Botulinum toxin (commonly known as botox or botox) is a purified protein-based drug that reduces muscle contraction, obtained in vitro from a bacterium called Clostridium Botulinum. Contrary to popular belief, it is not snake venom. Its first use in medicine started in 1980 with the treatment of strabismus in the eyes. In 2002, the US Food and Drug Administration (FDA) approved the use of botulinum toxin type A for wrinkle reduction. This treatment is currently the most preferred application in the field of non-surgical aesthetics in the world. Apart from non-surgical facial aesthetics, it is also used in many areas such as overactive bladder, excessive sweating, migraine, strabismus. Approved by the Ministry of Health in Turkey and in more than 70 countries in the world, over 2000 scientific studies have been conducted, this drug is preferred by millions of people every year.
WHERE CAN BOTOX BE APPLIED FOR WRINKLE TREATMENT PURPOSE?
The most common application areas of Botox are around the eyes (crow’s feet) and forehead. It can also be applied to the mouth and neck area in suitable patients. Since Botox (botox) is a drug, it does not have any volumizing properties. Its basic mechanism of action is to prevent wrinkles that may occur and to open wrinkles that are not very deep. Hyaluronic acid-based fillers are preferred in the treatment of wrinkles that have deepened and caused breakage in the skin, which will fill under that breakage area. In other words, while botox (botox) is used in the treatment of mobile wrinkles, dermal fillers are used for fixed wrinkles and face shaping. Although their mechanism of action and application areas are completely different from each other, they are often used in combination in non-surgical aesthetic applications.
The target for botox around the eyes is the muscles called orbicularis oculi in the crow’s feet region. These muscles cause you to form wrinkles around your eye area, for example, when you go out in the sun. In forehead botox, more than one muscle is targeted.
1. Whole Face Botox Application
It is the most common botox wrinkle removal and skin rejuvenation application. By considering the face as a whole, botulinum toxin is injected into certain areas such as the forehead, around the eyes, the edge of the nose, and the upper lip, in amounts directly proportional to the muscle mass in the relevant area.
2. Forehead Botox Application
It is the botox application applied to the parallel lines in the forehead area. While aiming to remove forehead wrinkles, it is important that the natural facial expressions are not distorted and an artificial appearance is not created.
3. Brow Botox
With the botox application applied to the lines between the two eyebrows, which creates a stressed and angry appearance, this tense appearance is removed and a softer and younger expression is provided. If the lines in this area are too deep, hyaluronic acid filler application may be required together with botulinum toxin injection.
4. Crow’s Foot Botox (Eye Contour Botox)
Crow’s feet are one of the first facial areas that come to mind in botulinum toxin applications. This application applied to the area around the eyes is called crow’s feet botox. The area around the eyes is the face area that attracts the most attention in facial expressions and is the first to show signs of aging. People who will have botox application around the eyes “Will I experience a loss of facial expression/expression?” such legitimate concerns. In the right hands, the unnatural, expressionless situation called ‘Poker Face’ does not occur in botox applications, which are made by analyzing the facial expressions of the person and the muscle and skin structure in the region, on the contrary, the person gets a young, natural and wrinkle-free appearance.
5. Upper Lip Botox (Botox for Lip Lines)
We call the vertical lines formed on the upper part of the lip by our mouth movements as cigarette lines because they are seen more prominently and frequently, especially in smokers. With the botox touch applied to this area, these lines are blurred and the aged appearance around the mouth is removed.
6. Lip Edge Botox
We call the lines that go down by drawing a wide-angled triangle from the lip edge and deepen as we age, Marionette Lines. With botulinum toxin injection made into the muscles that pull the lip down in the lower areas of the marionette lines, the lip edge area can be rejuvenated by tilting the lip tip from the bottom up. On the other hand, the purpose of this botox is not to destroy these lines. Depending on the person’s specific situation, combined treatment with Hyaluronic Acid fillers can be applied in this area.
7. ‘Gummy Smile’ Botox
In this technique, botox is applied to your lip to reduce the amount of visible gums while smiling. In this way, your smile will be more natural and attractive.
8. Upper Nose Botox (Bunny Lines)
The slightly curved lines extending from both backs of the nose to the eyes are called bunny lines. With a small botox touch applied to this area, this negative appearance can be eliminated.
9. Chin Botox
This botox technique aims to return the angular face appearance to a more oval and therefore younger appearance, especially in people with overdeveloped chewing muscles. Sometimes it can be applied unilaterally in those with unilateral muscle development.
10. Neck and Decollete Botox
With neck botox applied to the platysmal band lines in the jowl and décolleté area, the appearance of wrinkles and sagging in this area is reduced. This method is also called chin aesthetics with botox. With this process, a more wrinkle-free and youthful neck-decollete appearance can be achieved.
NON-SURGERY EYEBROW LIFT (EYEBROW LIFT BOTOX)
Brow lift with botox is a frequently preferred application in patients who are not suitable for brow lift surgery and/or do not want to have surgery. Although methods such as eyebrow lifting with thread (also called thread aesthetics, eyebrow lifting with thread) for non-surgical eyebrow lifting have been popular in recent years, such methods with uncertain reliability and permanence are not applied to our patients in our clinic. Brow lift botox is a reliable non-surgical aesthetic application with proven effects and results.
The fact that the outer 1/3 of the eyebrows are in a slightly upturned form gives the person a rested and lively appearance. This appearance, which can be obtained with forehead or crow’s feet aesthetic surgeries, can be achieved with brow lift botox in patients who do not prefer surgery for various reasons or who are not suitable for surgery. This technique also reduces the prominence of slight excesses on the upper eyelid. For patients with advanced eyelid excess, brow lift botox alone will not perform the desired function, and blepharoplasty (eyelid aesthetic surgery) will be required for these patients.
