When to start injecting Botox: at 20, 40 or 60 years old?

Today, injections (injections) of botulinum toxin type A (or Botox) are the most common and minimally invasive cosmetic procedure in many countries, especially in Europe, Russia and the USA.

The drug is actively used in neurology, cosmetology, plastic surgery and reconstructive surgeries. Using fairly simple micro-injections, the drug is injected under the skin or into facial muscles and causes temporary relaxation (or a decrease in the intensity of muscle contraction), thereby achieving the effect of smoothing out first dynamic and then static facial wrinkles. Botulinum toxin type A (Botox) is used in therapeutic micro-doses and is absolutely safe. Botox has its unsurpassed anti-aging effect, although it is the most powerful poison on earth.

What are Botox injections used for in cosmetology and plastic surgery?

1. Botox injections (botulinum therapy) are used to smooth out and correct hyperkinetic folds - facial wrinkles in the forehead, between the eyebrows, outer corners of the eyes (crow's feet wrinkles), longitudinal wrinkles of the bridge of the nose, vertical fine wrinkles of the upper and lower lips, and folds of the chin , reducing the severity of horizontal wrinkles in the neck and décolleté area.
2. With Botox injections you can lift the eyebrows, the corners of the mouth, slightly tighten the oval of the face, and raise the tip of the nose.
3. Botulinum therapy can also be used to improve the results of plastic surgery both before and after surgery.

Is there a limit on the number of times?

Restrictions on injection of the drug:

• The first procedure is carried out, after which the final effect occurs only after 2 weeks. After this time, you need to visit the doctor who performed the procedure - he will assess the situation and prescribe a second injection, or leave everything as is.
• After the trick, a week later they look at the result.

Usually the drug is no longer administered, unless, of course, the cosmetologist decides to do gradual rejuvenation.

What drugs are used

First generation drugs include Botox and Dysport, although they are also effective today.

But over a period of more than 30 years, laboratories around the world have produced many similar drugs under different names, for example Rifinex, Lantox, Xeomin, the properties of which are superior to their predecessors, and the active ingredient in them is the same botulinum toxin type A.

For example, the latest generation drug, Relatox, due to modern production technology and stabilization of the toxin, in comparison with Botox, has shown less reactogenicity (the ability to produce antibodies in our body), a longer duration of effect with a greater degree of smoothing of facial wrinkles.

Advantages and disadvantages

Buyanov Sergey Yurievich (Expert Doctor):

It is important to get botulinum toxin injections only from an experienced specialist, since an insufficient dose does not lead to the desired effect. In this regard, it is necessary to re-administer the drug, which leads to the formation of antibodies to the drug. As a result, the effectiveness of injections is reduced.

How does the procedure work?

1. Patient and doctor.
2. The patient is photographed before botulinum toxin is administered to compare the results after the procedure 10 days later.
3. Skin treatment and drug administration.
4. Within 1 hour after the procedure, the patient must make active facial movements.
5. For 10 days you should not drink alcohol, take antibiotics, sunbathe, or perform any procedures on your face.

PS:

I recommend that everyone who strives for beauty and its preservation try to develop an individual program for using botulinum toxin as the simplest and most effective means of aesthetic correction of facial wrinkles to preserve your youth. This is not an operation - it's really simple and fast! And it is not at all necessary to do injections all the time. It is enough to do them before the summer, when you will wrinkle the most, because of which dynamic wrinkles will gradually turn into static wrinkles (rest wrinkles), and it will be more difficult to fight them. And it is not at all necessary to use the entire face; sometimes it is enough to correct just one area and still get an excellent anti-aging result.

conclusions

1. Proper preparation for the procedure will help patients achieve good results and maintain them for several months.
2. A week before the procedure, you should stop using antibiotics and blood thinners.
3. It is better not to do Botox in summer and winter.
4. Before and after the manipulation, it is necessary to avoid physical activity.
5. There is no need to neglect the advice of a doctor, in whose interests it is to do everything possible to achieve an excellent result. We also recommend that you familiarize yourself with biorevitalization for the face in cosmetology in this material.

