Botox for high myopia. Contraindications to Botox: when should you stop using injections? For or against Botox injections

Botox is a type A botulism neurotoxin. In fact, it is a very terrible poison. However, the one used in cosmetology is diluted 40,000 times. Enter you lethal dose it won’t work even on purpose :) The only danger is if you went to a not very competent doctor and the drug was injected too close to the nerve or directly into the nerve. This will lead to lowering of the eyebrows, artificial hernias, and facial distortion.

Myopia is an eye disease in which a person has difficulty seeing objects located in the distance, but clearly sees objects that are close. Nearsightedness is also called myopia.

According to data provided by the World Health Organization, many people suffer from this problem - up to 30% of the world's population. Moreover, the peak of its development occurs in children at puberty.

Our eyes contain a cornea and a lens. These components of the eye are capable of transmitting rays by refracting them. And an image appears on the retina. This image then becomes nerve impulses and is transmitted along the optic nerve to the brain.

If the cornea and lens refract rays so that the focus is on the retina. the image will be clear. Therefore, people without any eye diseases will see well.

– if the eye lengthens greatly, the retina moves away from the stable focus location. In people with myopia, the eye reaches thirty millimeters. And the normal one healthy person the size of the eye is twenty-three to twenty-four millimeters;

– if the lens and cornea refract light rays too much.

According to statistics, every third person on earth suffers from myopia, that is, myopia. It is difficult for such people to see objects that are far from them. But at the same time, if a book or notebook is located close to the eyes of a person who is myopic, then he will see these objects well.

Botox is an injectable drug; the procedure for its administration itself is called similarly. The drug is administered intramuscularly or subcutaneously and is used for non-surgical facial rejuvenation.

Causes of myopia

Genetic predisposition to the development of myopia. It is important to consider whether one or both parents suffer from myopia. If both father and mother are susceptible to pathology, then in 50% of cases, it will also occur in the child before he or she comes of age. If the parents are healthy, then the risk of developing the disease is significantly reduced and is 8%.

Shortage in the body nutrients. vitamins minerals. First of all, vision is affected by B vitamins and vitamin C, as well as microelements such as magnesium, zinc, copper, manganese. All of them are necessary for proper development and formation of tissues of the sclera of the eye.

Any eye strain. caused by prolonged and continuous visual work. This also includes reasons such as: incorrectly selected or positioned lighting, lack of breaks while working at the computer, failure to maintain the minimum distance to books, notebooks, telephones, televisions, etc.

Lack of correction when the first symptoms of myopia appear. If you ignore the signs of the disease, myopia will progress and lead to significant deterioration of vision.

Incorrectly selected glasses or contact lenses for vision correction in case of early myopia.

Congenital cause. such as weakness of the eye muscles responsible for changing the curvature of the lens.

Some vision diseases. for example, squint. astigmatism and others.

Increased intracranial and intraocular pressure.

Other reasons. which include multiple infectious diseases, disruptions in the hormonal system, birth and traumatic brain injuries. All those conditions that cause weakening of the body and disrupt the flow of nutrients to the eye.

Causes, degrees and methods of improving vision in myopia

1st degree. The first, or low degree, of myopia refers to a distance not exceeding 3 diopters. As for the eye, its length increases by an average of 1.5 mm from the accepted norm. A person does not experience problems when looking at objects at a close distance, but when looking into the distance, objects are slightly blurred.

2nd degree. The second degree of myopia refers to the distance between the focus and the retina, in the range from 3 to 6 diopters. The length of the eye increases by an average of 3 mm. With moderate myopia, the vessels inside the eyeball are stretched and have less thickness. Often this condition provokes the onset of degenerative processes in the retina. Nearby, a person can see objects clearly, but at a distance not exceeding 30 cm. When moving away, their contours become unclear, and the picture itself is blurred.

3rd degree. With the third degree of myopia, the distance between the focus and the retina exceeds 6 diopters. This is the highest degree of myopia. In this case, the eye undergoes significant changes, the retina and blood vessels become thinner, to such an extent that the sclera becomes visible. Vision is reduced so that a person can only see fingers located at arm's length.

The higher the degree of myopia, the more the eye is elongated and the more its blood vessels are stretched. This leads to the development serious complications and complete blindness.

Symptoms of myopia

Symptoms of myopia include rapid eye fatigue when driving a car or while playing sports. If these are the symptoms that bother you when you wear glasses or contact lenses, you will need to be examined by a doctor and possibly change your glasses or contacts.

Myopia develops already in childhood. Children at school begin to have difficulty seeing distant objects and squint.

In order to improve vision, nearsighted people should wear lenses or glasses with minus value. There is often a need to change lenses as vision deteriorates. But it should be remembered that glasses will not change the development of myopia, they only change the refraction of light.

Botox injection price

Now let's talk about where you can inject the toxin and what the effect will be. Typically, injections are administered into the forehead, eyebrows, nasolabial folds, lips, and under the eyes. You can also use the toxin to lift the tip of your nose and eyebrows.

Before the procedure, the amount of toxin is measured in units. How many units of Botox do you need? For each zone the number of units is different. It also depends on the condition of the skin and wrinkles, so the dosage is selected individually. I will give the average values.

Drug administration area Botox units Action of the toxin Price, rub.

(average)

Forehead 15-30 units Botox injections into the forehead lead to correction of the eyebrow line and smooth out wrinkles. 5000 rubles
Between the eyebrows 10-20 units Vertical wrinkles are smoothed out. If they are not deep, then even after the toxin wears off, they do not appear for a long time. 4000–4500 rubles
Nasolabial folds 10-20 units Botox in its pure form is rarely used, because... there is a high risk of drooping corners of the mouth. Smoothing of deep nasolabial areas occurs with injections of Botox with collagen. And also with hyaluronic acid. 3000-8000 rubles
Lip area 5-20 units Botox for lips allows you to eliminate asymmetry, lift the corners, and get rid of wrinkles. To enlarge lips, it is used together with hyaluronic acid. 800-8000 rubles
Orbicularis oculi muscle 6-15 units Crow's feet are smoothed out and deep skin creases become less noticeable. Also, an injection into this area allows you to raise your eyebrows. 4500-6000 rubles
Transition area between the nose and the upper lip 2-4 units Allows you to slightly raise the tip of your nose. 600-1600 rubles

Calculate the approximate cost of injections based on the price of 300-400 rubles per unit of toxin. Dysport is approximately half the price.

