Is it possible to do PEELING AFTER BOTOX. Doctor's opinion

Is it possible to do peeling after Botox? This is of interest to women on the eve of a comprehensive course of anti-aging procedures. Indeed, in this case, deep cleansing of the skin with peeling agents can be combined with simultaneous express lifting. Cosmetologists consider this “neighborhood” acceptable and even desirable: from a certain point, exfoliation prolongs and enhances the effect of beauty injections. We will find out below what you need to know to avoid uneven distribution of botulinum toxin in the dermis, and how long after injections it is recommended to renew the skin with peeling.

The essence of Botox therapy

The healing effect of Botox has been known for a long time. The neurotoxic substance of the bacterium Clostridium botulinum successfully cures not only pathologies of the central nervous system, but also restores youth and beauty to the skin.

Botox injections are used to eliminate facial wrinkles, smooth out facial contours and restore facial symmetry. Botulinum toxin is injected intramuscularly, with a thin needle into the forehead and periorbital area. When a neurotoxin is administered, muscle tension is relieved and wrinkles stop forming while maintaining natural facial expressions.

Injections and microcrystalline dermabrasion

Microdermabrasion is an aggressive cosmetic procedure and is classified as a medium-deep peel. During a peeling session, the stratum corneum of the epidermis is polished using diamond-coated cosmetic brushes or a special diamond tip. Skin rehabilitation after microcrystalline dermabrasion takes at least two weeks. At this time, it is better to refrain from performing any other procedures, including botulinum toxin blockade. Botox can be applied after microdermabrasion only after 2 weeks.

If the patient was first injected with Botox, and then rejuvenation with diamond peeling is planned, such a “neighborhood” is possible only with a two-week break between procedures. Until the muscle relaxant is completely fixed in the skin, any mechanical impact on the face can lead to its migration.

Microdermabrasion goes well with beauty injections. These techniques solve various aesthetic problems. Peeling renews and smoothes the skin, and Botox injections strengthen the rejuvenating effect and eliminate expression lines. Therefore, cosmetologists recommend combining these lifting procedures without fear.

Indications for botulinum therapy

The cosmetic procedure is recommended for the following indications:

• horizontal and vertical wrinkles on the forehead and between the eyebrows;
• the presence of irregularities on the back of the nose;
• the appearance of wrinkles in the eye area;
• drooping corners of the lips;
• wrinkles in the nasolabial fold;
• signs of aging décolleté;
• blurred contours and asymmetry of the face;
• uneven eyebrow height;
• the presence of folds on the neck;
• hyperhidrosis.

INTERVAL BETWEEN PROCEDURES + SEQUENCE

When the question arises of what to do first: peeling or Botox, cosmetologists first of all remind you of the differences in the intended purpose of the procedures.

Since peeling produces better results on a relaxed surface of the skin, Botox is often done first. (Exfoliation cannot relax the hypertonicity of facial wrinkles.)

In addition, with the help of peeling, you can subsequently lighten age spots, exfoliate post-acne, and increase the density and elasticity of the epidermis.

However, the official position of doctors provides for priority injections of botulinum toxin only if there are creases in the skin. Only if such creases are visible even with a relaxed state of the face, muscle relaxants are prescribed, explains cosmetologist Elena SELIVANOVA (Moscow).

In other situations, it is better to use more gentle methods than a neuroparalytic: such as laser peels or biorevitalization.

In any case, a dermatologist must make the final verdict on the sequence of procedures and their number.

General rules for all peelings (Table)*

Peeling after Botox always requires a pause of at least 2-3 weeks.

As for the maximum interval, it should fit within the period of action of muscle relaxants (on average, about 5 months). In this case, we can talk about a “double effect”.

* Only the pause after peeling before muscle relaxant injections varies (depending on the duration of the recovery period for a particular exfoliation method)

Botox and lasers

The combination of laser peeling and Botox provides a cumulative effect in the formation of a collagen-elastin framework.

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And yet, performing both procedures in one session is strictly prohibited. The ban is due to the likelihood of numerous side effects.

This rule also applies to other hardware peels: diamond, microdermabrasion, ultrasonic cleaning.

Botox and microdermabrasion

Microdermabrasion in combination with botulinum toxin injections is a painless way to reduce wrinkles, even out skin tone, remove scars, and tighten pores. As a result, the elasticity of fabrics increases by 30%. However, it is worth remembering that injections must be preceded by a sufficient rehabilitation period of 2 weeks.

Botox and ultrasonic cleaning

One of the most minimally traumatic methods - ultrasonic exfoliation - implies a fairly rapid recovery (maximum 3-4 days). Botox can be prescribed as early as 3 days after exfoliation with ultrasonic waves (or 14 days before).

Botox and chemical exfoliation

The final conclusion as to whether chemical peeling can be done after Botox and at what interval can only be made by a specialist. The duration of the pause will be primarily related to the speed of fixation of botulinum toxin in tissues.

To be sure, the interval should be at least 1-2 weeks. It does not matter whether we are talking, for example, about yellow peeling after Botox or about glycolic peeling, since the rules here are standard.

