The two most important factors affecting the formation of the wrinkles and lines in the face are the skin and facial – mimic muscles. Deep changes are determined by age-related intrinsic aging (chronological aging) and extrinsic aging (photo aging) due to environmental factors, primarily sun damage. Both factors lead to dehydration (water loss), depletion of skin collagen, loss of elasticity and hyperkeratosis leading to the deepening of the skin. Facial muscles, which are hyperfunctional and dynamic structures, are also greatly contributing to the formation of wrinkles. The appearance of these muscles causing local denervation (paralyze) to improve on the lines and wrinkles has brought ‘chemodenervation’ to the agenda by using chemical substances.

In recent years botulinum toxin (btk-a), one of eight neurotoxins produced by clostridium botulinum, a gram (+) aneorob bacteria, has begun to be used for chemodenervation purposes. Toxin inhibits acetylcholine release from the presynaptic end of the neuromuscular (muscle-nerve) component in the peripheral nervous system, resulting in temporary paralysis (paralysis) in the muscles.

In which areas of the face, Botox for aesthetic purposes  is often used?

Botox has become an effective, safe and reproducible option for the treatment of wrinkles in the upper part of the face. It can be successfully applied alone or combined with other anti-aging treatment methods for cosmetic purposes such as laser and filling applications.

Using Botox for Wrinkle treatment is increasingday by day and the most successful results are from the 1/3 upper part of the face. (vertical between two eyebrow wrinkles, crow’s feet, horizontal wrinkles, wrinkles around the eyes=goose feet, crow’s feet, etc.) In addition to these, botox can also be used for cosmetic purposes, forming shape and position change in eyebrows (eg eyebrow lifting ), and in the treatment of peri oral lines, facial asymmetry, eyebrow assymetry after surgery and platismal bands (wrinkles and bands in the neck).

What are the main points of attention after treatment?

After treatment, especially in the first 4 hours the person should be in an upright position,  moving in horizontal position and leaning forward to do a job should be avoided. Injection sites should not be massaged to prevent the spread of toxin in the muscles. In order to increase the absorption and effectiveness of the toxin by the muscles, the injected muscles should be contracted within the first few hours after administration, ie these muscles must be operated. If you are traveling on board immediately after the injection, you should avoid air travel for the reason that there have been reports of the appearance of ptosis (low eyelid), or you should take a break for at least 8-10 hours.

When does the effect start and for how long?

The desired effect occurs on days 3 and 7 after application, reaches maximum in 15 days and lasts for approximately 6 months. The concentration of the solution used, the injection technique applied, the differences in individual susceptibility change this duration and activity. The event may be as short as 2 months on some bodies; In others it can last 9-12 months. It is harder to get the desired effect in people with a skin which is thick, oily and with acnes or people over 65 years old. Between 3 and 6 months of repeated injections of Botox improves the effectiveness of the treatment and can provide significant and lasting improvements in wrinkles.

Does Botox Practice Have Side Effects?

The most common side effects of treatment include pain at the injection site, ecchymosis-haematomas (bleeding), blepharoptosis (low eyelid), asymmetry and low eyebrows. Blepharoptosis heals by itself within a few weeks or it can be cured with aproclonidine solution for healing (iopidin drop- a few frops to the pytoz eye cures it). In order to obtain effective results and to avoid as much as possible from complications, it is necessary to be aware of the anatomy of the face and neck and to apply the correct injection technique.

Can Botox Treatment Be Dangerous?

There are no serious side effects or hazards since the doses used in aesthetic botox applications are very low from doses that may be dangerous to humans.