Karachausheva Aksana Georgievna

• Dermatologist, cosmetologist.
• Doctor of the highest qualification category for planning individual anti-age programs for facial and body rejuvenation.
• Specializes in a combination of modern hardware and injection techniques for skin rejuvenation and treatment. Proficient in the technique of facial contouring and harmonization of appearance while preserving natural beauty and individuality, all methods of nourishing and cleansing the skin. Treats rosacea, rosacea, acne and skin hyperpigmentation.
• He is fluent in the new concept of rejuvenation and non-surgical SMAS facial lifting using high-intensity focused ultrasound on the Ultraformer device.

Is it possible to combine procedures and what comes first?

Our facial expressions are very rich and serve us as a tool for expressing various emotions. People frown, laugh, cry, make various grimaces. This is how wrinkles form on our face. To eliminate or smooth them out, using Botox injections is effective.

Botulinum toxin blocks signals between facial muscles and their motor nerves . The muscles relax and their motor activity decreases. As a result, the skin over the muscles is evened out, wrinkles are smoothed out or disappear altogether. In this case, the blood supply to the muscles is not disrupted.

Botox is injected with thin needles into the subcutaneous muscles of the face. The number of units of the drug and the injection site will be determined by the doctor. The procedure is relatively painless and easily tolerated, since the injection needles are very thin. Puncture marks disappear within 20 minutes.

The visible rejuvenating effect appears within 5 days after the procedure and lasts for six months. The skin of the face looks fresher and does not break down when muscles work. Wrinkles will disappear.

Contact trusted specialists. The procedure must be carried out under sterile conditions. Please pay attention to contraindications to the use of the drug.

For comprehensive facial care, as well as to achieve a more noticeable anti-aging effect, experts recommend combining Botox with peeling. Exfoliation prolongs and enhances the effect of botulinum toxin, helping it to be more evenly distributed in the muscle.

We recommend: Beauty at the tip of a needle: differences between mesotherapy and peeling. What's better?

When muscle mobility decreases under the influence of Botox, collagen and elastin accumulate in the skin in increased quantities, since their resorption is slowed down, and wrinkles are filled with natural “fillers”. When superficial dead cells are removed by peeling, the skin appears youthful and radiant.

Cost of BOTOX injection

* - when undergoing the procedure on the day of consultation, the consultation is free of charge

Consequences

Many women want to inject themselves with the drug even before the remnants of botulinum toxin from the last time completely disappear - cosmetologists do not advise doing this. And that's why.

1. Going through the procedure too often . The botulinum toxin in Botox is in a diluted and purified state - and frequent use of the drug can cause a kind of immunity to “beauty injections” in the body. Once antibodies are developed that resist the drug, the injections will have no effect.
2. Too little time between repeated procedures . If we are talking about the first injection, then if you do it before 14 days, until the drug is completely distributed, you can get an overdose. Of course, the patient will not die from this, but the aesthetic appearance can be greatly spoiled. This can be expressed in drooping eyebrows, corners of the lips, or sagging muscles (how in cases of such an unsuccessful procedure you can remove Botox from the face, we tell you here).

To minimize the negative consequences after the injection, it is necessary not only to adhere to the procedure schedule recommended by the cosmetologist. The following articles from our experts will help you learn how to properly care for yourself after injections, what you can do, and what you should avoid:

• What to do after Botox: how to properly care for your face; Is it possible to sleep on your side?
• Why is it forbidden to go to the bathhouse immediately after Botox?
• Are Botox and alcohol compatible?
• Can I exercise immediately after Botox?

questions and answers ask a question the whole list >

Botox is a poison, is it dangerous for the body? Botox injections do not pose any danger to the human body if it is a certified drug and is administered by a specialist in the correct dosage. Botulinum toxin type A can disable the muscles of the respiratory system or heart only in a dosage of more than 5500 units, while for the effective correction of facial wrinkles no more than 35 units of the drug are required, and for the treatment of hyperhidrosis (excessive sweating) up to 100 units of Botox are injected into the armpit area .