HOW IS BOTOX APPLIED?
Before the application, the relevant area is anesthetized with local anesthetic cream, so the procedure is quite painless. Injections are made into the muscle at more than one point with very fine needles and special techniques.
WHAT IS MICRO BOTOX ( MICRO BOTOX )?
In this technique, unlike classical botox, the treatment is done into the skin, not into the muscle. Also known as meso – botox. Associate Professor Haldun Kamburoğlu learned this technique from its developer, Dr. Woffles Wu, while he was studying abroad. It significantly reduces sebum (oil) production, especially in oily skin. It is a treatment method that gives very good results in suitable patients. Your suitability for the Micro Botox procedure should be determined by the examination of your physician.
MODIFIED MICRO BOTOX
Associate Professor Haldun Kamburoğlu applies the modified micro botox technique, which is a more sensitive technique than normal botox applications, in suitable patients. With this technique, it is possible to study more areas in more detail. Some touches are made inside the skin like micro botox, unlike classical botox (classical botox is done intramuscularly), some touches are done inside the muscle like classic botox. In this way, a natural, wrinkle-free and fresh skin is obtained.
HOW LONG IS BOTOX (BOTOX) EFFECT TIME?
The effect of the Botulinum Toxin drug begins to appear clearly 2-5 days after the injection, and becomes fully evident in 1-2 weeks. The duration of Botox effect may vary from patient to patient and depending on the technique applied. This period is an average of 4-6 months. Theoretically, it is possible to develop antibodies against botulinum toxin, so it is most appropriate to do it at the right time intervals and to be followed up by your specialist doctor at certain intervals.
WHAT IS THE IDEAL AGE FOR BOTOX? WHAT IS THE EARLIEST AGE TO START BOTOX?
The ideal starting age for Botox treatment is in your 30s, when your wrinkles are not yet evident. Because botox is an ideal preventative treatment. When it comes to wrinkle treatment, not only the removal of existing wrinkles should come to mind, but also the prevention of new wrinkles should be considered. Depending on the person’s particular situation, the starting age for botox may be in the mid or late 20’s. The healthiest decision about whether you need Botox will be taken after the examination of your specialist doctor.
CAN I HAVE AN EXPRESSIONAL FACE LIKE A MASK AFTER I HAVE BOTOX?
With proper techniques and experienced hands, no good is possible. With the choice of dose and area applied, it is possible to both remove wrinkles and protect mimics.
WHAT SHOULD I CONSIDER BEFORE I HAVE BOTOX?
Before this procedure, you are asked not to use any blood thinners (such as aspirin, coumadin). The possibility of bruising increases in those who use blood thinners, pain relievers or food supplements such as vitamin C, gingko, ginseng and derivatives before the procedure. For this reason, it is recommended to stop taking this medication or food supplements one week before the procedure, if possible. In addition, if you have been vaccinated against tetanus in the last 6 months, it is not recommended to have botox, as the effect of the procedure will decrease. Botox is not recommended for pregnant and lactating mothers.
WHAT SHOULD I CONSIDER AFTER I HAVE BOTOX?
After botulinum toxin application, you should not wear make-up, rub your face and avoid making excessive facial expressions for 12 hours. You should avoid direct sunlight and extreme heat (such as Turkish bath, sauna) for 1 week. Small swellings and redness after the application disappear after 2-3 hours on average. In any unexpected or uneasy situation, consult your doctor.
AFTER I HAVE BOTOX (BOTOX) DONE, WILL IT BE WORST IF I DON’T HAVE IT AGAINST THE TIME?
Nothing will be worse if you do not repeat the Botox application after the effect has completely worn off. Botox does not have such an effect. Not only is it not worse, it gets a little better than it used to be.
DOES BOTOX SESSIONS INCREASED BY REPEATING?
Yes, when botox applications are made in the right hands in the right follow-up periods, the permanence time will increase relatively. Thanks to the repeated applications, the muscles and nerves affected by the botulinum toxin substance get used to the targeted botox effect, and a longer-lasting and more permanent effect is observed compared to someone who has had botox for the first time.
CAN I USE WRINKLE REDUCING CREAM INSTEAD OF BOTOX ( BOTOX ) APPLICATION?
It is not possible to treat wrinkles at the same level by using cream instead of botulinum toxin injection. Creams moisturize the skin, nourish it, protect it from the sun and increase the synthesis of collagen against wrinkles, albeit partially. Using a good moisturizer and sunscreen cream suitable for your skin type is one of the most important points in your personal care and anti-aging treatment, but the effect of these cosmetic products is not comparable or alternative to botox.
BOTOX ( BOTOX ) COMPLEMENTARY TREATMENTS
Associate Professor. Kamburoğlu will evaluate your entire facial anatomy, changes due to aging, and your skin in detail. With the Botox process, hyaluronic acid fillers can be used for the opening of deep wrinkles or the treatment of areas of volume loss on the face (for example, under the eyes and mid-face). In addition, PRP (Platelet Rich Plasma) treatment can be applied simultaneously to increase your skin moisture balance, radiance and firmness. For people with advanced wear and for whom these procedures will not be sufficient, surgical methods will be offered as an alternative during your examination. There are dozens of options in the application range of Assoc.Dr.Haldun Kamburoğlu, from botox to endoscopic facial aesthetics. You will learn which one or which ones are more suitable for you during your examination. Of course, the chance to choose among these methods according to your various criteria (desire to have surgery, permanence, duration and repetition of the procedure, price) is of course yours.