A Restless Bunch

Botulinum medicine (abbreviated to B.tox) is swiftly becoming established in Sydney society and has become an integral part of grooming for individuals in Sydney. Still I am often surprised by the various stories that have been heard around the procedure. Here I have listed some of the common stories that I hear day in day out practicing as a physician at Star Cosmetic Medicine in Pyrmont, Sydney.

Delusion Number 1: The muscles in my face might stiffen up!

Under the skin of the face are approximately sixty muscles. Their unrelenting use can cause the formation of expression lines. Too great a dose of B.tox have the effect of the muscles of the face looking slightly less taut. The dosage used by most doctors result in you looking refreshed, but still you will of course keep your normal expression.

So by employing tiny amounts of the B.tox in precisely the right spot one should have a smoothing of any wrinkles without compromising facial expression.

Delusion Number 2: B.tox is a poisonous substance!
This to some extent is right. Botulinum Toxin Type A is the proper pharmacological terminology. In large amounts it may end up in loss of muscle tone and may cause sickness.

Pharmacists have a well known saying that states ‘everything is a poison - it all depends on the dose’. A large amount of any medicinal drug will result in sickness. Water can be fatal if you take too much.

Delusion Number 3: Wrinkle injections hurt!
At Star Cosmetic Medicine the physician uses a needle smaller than a hair. Quite a few patients have said that the shots aren’t as sore as a mosquito bite. It is definitely not as painful as a procedure like a blood test.

Delusion Number 4: I might lose feeling in my face!
This is totally untrue. Botulinum medicine works principally on the neuromuscular junction, not the nerves of sensation. Only the ability to relax muscles is impacted by B.tox.

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Delusion Number 5. Once you begin getting B.tox you have to keep it up or else you will get even worse fine lines and wrinkles than earlier!
This is also untrue.

One B.tox treatment lasts about 3 months. Any injections after the initial visit should last a few weeks more. The lines will eventually reform as the muscle regains its normal function. But they will certainly be no more noticeable than previously.

Even if you never had B.tox injections again - those lines should be less pronounced than if you had not been treated. In the main due to the fact that your facial muscles and skin have had a rest for a few months.