Wrinkle treatment, wrinkle smoothing with botulinum toxin A
It is a neurotoxin, a poison that affects the nerve pathways. With botulinum toxin A you can treat facial wrinkles. These are wrinkles that are caused by the tension in certain facial muscles. Botulinum toxin A interrupts the nerve stimulus to the muscle, and the muscle relaxes. This releases the pressure and smoothes the fold.
How does a wrinkle treatment with botulinum toxin A work?
A detailed, comprehensive explanation always precedes the treatment of wrinkles with botulinum toxin A. It is important that blood-thinning medications are stopped beforehand. This prevents bruising and hematoma in the skin. The patient sits during wrinkle treatment. The procedure only takes about 5 minutes. Depending on the region being treated, between 5 and 30 stitches are placed and a tiny dose of botulinum toxin A is injected into specific areas. The small injections are not entirely painless, but they are tolerable.
How is the individual dose determined?
The dose injected with a botulinum treatment is different each time because it always depends on the individual circumstances. The dose depends mainly on the contraction strength of the facial muscles that trigger the wrinkle. This contraction differs in face from region to region, but also from person to person. For example, a man with fairly strong facial muscles will need significantly more botulinum toxin A than e.g. in people with poorly developed facial muscles. But there are also women with strong facial muscles, and then it may be that the dose required is sometimes higher than that normally used in a man. The dosage of the remedy is difficult, and the treating doctor has to rely on his experience and judgment. In the first stage of treatment, the dose is chosen to be very low to be on the safe side. After about two weeks, a check-up by the attending doctor is carried out and the result is closely examined. If necessary, a little botulinum toxin A can then be injected again.
After stopping the botulinum treatment, the treated facial area is cooled so that it swells faster. Slight redness can occur, which can be easily painted over, so that the treated person is ready for the public again after about 15 minutes.
When does botulinum toxin A show its effects?
Botulinum toxin A does not show its effect immediately. The first effects are not visible until 2-3 days after injecting the product, and they become more and more pronounced afterwards. The effect reaches its maximum after about 5 – 6 weeks and then lasts for 3 – 4 months. Then it subsides. After about 3 months, the facial muscles slowly start to work again, but the wrinkles are far from being raised.
Does the face look mask-like after the wrinkle treatment with botulinum toxin A?
I advise my patients to have only so many facial wrinkles treated with botulinum toxin A that a large part of the facial expressions can still be used. However, there are patients who want a face with total wrinkle smoothing, but accept a rigid facial expression without mines.