You can find these procedures at a good discount on Biglion and Groupon. I recommend looking at the options on these sites first. So it’s better to ask the price, and read the reviews of those who have already tried it.

  • Periods of pregnancy and breastfeeding. Even a tiny amount of poison can cause irreparable harm to a child;
  • Patient age: under 18 years and over 65 years. These restrictions are associated not only with ethical considerations, but also have a purely practical justification. Thus, in patients over 65 years of age, the use of muscle relaxants is ineffective;
  • Sensitivity to any component of the drug. Since the butulinic complex contains excipients: albumin and sodium chloride, sensitivity to animal protein may cause allergic reactions;
  • General infectious diseases (including common flu);
  • Neuromuscular disorders, especially manifested by pain in the temporal zone and in the face.
  • A period of up to 3 months after facial surgery, including cosmetic procedures affecting the deep layers of the skin.

In medicine there is such a concept as “pharmacological incompatibility”, when medicinal substances neutralize each other's effects or cause undesirable reactions. Thus, under the influence of vasodilating substances, Botox can change its location and then the eyebrows will “move” into the eyes, and the mouth will skew to one side. To prevent risks, you need to stop taking the following 2 weeks before the procedure:

  • Antibiotics: aminoglycosides (Streptomycin, Neomycin and others), macrolides (Sumamed and others), tetracyclines, polymyxins, which enhance the effect of the toxin. As well as medications that cause intracellular calcium concentration, taking anticoagulant and antiplatelet medications.
  • Pharmaceutical products and even herbal decoctions which can cause bleeding and hematomas (paracetamol derivatives, aspirin, vitamin E).

Alcohol should not be consumed 48 hours before Botox and for another 2 weeks after the procedure. The fact is that ethanol molecules not only dilate blood vessels, but also interfere with the normal absorption of butulin. The effectiveness and duration of the “beauty injection” are significantly reduced, and the risk of complications increases. So, after drinking alcohol, your blood pressure may “jump” sharply, resulting in a feeling of weakness and lethargy (even to the point of fainting).

Botox is a processed, purified and weakened botulinum neurotoxin type A (botulinum toxin, botulinum toxin) in a weak concentration.

The Botox injection procedure is carried out only in outpatient setting clinics with a medical license. The drug is administered by a cosmetologist or surgeon with appropriate education and experience. Do not forget that Botox is still a poison, and its incorrect administration can lead to complications or an unsatisfactory result.

  • Before going to a cosmetologist the day before the procedure, you should not drink alcohol, bow your head for a long time, or attend a massage where you need to lie face down for a long time.
  • Some types of antibiotics are incompatible with Botox and can cause hematomas at the injection sites, so the medication must be stopped.
  • How does the procedure work?

  • You must first consult with your doctor, telling him all the information about your health status. During the consultation, the nature and severity of wrinkles, the condition of the tissues are assessed, the area of ​​drug administration and dosage are determined.
  • Areas on the face are identified where muscle tone is increased, which contributes to the formation of wrinkles. These areas are marked with a marker.
  • The dots mark the sites where Botox was administered.
  • The procedure is practically painless and does not require anesthesia, but the doctor may still suggest treating the skin with Emla, which reduces sensitivity.
  • The position of the needle in the muscle is controlled with an EMG drug, after which an injection is made.
  • Sometimes the injection site is pressed down to avoid the formation of hematomas.
  • The patient is under the doctor’s supervision for another half an hour, after which recommendations on skin care are given and sent home.
  • The skin, as with conventional injections, is treated with a disinfectant, and then, using a syringe with a thin and short needle, the Botox drug is injected.

  • Toxic reactions. Observed immediately after administration and lasts 1–4 hours. Mild nausea, a slight rise in temperature, and headaches may occur.
  • Local changes in the area of ​​Botox injection. Swelling, redness, pain at the injection site, eyelid spasm. Lasts 1–2 days.
  • Excessive relaxation of facial muscles. A longer lasting side effect is visually manifested by excessive relaxation of the face.
  • Impaired sensitivity of the upper lip, with excessively deep penetration of the needle and irritation of the nerve.
  • Photos before and after Botox injections

    At what age can it be introduced?

    You need to start doing “beauty injections” based on the indications, regardless of age, because Botox eliminates not only the signs of aging. The first, facial wrinkles, can appear at a fairly young age - both at 20 and at 25, which is understandable: young people who vigorously express their emotions have increased facial activity, leading to the formation of wrinkles. This means that injections can be done at the age of 20, if necessary.

    To achieve maximum effect Doctors conditionally divide patients by age into three categories, choosing the method of treatment according to the category.

  • The first group is patients under 30 years of age. Cosmetologists offer Botox injections to reduce the activity of certain muscle groups, and, as a result, eliminate facial wrinkles.
  • Patients of the second category (from 30 to 50 years old) additionally need to restore skin elasticity with the help of filler drugs.
  • The third group (over 50 years old), fillers and Botox are combined with additional cosmetic procedures, such as peeling, laser resurfacing to eliminate excess pigmentation, even out skin texture, etc.
  • The amount of the drug administered during the procedure depends not only on the age, but also on the skin type and gender of the patient.

  • Men have thicker skin, so the depth of injections is also greater.
  • Other injection points (what is beautiful for a woman will look bad for men).
  • Botox for men before and after the procedure

    How often can you inject?

