Botulinum toxin or Botox (VISTABEL) is a great method for the dynamic correction of facial wrinkles (frown lines, forehead, etc…) contributing to achieve a more relaxed and younger facial expression.What is Botox?

Botulinum toxin is a protein produced by the neurotoxin Clostridium Botullinum, that after being purified and in minimal dosage is used to produce a selective relaxation of the facial muscles, which are the cause of the facial wrinkles. This function allows improving only the desired wrinkles. It is also a reversible action. Therefore it can be considered a temporal muscle relaxant.

How does Botox work?

The Botulinum toxin is injected in the spots where we want to eliminate the wrinkles, and produces the relaxation of the muscles located only in that area.

As the rest of the facial muscles have not been treated, it contracts normally, and facial expressivity is not altered.

Selective blocking of the desired musculature can also achieve an improvement of the position and form of the eyebrow, obtaining similar effects than a frontal lifting without surgery, as, on one side, frontal wrinkles are eliminated, and, on the other side, the fall of the external side of the eyebrow is elevated.

How long do the effects of Botox last?

Until 4-7 days after the infiltration the effects of the treatment cannot be appreciated.

The duration of the first infiltration is of between 4 and 6 months.

However, with the following infiltrations the duration is longer each time. Definitive results can be obtained eventually.

Can the use of a toxin like Botox be dangerous for your health?

The toxic dosage needed to affect a human is much larger than the one used in the treatment of the wrinkles, there is therefore no danger of toxicity in healthy people.

In other diseases where Botox is used the dosages are much higher than the dosage used to treat the wrinkles.

What wrinkles are best treated with Botox?

The best results are obtained when treating with Botox the wrinkles of the upper third of the face, crow`s feet, wrinkles on the forehead and frown lines. We can also elevate the slope at the end of the eyebrow, providing a rejuvenating effect.

Good results are also obtained with wrinkles in lips and neck.

 

Is Botox allowed in Spain?

The use of Botulinum toxin for aesthetic purposes is already allowed by the Spanish authorities.

It can only be performed at a medical center and it must be infiltrated by an authorized specialist.

The use of Botulinum toxin for the treatment of wrinkles has also been approved by the FDA of the United States (medicament control organism in the USA) one of the strictest organisms in the world on the approval of medicaments.

How to improve or correct wrinkles or very pronounced facial lines is one of the most demanded consultations.

Injectable dermal filler is the most commonly used method. There are many types that can be used.

Wrinkle removal has suffered a fast evolution to safer and more stable materials. Hyaluronic acids of last generation are products that have suffered great modifications along their history, which have converted them in safe substances that provide good results. At our clinic, hyaluronic acid of last generation is employed, with duration of between 9 and 12 months depending on the area. Of course, it is a product approved by the Health Ministry and the European Community, used in thousands of treatments over the years.

THE PROCEDURE

Once your case has been studied, and depending on the deepness and location of the wrinkles the most appropriate filler material is selected.

The method is simple; it consists on filling the wrinkles in different zones until the wrinkle is corrected.

WHAT AREAS CAN BE TREATED

Both the inferior and superior lips are the most demanded areas for an increase of volume, and results in this location are very satisfactory.

It is also employed for:

• Forehead
• Frown lines
• Cheek lines
• Lines under inferior lip
• Fine wrinkles in general

HOW LONG UNTIL THE EFFECTS ARE VISIBLE

They are practically immediate, definitive results are obtained in 48 hours.

HOW LONG DO THE EFFECTS LAST

The duration of the effects vary depending on the substance employed, but we must indicate that none of the substances employed have long life results, having to repeat the treatment after 9 to 12 months.

Substances that have been employed as definitive (silicones, methacrylate, etc…) have generated a lot of problems, not being absorbable substances have caused serious problems of intolerance, granulomas to strange body, etc… therefore we recommend not to employ long duration filler substances.

Peeling consists on the elimination of different layers of the epidermis favoring the regeneration of the skin. The number of layers eliminated depends on the type of peeling performed light, medium or deep. It can also be physical or chemical, and depending on the agent applied different benefits are obtained, like the increase of collagen, reduction of skin pigmentation or control over the fat and bacteria on acne scars. However, it can be used to maintain a healthy, radiant flawless skin. A combination of alphahydroxy acids and beta hydroxyl acids are used. The election of these substances will depend on the objective of the treatment (skin pigmentation, acne scars or wrinkles). In any case, the quality of the skin will be improved and the production of collagen and elastin increased.

LIGHT PEELING

With amazing results, deep peeling acts against deep, medium and light wrinkles, eliminates actinic spots and keratosis. It also produces the retraction of the skin, which greatly improves loose skin problems. The depth of the peeling will determine the recovery of the skin, which can vary from a few hours to five days. In the case of deep peelings, one single session is applied, it requires deep sedation or even anesthesia and recovery takes longer. The patient will need between 5 to 10 days to be able to put on make-up and return to work. The periodicity of the peel will also depend of the objective of the treatment and the substance employed. In those peelings directed to provide luminosity to the skin between four and eight sessions in one or two weeks are needed. When the intervention is deep, sessions are more distanced in time and the complete treatment is repeated once a year. If the peeling is very deep it is usually not repeated in years. After the treatment hygiene is very important, solar protection and avoiding direct exposure to the sun is also very important. There is a personalized treatment for each patient, from the use of creams to dietetic complements, in order to solve the specific problem his skin presents.