How and when is the drug removed from the body? The drug is eliminated from the body naturally. The drug has an effect only in the area of ​​its administration for the next 4 hours after the injection. The drug is then filtered by the kidneys and excreted from the body.

Is it possible to be allergic to Botox? The likelihood of an allergy to botulinum toxin type A is extremely low. These are cases of very rare individual intolerance to the drug.

Can Botox be combined with other skin rejuvenation injections? If the procedures are performed on different areas of the skin that are not adjacent to each other, there are no contraindications. But if rejuvenation procedures are performed on areas of the skin with common boundaries, they should not be done on the same day. Since injections with hyaluronic acid cause temporary tissue swelling, Botox injections can increase it. As a rule, the result of such actions is an unplanned effect from the procedure.

Is it possible to influence the duration of action of the drug? Unfortunately, it is not possible to prolong the effect of Botox. But to ensure that the effect of the drug does not end prematurely, every patient should know that the durability of the effect is reduced by RF lifting and microcurrent therapy in the injection area (since these procedures are aimed at restoring tissues, nerve fibers and receptors), massage of this area , thermal procedures, active sports activities and taking B vitamins.

Why did Botox injections begin to take effect for 5 months, and not 6-8, as it was before? The main reason for this reaction is good blood circulation in the body, the presence of immunity and the general natural change in skin parameters with age. In order for beauty injections to always give the desired result, it is recommended to use Botox injections no more than 2 times a year, do not rush to increase the initial dosage, and if it is insufficient, do not increase it significantly. Also, we recommend that all our patients observe active muscle time 2 times a year. This means that after the last Botox injection expires, and before injecting a new one, we recommend taking a “pause” of 1 calendar month to restore active muscle function.

all questions and answers >

Preparing for Botox injections on the face - recommendations from cosmetologists

During the first consultation before injections, the doctor will ask questions regarding the characteristics of the body. The cosmetologist will definitely ask:

• what medications the patient took;
• whether there is drug intolerance;
• what chronic diseases do you have?
• how many times has Botox been performed;
• whether the woman is expecting the birth of a child.

A woman should ask all the questions she has. It is necessary to talk about which areas are the most problematic and cause complexes. Sometimes experts advise resorting to other anti-aging methods that will help achieve better results. When the effect of Dysport occurs can be found in this article.

To avoid misunderstandings, you need to discuss all issues in detail and listen to recommendations.

What not to do before the procedure - how to prepare properly

The drug has some features and requires proper preparation for administration. Before carrying out the manipulation, it is strictly prohibited:

• take antibiotics and other medications that have a negative effect on botulinum toxin;
• intensely engage in any physical activity, because this will cause increased blood supply;
• drink plenty of fluids to avoid swelling;
• Mechanical and chemical peelings are contraindicated.

Following simple recommendations will be the key to a high-quality effect.

How long should you drink alcohol?

Doctors have different points of view on this issue. Some argue that drinking alcohol is acceptable. Others insist on completely abstaining from alcohol 2-3 days before the procedure. The majority opinion is that you should not drink alcohol for several days before Botox, otherwise it can lead to serious side effects.

It could be:

• poor result and short-lived effect. This occurs due to the leaching of toxin from muscle tissue;
• weakly passing hematomas;
• signs of botulinum toxin poisoning. This includes fever, weakness, and breathing problems.
• symptoms of damage to neighboring tissues: muscle spasms, numbness of the skin, drooping eyebrows;
• allergic manifestations.

To achieve the desired result, as well as to avoid negative consequences, it is better to stop drinking alcoholic beverages.