    After the first administration, the procedure is usually repeated only after a year, subsequent procedures are carried out every six months. The durability of the effect is affected by the area where Botox is administered; the effect lasts longer where the facial muscles are more pronounced. For example, in the forehead area the effect lasts longer than on the neck.

  • Forehead – 10-30 units;
  • Between the eyebrows – 10-25 units;
  • For eyebrow lifting – 3-5 units;
  • Nose – 5-10 units;
  • Chin – 40-60 units;
  • Lips – 4-6 units;
  • Neck – 30-50 units.
  • These indicators apply only when using Botox; analogues have different dosages. The results of using the drug can be seen in the photo: before and after.

    Botox injections are made with thin short needles with a diameter of 0.3 mm. The procedure for administering the drug itself is almost painless and does not take much time - from 3 to 5 minutes. If the patient is very high threshold sensitivity, local anesthesia can be used - the skin area is pre-treated with anesthetic cream. Before starting the procedure, the cosmetologist must determine the injection points and the required amount of the drug, based on the condition of the skin, as well as the nature and severity of facial wrinkles. After Botox injections are made, ice is applied to the skin at the injection sites for an average of 15 minutes.

  • area around the eyes;
  • lips;
  • It is in the above areas that facial wrinkles are most pronounced.

    Botox injections into the area around the eyes are carried out to eliminate “crow’s feet”, which appear due to hyperactivity of the orbicularis muscles (blinking, squinting, etc.). Injections are made into points located at a distance of 1 cm from the outer edge of the eye.

    Remember, expression lines do not appear due to changes in the fibers of the skin, as occurs during aging, but due to muscle mobility.

    Does Botox have contraindications for use?

    It relaxes facial muscles and thereby removes age-related wrinkles that arise due to the fact that these muscles contract too often.

    At the same time, the skin gathers in folds on the forehead, between the eyebrows, in the corners of the eyes, and with age these folds no longer smooth out. Botox injection into facial muscles blocks their contraction under the influence of nerve impulses. Muscles relax - skin smoothes - patients look younger.

    But the effect of Botox is limited in time: after a certain period, the blocked neuromuscular connections are restored. In a study on a large sample of patients, American cosmetologists found that its effect lasts 3–5 months in women, and 4–6 months in men.

    So you won’t be able to get rid of wrinkles once and for all in this way: the injections will have to be repeated.

    Everyone, of course, expects only positive results from this procedure: smoothing of facial wrinkles, facial rejuvenation and a good mood. By and large, Botox injections are quite harmless and effective. Over time, after repeated injections, the patient’s habit of involuntarily pursing his lips, raising his eyebrows and frowning disappears. But despite the fact that, on the one hand, Botox helps to preserve beauty and attractiveness for as long as possible, this procedure may also have negative consequences.

  • headache;
  • nausea;
  • allergic reactions;
  • severe pain in the injection area;
  • swelling;
  • hematomas;
  • drooping eyebrows and eyelids;
  • "mask-like face";
  • facial asymmetry.
  • How is the procedure done?

    To understand how effective it is this method rejuvenation, I picked up reviews. And for clear example I have prepared a photo for you. Honestly, some of the photos are truly amazing. It feels like the person is 10 years younger :)

    The procedure itself lasts about 10 minutes. Emla anesthetic cream is applied to the treated areas, the doctor places small dots, marking the injection sites, and injects the drug under the skin with an insulin syringe. The quantity of the drug and injections is calculated individually. You begin to feel the effect of Botox on day 2-3, the area is completely “set” after 2 weeks. The effect will last from 4 months to 6. Botox is usually injected in top part face to get rid of forehead wrinkles and crow's feet. For the lower part, fillers are usually used.

    • It is strictly forbidden to: touch your face with your hands, massage injection sites, smear them with healing ointments, or apply decorative cosmetics on top. The ban is valid for a couple of days.
    • You cannot heat (including in a bathhouse, sauna, or on yarn), do inhalations, or steam the skin of your face. Minimum 10 days, and ideally as long as possible, because heat dissolves Botox faster.
    • On the day of the procedure and two weeks after it, you cannot: play sports, sleep face down, lower your head for a long time, or grimace. These precautions are necessary to ensure that the drug is distributed slowly and evenly.

    It is not at all difficult to comply with them, and the restrictions do not last so long, after which you can return to everyday activities and habits.

    Strictly speaking, these are not contraindications that limit us BEFORE the procedure. But information about what cannot be done later can influence our decision to do Botox now or not. For example, the doctor says that you can’t drink alcohol for a week, but tomorrow is our anniversary. What if the doctor tells you about this after he gives the injection? Therefore, when weighing the pros and cons of Botox, it is better to know all the limitations in advance. Once upon a time this list was large. What is left of him?

    Botox and alcohol

    Previously, different schools argued: is it possible to drink after Botox? How much should you drink after Botox? More often they heard versions of 4-5 days or a week, but some stern doctors said - 2 weeks, no less! This restriction has now been lifted.

    • Avoid thermal procedures in the first days after botulinum toxin administration (bath, sauna). Usually 5-7 days are enough.
    • When injecting into the forehead-bridge area, do not lie down for 2 hours.

    That's all that's left. Many old (one would like to say “popular” 😉) bans, such as those on alcohol, have been lifted today. Perhaps Botox is now the most comfortable injection procedure in cosmetology - it should be done rarely, there are few injections, the risks when following the rules and recommendations are minimal, restrictions after There is almost no procedure. What is called “injected and went” :)

    Why you should inject Botox - read here

    Botox injections have recently become one of the most popular procedures in cosmetology. The effect of the procedure is noticeable after the first session. In the subsequent ones, it is fixed, making the skin truly young and beautiful.

