How many units of Botox are needed on the forehead and between the eyebrows for an ideal result?

How does Botox work on the forehead and between the eyebrows?

Botulinum toxin is injected with a thin needle from an insulin syringe directly into the muscle that forms the fold. After a targeted injection, nerve impulses are blocked. This occurs by stopping the release of acetylcholine, which carries contraction signals from the brain to the muscles.

Botox causes temporary paralysis in the forehead and eyebrow area. The supply of nutrients and oxygen does not stop. After muscle relaxation, skin with fine wrinkles is smoothed out, and deep folds become less noticeable.

The result is a kind of mask effect, but since a person has 57 muscles on his face, blocking a few does not lead to a serious change in facial expressions. When you frown or look surprised, the area between the eyebrows and forehead remains motionless, preventing furrows from forming.

After 6-8 months, muscle function is restored. Depending on the individual characteristics of the person, this period can be reduced to 3-4 months or increased to a year.

Elimination of facial wrinkles. Botox.Dysport.

Expression wrinkles are the precursors of static wrinkles and the earliest signs of skin aging. They arise as a result of the activity of the facial muscles, which express emotional status. At a young age, in a calm state, they disappear without a trace. With age, the skin loses its elasticity and wrinkles formed due to emotions leave a mark, forming age-related static wrinkles.

The muscles of a person’s face make many movements, some of which are repeated more often than others, and then facial wrinkles begin to appear on the face. The muscle, having become accustomed to certain movements over many years, fixes these wrinkles on the skin, preventing them from smoothing out.

Most often, expression wrinkles appear in the forehead, outer corners of the eyes and mouth.

Location of facial wrinkles

How to eliminate facial wrinkles

There are drugs that, when injected into active facial muscles, relax them, and the person stops involuntarily wincing, frowning or squinting. In this case, the face remains alive. The latter largely depends on the experience of the doctor. With hypercorrection, when increased doses of the drug are administered, the face becomes a mask. This is why this procedure should only be performed by an experienced doctor.

The effect of such injections is not permanent; the maximum duration of action is usually six months. The effect is usually prolonged due to muscle memory.

To eliminate expression lines, classic drugs Botox (USA) and Dysport (France) are used. Recently, Xeomin (Germany), Lantox (China), Botulax (Korea) have appeared and registered. The active substance in these drugs is the same - they are all based on botulinum toxin A and hemagglutinin. The mechanism of action for all drugs is the same.

Botox for face. Botox injections. How many units of Botox do you need?

Botox is the most popular drug for the correction wrinkles . Botox injections (hereinafter, “Botox” refers to all of the above drugs based on botulinum toxin) help effectively relax muscles, eliminate dynamic wrinkles , and also prevent their formation. If wrinkles have already formed and are constantly present on the face - static wrinkles - they do not go away, but as a result of Botox injections and similar drugs they stop getting deeper.

How many units of Botox are needed - this question is decided by the doctor depending on the expressed facial expressions. For men, maximum dosages are used due to the enhanced muscle structure. The approximate range is shown in the diagram.

Botox result. Photos before and after injections

Correction of forehead wrinkles

Eyebrow correction

Correction of “crow’s feet”

The result of correction of facial muscles

Botox in the armpits. Treatment of hyperhidrosis

Recently, Botox has found widespread use in the treatment of hyperhidrosis (excessive sweating) in the armpits , feet and hands . The drug is injected subcutaneously according to a certain scheme into the area of ​​greatest sweating, the size of which is determined by a preliminary test. The doctor decides how many units of Botox should be injected into the armpits based on the test results. As a rule, this is from 50 units and above.

Where to get Botox?

Botox injections to eliminate facial muscles must be done in clinics that have a medical license and doctors who have been trained to perform such procedures.

Wrinkles on the skin of the face are formed under the action of various muscles. The doctor needs to know the anatomy of the facial muscles, their interaction and impact on a specific area of ​​the face. Otherwise, you can get a non-closing eyelid or ptosis (drooping) of the upper eyelid, Mephistophelian eyebrows, a lopsided mouth, and other complications.

