Botulinum toxin injection for treatment of facial wrinkles is the most frequently performed cosmetic procedure, and it is one of the most common entry procedures for clinicians seeking to incorporate aesthetic treatments into their practice. Treatment of frown lines and crow’s feet, which are the cosmetic indications, horizontal forehead lines, offers predictable results, has few adverse effects, and is associated with high patient satisfaction. Wrinkles are formed by dermal atrophy and repetitive contraction of underlying facial musculature. Facial beauty, though slightly different in each ethnicity, tends to have a universal rule. A balanced, symmetrical, oval face with harmonious features is perceived as attractive and youthful. Botulinum toxin injection is the most popular cosmetic procedure worldwide with various applications. Patients with dynamic wrinkles in areas such as the glabella, forehead, peri-orbital lines, nasal rhytides, and perioral rhytides are indicated. Excessive contraction of muscles or hyperactivity of specific muscles such as bulky masseters, cobble stone chins, gummy smiles, asymmetric smiles, and depressed mouth corners can achieve esthetic results by targeting the precise muscles.In the field of cosmetology, Botox is generally injected into the muscles of facial expression. Most of these muscles are attached to soft tissues rather than bones, and by contracting, they pull across the skin to give facial expressions. Botox is used for reducing glabellar frown lines, crow’s feet at the side of the eyes, horizontal forehead creases, wrinkles around the mouth and nasolabial folds.
Clinical Effects
The clinical effects of Botox are seen on the first to the fourth days after injection, followed by 1–4 weeks of maximum effect, which will resolve after 3–4 months. In order to prolong the effects of Botox from six months to one year, the treatment should be repeated for one year or more. The duration of Botox effect varies among individuals due to differences in muscle arrangements, meaning that different individuals may require different doses of Botox. The effect will last up to 120 days.
Dosage
The standard dose for Botox usage is 20 Units. The minimum dose for treating glabellar frown lines is 20 Units as it was found that dosing 20–40 Units of Botox was more effective than 10 Units alone for reducing glabellar frown lines.
Cosmetic Indications
Patients with dynamic wrinkles, which are formed during facial expression are indicated. Areas with dynamic motion such as the glabella, forehead, peri-orbital lines, nasal rhytides, and perioral rhytides are common injection areas. Patients with bulky masseters, cobble stone chins, gummy smiles, asymmetric smiles, depressed mouth corners, brow ptosis, flaring nostrils, depressed nasal tips, temporal hypertrophy, and trapezius hypertrophy can achieve aesthetic results by targeting the precise muscles.
Selection Of Patient
During aesthetic procedures, it is very much advisable to understand the requirements of patients. It is essential to listen to the complaint and decide quickly whether the patient can be treated with BTX or not. The clinical examination before consideration for injection is as follows: look for general skin conditions such as sun damage, pigment spots, and tonicity of the skin. The investigation of the cardiovascular system, skin perfusion, and the overall tone is necessary. Brow position, change with expression should be observed. Crow’s feet at rest and in motion should be examined along with its extension toward perioral lines when smiling.
INDICATIONS FOR TREATMENT
Wrinkles of the face
If the dynamic wrinkles are present with frowning and smiling it can be treated. If the patient has wrinkles at rest and sun damage, an elderly patient is better to take precautions because it will reduce lines, but will not eliminate them.
Glabella rhytid
If it is dynamic, the treatment will be successful but if it is at rest caution, the patient as it may not be eliminated completely. Eyebrow and lash distance is an important factor, as it may cause tired appearance if the distance is less.
Horizontal rhytids
If the patient’s lash – brow distance is good at rest will do well at treatment.
Crow’s feet
Wrinkles in action are ideal for treatment, but wrinkles at rest may require modification. Wrinkles extending over the zygomatic arch will need more care which is usually seen in older patients.
Masseteric hypertrophy
Hypertrophy of the masseter can create a square face of the lower third of the face and convey an impression of heaviness to the face. The square face appearance gives a masculine look. So, many of the female patients wish to reduce the same without surgical intervention. BT provides better non-invasive treatment.
Frequently Asked Questions (FAQs)
Q.1 How does Botox treatment differ from other anti-aging treatments available in Bangalore?
A. Botox treatment in Bangalore differs from other anti-aging treatments by temporarily relaxing facial muscles to reduce wrinkles, while alternatives like fillers add volume, and laser therapies stimulate collagen production.
Q.2 What are the most popular cosmetic procedures sought by clients in Bangalore?
A. The most popular procedures at a cosmetic clinic in Bangalore include Botox, dermal fillers, laser skin treatments, rhinoplasty, lip augmentation, and body contouring.
Q.3 What are the common skin treatments provided by leading clinics in Bangalore?
A. The best skin clinic in Bangalore offers common treatments like chemical peels, laser therapy, microneedling, HydraFacial, acne scar removal, and skin tightening procedures.