are ways to maintain skin health. A phenomenon that always threatens youth is the slow and natural increase of age. Aging appears through the reduction of the fat layer under the skin, the decrease in collagen production and the loss of skin elasticity in the form of fine and superficial wrinkles.
Botox is one of the substances that can be used to prevent skin aging. Of course, the use of Botox is not limited to this. Stay with us to learn more about this substance, its benefits and possible side effects.
Table of Contents
What is Botox?
Botox is a compound made from a toxin called botulinum. Most people worry or hesitate about injecting it when they realize that the main base of Botox is poison. But there is no need to worry. The use of this substance is completely safe and it is also used in the treatment of many pains and diseases such as migraine. Injection of botulinum toxin under the skin causes temporary paralysis of facial or body muscles in the desired area. The result is the reduction of superficial and deep wrinkles and rejuvenation of the skin.
When the name of this poison was first heard in the world of beauty, the minds of the audience were busy with many questions and the nature of this substance was unknown and full of ambiguity. To understand the main function of this poison, we must say that after botulinum injection, this substance binds to certain receptors and prevents chemical receptors from binding to it. As a result, it will be impossible to perform muscular or metabolic activities at that point.
A wrinkle-free forehead and lack of facial reaction in situations such as frowning and smiling have caused some applicants not to consider Botox injection as a suitable option for skin rejuvenation. It is interesting to know that the advancement of medical science has caused that the injection of this substance will not cause the skin to become stiff and immobile despite removing wrinkles.
The effects and benefits of Botox are more than aesthetics. People who suffer from excessive sweating and this problem has a negative impact on their self-confidence to be in the community, can hope for the therapeutic effect of Botox.
What is botulinum type A?
Botulinum (Botulinum) type A, from which almost all injectable Botox drugs are made, is a type of nerve poison or neurotoxin that can temporarily disable nerve function. Voluntary muscles of the body (such as those in the face) contract if the contraction message reaches them from the brain through the motor nerves. If there is botulinum toxin in the muscle, the function of the motor nerve is disturbed and the muscle becomes paralyzed.
Botulinum toxin is produced naturally by the bacterium Clostridium botulinum. If botulonium is produced by bacteria, it is one of the deadliest poisons produced in nature. For a 70 kg human, only 70 mg of this poison can be fatal. Botulonium is the same poison that causes botulism, which is a fatal disease, if canned foods are not boiled.
Suitable candidate for Botox injection
People who are physically and mentally healthy are the best candidates for botox injections. Do not forget to use this poison during pregnancy or breastfeeding. Most importantly, people with muscle diseases such as myasthenia gravis cannot inject this toxin.
The main characteristics of the best candidate for using Botox are:
- The applicant must be over 18 years old.
- A person should have completely realistic expectations of the result of the injection.
- He has not used a solarium or other tanning devices near the injection.
- People who have superficial to deep wrinkles on their face.
- The person’s skin must be free of any kind of inflammation or complications.
Botox injection applications
Various applications have been defined for Botox. Some of these applications are as follows:
- Removing facial wrinkles, crow’s feet lines around the eyes, smile lines, etc.
- skin rejuvenation
- Treatment of various diseases including neck dystonia.
- Migraine pains.
- Spastic diseases.
- Piriformis syndrome.
- Myofascial pain syndrome.
- Chronic back pain.
- Half face spasm.
- Reiter’s tension headaches and spasms.
- Removing sagging and sagging skin due to aging.
- Help reduce underarm sweating.
- Eye deviation treatment.
- Treatment of involuntary eyelid twitching.
- Treatment of vaginismus.
The right age to use Botox
Facial beauty is a very serious concern that most people are concerned with. The high importance of this issue has caused obsessive behavior of some applicants in some cases. For example, young people at the beginning of their third decade of life (over 20 years old) inject Botox only to follow their emotions. Surveys show that people at this age will not have ideal results from their injections.
Specialists of the White House Clinic consider the best age for botox injections to be over 35 years old. Because at this age, fat storage under the skin is reduced and the first signs of aging such as superficial wrinkles and sagging skin appear. Some people think that by starting Botox injections at a young age, they can prevent wrinkles or skin sagging in middle age or old age, this idea is completely wrong. Botox slows down the aging process to some extent, but has no effect on preventing skin sagging or wrinkles in the fourth and fifth decades of life.
Of course, determining the exact time of injection is different for different people. Because people’s lifestyle and nutrition are different. When superficial or deep wrinkles appear on your skin, it is the best time to inject the weakened Botox toxin. Apply for injections before wrinkles deepen and sagging skin worsens.
