Botulinum injection is called not only wrinkle treatment but also small face injection, and it is a beauty treatment that does not require a scalpel and is performed only by injection . While it is a simple treatment, there are many troubles that cause unexpected effects on the facial muscles due to lack of skill of doctors. It is important to have a solid understanding of the effects and side effects before receiving treatment for botulinum injections.
Table of contents
Botulinum injection is said to suppress the movement of muscles by injecting a drug that relaxes the muscles, leading to improvement of facial wrinkles caused by the habit of facial muscles . In addition, not only facial expression wrinkles but also gills (masseter muscles) and calf muscles developed by muscles are gradually reduced to lead to slender lines.
Botulinum injection has been used worldwide since the 1980s as a highly safe medical preparation because the drug does not accumulate in the body. Due to its characteristics, botulinum drugs are used in the fields of ophthalmology and neurology for the treatment of eyelids and facial spasms, and botulinum injection treatment is an application of this to cosmetic treatment.
The drug used for injection of botulinum is called botulinum toxin , which is one of the proteins extracted from Clostridium botulinum, which is also the causative agent of food poisoning . The drug used in the treatment is a toxin that has been decomposed and purified and diluted with physiological saline, and has no toxic effects on the human body.
Botulinum injection, which is used to treat wrinkles and small faces, is widely known as the so-called "Botox injection". Botox is the product name "Botox Vista" registered by Allergan, Inc. It is not the name of the treatment.
In 2002, Allergan's product "Botox Vista" was approved by the FDA (US Food and Drug Administration) and began to be used as a treatment for facial expression wrinkles between the eyebrows. In Japan, manufacturing and sales were approved by the Ministry of Health, Labor and Welfare in 2009.
The most common treatment for botulinum injections that act on muscles is said to be facial expression wrinkles. The action of botulinum toxin on muscles that move unconsciously prevents the skin from coming close, and prevents the fixation of wrinkles, leading to smooth skin quality.
In addition, it is said that when a botulinum drug is injected, the release of acetylcholine, a neurotransmitter involved in muscle movement, is suppressed and wrinkles themselves are less likely to occur.
Applicable parts and worries
By injecting botulinum toxin into the developed ella (masseter muscle) and calf muscle (shoulder leg) other than the facial muscles, it acts on the treatment to adjust to a slender line and the tension of the shoulder muscle, and the shoulder is delicate There are also treatments that lead to the right line.
In addition, botulinum injection can be expected to be effective when muscle development is the cause. If there are other possible reasons, you should consider the treatment method. For example, if the cause is subcutaneous fat, there is a procedure by " lipolytic injection " that dissolves excess subcutaneous fat. Lipolysis injection is a method of injecting a drug into a part of the body that has subcutaneous fat, such as under the chin or legs, to expel fat cells from the body.
In the treatment of hyperhidrosis, it is said that the amount of sweat is reduced by injecting botulinum into the armpit. Since the odorous substances in the apocrine glands are excreted with sweat, it is a treatment method that suppresses the secretion of the cause of odor by reducing sweat .
The condition where the gums are exposed when you laugh is called a gummy smile. By injecting botulinum into the muscles that move the upper lip (levator labii superioris) without surgery, the movement of the muscles is suppressed, the condition where the upper lip rises too much when laughing is weakened, and the gums are made difficult to see.
It is a treatment method that works on gentle eyes by lowering the outer corners of the eyes with botulinum injection without using a scalpel. By injecting botulinum into a part of the orbicularis oculi muscle that suppresses the movement of the lower eyelid, the force to support the eyelid is weakened, and it is said that the eye becomes a line that hangs down to the outer corner of the eye .
Treatment with botulinum toxin in the medical field includes blepharospasm, hemifacial spasm, and hemiplegia after stroke, which causes limb tension and deformity on the paralyzed side.
As for the injection method of botulinum toxin, in addition to the treatment method of injecting into the muscle like the usual treatment of facial expression wrinkles, there is a treatment method of injecting a very small amount into the dermis in a shallow, fine and wide range.
This treatment is called botulinum lift, and it acts only on the surface fibers of the muscles to tighten the skin, leading to a firm skin with less noticeable sagging pores and fine wrinkles on the cheeks. The effect of botulinum lift is said to last for 4 to 6 months.
There are seven different types of botulinum toxin from A to G, of which the ones used for medical and cosmetic treatment are botulinum toxin types A and B.
|Formulation name||Country of manufacture|
|Formulation name||Country of manufacture|
While the duration of action of botulinum toxin type A is said to be about 4 months, type B has a short effect of about 1 month and it takes time to act, so type A is used for cosmetological treatment. It is said that botulinum toxin is often used.
Among type A botulinum toxin, Allergan's Botox (Botox Vista) is the only medical drug approved for manufacture and sale in Japan.
Drugs that have been approved for manufacture and sale by the Ministry of Health, Labor and Welfare are manufactured, stored, and transported under strict control, and health hazards due to side effects are covered by the public system called the Drug Side Effect Relief System .
* Side effect relief benefits do not cover all health hazards.
Internal bleeding at the injection site, ptosis, ptosis, redness, swelling, pain, twitching, heat, numbness, malaise, headache, muscle pain, urticaria, itching, swelling, fever, cough, cold sweat, chest pain, anaphylactic shock , Eye abnormalities, inflammation, etc.
Repeated use of botulinum toxin may produce neutralizing antibodies in the body and diminish the effects of botulinum injection . In addition, it is said that the risk of antibodies increases with age by repeating the treatment of botulinum injection from young people. However, recently, some drugs are less resistant to antibody production, and repeated treatment in a short period of time has become possible.
Although there are individual differences, the cumulative dose of botulinum toxin, which produces neutralizing antibodies, is about 2000 to 4000 units.
