This document discusses the dos and don'ts of Botox treatment. It explains that an understanding of facial musculature and how muscles interact is critical for successful Botox administration. Over the past decade, Botox has become a mainstay of non-invasive anti-aging cosmetic treatments. The document outlines important considerations for Botox treatment including achieving a natural look, tailoring treatments to individual patients, balancing muscle groups, and properly assessing facial anatomy and expressions.

1. The Dos And Don'ts Of Botox
There's a bit more to Botox than meets the eye. An understanding of an individual's facial
musculature and the physiologic interactions of the muscles is critical for success.
oVer the PAst 10 yeArs, botulinum toxin type A has become the cornerstone of anti-ageing
treatments in non-invasive cosmetic medical practice.
The rapid rise in the demand for non-surgical cosmetic treatments seen worldwide (indicated by the
4.6 million Botox injections performed in the US alone annually), the low incidence of side effects,
coupled with relatively easy-to-learn beginner injection techniques, has led to an increased number
of general practitioners Wanting to become skilled at using Botox and other treatment procedures
for the cosmetic enhancement of their patients.
Botox has a relatively long history in its application for treating patients nonsurgical. Techniques,
dosages, and dilutions have changed over the years.
The aesthetic end points of Botox therapy has
evolved from simple muscle blockade to a more
sophisticated approached, with the goal of
achieving an overall natural, refreshed look as
opposed to a frozen-face effect. The teaching
today for both the surgical and non-surgical
approach to a patient is along two broad
principles: firstly, the end result should look
natural, and secondly, the treatment plan should
be tailor made to suit the individual.
The distinction between wrinkle effacement and
facial shaping is critical. Foremost, a thorough understanding of the underlying musculature and the
physiologic interactions of the muscles is critical to success. Tailor made treatment Although facial
anatomy is broadly the same for each patient, there may be subtle but important differences, which
should be considered during the assessment for treatment.
Both men and women can benefit from anti-ageing procedures, but the positioning, size, strength
and use of some facial expression muscle, can vary considerably between the sexes. A completely
symmetrical face is rare, and some faces are more asymmetrical than others, so it's important to
consider the impact of treatment to both sides of the face. Any existing Ptosis will also affect the
choice and extent of the treatment.
Facial expression is a key component of how people relate to and interact with those around them.
To change or lose that expression can have serious Consequences. It's thus an essential part of the
consultation to look carefully at the patient's individual anatomical and personal characteristics -
when their face is at rest and when it is smiling, contracting, laughing, frowning, tensed or relaxed.
Only in this way can we be sure that the specific treatment recommendations we're making are

2. appropriate for each patient.
The right balance When injecting Botox, we need to be aware of the muscle balance of the face.
Some muscles are elevators, like the frontalis. When contracted, they pull tissue upwards and lift the
brow towards the hairline. Other muscles are 'depressors', such as the corrugators, procerus and
depressor supercilli. They pull tissue downwards when they contract. When changing the activity of
an elevator, we must take the effect on the corresponding depressor muscles into account. Likewise,
when injecting depressor muscles, it's important to consider the effects on corresponding elevator
muscles. If not, sections of the face can pull down instead of up, or vice versa.
Consider treatment to the upper face. With age, muscles initially lengthen, but reactive hyper-tonic
contraction leads to subsequent shortening. In contrast, skin tends to stretch with age, but because
of diminishing elasticity there's no compensatory tightening.
This difference in response to ageing between skin and muscle is particularly apparent in the eyelid
when folds appear in the lid because skin has become too large for the muscular mattress beneath.
The extent of this folding will depend on the balance between the activity of the muscles that control
the position of the eyebrow, including the elevator effects of the frontalis muscle, and the lowering
effect of the corrugator, procerus and orbicularis muscle.
The eyebrows are divided into three zones: inner (head), middle (body) and outer (tail). In the inner
zone, the position of the head of the eyebrows depends on the balance between the elevatory
frontalis muscle and the depressor corrugator muscle and to a lesser extent, the procerus and
depressor supercilli. As the muscles shorten with age, the powerful depressor muscles tend to
outpull the frontalis muscle, so the head of the eyebrow is likely to drop, with folding of the inner
part of the eyelid. In the middle zone, the position of the body of the eyebrow depends on the
balance between the elevatory effects of the frontalis muscle and the depressor effects of the
orbicularis muscle. In this zone, the shortening of the frontalis muscle with age tends to be more
forceful than the depressor action of the orbicularis, so there is often a lifting ofthe middle of the
eyebrow.
In the outer zone, the position of the tail of the eyebrow depends mainly on the activity of the
orbicularis muscle, because only a few fibres of the frontalis muscle extend to this part of the
eyebrow. There are numerous motives why girls like to use a chemical peel. The constructive
experiences outweigh the damaging ones. But you have to converse to the consultants or greater,
speak to your medical doctor and seek his suggestions.With age, the orbicularis muscle will
increasingly pull the corner of the eyelid downwards, but this can be corrected by simply injecting
Botox into the orbicularis, so the tail of the eyebrow is raised, thus widening the eye. We should,
however, be careful with all injections close to the eyes and keep at least one centimetre outside of
the orbital rim so that no toxin can diffuse into the occulomotor or levator palpebral muscles.
By: biggig
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