Botox injection areas
Due to the variety of Botox applications, its injection areas are different from each other. The main injection areas of this poison are:
Injections in frown lines
Frow lines or glabella are actually vertical lines that appear between the eyebrows. When a person is tired or nervous, these lines are more visible. By injecting botulinum toxin, these lines will be completely smoothed and you will have a younger and calmer appearance. The best way to eliminate glabella lines is to use frown line filler and frown line Botox at the same time.
Injection in the forehead
One of the signs of natural aging is the appearance of fine to deep lines on the forehead. People who have more wrinkles in this area look older than their actual age. There are various reasons for the appearance of these lines; Genetics, excessive exposure to sunlight, smoking and bad habits are effective in aggravating these wrinkles.
You should know that the deepening of wrinkles makes them more difficult to treat. Botox injection will be completely effective in removing surface wrinkles. This poison can prevent the skin from wrinkling and reduce deep wrinkles. It is better to treat them when the first wrinkles appear on the face.
Injections into the nasal passages
You must have noticed that when you laugh or when you open your mouth too much, there are relatively small wrinkles on the upper part of your nose. The deepening of these wrinkles will reduce the beauty of the person. By injecting poison on both sides of the nose, you can prevent the formation or deepening of nasal lines.
Injection in the eyebrow
One of the problems that occurs with age is eyebrow drooping. Of course, some people have this problem genetically. There are different methods that you can use to lift your eyebrows. Undoubtedly, eyebrow lift plays a key role in rejuvenating the face.
Injections around the eyes
As you age or when you smile, lines around the eyes appear called crow’s feet. These wrinkles make your face look old. Around the eyes is one of the areas where you can inject Botox to prevent wrinkles in this area. Poison injection is also effective in treating drooping eyelids, but it will not make your eyes smaller.
around the lips
The area around the lips is very prone to wrinkles. The main reason is that these muscles are strained for talking, laughing, eating and many other things. This pressure provides the basis for the appearance of wrinkles. On the other hand, some bad habits or excessive face correction with thread or wax can increase the probability of wrinkles in this area. In order not to lose the elasticity of this area, simultaneous injection of laugh line filler and Botox will be the best option.
Injection in the chin
Chin muscles are known as mental muscles. Aging causes this area to become overactive. In simpler words, with age, the flexibility of the chin increases more than usual. As a result, chins will become narrower and more faded.
Factors such as loss of tissue in the chin area, direct contact with sunlight, and bone loss are effective in making the chin thinner. Chin botox injection relaxes the muscles and reduces their activity. The result will be the removal of wrinkles in this area.
Injections in the jaw and neck
Various reasons such as heredity, aging, the effect of gravity on the skin, decrease in collagen production and weakening of muscles cause the appearance of wrinkles on the neck. These wrinkles are usually vertical and horizontal. Horizontal wrinkles are usually caused by the natural aging process in the neck. But vertical wrinkles are more common in athletes. The main reason for these wrinkles is the pressure and tension applied to the plasma muscles. Botulinum toxin injection above the wrinkles can be effective in temporarily removing them.
Benefits of Botox injections
By examining the history of using Botox, you will realize that this substance has more therapeutic uses than it is used in the beauty industry. The main advantage of Botox is that it can be used to treat pain related to involuntary muscles of the body. For example, studies have proven the positive effect of using this poison to treat involuntary muscle movements in Parkinson’s disease.
Using Botox to block the sensory nerves prevents the sending of pain messages to the brain and will be effective in treating tension pains. Botox injection is also a suitable way to treat migraine pain.
With the beginning of the summer season, the intensity of sweating increases. However, some people suffer from excessive sweating. The intensity of their sweating is so high that it can disrupt their daily activities. Botox injection is one of the solutions that can be used to reduce the amount of sweating.
Dystonia is another disease that can be treated with Botox. Dystonia in a severe state interferes with all activities. Botox helps to treat this problem by paralyzing the muscles and contracting muscles.
Other benefits of botulinum toxin include:
- Eye lift and eyebrow lift.
- Removing wrinkles on the forehead and around the eyes.
- remove smile and frown lines.
- Removing darkness and bruises around the eyes.
Complications of Botox injection
Botox is a non-invasive method and very few side effects have been recorded for it. The probability of these complications increases with the low skill of the doctor and the use of low-quality materials. On the other hand, if botox injections are done in unsanitary clinics or in unapproved beauty salons, the complications will be more and more severe. The main side effects of Botox are:
Redness and swelling
Edema (swelling) and redness is the body’s natural reaction in response to the entry of any foreign substance into it. The severity of these side effects varies in people and is in the range of mild to severe. In some cases, this complication is resolved within a few hours after the injection and does not require special treatment. Needle thickness and injection site are two main factors in post-injection edema. Cold water compress has a significant effect in reducing the swelling caused by the injection.
Headache and nausea
This complication is observed in about 15% of injections. This condition is very mild and resolves within a few hours after Botox injection. If the headache after Botox does not go away within four days after the injection along with the nausea, be sure to inform your doctor.