Botox. Dysport. Botulax. Xeomin. Lantox

Trade names and manufacturers may vary. The active ingredient is the same - botulinum toxin . The choice of a particular drug depends on the preference of the doctor and the patient.

When injections are contraindicated

• inflammation at the injection site
• infectious disease
• elevated temperature
• hypersensitivity to botulinum toxin
• dermatological diseases
• pregnancy
• myasthenia gravis
• course of antibiotic therapy
• glaucoma

Price of Botox at the Medservice clinic

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READ ALSO:

• Botox.Answers to frequently asked questions
• Possible complications after Botox

Indications for the use of Botox

Indications for the use of botulinum in cosmetology:

1. Alopecia, dull hair.
2. Vertical and horizontal wrinkles in the forehead and between the eyebrows.
3. Pronounced grooves in the corners of the lips and nasolabial folds.
4. Armpit hyperhidrosis (excessive sweating).
5. Crow's feet near the eyes.
6. Wrinkles on the neck and décolleté.

Botox is used to treat blepharospasm, migraine, spasmodic torticollis and strabismus.

Does Botox affect facial expressions?

Many have heard stories that after Botox injections, the face turns into an immobile mask. If the tactics of using the drug are too aggressive, this is theoretically possible, but in ordinary clinical practice such a complication does not occur.

This is explained by the fact that targeted injections of botulinum toxin block the transmission of nerve impulses only to strictly defined - target - sections of the facial muscles. Botox does not affect the remaining facial muscles involved in the active expression of emotions.

How much Botox should be applied to the forehead and between the eyebrows?

Botox unit (1U) is an international unit of biological activity. Only a specialist can calculate how much medication is needed for a certain area, based on the condition of the client’s skin. But even an experienced doctor is not able to determine the exact dosage, since it is adjusted during the procedure. This is due to many factors: elasticity and thickness, individual skin structure, number and depth of wrinkles, age.

One bottle contains 100 units of Botox. At the beginning, before administration, botulinum must be diluted with saline at the rate of 100 units/2.5 ml. On average, one area can take:

1. Horizontal wrinkles on the forehead - 15-25 units.
2. Wrinkles in the bridge of the nose - 10-25 units.
3. On average, one point requires 1-2 units.

What can be the danger of an incorrectly selected dosage?

If a woman decides to have beauty injections, it is important to find an experienced doctor who knows how to properly dilute sodium chloride with botulinum and calculate Botox units for the forehead and between the eyebrows.

If an insufficient amount of the drug is administered, the result of the injections will be subtle or absent altogether. And increasing the dosage can cause paralysis due to excessive relaxation of the facial muscles. This condition does not threaten health, but until the substance is eliminated from the body, the appearance will be unsightly.

The first time you need more milliliters of the drug than the next time. Neglecting this rule can result in excessive eyebrow raising or asymmetry.

There are complications that are not associated with erroneous actions of the cosmetologist, but with the wrong dosage, their likelihood increases. Possible side effects include:

• allergic reaction;
• skin redness;
• impaired facial mobility;
• swelling;
• double vision, dizziness, headache;
• hematomas;
• drooping eyelids.

Most often, these symptoms go away on their own within a few days.

Botox in nasolabial folds

How does Botox work?

Some general information about botulinum toxin and its mechanism of action. Botulinum toxin is a nerve poison that blocks the release of acetylcholine from presynaptic nerve fibers. Acetylcholine is a key neurotransmitter of nerve impulse transmission; it is the one that transmits signals from the central nervous system to muscle fibers, causing them to contract. Blocking the release of acetylcholine makes impulse transmission impossible; the muscle stops receiving information from motor neurons and completely relaxes.

When correcting nasolabial folds with Botox, the drug is injected not into the skin grooves themselves, but into the surrounding facial muscles, the increased activity of which leads to the formation of an aesthetic defect. The cessation of afferent impulses helps to smooth the skin and reduce the severity of wrinkles.