Taking antibiotics and blood thinners

Cosmetologists strongly advise patients not to use blood thinners and antibiotics before the procedure. The former interfere with the work of botulinum toxin and cause bruising on the face. This not only causes an unpleasant cosmetic effect, but also causes inflammation and irritation. As for the effects of Botox and antibiotics, it is quite difficult to predict the consequences. Some may cause an increase in the effect, others will significantly worsen the result, and others will increase paralysis by botulinum toxin.

At least 7 days before the procedure, you must stop taking such medications.

Decorative cosmetics

Before the procedure, you need to thoroughly cleanse the skin of decorative cosmetics. There should not be even a small amount of eye shadow, powder, foundation or lipstick left on your face. This can be a serious obstacle to the doctor’s work, and can also cause the development of an infectious process. The doctor must treat the face with an antiseptic, so nothing should prevent the specialist from carrying out the procedure according to all the rules. When a woman comes for injections with makeup, she forces the doctor to waste a lot of time removing it. For this reason, it is better to wash your face with special makeup removers in advance. Is it possible to do Botox during menstruation? You can find out here.

Peeling and facial cleansing

Any cosmetic procedures that affect the facial muscles are also strictly prohibited. This includes cleaning, peeling, because... they can significantly weaken the achieved effect. The doctor may suggest cleaning 2-3 days after botulinum toxin injection. After a short period of time, this is done to enhance the result.

Exercise

It is better to avoid any physical activity before the procedure. The combination of sports and Botox is no exception. Visiting the gym, swimming pool or riding a bike will stimulate blood supply to the facial area, because... At this moment, muscle shaking occurs. This will lead to the fact that after administration of the drug it will spread to neighboring tissues. This phenomenon will not bring the desired effect, and what is most unpleasant is that it can cause unwanted complications.

Face massage

Facial massage is also prohibited: any manipulations that affect the muscle structures of the face are unacceptable both before and after Botox. At best, the massage will cause a less pronounced effect. At worst, it will cause a number of complications: the appearance of asymmetry on the face, problems with speech, vision - this is not the entire list of negative effects caused by massage. This happens because Botox paralyzes the muscles, and massage has a tonic effect. Injections are much stronger than mechanical effects; ultimately, the effect of the injections will prevail. Only the end result will be much worse than expected. You can find out about contraindications to Dysport by following the link.

Leave feedback


• 19.03.2019
  Inga

  Twice a year I do Botox injections in the area around the eyes and between the eyebrows. I started after I was 35, now I do it to maintain the effect. The result of rejuvenation is colossal! No one even suspects my procedures, since facial expressions remain natural. Here, many thanks to the professional doctors and cosmetologists of the clinic. The consultations are very helpful and the injections are great!

  READ MORE

  25.06.2018

  Svetlana

  I have been taking care of my face for a long time, periodically do biorevitalization and photorejuvenation of the skin, and based on my personal experience, I believe that Botox injections are the first procedure that every woman should do after 30 years. One procedure lasts me 7-8 months. The result is excellent, wrinkles on the forehead and around the eyes are smoothed out, they simply don’t exist! I'm in love with Botox!

  READ MORE

  05.06.2018

  Elya

  I am very happy that cosmetologists have developed such an effective way to combat wrinkles. I recommend to all!!! Very convenient, fast, and effective! I don’t always see the same cosmetologist, but I want to note that all the cosmetologists in your clinic are experienced, attentive and excellent professionals!

  READ MORE

  Read also:  Hair length for sugaring: hair types, maximum and minimum length

all reviews >

Recommendations before the insertion procedure

During the consultation, they clarify with the specialist what cannot be done before Botox and try to adhere to it. Despite the fact that the procedure takes no more than 10 minutes, you need to prepare for it.