Perforation of blood vessels at the injection site causes bruising. The main reason is that the right place for injection is not chosen. If the doctor is not familiar with facial anatomy and does not have enough experience in injection, the probability of this complication will increase. To prevent this complication, it is necessary to stop taking anticoagulants and aspirin two weeks before the injection.
This reaction appears as dry mouth or excessively dry eyes. In cases where type B poison is used, the probability of these types of reactions increases.
Infection is another possible side effect of Botox injections. If the injection tools, the clinic environment and the patient’s face are not well sterilized, the possibility of infection after the injection will increase significantly.
Eyelid drooping, swelling of lymph tissues, increase in nasal lines, eyebrow drooping, facial numbness, eyelid loosening, Mephisto symptoms, facial asymmetry, drooping lips, difficulty swallowing, difficulty smiling, and decreased saliva secretion are other possible side effects after poison injection. They are Botox.
Botox is prohibited for whom?
Botox injection is done in a very short time. Some people think that the effectiveness of this poison is also short. This notion is completely wrong; It cannot be expected that the result of the injection will be determined in a very short period of one to two days. So never postpone doing this method until the day before the party or wedding.
In order for the inflammation and redness caused by the injection to be removed, the skin must have enough time to rest. In order for the face to be normal after the injection, you must be patient for a week. Experts recommend leaving at least two weeks between injections or important events in your life. In addition, experts consider Botox injections unnecessary for some people. These people include the following.
Failure to follow social trends and emotions for injection
In most of the observed cases, some applicants do Botox injection only to follow the fashion and social excitement. Young people who do not have any superficial or deep wrinkles on their face are not suitable candidates for botulinum toxin injections. It is better to delay the injection of this substance until you see wrinkles. There are different ways that you can use to rejuvenate your skin. So postpone the injection until older ages.
People sensitive to Botox compounds
Some applicants have a negative reaction to the ingredients in Botox. This complication is usually seen with mild to severe sensitivity at the injection site. People who inject this substance for the first time should do a sensitivity test. On the other hand, people who have done the injection should do a sensitivity test in the repetition phase. There may be changes in the body that make a person prone to sensitivity after Botox injection.
Pregnant and lactating women
Pregnancy is one of the most important periods in every woman’s life. It is the responsibility of the mother to ensure the health of the fetus. The ingredients in Botox can cause allergies. The severity of sensitivity varies in different people and can have a negative effect on the health of the mother and fetus.
The importance of this issue is so great that some experts recommend that people who plan to become pregnant also stop Botox injections. Breastfeeding also plays an important role in the health of the baby. A child receives all the substances it needs from mother’s milk. After Botox injection, there is a possibility of toxic and allergenic substances entering the child’s body through breast milk.
Anticoagulant drug users
People who take anti-coagulant drugs such as warfarin are not good candidates for Botox injections. The higher the drug dose, the more important it is to avoid injecting this substance. If the doctor deems it possible to use Botox for those taking warfarin and similar drugs, be sure to consult your doctor about whether or not to use the drug.
People with certain diseases
People with certain diseases such as cancer, kidney failure, MS, etc. should be more careful when injecting Botox. Medications they take to control or treat the disease may interact with the ingredients in Botox. Experts recommend that these people forget Botox forever and think of low-risk methods such as hypotherapy as an alternative.
Users of certain medicinal supplements or vitamins
People who continuously take drugs such as Oxydirin, Aspirin, Ibuprofen, Advil, Motrin, Omega 3, Vitamin E and the like due to some diseases are not suitable candidates for injections. First, it must be proven that the use of these drugs was not arbitrary and was done according to the doctor’s order.
In the next step, the use of these drugs should be stopped before the Botox injection. On the other hand, people who use substances such as ginger, saffron, substances containing omega 3 or vitamin E in their diet should stop using these substances two weeks before botox injection.
Patients with sudden muscle weakness or paralysis
Some people suffer from diseases that cause sudden paralysis of facial and body muscles. Due to the mechanism of action of botox and paralysis or weakening of muscles after injection, there is a possibility of exacerbation of the disease of this group of people.
People with herpes or skin allergies
The most suitable place to inject Botox is the areas where wrinkles are more likely than other parts of the face. These areas include around the lips, around the eyes, frown lines, forehead and cheeks. If you are using anti-inflammatory drugs or exfoliating creams due to acne or for more freshness of the skin, it is better to postpone the injection treatment until the end of the treatment period.
Weakness of the immune system
No specialist authorizes botulinum toxin injections for people with autoimmune diseases or immune system defects.
Recommendations before botox injection
To get the best possible result from Botox injection, it is better to take the following recommendations seriously.