It is also prohibited to use scrubs during this period, since facial massage (including with abrasives) is included in the list of contraindications.

As for injections after exfoliation of the skin (i.e., the opposite situation), here everything, on the contrary, will depend on the type of exfoliation: what method was chosen by the doctor (superficial, medium or deep).

Each of these beauty techniques requires a different recovery period for the epithelium, and damaged tissues would not be able to resist infection through wounds.

However, upon completion of the rehabilitation period, smoothed skin will better accept acids or enzymes, which will mutually enhance the effects of all methods.

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How is botulinum therapy performed?

The procedure is carried out according to the following algorithm:

• preliminary consultation of the patient with a dermatocosmetologist;
• assessment of skin condition, questioning the patient for possible contraindications;
• marking the area for correction;
• antiseptic treatment of the skin surface;
• applying anesthetic cream;
• individual selection of botulinum toxin dosage;
• administering Botox injections at predetermined points;
• repeated antiseptic treatment of the skin;
• final application of regenerating cosmetic product.

Botox and chemical exfoliation

Injections of a muscle relaxant complement and enhance the effect of chemical peels. Some types of acid and enzyme exfoliation also aim to eliminate fine lines and wrinkles. Therefore, botulinum toxin is able to prolong the effect of anti-aging peels by affecting the facial muscle frame.

If neurotoxin administration precedes superficial or midline chemical peels, at least 2-3 weeks should elapse between treatments. During this time, the drug will relax and completely immobilize the muscles in places where wrinkles accumulate. The skin will be smoother and peelings based on acids or enzymes will act on it more evenly.

If skin cleansing with peeling is planned on the eve of botulinum therapy, at least two weeks should also pass between sessions of anti-aging procedures (depending on the type of peeling and the depth of penetration of the substance). This interval will be sufficient for complete rehabilitation of the skin after the action of acid solutions and partial alignment of the network of wrinkles. Botox injections in this case will enhance the effect of peeling and consolidate its results.

The combination of Botox and peels is based on the “two week rule”. Whatever sequence these procedures are performed, there should always be a two-week interval between them. This time is enough for the skin to restore after peeling and for the muscle relaxant to be fixed in the muscles.

Recommendations after Botox injections

For a quick recovery after Botox therapy, the following recommendations should be followed:

1. In the first few hours after injections, you should be in an upright position.
2. Do not massage or steam injection sites.
3. It is also necessary to stop using decorative cosmetics.
4. You cannot take antibiotics for a month.
5. Do not drink alcohol or eat spicy foods.
6. Physiotherapy is prohibited.

If severe side effects occur, do not postpone a visit to a cosmetologist. To avoid serious complications, it is better to consult a specialist.

Botulinum toxin and laser peeling

Laser skin resurfacing can be done two weeks after botulinum toxin injections or a month before injections. In the first case, a two-week interval between procedures will be enough for the neuroparalytic to be evenly distributed in the skin, consolidate its effect and not “dissipate” during the period of cell renewal. In the second case, a month is enough for the skin to heal after laser peeling and the administration of botulinum toxin does not cause the development of infections.

It is prohibited to do laser peeling and botulinum therapy at the same time. Tissue swelling during the regeneration period after laser peeling will provoke unwanted “movement” of botulinum toxin. The consequences will be drooping of the eyebrows or lower eyelid, and in some cases, paralysis of the facial nerve.

When can you peel after Botox?

From the above, we can conclude that Botox and peeling are two completely compatible procedures. One enhances the effect of the other, but only if the time interval between procedures is observed. Simultaneous use is strictly prohibited. The consequences will be:

• nerve palsy;
• violation of facial symmetry;
• lack of effect of both manipulations;
• migration of botulinum toxin;
• swelling on the face.

If you have done peeling, Botox can be performed no earlier than in a month. To exfoliate after beauty injections, you need to wait about two weeks. The decision about how many days later to schedule the next procedure should be made by a specialist. It depends on the individual characteristics of the patient’s skin and the type of planned exfoliation.

Chemical

Chemical peeling after Botox is not prescribed immediately. The length of the pause depends on how the botulinum toxin is fixed in the tissues. The minimum period in the best scenario is a week. It is advisable to wait at least 2 weeks. The type of exfoliation does not matter, whether it is yellow peeling or glycolic acid treatment, the rules remain the same.

The use of scrubs is also not allowed, since any massage of the dermis during the rehabilitation period is contraindicated.

Chemical peeling can be done only after rehabilitation is completed. The skin will be ready to accept enzymes and acids, which will enhance their effect.

We suggest watching a video on how to do chemical peeling at home:

Ultrasound cleaning

Unlike chemical exfoliation, ultrasonic cleaning is less traumatic and requires only 3-4 days for recovery. A sound wave can penetrate deep under the surface of the dermis and provoke a number of important rejuvenating processes:

• reduction and complete removal of swelling;
• regeneration;
• cellular renewal;
• stimulation of lymphatic drainage;
• positive effect on blood circulation.