You should not drink alcohol the day before Botox. Stop taking antibiotics, anticoagulants, and calcium-containing medications. When receiving Botox injections, you need to relax, but for this you need to avoid everything that you should not do before the injections. You need to calm down and relax naturally. It is also important to remove decorative cosmetics from your face. To prevent and reduce side effects from Botox, follow all precautions.

Botox and chemical exfoliation

Injections of a muscle relaxant complement and enhance the effect of chemical peels. Some types of acid and enzyme exfoliation also aim to eliminate fine lines and wrinkles. Therefore, botulinum toxin is able to prolong the effect of anti-aging peels by affecting the facial muscle frame.

If neurotoxin administration precedes superficial or midline chemical peels, at least 2-3 weeks should elapse between treatments. During this time, the drug will relax and completely immobilize the muscles in places where wrinkles accumulate. The skin will be smoother and peelings based on acids or enzymes will act on it more evenly.

If skin cleansing with peeling is planned on the eve of botulinum therapy, at least two weeks should also pass between sessions of anti-aging procedures (depending on the type of peeling and the depth of penetration of the substance). This interval will be sufficient for complete rehabilitation of the skin after the action of acid solutions and partial alignment of the network of wrinkles. Botox injections in this case will enhance the effect of peeling and consolidate its results.

The combination of Botox and peels is based on the “two week rule”. Whatever sequence these procedures are performed, there should always be a two-week interval between them. This time is enough for the skin to restore after peeling and for the muscle relaxant to be fixed in the muscles.

Indications

Wrinkles on the face arise due to the activity of facial muscles. With age they deepen and become noticeable. Botox, depending on the dosage, reduces or completely blocks muscle activity. The face relaxes, wrinkles are smoothed out, and the skin is evened out. The effect of the drug is most fully manifested on the forehead, in the area of ​​the bridge of the nose and around the eyes; in other areas - cheeks, nasolabial triangle and chin, it does not give a noticeable result.

Chemical denervation goes away over time, as the body reacts to poison by launching regeneration processes. After a few months, new nerve fibers sprout and muscle mobility is restored. The active effect of Botox appears after 7-14 days and lasts from 3 to 6 months. The effect can be prolonged by repeated injections or increasing the dosage.

Botox blocks not only muscles, but also sweat glands. In the absence of a nerve signal, their response to external stimuli is reduced. Botulinum therapy is local in nature and does not affect the process of sweating and thermoregulation of the entire body.

Botox is used to eliminate the following patient problems:

• increased sweating of the armpits, hands, feet and face;
• hypertonicity of the facial muscles and the pain syndrome caused by it;
• wrinkles and creases in the skin in the face and neck;
• facial asymmetry;
• gravitational ptosis of the cheeks and chin;
• hypertrophy of the masticatory muscles.

Botox has no age restrictions, but its safety for children under 12 years of age has not been clinically proven.

ATTENTION!

Ekaterina Imshenitskaya

1 month after the first procedure, the doctor evaluates the result obtained. If the desired effect is not achieved, the therapy is adjusted or replaced with other cosmetic methods.

Injections and microcrystalline dermabrasion

Microdermabrasion is an aggressive cosmetic procedure and is classified as a medium-deep peel. During a peeling session, the stratum corneum of the epidermis is polished using diamond-coated cosmetic brushes or a special diamond tip. Skin rehabilitation after microcrystalline dermabrasion takes at least two weeks. At this time, it is better to refrain from performing any other procedures, including botulinum toxin blockade. Botox can be applied after microdermabrasion only after 2 weeks.

If the patient was first injected with Botox, and then rejuvenation with diamond peeling is planned, such a “neighborhood” is possible only with a two-week break between procedures. Until the muscle relaxant is completely fixed in the skin, any mechanical impact on the face can lead to its migration.

Microdermabrasion goes well with beauty injections. These techniques solve various aesthetic problems. Peeling renews and smoothes the skin, and Botox injections strengthen the rejuvenating effect and eliminate expression lines. Therefore, cosmetologists recommend combining these lifting procedures without fear.