40 questions about Botox

Botulinum therapy is one of the most popular cosmetic procedures. It is based on the intramuscular injection of drugs based on botulinum toxin, which relaxes the muscles and helps smooth the skin. The procedure has been performed for many years, but patients still have many questions about it. We will try to answer them.

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What is botulinum therapy? Operating principle

Botulinum therapy is a cosmetic technique based on the ability of botulinum toxin to disrupt the connection of nerve endings with the injected muscle. Injections of botulinum toxin in cosmetology lead to the relaxation of facial muscles, smoothing out wrinkles.

How many procedures are needed?

One procedure is enough to achieve the effect of relaxing muscles and smoothing the skin. After two weeks (14 days) after it, you need to visit the doctor again to evaluate the result: if necessary, the cosmetologist will correct it. Muscle activity is restored after 3-4-6 months; you must repeat the procedure.

At what age can Botox be injected?

The officially permitted age for botulinum therapy is from 18 years. There is no need to wait for the 40th anniversary of the procedure: the presence of mimic wrinkles does not depend on lived years but on mimic activity. Owners of mobile, expressive faces may need botulinum toxin injections even after 20 years, while others do without this procedure, even in adulthood.

If there are indications for botulinum therapy, and the patient does not resort to injections, then over time, the wrinkles deepen, and the procedure will no longer be enough to eliminate them – additional contouring will be required.

Is botulinum toxin a poison?

Botulinum toxin is a neurotoxin that, when ingested in large doses, can cause poisoning – botulism. However, cosmetic procedures are completely safe for two reasons:

  1. The impact is purely local;
  2. The dosages are minimal, thousands of times less than the toxic dose.

Thus, poisoning as a result of a cosmetic procedure is impossible. The drug is used in the treatment of many diseases in neurology, ophthalmology, as well as in the treatment of severe childhood diseases.

Why is a correction needed?

Botulinum toxin acts gradually: on average, the result appears after a few days and can be finally evaluated after two weeks. At this time, it is recommended to re-visit the beautician. The doctor will evaluate the procedure’s effectiveness and, if necessary, introduce the drug.

What procedures can be done after botulinum therapy?

A couple of weeks after the procedure, when Botox “gets up,” you can do facial cleansing, massage, or any injection procedures. If deep creases on the skin have not smoothed out, then it is at this time that it is recommended to do contour plastic surgery, filling wrinkles from the inside and lifting the skin with a filler.

40 questions about Botox

What procedures can not be done after botulinum therapy?

No procedures are recommended for the first two weeks. In the future, restrictions will be removed, but it must be borne in mind that any effect that enhances metabolism accelerates the breakdown of the drug, reducing the time of its action.

Why can’t you drink alcohol after Botox?

Alcohol dilates blood vessels and can speed up the elimination of the drug from the body before it has the desired effect. However, the ban is not very strict: some cosmetologists note that alcohol intake does not significantly affect the procedure results.

Why is it forbidden to visit the sauna and bath after Botox?

Exposure to high temperatures is not recommended after any injection procedures, as they improve blood circulation and accelerate drug withdrawal.

After the injections, my face will lose mobility.

When botulinum toxin was first introduced, patients’ faces often became motionless masks. Now cosmetologists have numerous techniques that allow you to smooth out wrinkles without “freezing” the face. The use of minimal doses and the precise administration of the drug allow you to save facial expressions.

How long does the effect last?

On average – from 3 to 6 months, depending on the characteristics of the body, dosage, and lifestyle.

How does Botox work?

Botulinum toxin is a muscle relaxant. It blocks the transmission of nerve impulses from the brain to muscle fibers. As a result, the muscle relaxes.

What types of Botox are there?

In addition to Botox, a drug whose name has become a household name, there are similar drugs from other manufacturers. These are Dysport, Relatox, Xeomin, and Botulax. They are also formulated with purified botulinum toxin type A.

After the botulinum toxin wears off, will the face look worse than before the procedure?

This is a popular myth that has nothing to do with reality. After the end of the action of Botox, everything returns to normal, and the face looks the same as before the procedure – no worse.

When will the effect be?

Depending on the drug chosen, the effect may begin to appear after a few hours or days. The final result can be assessed after two weeks.

Can Botox make lips look bigger?

Botulinum toxin is not intended for lip augmentation – fillers based on hyaluronic acid are used. Preparations with botulinum toxin can only be used to correct the hypertonicity of the upper lip or eliminate purse-string wrinkles around the mouth.

40 questions about Botox

Does it hurt?

Botulinum toxin injections are almost not felt since cosmetologists use special syringes with the finest needles. Before injections, if necessary, patients have applied an anesthetic gel to the skin, which reduces sensitivity and eliminates discomfort during the procedure.

How is the botulinum therapy procedure performed?