If the manipulation went without complications, the specialist may prescribe Botox already on the 4th day after ultrasound peeling.

If you plan to do injections first, and only then ultrasound, then at least 2 weeks should pass after the injections. It is unacceptable to combine procedures at once.

This is interesting: analogues of the American drug Botox are the German Xeomin and the English Dysport. The rules for exfoliation after them are similar.

Laser cleaning

If you do not maintain the interval between Botox and laser exposure to the skin, Botox can migrate without producing any effect on the dermis. It is assumed that the reason for this is swelling and edema. In addition, failure to comply with the rule may cause:

• facial paralysis;
• eyebrow ptosis;
• drooping eyelids;
• facial asymmetry.

If you wait 2 weeks between treatments, the effect will be greatly enhanced. The following positive points are noted:

• better skin healing after resurfacing;
• Collagen accumulates in greater quantities, which improves cosmetic results.

If you plan to perform exfoliation first and then Botox, the interval between manipulations should be at least a month.

PRECAUTIONARY MEASURES

In order for the injection rejuvenation procedure to be carried out safely, it is also necessary to exclude contraindications. These include pregnancy and lactation, acute infections and local inflammation of the skin, as well as disorders of the heart and blood vessels.

This method is also excluded in case of protein allergy, as well as during surgical operations in the last 3-6 months before the session.

You should also take your preparation for the procedure seriously: limit salty foods, medications, alcohol, and excessive fluid intake for 3 days.

Ignoring precautions can lead to a deterioration in general health, cardiac problems, poor appetite, facial asymmetry, bruising and swelling.

LIMITATIONS AND DATES AFTER BOTOX

As a procedure performed under local anesthesia, botulinum toxin injections involve fairly simple restorative measures.

Although the drug will react with cells within 30 minutes, in the next 3-4 hours it is better to maintain an upright body position so that the toxin is distributed evenly, and also:

• It is prohibited to fly by plane for the first 24 hours;
• For the first 2-3 days you need to limit spicy foods;
• For the first 14 days, bathhouses, saunas, steam rooms, phyto-barrels, solariums, and gyms are prohibited.

Botox and other anti-aging treatments

A good effect is ensured by the combination of a muscle relaxant with procedures such as biorevitalization (injections with hyaluronic acid), contouring, and hardware methods.

However, depending on the technology, you need to pause after blockade with a neurotoxin for 1 to 3 weeks. The plan of procedures must be agreed upon with a professional.

Thus, biorevitalization is not always prescribed after Botox: in order to get the maximum out of both procedures, a specialist can first inject “hyaluronic acid”. In this case, simultaneous implementation is possible.

Doctor's opinion

Cosmetologist Elena SELIVANOVA (Center for Medical Cosmetology “PETROVKA-BEAUTY”):

“Botox is not a panacea. Work on skin quality must be carried out continuously. If you notice a wrinkle on your forehead even in a calm state without frowning, it means it’s time to treat it with a muscle relaxant. But it is prescribed as a last resort, when other methods have already been tried. This is an express method that replenishes, but does not replace long-term work on oneself.”

Leave a review on which combination of cosmetology methods suited you best.

What happens to the face after Botox

The effect of Botox extends to the muscle tissue lying in the reticular layer, while the effect of all types of peeling does not extend beyond the papillary skin layer. The use of exfoliants after Botox is allowed and even recommended by cosmetologists. This will enhance and prolong the effect produced by beauty injections, however, exfoliating preparations must be used wisely, given that the dermis needs time to recover after injections.

Botox, like its analogues, contains botulinum toxin “A” in purified form. In its natural form, botulism neurotoxin is considered extremely dangerous and belongs to the group of potent organic poisons. Scientists have learned to disinfect and purify the substance, which has made it indispensable in cosmetology. The paralytic ability of the protein botulinum toxin complex allows you to quickly and safely rejuvenate the skin.

The principle of action of beauty injections is based on the ability of the drug to temporarily suspend the motor activity of the facial muscles. In a relaxed state, they stop functioning, which leads to smoothing out wrinkles.

The effect occurs 3-5 days after the procedure. The final result will be visible in a week or two and will remain unchanged for about six months.

The sequence of procedures may vary. The doctor decides what to do first, Botox or exfoliation. Most often, rejuvenation begins with Botox. This is due to the fact that the relaxed skin surface becomes more susceptible to the effects of exfoliants, which, in addition to getting rid of wrinkles already achieved by Botox, relieve the skin of such imperfections as:

• post-acne;
• acne;
• dark spots;
• weak density and elasticity of the epidermis.

Exfoliation brings the skin to perfection, removing those imperfections that beauty injections could not eliminate. Peeling after Botox is possible and necessary. It is important to answer the questions:

• When can you exfoliate?
• what type of exfoliation would be more appropriate.

This is interesting: the word “botulinum toxin” is translated from Latin as “sausage.” The poison was first discovered in the 19th century, when mass poisonings of sausages occurred.