- Be careful in choosing the right doctor and clinic for injection. As we said, the doctor’s lack of skill and the non-sterility of the environment play an important role in aggravating complications.
- Choose the right time for injection. If you are pregnant or breastfeeding, wait until this period is over. People who suffer from inflammation, herpes of the lips or skin allergies should postpone the injection until they have fully recovered and resolved these problems.
- People who take certain drugs or are allergic to certain substances should inform their doctor about these things.
- The use of anticoagulants or drugs that increase the possibility of sensitivity should be stopped in the period close to the injection.
- You should not wear any make-up during the injection session and the day after. Cosmetics increase the possibility of infection after injection.
- In the counseling session, you should clearly state your goals for the injection and ask the doctor about pre- and post-injection care.
Care after botox injection
In order to have an ideal result from your injection, it is necessary to observe some things. The most important cares after Botox injection are:
- One hour after injection, gently massage your face. It is better to do actions like laughing, frowning and raising eyebrows.
- Avoid touching or pressing the injection site.
- You can do your normal activities immediately after the injection.
- Postpone sports activities for 24 hours after injection.
- Do not use any cosmetics for 24 hours after Botox injection.
- Avoid bending or lying down for four hours after the injection.
- Begin vigorous activity 72 hours after injection.
- Avoid activities such as skin scrubbing, peeling and facial massage.
- Do not sleep on the injection site.
- Avoid direct sunlight for 48 hours after injection.
- The use of hot tubs, tanning devices, saunas, jacuzzis, and lasers is prohibited.
- Be sure to consult your doctor before performing these activities.
- It is better to postpone eyebrow tattoo or microblading for two weeks.
Is botox injection safe?
do not be scared! The botulinum used in Botox does not have the dangers of the original toxin produced by bacteria. In addition, this poison is deadly when it enters our bloodstream. In the therapeutic uses of Botox, this poison is only used locally.
According to the FDA, Iran’s Ministry of Health and almost all health and treatment regulatory organizations, Botox injections for therapeutic uses or skin rejuvenation are known to be safe and secure. Pay attention to the following points:
In the United States, from 1989 to 2003, only 36 people experienced severe side effects after Botox injections. 13 of these people had complications due to underlying problems, and the problems had nothing to do with botox injections.
According to studies, only 3% of adults who receive Botox injections experience severe side effects. In many of these cases, the cause of side effects is the injection of drugs by non-medical people or the use of inappropriate substances.
According to the researches, the risks of Botox injections for the purpose of beautifying and rejuvenating the skin are much lower than the side effects of Botox in cases of therapeutic use. In the mentioned statistics, almost all those who suffered acute complications had received Botox injections. We have discussed in detail the uses of Botox.
The dose of Botox used for skin lines is very low and safe. In therapeutic uses of Botox, higher doses are used; For this reason, side effects are more likely to occur.
FAQ about Botox
Does botox injection hurt?
The pain of this injection is very little and temporary. In some cases, the doctor uses ice to numb the injection site.
In which areas can Botox injection be used?
Frowning lines, smile, around the eyes, hollows under the eyes, above the lips, forehead and neck are the most important parts that can be used to remove wrinkles or rejuvenate them with Botox.
Who is prohibited from using Botox?
Patients with muscle diseases, autoimmune diseases, skin inflammations, immune system defects and people with acne cannot use Botox for skin rejuvenation.
Is swelling after botulinum toxin injection normal?
Bruising and swelling are not common side effects of this injection. However, if you face this condition, keep calm and use a cold compress to reduce swelling or bruising.
Does massage help increase the effect of Botox?
Avoid massaging or pressing the injection site for 48 hours after the injection.
How long are the effects of Botox?
In general, the effects of Botox for skin rejuvenation are stable between 4 and 6 months after injection. The most effective factors on the durability of Botox effects are the treated area and the amount of Botox injected. Apart from these, other factors affect the stability of the effects, which include the following:
- your age
- The degree of elasticity or flexibility of your skin
- Depth of wrinkles or skin lines
For example, if you use Botox to treat very deep wrinkles, it is more likely that these lines will not disappear completely, and also that the effects of Botox injection will disappear more quickly.
Does continuous injection of Botox increase the durability of the effects?
With each Botox injection, the effects may last longer. Botox causes muscle paralysis; So you cannot use them for 4 to 6 months. If a muscle in the body is not used, it gradually atrophies and becomes smaller. For this reason, it is possible that over time, the injection renewal intervals will become longer.
How often can Botox be done?
You should consult a doctor about this issue. In general, Botox injections are not recommended at intervals shorter than three months. Because in this case, your body may become resistant to the botulinum toxin and no longer respond to the treatment.
How long does Botox take to work?
Usually, clients notice the effects of Botox between 3 and 10 days after injection.