When does the effect appear?

The advantage of many modern cosmetology techniques is that the effect is visible immediately after completion of the procedure. Botulinum therapy is no exception. Improved aesthetics of the nasolabial triangle is achieved immediately after injections. It should be noted that the result will gradually increase over 5-7 days. This is explained by the fact that it takes time to block all nerve endings. When the neurotoxin blocks all muscles, the effect will reach its maximum.

The rejuvenating effect lasts from 4 to 9 months. The duration of action depends on several factors: the activity of the body's enzyme systems, the rate of formation of new nerve endings, as well as the type of drug that was used for correction.

What drugs are used to correct nasolabial folds?

A cosmetologist can use various preparations of botulinum toxin. The most famous include the French Dysport and the original American Botox. In capital clinics, the patient may be offered the German botulinum neurotoxin Xeomin or the Chinese Lantox. Some clinics use cheaper analogues, but when choosing a cheap product, the risk of complications and side effects increases.

According to patient reviews, the original Botox gives the most lasting effect - changes after the procedure last from 6 to 9 months. The effect of French Dysport is limited to a shorter period of time, from 4 to 6 months. After the action is completed, the Botox injection procedure can be repeated.

Are Botox and hyaluronic acid compatible?

To solve aesthetic problems, you can use various injection cosmetology techniques in parallel. The presence of hyaluronic acid filler in a patient is not a contraindication to Botox injections, however, it should be taken into account that at least two weeks must pass between the introduction of contour gels and neurotoxin injections. It is contraindicated to inject both Botox and HA-based dermal filler during the same visit to a cosmetologist.

The choice of drugs for the forehead and eyebrows

In addition to the long-known Botox, the drugs Dysport and Xeomin are actively used in the cosmetic services market. All of them are produced on the basis of botulinum neurotoxin A and have the same effect on the muscles. But they also have differences, which are analyzed in the table.

Albumin is a protein substance that softens the effect of the toxin. Botox differs from Dysport in that it is less concentrated. And xeomin has a lighter effect, but the result lasts less.

Stages of implementation

The procedure is carried out according to the following algorithm:

• Photo of lips (it is better to take pictures before and after the procedure to better see the effect).
• Setting marks in places where injections will be given.
• Direct injection of Botox under the skin around the mouth (usually about 2-3 mm away from the lip line).
• Pressing and massaging the drug locations with your fingers (this results in a more even distribution of the drug in the subcutaneous space).
• The doctor monitors the patient for half an hour after the end of the procedure.

Reviews from real people about Botox injections into the forehead area

Nadezhda, 50 years old, Voronezh:

I didn’t want to go to a plastic surgeon—I was afraid. But I didn’t want to grow old either. I've heard a lot of reviews about Botox. And on the eve of my birthday, I decided to correct the area between the eyebrows, forehead and eye muscle area. The procedure seemed painful, but tolerable. After the injections, a couple of bruises appeared, which disappeared on their own. After just 10 days, the skin smoothed out, facial wrinkles became less noticeable, and the face became rejuvenated. The complex of injections performed cost 15,000 rubles.

Svetlana, 35 years old, Ufa:

I injected Botox into the forehead and between the eyebrows 2 months ago from a previously unfamiliar cosmetologist. Wrinkles became less noticeable, but I expected a greater effect. I suspect it's a matter of the specialist. Next time I won’t save money and will go to a trusted clinic.

Vlada, 30 years old, Moscow:

I have been working as a cosmetologist for 7 years. To rid women of facial wrinkles, I use Botox and Dysport. I also tried Xeomin, it worked great, but the results lasted less than 3 months. Patients are always satisfied and, as a rule, return again after a while.

Dina, 41 years old, Ekaterinburg:

After the injections, I experienced headaches for 2 days, my face at the injection site became swollen and red. The symptoms disappeared on their own. And the result was worth it. I heard a huge number of compliments. The frowns smoothed out, the eyes opened, the forehead tightened, the eyebrows raised.