    Any procedure in cosmetology has its own indications and contraindications. When using Botox contraindications quite small. This explains the high popularity of the method among clinic patients.

    Indications for the use of Botox injections include wrinkles in the corners of the eyes, near the bridge of the nose, near the mouth, and on the nose. Hyperhidrosis is also an indication for Botox injections.

    What are the contraindications to Botox?

    Contraindications to Botox are divided into temporary and permanent. Temporary contraindications are not a fundamental ban on the use of Botox. After they are eliminated, you can safely carry out the procedure. Constant contraindications do not allow resorting to this method of rejuvenation. Then you need to pay attention to other methods.

    To temporary for botox contraindications refers to an infectious disease at the injection site, an inflammatory process.

    Pregnancy is also a temporary contraindication, since absolutely everything needs to be excluded. external influences on the body. The same applies to the lactation period.

    Taking antibiotics can provoke an ambiguous reaction from the body to Botox, as can taking calcium supplements and anticoagulants. Two weeks after the end of therapy, an injection may be performed.

    Relatively temporary contraindications include: Severe drooping of the upper eyelid, hernias in the upper or lower eyelid.

    To permanent contraindications for botox– refers to individual intolerance to the components of the drug. Since Botox is of a protein nature, intolerance to all protein drugs can be considered permanent contraindications.

    These also include myasthenic syndrome, an allergic reaction to protein drugs does not allow the use of Botox injections, antibodies in the body quickly destroy the structure of the Botox molecule.

    When Botox injections are not yet performed
  • A high degree of myopia and alcoholism do not belong to any of the categories, but they are contraindications in the case of Botox.
  • Botox injections are not carried out for minors, as well as in the period immediately before the onset of menstruation, as well as in the first days of the cycle.
  • If the patient has chronic diseases, then special attention should be paid to them. Botox is contraindicated those who suffer from liver and lung diseases, chronic and acute.
  • Any medications that the patient is taking or has recently taken must be checked for compatibility with Botox.
  • After treatment, operations and rehabilitation procedures, it is recommended to refrain from injections of various drugs so that the breakdown products of the drugs do not react with the Botox drug and do not cause side effects.
  • Every intervention in the functioning of the body does not pass without leaving a trace. Cosmetic procedures can disrupt many processes in the body if carried out thoughtlessly, without considering the individual characteristics of your body.

    A qualified doctor will help you navigate the list of contraindications created for each of the cosmetic products. At first glance, it is possible to assess the degree of possible risks, so the doctor may refuse to perform the procedure. If a specialist offers you to carry out a procedure, despite your existing temporary (and even more so permanent) contraindications, then you should be very wary of such a doctor and look for a new one.

    Botox injections or tamed toxins

    Woman's face like hers business card, from which you can learn a lot about her character and habits, lifestyle and attitude towards herself. But, at the same time, I really want to remain enigmatic and a little mysterious, and most importantly, to hide my true age and appear younger than my age. What to do if you don’t want to go to a plastic surgeon? You can try to get a “new” face in a short period of time using Botox injections.

    What is Botox and how do injections work?

    The amazing properties of botulinum toxin (Botox) and its effect on the skin were discovered quite by accident in 1982, when clinical studies were carried out in the treatment of strabismus and blepharospasm. When treating these conditions, its “side” effect was noted in the form of smoothing transverse wrinkles in the forehead area.

    The drug itself is a weakened botulinum toxin, which is produced by the activity of the bacterium Clostridium botulinum. This bacterium is the causative agent of a dangerous disease called botulism. When toxins enter tissue, they can block muscle function, causing paralysis.

    For several years this property of Botox has been used in the treatment of diseases of the nervous system, but nowadays Botox injections are widely used in aesthetic and for cosmetic purposes. Control injection of small doses of botulinum toxin under the skin can cause local paralysis of facial wrinkles, which lasts for several months, after which Botox is removed from the body.

    For or against Botox injections?

    To do or not to do Botox? Some say that the drug quickly eliminates wrinkles and signs of aging, others discuss harmful properties Botox. In order to decide to carry out such a procedure on your face, you need to know all the pros and cons of the method.

    When Botox is injected under the skin, facial wrinkles relax, or more precisely, the fibers of the muscles that form wrinkles relax. As a result of this, a person can no longer frown. This property of the neurotoxin is used in those areas of the face where the first signs of aging appear first. These include the forehead, the area between the eyebrows, the periorbital and perioral areas.

    In addition, botulinum toxin injections into the armpits, palms and feet have been observed to reduce sweat production, which has become widely used in the treatment of hyperhidrosis. And some patients, after injections, completely get rid of migraines and migraine-like pain. These undoubted advantages also include the fact that the sensitivity of the skin does not suffer, and the neurotoxin itself is completely eliminated from the body after 6-9 months.

    The ultra-thin needles used for injections leave no marks on the skin, which is why they are called “dinner” beauty injections. In Western Europe and America, these injections have long been given during the lunch break, so they take little time and are highly effective on the second day.

    Does Botox have any disadvantages?

    Ministries of health in many countries around the world, while researching Botox, tried to discover its negative effect on human health, but never found it. In some cases, after injections, patients complain of discomfort in the area of ​​influence, but if the procedure is performed by a professional cosmetologist, then these incidents do not exist. Unpleasant sensations occur when Botox is administered too quickly or more often than once a year.

    You can also be calm about the toxicity of the drug - there is no danger of poisoning or intoxication with botulinum toxin, since for this it is necessary to introduce doses into the body that are thousands of times higher than cosmetic ones.

