Face – Botox


BOTOX is the trade name for one of the many types of botulinum toxin type A available . It is a neurotransmitter blocker which stops the signals for muscles to contract. As such, the specific muscle that has been injected relaxes, unable to respond. The relaxation results in wrinkles softening or disappearing. The wrinkles that respond to BOTOX are the dynamic type, in that they appear with action of the muscle.

Static wrinkles are permanently etched on the face, even at rest. Treatment options for static wrinkles are Fillers, Chemical peels, Fractional laser, or Radiofrequency procedures such as Thermage or Sublime.

There is always a fear that one will look frozen. The frozen look is due to excessive BOTOX . An experienced BOTOX injector treats the lines, but the patient is able to make facial expressions as per normal.


BOTOX has a variety of applications including:

    • To soften or erase lines on the forehead, around the eyes ( crow’s feet) and brow.
      • When BOTOX is started early, the lines are prevented from worsening and eventually with the help of anti-ageing procedures and creams, the lines disappear. Thus it is best to start BOTOX early.
    • For rejuvenation of ageing facial skin and is usually combined with fillers
    • Eyebrows can be elevated or reshaped to give either an arch or curved look
    • Reshaping the face, for example to achieve an aesthetically pleasing oval face
      • In the square jaw treatment, the angle of the jaw is tapered to give the face an oval shape. The procedure for slenderising square jaws is 2 sessions 3 months apart, and thereafter annually to maintain the result
    • To tighten the skin around the jawline – Botox Lift aka the Nerfertiti lift.
      • Botox injected along the jawline gives a sharper jawline and angle, thus achieving a mini-lift
    • To reduce flaring of nostrils, which then gives the nose a slender look
    • To reduce or erase tight neck bands
    • To reduce lower eyelid bulge that appears prominent when smiling
    • To treat bruxism ( grinding of teeth during sleep)
      • Botox gives significant, simple and quick relief from bruxism. The procedure involves injection into the masseter muscle located at the angle of the jaw.
    • For slimming of bulky calf muscles
    • To treat Hyperhydrosis, or excessive sweating of the underarms and hands



    What to do before Botox treatment?

    Avoid taking blood-thinning supplements such as gingko, or medications such as aspirin and NSAIDs a few days before treatment, as this increases the chances/severity of bruising.

    What not to do after BOTOX treatment?

    Do not massage the area for a few days. Do not lie down for the next 4 hours.

    How long does it take to have an effect?

    It takes 3 – 10 days to have an effect

    How long does the effect of BOTOX last?

    The effect last for about 3 to 4 months. However, once BOTOX is administered consistently, the duration lengthens and less BOTOX is needed. This is further aided by chemical peels and tightening procedures, as well as topical creams containing peptides, retinol, and vitamin C.

    What are the complications?

    Complications are usually bruising. Bruises take from 5 to 10 days to heal. Serious complications are rare, with eyelid ptosis being the most common. General recovery time takes about 4 weeks, with full recovery in 3 months. When administered by an expert, complications are rare.

    Does one age more once BOTOX treatment is stopped?

    Not really. The skin returns to original state. However, everyone ages, some faster than others. BOTOX reduces active lines but its effect on the ageing process is small. Therefore BOTOX should always be combined with anti-ageing procedures and creams.

    Does Botox treatment result in frozen or shocked look?

    The frozen look or ‘celebrity face’ (because most Hollywood faces have that look), though wrinkle-free, is also expression-free. Unfortunately, this is blamed on BOTOX, but the real culprit is bad technique and excessive use of BOTOX. If the technique is right, and the minimum amount of BOTOX is utilised, the effect is a radiant and fresh look.