How to safely inject Botox into your lips

Anesthetic on the upper lip before Botox
Most often, botulinum therapy does not require anesthesia - the usual areas of the upper third of the face are not sensitive, there are few injections, and you don’t have to endure anything special: once - and that’s it. But lips are a more delicate area, and here we prefer to numb it a little. We select points and apply anesthetic cream (usually Emla). While we are working with other areas of the face (usually the forehead, eyes, and sometimes other areas we do the same procedure), the points on the lip are anesthetized - maybe not completely, but the sensitivity is dulled enough so that the patient does not “feel.” Then we wash Emla, wipe it with an antiseptic and inject the required number of units into each point.

The effect occurs quickly, within a day or two in most cases.

There are some subtleties.

Answers on questions

How many units of Botox are in one syringe?

One bottle contains 100 units of the drug.

How many units are in 1 ml of Botox?

Before use, botulinum toxin is diluted with sodium chloride solution (NaCl 0.9%) at the rate of 100 U/2.5 - 3 ml. Accordingly, 1 milliliter will contain about 30 units.

Are there any contraindications to the use of botulinum?

Before the procedure, you must consult your doctor. Injections are not recommended for:

• under 18 years of age;
• pregnancy or breastfeeding;
• acute chronic and infectious pathologies;
• inflammation and injury at the injection site;
• allergic intolerance to components;
• taking antibacterial agents and some other medications.

What is the shelf life of Botox?

An unopened drug can be stored for up to 2 years at a temperature of +2 to -5 degrees. After dilution, the solution is best used within 24 hours. It can be used for a week, but the effect of the procedure may decrease.

Procedure

The effectiveness of the procedure and the absence of unwanted reactions depend on compliance with the preparation stage for the procedure. It is important to get advice from a competent specialist who can determine:

• skin type;
• degree of moisture;
• severity of nasolabial folds;
• reasons for the appearance of creases;
• facial habits.

It is also necessary to correctly identify the points to inject Botox into the nasolabial folds. The patient should receive all the information about possible complications and adverse reactions. The doctor should be informed about the diseases indicated in the medical history, medications taken, and allergies. Previous procedures, which mean Botox injections, are essential.

Attention! Correction is carried out after a medical examination.

A few days before the procedure, it is recommended to stop using blood thinning drugs (Aspirin) and antibiotics. This will prevent the possibility of bruising or bleeding. To reduce the risk of bleeding under the skin, your doctor may prescribe blood-strengthening medications. A few hours before the manipulation to eliminate nasolabial folds, you need to give up active physical activity and smoking.

The procedure begins with skin disinfection. The drug is injected into the muscles in small doses using an insulin syringe.

Attention! The ampoule with the medicine is opened in the immediate presence of the patient. Information about the expiration date and batch number is entered into the outpatient card.

If the patient has a reduced pain threshold, it is possible to apply a cream with an analgesic effect. At the end of the procedure, the antiseptic is usually reapplied. The injection area is cooled with ice cubes.

The maximum duration of the procedure does not exceed 1 hour. For 30 minutes, the patient is under the supervision of a specialist who monitors the body’s response to the administered drug. If necessary, the woman is given first aid.

During the rehabilitation period, precautions must be taken to avoid unpleasant consequences. A woman needs to be especially careful for 3 weeks after the procedure. During this period you should exclude:

• scratching the face so that Botox can be distributed throughout the tissues;
• washing (first day);
• massage, scrubbing, peeling;
• makeup;
• horizontal position (up to 10 o'clock);
• sleeping on the stomach and high pillows;
• active physical activity;
• visiting the swimming pool;
• taking antibiotics and blood thinners;
• alcoholic drinks, smoking;
• salty and spicy dishes;
• rough food;
• vaccination.

Attention! It is noteworthy that the rate of distribution of Botox in tissues is positively influenced by facial activity. To preserve the effect as much as possible, it is necessary to limit physiotherapeutic procedures and facial massage.