    If you are still afraid to carry out such a procedure, a cosmetologist can recommend alternative methods of rejuvenation and correction of age-related changes. These include:

    Indications and contraindications for the use of Botox

    Indications for administration: age-related changes, signs of aging (sagging) of the skin, as well as the presence of facial wrinkles. There are also contraindications for Botox injections, listed below:

  • Pregnancy (lactation) period.
  • Muscle weakness in the injection area.
  • Presence of chronic diseases.
  • Acute and chronic infections.
  • Skin diseases at injection sites.
  • Individual intolerance and hypersensitivity to Botox.
  • Consequences, side effects, complications

    Usually discomfort and possible complications appear immediately in the first few days after the injections, but, fortunately, the drug is completely eliminated from the body, and all troubles are reversible. Of all the noted complications and side effects the following can be distinguished undesirable consequences Botox:

    • Spasm of the eyelids.
    • Eyebrow drooping.
    • Subcutaneous hemorrhages.
    • Impaired mobility of the upper lip (with deep administration of the drug).
    • Headaches.
    • Swelling at the injection site.
    • Technique of drug administration

      Botox injections are carried out only after consultation with a cosmetologist and identification of contraindications to the administration of the drug. It is important to assess the state of facial expressions and the treatment area so that after the session the face does not become immobile.

      The skin is first disinfected with an antiseptic solution, and areas with hypersensitivity treated with anesthetics local action. After the procedure, you can immediately return to work, since injections of the drug do not require local anesthesia.

      Video of the procedure

      Alternative to Botox and its analogues

      In cosmetology clinics, instead of Botox, they often offer to administer a drug called Dysport, which is its analogue. The only difference is that Botox is made in the USA and Dysport is made in France.

      Botox injections

      Wrinkles on the forehead, bridge of the nose, around the eyes... for some they form at the age of 40, and for others at 25. Their appearance largely depends on facial expressions, skin condition and a person’s genetic predisposition. However, if you notice the first wrinkles on your face, you shouldn’t be upset. They can be easily eliminated with botulinum toxin injections (Botox, Dysport, Xeomin). Many years of experience in using these drugs allows us to consider this method of eliminating facial wrinkles safe and very effective. Botox injections relax muscles, eliminating the very cause of wrinkle formation. As a result, the face becomes noticeably younger.

      What problems can be solved with Botox?

    • eliminate horizontal wrinkles on the forehead
    • eliminate vertical wrinkles between the eyebrows (anger lines or lion folds)
    • eliminate oblique wrinkles on the lateral surfaces of the bridge of the nose, on the bridge of the nose (rabbit wrinkles)
    • remove crow's feet from the outer corner of the eye
    • lower your raised eyebrows
    • smooth out wrinkles on eyelids
    • smooth out nasolabial folds
    • smooth out vertical and horizontal neck wrinkles
    • eliminate sweating of the palms, armpits and feet
    • How is the procedure for correcting facial wrinkles with Botox?

      Before the procedure, a face-to-face consultation with a cosmetologist is required, during which the area of ​​drug administration is determined in order to achieve an optimal result. The doctor excludes the presence of contraindications and also selects the optimal dose of the drug (number of Botox units) in accordance with gender and age. Before the procedure, the patient signs written informed consent and receives a detailed instruction sheet.

      The Botox injection procedure itself is simple, takes place in an injection room and lasts on average 10-15 minutes. Using an insulin syringe (it has the thinnest needle), Botox is injected directly into the muscle. The discomfort that the patient experiences is minor and short-term.

      How quickly does the effect of Botox injections appear and how long does it last?

      The drug gradually (over a period of 2 to 7 days) blocks the transmission of nerve impulses, and the muscle stops receiving signals that cause it to contract. As a result, the skin above it is smoothed out, and all small facial wrinkles completely disappear, while new ones do not form. That is why Botox injections can be done not only to correct existing wrinkles, but also to prevent the appearance of new wrinkles. Deep folds, such as in the neck area, become much less pronounced. Botox works locally. Therefore, after the procedure, the face does not lose its expressiveness, but it is no longer possible to wrinkle the forehead uncontrollably.

      After administration of the drug, the effect intensifies gradually, reaches its peak after about one to two weeks and lasts for several months (up to a year). For many patients, this period is enough to soft fabrics remember the state of muscle relaxation and subsequently such patients get rid of the bad habit of frowning, pursing their lips or squinting their eyes.

      When the effect of the drug wears off, you can repeat the injections or not - there is no addiction. And you will look a little worse only because we very quickly get used to the good.

      The result of “beauty injections” will please you for as long as possible if you follow some subtleties after the procedure. Here's what to pay attention to:

        After Botox injection, it is important to maintain an upright position for 3-4 hours. Do not touch the injection area with your hands. During this time, you need to move the muscles in the area where the drug is administered. For example, grimace, frown, articulate. This is necessary so that the drug is evenly distributed throughout the muscle. If Botox injections were made in the area around the eyes, then for the first few days it is worth limiting the amount of fluid. especially in the evening. A diet without spicy and salty foods that can retain water and cause swelling will also be useful. If you are prone to swelling, these precautions should be followed for a week and a half. In the first weeks after the injection, it is undesirable thermal effects on the skin, such procedures can significantly speed up the removal of the drug from the body. Therefore, it is worth postponing visiting the bathhouse, sauna and solarium for 2 weeks. Do not abuse alcohol for 2 weeks after the procedure. During the entire period of exposure to Botox, you cannot perform manual massages, myostimulation and microcurrent therapy on the area of ​​drug administration. Only light peelings and masks without massage are acceptable. Medicines that can reduce the effect of procedures. There is no consensus among doctors as to whether antibiotics reduce or enhance the effects of Botox. It is believed that antibiotics such as tetracycline may reduce the effect on the first day of use, while antibiotics of the aminoglycoside group may enhance it. Therefore, there are recommendations - if you have taken antibiotics, then you should wait 2 weeks and only then do injections. In addition, the result of Botox administration is noticeably reduced after a course of injections of vitamins B1 and B6.

        Just as no two people are alike, there are no “identical” wrinkles.