Facial expression wrinkle treatment with botulinum injection is different from hyaluronic acid injection, and the effect does not appear immediately afterwards. It starts to work about 2 to 3 days after injection, is most stable in about 2 weeks, and is said to have a duration of about 3 to 4 months . After that, the drug action gradually disappears over several weeks.
Continued treatment is required to maintain the effect of the botulinum injection. However, it will take about 3 months or more before the next treatment.
In addition, even if the treatment with botulinum injection is stopped, it is said that the symptoms such as wrinkles will not worsen only by returning to the original state.
Since botulinum injection acts only on muscles, it cannot be expected to improve wrinkles such as fine wrinkles other than facial expression wrinkles and crepe wrinkles even when there is no expression.
Even if a certified doctor performs an appropriate procedure for botulinum injection , there is a possibility that there will be a difference between left and right after treatment because there are individual differences in muscle movement . In addition, when the facial expression becomes unnatural after botulinum injection treatment, it is possible to improve by injecting "acetylcholine chloride" that corrects the botulinum action.
There are various botulinum toxin drugs from each manufacturer, but the safety and efficacy of simultaneous infusion treatment have not been established. Therefore, be careful as it may cause serious side effects . Be sure to tell your doctor the name of the botulinum toxin you used earlier for additional treatment at another hospital.
Botulinum injection is a treatment that suppresses the work of muscles and peripheral nerves. Depending on the injection site and the amount of drug, the facial expression may look unnatural. Therefore, it is important to choose a doctor who is familiar with anatomy such as muscles and nerves .
In the unlikely event that botulinum injection causes problems such as undesired effects, injections that suppress the effects of botulinum toxin (acetylcholine chloride) can be used to improve it. After that, it is possible to treat with botulinum injection again after a certain period of time.
The dose of botulinum toxin used to treat wrinkles and small faces varies from person to person, such as the injection site, so it is important to receive appropriate treatment based on the doctor's diagnosis.
Regarding the cost of treatment, botulinum injection treatment in the medical field such as blepharospasm and spasmodic torticollis is covered by insurance. Also, according to the doctor's diagnosis, severe hyperhidrosis is covered by insurance, but other wrinkle treatment and small face treatment are in the beauty area, so all medical treatment is free. Initial / re-examination fees and drug prices vary depending on each clinic.
|Part||Estimated injection dose||Price quote|
|amount||10 units ~||From 20,000 yen|
|Between the eyebrows||10 units ~||From 20,000 yen|
|Outer eyes (both eyes)||20 credits ~||From 20,000 yen|
|Chin (pickled plum)||10 units ~||From 30,000 yen|
|neck||40 units ~||From 30,000 yen|
|Small face (both ella)||40 units ~||From 50,000 yen|
|Calf (both legs)||200 units ~||From 100,000 yen|
|Shoulders (both shoulders)||100 units ~||From 50,000 yen|
|Gummy smile||10 units ~||From 40,000 yen|
|Hyperhidrosis (both sides)||50-100 units||From 80,000 yen|
* For botulinum injection, the amount of drug is expressed in "units" instead of cc or ml.
* Depending on each clinic, the treatment fee, anesthesia fee, needle fee, etc. may be charged separately.
Treatment with botulinum injections works on the muscles. It is important to convey to the doctor in charge the image you want to aim for, such as the face line and the part you want to treat.
(1) Examination / preparation for injection
After the examination, remove makeup only from the face wash or injection site, and apply anesthetic cream and cooling if desired.
Using an extra-fine needle, inject botulinum injection into the muscle area desired for treatment. If you do not use anesthesia, the treatment time is about 10 to 15 minutes. It is said that there are almost no needle marks left after injection.
(3) End of treatment
It is said that make-up after treatment is possible, but avoid touching or irritating the injection site.
The needle used to inject botulinum is so thin that it is said to be less painful . You can also use an anesthetic cream, so if you are not good at pain, consult your doctor in advance.
Botulinum injection, including botulinum lift, can be applied immediately afterwards. However, avoid touching or stimulating the injection site.
You can take a bath on the day, but refrain from drinking alcohol, strenuous exercise or sauna. Esthetic treatments and massages are possible after about 2 weeks, but it is important to consult with your doctor during treatment.
Injecting botulinum into the calf may cause the legs to become tangled or difficult to walk for about 2 to 3 days after injection. Avoid high-heeled shoes and refrain from riding a bicycle or car.
Botulinum injection that can treat wrinkles and small faces by acting on muscles. It is said that you can aim for more youthful skin by combining a laser that approaches the skin and injection of a drug such as hyaluronic acid .
When using botulinum injection with other cosmetological treatments, be sure to consult with your doctor in advance about whether treatment is possible on the same day and when to start other treatments.
The effect of botulinum injection cannot be confirmed immediately after injection. It is important to inject the appropriate amount of botulinum toxin into the appropriate site to prevent problems such as the drug not working or the facial expression becoming unnatural.
Each pharmaceutical company has a certified doctor and instructor system in which a certificate is awarded after attending the prescribed training and practical seminars. An instructor is a doctor who teaches a doctor a procedure, and can be said to have a wealth of experience and knowledge. If you are worried about botulinum injection treatment, one way is to look for a doctor based on a certified doctor or instructor .
Botulinum injection, which can treat facial expression wrinkles and small faces with a single injection, is easy, so it is possible that repeated injections will produce antibodies and diminish the action. Another characteristic of botulinum injection is that it takes some time to realize the effect.
Do n't panic if you don't feel the effect right away, wait about two weeks for additional injections or corrections before consulting your doctor . The movement of the facial muscles is delicate and many nerves are gathered. It is important to aim for natural beauty with botulinum injection treatment with appropriate drugs by a doctor who is familiar with anatomy.