After listening to your complaints, the doctor will ask about possible contraindications. If there are none, then you can proceed to the procedure. The beautician will ask you to make faces – this is necessary to assess facial expressions and determine injection points. After that, the doctor selects a suitable dose, if necessary, applies an anesthetic gel to the cleansed skin for 20 minutes, then cleanses the skin again and makes injections. At the end of the procedure, the face is wiped with an antiseptic.

Is Botox only used on the face?

No, not only. With the help of botulinum toxin, you can eliminate the hypertonicity of the neck muscles (muscle bands) and eliminate excessive sweating of any zones (hyperhidrosis). For example, the drug is also used in neurological practice to treat migraines.

40 questions about Botox

Which is better, Botox or Dysport?

Both drugs are tested, safe, and effective. It is best to entrust the choice to a cosmetologist: let the doctor perform injections with the drug with which he is used to working.

Can Botox be injected during pregnancy?

No, pregnancy is a contraindication for all injection procedures.

Can I lie down after injections?

It was previously recommended to take a horizontal position for 4 to 6 hours after injections. This recommendation was associated with the risk of unpredictable diffusion of botulinum toxin, which may reduce the procedure’s effectiveness. But these restrictions have now been lifted.

Is it possible to get addicted to Botox?

No, if the dosage and frequency of procedures are chosen correctly, the drug will always be effective, regardless of which procedure it is on the bill.

Does Botox work for everyone?

No, but almost everyone. There are people (they are less than one percent) for whom the drug does not work. It is impossible to predict in advance whether botulinum toxin will work.

Is it possible to inject Botox in the summer?

It is possible, but after injections, protecting the treated area from the sun and exposure to high temperatures are recommended for at least two weeks.

Why do eyebrows fall after Botox?

This fairly common complication is associated with hypercorrection of the frontal muscle of the forehead. Contacting only a qualified and experienced cosmetologist is important to avoid this effect.

Can athletes do Botox?

You can, but they usually require higher dosages. In addition, athletic people have a faster metabolism, meaning the drug’s effect stops earlier.

Do I need to apply ice after Botox injections?

It is not necessary. The application of ice does not affect the drug’s effectiveness, only the patient’s sensations, and it is also applied when a bruise appears.

Do wrinkles always disappear after Botox?

Sometimes. First, botulinum toxin only acts on expression lines. Small wrinkles that appear due to dryness and flabbiness of the skin cannot be removed with its help. Secondly, when deep creases have formed on the skin, botulinum toxin injections and muscle relaxation may not be enough. In such a situation, an additional contour plastic is recommended.

Why do Hair Botox?

“Botox hair” has nothing to do with cosmetology or Botox – it’s just a sonorous name for a hairdressing procedure.

What medications should not be taken before Botox injections?

Anticoagulants and, in general, any drugs that affect blood clotting, as well as antibiotics. If a doctor prescribes medications, discussing with him the possibility of temporarily withdrawing drugs is necessary.

Can I drink coffee before or after Botox?

Yes, you can. Coffee does not affect the effectiveness of the procedure.

Can I wash my face after Botox?

Limiting yourself to washing with cool water is better on the first day. After that, only thermal procedures are prohibited; using water at room temperature or slightly warm is better.

40 questions about Botox

Is Botox injected in the area around the eyes?

Yes, to relax the circular muscle of the eye. It is important to correctly calculate the drug’s dosage and know the muscles’ topography to relax only certain parts of this muscle to obtain a beautiful result.

Under the influence of neurotoxin, the muscles relax, and after that, the skin is smoothed.

What affects the duration of action of botulinum toxin?

Heat and any procedures that accelerate blood circulation contribute to the drug’s rapid absorption and the action’s termination. At one time, it was believed that B vitamins reduce the effect of botulinum toxin, but recently it has been proven that this is not the case.

Is it good to inject small doses of Botox?

No, repeated small doses can lead to numbness. It is important to avoid such injections and observe intervals between injections of at least four months.

Can Botox be injected into the lower third of the face?

Depends on the drug and indications. Some drugs are unsuitable for the lower third of the face; others can be used if necessary – for example, to eliminate the spasm of the masticatory muscles, cure a gingival smile, or lift the corners of the lips.

When should botulinum therapy be carried out with caution?

It all depends on individual characteristics. For example, if there are hernias of the upper and lower eyelids, they can get worse. Before the procedure, the doctor evaluates the patient’s anatomical features and warns of possible negative consequences.

Can Botox be reversed?

If the procedure results are not encouraging, then you can work on increasing blood circulation so that mimic activity is restored sooner. And the most effective medicine is time. Any adverse events after botulinum therapy disappears.

Can Botox sting when injected?

Some drugs are more painful when administered, for example, Relatox. If we compare it, for example, with Botox, a more painful injection, similar to a burning sensation, may be felt.


The information in this section should not be used for self-diagnosis or self-treatment. For diagnosis and proper treatment, you should contact your doctor.

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