        In addition to the drug Botox (Botox, USA), in modern cosmetology other similar injections from other manufacturers are used, based on the same botulinum toxin of group A. These are Dysport (Dysport) made in France, Xeomin (Xeomin) made in Germany and Lantox (Lantox) made in China. All these drugs are registered by the Ministry of Health of the Russian Federation and are approved for use in aesthetic medicine on the territory of the Russian Federation.

        But no matter how similar these drugs are, they are not interchangeable. Botox, Dysport, Xeomin and Lantox cannot be compared using a simple dosage ratio, as many do. Each of them has its own indications and contraindications, they have different chemical compositions, differ in manufacturing processes, and have different clinical profiles. This DIFFERENT drugs, therefore, when deciding on such a procedure, it is so important to visit an experienced cosmetologist who will help you choose the right botulinum toxin on an individual basis.

        Estimated consumption of Botox, Dysport, Xeomin

        Impact area

        Botox injections

        Botox is a processed, purified and weakened botulinum neurotoxin type A (botulinum toxin, botulinum toxin) in low concentration.

        Botulinum toxin is produced by the bacterium Clostridium botulinum and is a powerful poison that causes the severe toxic disease botulism. The disease was first described and studied by Dr. Justinus Kerner from Württemberg. The sources of the disease are most often meat products, as a result of which the toxin was called “sausage” (botulus in Latin - “sausage”).

        Only 100 years later the cosmetic effects of botulinum toxin were discovered (1989). Andrew Blitzer first described the possibility of smoothing wrinkles on the face in 1993. In cosmetology, Botox began to be actively used in 1995. Botox is widely used in medicine to treat various diseases.

        Botox injections is a non-surgical method for correcting facial wrinkles and facial contours.

        Botulinum toxin

        Every day, the facial muscles of each person make more than 15,000 movements, as a result of which, by the age of 20, a thin but already noticeable network of facial wrinkles is formed on the forehead, between the eyebrows, and around the eyes, which is beyond the control of ordinary wrinkles. cosmetics. Botox solves this problem.

        Where is Botox injected?

        Botox is not injected into the lips and does not fill in wrinkles.. It is only used for relaxation facial muscles and is administered intramuscularly, subcutaneously, or intradermally (see Botox Injection Procedure below). It is important to understand that unlike contouring, which eliminates existing wrinkles, Botox prevents their appearance. Contour plastic surgery is used when wrinkles already exist (from about 25 years old). And Botox can be used much earlier for prevention. For example, if you woke up in the morning and saw a wrinkle that smoothed out during the day, then this means that it’s time to inject Botox so that in the future this wrinkle does not become deeper.

        How does Botox work?

        During the procedure, the drug is injected into the facial muscles with ultra-thin needles, as a result of which the active muscles responsible for the formation of facial wrinkles are blocked and stop working, resulting in temporary muscle paralysis. While the muscle does not function with the same strength, skin above it remains in a calm state, which means that wrinkles are gradually smoothed out.

        Video shows the mechanism of action of Botox

        Based on botulinum toxin, there are many more analogues of the drug on the market, for example Dysport or Xeomin. They differ only in dosage and storage conditions.

        Indications and contraindications for administration

      • Correction of horizontal expression wrinkles on the forehead;
      • Correction of the vertical muscles between the eyebrows;
      • “Rabbit wrinkles” on the bridge of the nose;
      • "Crow's feet" at the outer corner of the eyes;
      • Correction of ptosis (drooping) of the upper eyelid;
      • Giving symmetry to the position of the eyebrows (upturned or low);
      • Nasolabial folds;
      • Wrinkles on the neck;
      • Treatment of hyperhidrosis (excessive sweating) of the palms, feet, and armpits
      • Botox facial skin lifting (non-surgical facelift);
      • Treatment of migraines and other types of headaches;
      • Correction of hypertrophy of the masticatory muscles;
      • Correction of senile skin atrophy;
      • Increase in lip volume.
      • Contraindications:

      • Age up to 18 years;
      • Taking antibiotics, tranquilizers and calcium supplements less than two weeks before the procedure;
      • Taking medications - anticoagulants (aspirin, thrombotic ACC and others);
      • Myopia (nearsightedness) high degree;
      • Herpes on the lips;
      • Taking medications that can enhance the effects of botulinum toxin on cells, which is the main component in the Botox preparation. This antibacterial drugs: gentamicin, amikacin, erythromycin, lincomycin; curare-like muscle relaxants.
      • Hemophilia;
      • Pregnancy and lactation;
      • Acute infectious diseases;
      • Liver and lung diseases;
      • Congenital and acquired neuromuscular pathology (various myodystrophies, myasthenia gravis)
      • Alcoholism;
      • Inflammatory processes and injuries at the sites of drug administration;
      • Gravitational ptosis of facial tissues and eyelids (fatty hernias);
      • Tendency to edema
      • Allergy to the components of the drug and individual intolerance;
      • Menstruation period
      • In the body of patients who have suffered from botulism or have been vaccinated against this disease, specific antibodies to botulinum toxin are formed and injections will not bring the expected result (less than 0.1%).

        Can be used without restrictions before and after the procedure

      • Oxymesotherapy;
      • Gas-liquid peeling;
      • Fraxel;
      • Photorejuvenation;
      • Microdermabrasion;
      • Massage and manual lymphatic drainage;
      • ELOS rejuvenation:
      • Radio lifting.
      • The following procedures will reduce the duration of Botox

      • Galvanization (galvanotherapy);
      • Infrared laser;
      • Ultrasound therapy;
      • Microcurrent therapy;
      • Electromyostimulation;
      • Magnetic stimulation.
      • Botox injection procedure

        The Botox injection procedure is carried out only in outpatient clinics with a medical license. The drug is administered by a cosmetologist or surgeon with appropriate education and experience. Do not forget that Botox is still a poison, and its incorrect administration can lead to complications or an unsatisfactory result.

