Botulinum toxin
Wrinkles are connected with ageing. Aesthetic medicine uses all possible resources to remove them or at least improving the clients overall look.
There are two types of wrinkles. Static wrinkles have their base in diffusive degenerative changes in skin due to ageing. Dynamic active wrinkles have their base in structural changes in localized areas of skin and form due to repeated activity of mimic muscles. We can compare this with a leather handbag that develops cracks in high usage areas; our skin will also show the effects of time. Younger skin has enough elasticity to return to its original state after muscles relax. Later, when skin loses its elasticity, dynamic wrinkles, which were once only temporary, become more evident. These wrinkles occur in mimic active areas: lateral commissars of the eyelids, zone between eyebrow, forehead and nose-lip transition (nose labial ripple).
Botox is the commercial name for the agent Botulotoxin A, which is produced by a species of bacteria. This bacterium alters the transfer of nerve impulses from nerve fibers, blocking the function of the muscle. Botulotoxin A is a poison, but in cosmetic treatment it is used in such small doses that its toxic effects are controlled. Treated muscle will regenerate after a few months. The procedure is easy and painless. Patients feel only small needle pricks and sometimes a minor burning sensation. After the application, it is necessary to stay in an upright position for one hour and actively use the muscle where Botox was applied. Through this movement, Botox bonds to the muscle and enhances the final effect. Results can be seen after 24 to 76 hours, with full the effect achieved in 4 weeks.
Muscle regeneration begins immediately and according to individual differences, will be complete in 3-6 months. After that, normal muscle activity is restored and dynamic wrinkles form again. Repeated injections of Botox are necessary to maintain the desired effect.