      • Before going to a cosmetologist the day before the procedure, you should not drink alcohol, bow your head for a long time, or attend a massage where you need to lie face down for a long time.
      • Some types of antibiotics are incompatible with Botox and can cause hematomas at the injection sites, so the medication must be stopped.
      • How does the procedure work?

      • You must first consult with your doctor, telling him all the information about your health status. During the consultation, the nature and severity of wrinkles, the condition of the tissues are assessed, the area of ​​drug administration and dosage are determined.
      • Areas on the face are identified where muscle tone is increased, which contributes to the formation of wrinkles. These areas are marked with a marker.
      • The dots mark the sites where Botox was administered.
      • The procedure is practically painless and does not require anesthesia, but the doctor may still suggest treating the skin with Emla, which reduces sensitivity.
      • The position of the needle in the muscle is controlled with an EMG drug, after which an injection is made.
      • Sometimes the injection site is pressed down to avoid the formation of hematomas.
      • The patient is under the doctor’s supervision for another half an hour, after which recommendations on skin care are given and sent home.
      • The skin, as with conventional injections, is treated with a disinfectant, and then, using a syringe with a thin and short needle, the Botox drug is injected.

        After the procedure you may experience:

      • Toxic reactions. Observed immediately after administration and lasts 1–4 hours. Mild nausea, a slight rise in temperature, and headaches may occur.
      • Local changes in the area of ​​Botox injection. Swelling, redness, pain at the injection site, eyelid spasm. Lasts 1–2 days.
      • Excessive relaxation of facial muscles. A longer lasting side effect is visually manifested by excessive relaxation of the face.
      • Impaired sensitivity of the upper lip, with excessively deep penetration of the needle and irritation of the nerve.
      • Photos before and after Botox injections

        At what age can it be introduced?

        You need to start doing “beauty injections” based on the indications, regardless of age, because Botox eliminates not only the signs of aging. The first facial wrinkles can appear at a fairly young age - at 20 or 25, which is understandable: young people who vigorously express their emotions have increased facial activity, leading to the formation of wrinkles. This means that injections can be done at the age of 20, if necessary.

        To achieve maximum effect, doctors conditionally divide patients by age into three categories, choosing the method of treatment according to the category.

      • The first group is patients under 30 years of age. Cosmetologists offer Botox injections to reduce the activity of certain muscle groups, and, as a result, eliminate facial wrinkles.
      • Patients of the second category (from 30 to 50 years old) additionally need to restore skin elasticity with the help of filler drugs.
      • The third group (over 50 years old), fillers and Botox are combined with additional cosmetic procedures, such as peeling, laser resurfacing to eliminate excess pigmentation, even out skin texture, etc.
      • The amount of the drug administered during the procedure depends not only on the age, but also on the skin type and gender of the patient.

        For the correction of wrinkles in men Increased dosages of Botox will be required, sometimes twice the standard. The reason for this is more pronounced muscle activity, their mass and the peculiarity of the metabolic processes of the male body. The following is also taken into account:

      • Men have thicker skin, so the depth of injections is also greater.
      • Other injection points (what is beautiful for a woman will look bad for men).
      • Botox for men before and after the procedure

        How often can you inject?

        After the first administration, the procedure is usually repeated only after a year, subsequent procedures are carried out every six months. The durability of the effect is affected by the area where Botox is administered; the effect lasts longer where the facial muscles are more pronounced. For example, in the forehead area the effect lasts longer than on the neck.

        Botox - contraindications

        Botox is a drug created on the basis of botulism neurotoxin produced by Clostridium botulinum microorganisms. It is used in cosmetology to smooth out facial wrinkles and restore skin texture. The effect of Botox is associated with the relaxation of facial muscles by blocking the transmission of nerve impulses, due to which the skin over these muscles restores elasticity and wrinkles are smoothed out. In addition, this drug is used in medicine to treat excessive sweating, ophthalmological diseases, headaches, stuttering, constipation, etc.

        Botox is administered subcutaneously or intramuscularly. This already suggests that the procedure is associated with certain risks and cannot be indicated for absolutely all patients. In addition, there are contraindications associated with possible negative reactions the body in response to the penetration of drug components. Therefore, before the Botox injection procedure, it is recommended to undergo a medical examination. Let's look at what contraindications exist for Botox injections in the forehead, chin, bridge of the nose and other areas of the face.

        Contraindications to Botox injections

        Contraindications to Botox procedures can be divided into temporary and permanent (absolute). Temporary contraindications include the following factors:

      • pregnancy;
      • breastfeeding period;
      • inflammatory processes, pustular rashes on the skin in areas where Botox injections are supposed to be given;
      • acute infectious diseases;
      • chronic infectious diseases in the acute stage;
      • recent facial surgery;
      • taking certain medications: antibiotics, anticoagulants, non-steroidal anti-inflammatory drugs, antiplatelet agents and some others (the procedure is possible two weeks after stopping the medication);
      • herpes infection in the activation phase;
      • increased body temperature;
      • period of menstruation.
      • Absolute contraindications to the Botox rejuvenation procedure are as follows:

      • chronic pathologies of the kidneys, liver and lungs;
      • ocular hernia (hernia of the upper or lower eyelids);
      • drooping upper eyelid;
      • autoimmune neuromuscular diseases (myasthenia gravis, etc.);
      • severe myopia;
      • hemophilia;
      • oncological diseases;
      • tendency to form keloid and hypertrophic scars;
      • hypersensitivity to the ingredients of the drug.
      • Many are also interested in Botox contraindications based on age. For cosmetic purposes, procedures are allowed from the age of 18, but it is most advisable to carry them out starting from the age of 30.

        Botox - contraindications after the procedure

        There are a number of restrictions that must be observed after the procedure. Namely, the following is prohibited:

      • Active facial expressions within an hour after injections.
      • Bending and lying down in the first few hours after the procedure.
      • Friction, massaging the skin areas into which the drug was injected.
      • Visiting the pool, sauna, bathhouse, solarium and beach, taking hot baths for two weeks after the procedure.
      • Taking antibiotics, analgesics and some other medications, as well as vaccinations within 2 - 3 weeks after Botox injections.
      • Peeling for three weeks after the procedure.
      • Drinking large amounts of liquid, as well as spicy and salty foods for three to four days after injections.
      • Drinking alcoholic beverages within two weeks after Botox injection.
      • It is worth considering that Botox injection procedures can only be carried out in specialized clinics having the appropriate license.

        Botox is not for everyone

        There are categories of people who should never be given injections botox . Experts determined this fact and other features of Botox administration during a special experiment. This category includes people suffering from diseases liver . lungs . myopia And allergy sufferers . reacting to protein food . In addition, for the first time information was given that Botox should not be administered to those who take antibiotics or any medications that contain calcium .

        As for any other medicines, then if it is necessary to inject Botox, it is necessary to initially check these products for their compatibility with botulinum toxin . This is a complex protein synthesized in a living organism.

        Most modern doctors are confident that Botox injections pose a certain danger to women, since addiction this drug appears practically after a few injections. However, such a danger exists only if the full-fledged Botox injection procedure is divided into several stages: for example, injections into the forehead are made once, after one month injections are made to eliminate wrinkles between the eyebrows, then, after another month, to smooth out “ crow's feet"near the eyes. If injections into all zones are performed simultaneously, which makes it possible to increase the interval between injections to six months, then there should be no addictive effect.

        A common complication after a Botox injection is the so-called ptosis . This is a drooping or drooping corner of the lips or upper eyelid. But experts have made sure that such consequences are reversible, since ptosis disappears without additional treatment after some time. If desired, to speed up the process, use lymphatic drainage massage . thermal procedures .

        Despite the fact that no negative consequences were observed when Botox was administered to pregnant women and nursing mothers, doctors still assure that it is inappropriate to use Botox for expectant mothers. The fact is that Botox is included in the so-called list C, which identifies those drugs negative influence which have been proven to be beneficial in a number of studies.

        Thus, according to statistics, out of ten people who want to receive such injections, only three people are actually indicated for them. Another five people out of this ten can perform Botox correction only with certain reservations, and for two people injections are strictly contraindicated. In addition, five percent of people do not feel the effects of Botox at all, meaning there is no point in injecting them.

        Therefore, before undergoing Botox injections, every person must undergo thorough research see a doctor so as not to harm your health.

        Causes, degrees and methods of improving vision in myopia

        What is myopia?

        Myopia is an eye disease in which a person has difficulty seeing objects located in the distance, but clearly sees objects that are close. Nearsightedness is also called myopia.

        According to data provided by the World Health Organization, many people suffer from this problem - up to 30% of the world's population. Moreover, the peak of its development occurs in children at puberty.

        Our eyes contain a cornea and a lens. These components of the eye are capable of transmitting rays by refracting them. And an image appears on the retina. This image then becomes nerve impulses and is transmitted along the optic nerve to the brain.

        If the cornea and lens refract rays so that the focus is on the retina. the image will be clear. Therefore, people without any eye diseases will see well.

        With myopia, the image appears blurry and unclear. This may happen for the following reasons:

        – if the eye lengthens greatly, the retina moves away from the stable focus location. In people with myopia, the eye reaches thirty millimeters. And in a normal healthy person, the size of the eye is twenty-three to twenty-four millimeters;

        – if the lens and cornea refract light rays too much.

        According to statistics, every third person on earth suffers from myopia, that is, myopia. It is difficult for such people to see objects that are far from them. But at the same time, if a book or notebook is located close to the eyes of a person who is myopic, then he will see these objects well.

        Is myopia a minus or a plus?

        Often, when hearing the diagnosis of myopia for the first time, patients have a logical question: “Which glasses are required to correct vision - minus or plus.” In order to better see objects located in the distance, you must wear glasses marked minus. In this way, it will be possible to correct the distance between the retina and the focus.

        The lenses used in glasses to correct myopia are called diverging or negative lenses. They have a concave shape. Only an ophthalmologist can determine the number of minuses, or in other words, the strength in diopters. This depends, first of all, on the state of vision and the degree of myopia - low, moderate or severe.

        Symptoms of myopia

        Symptoms of myopia include rapid eye fatigue when driving a car or while playing sports. If these are the symptoms that bother you when you wear glasses or contact lenses, you will need to be examined by a doctor and possibly change your glasses or contacts.

        Myopia develops already in childhood. Children at school begin to have difficulty seeing distant objects and squint.

        In order to improve vision, nearsighted people should wear lenses or glasses with minus value. There is often a need to change lenses as vision deteriorates. But it should be remembered that glasses will not change the development of myopia, they only change the refraction of light.

        Causes of myopia

        There are several reasons why a person begins to see objects located in the distance worse:

        Genetic predisposition to the development of myopia. It is important to consider whether one or both parents suffer from myopia. If both father and mother are susceptible to pathology, then in 50% of cases, it will also occur in the child before he or she comes of age. If the parents are healthy, then the risk of developing the disease is significantly reduced and is 8%.

        Lack of nutrients in the body. vitamins minerals. First of all, vision is affected by B vitamins and vitamin C, as well as microelements such as magnesium, zinc, copper, manganese. All of them are necessary for the proper development and formation of the tissues of the sclera of the eye.

        Any eye strain. caused by prolonged and continuous visual work. This also includes reasons such as: incorrectly selected or positioned lighting, lack of breaks while working at the computer, failure to maintain the minimum distance to books, notebooks, telephones, televisions, etc.

        Lack of correction when the first symptoms of myopia appear. If you ignore the signs of the disease, myopia will progress and lead to significant deterioration of vision.

        Incorrectly selected glasses or contact lenses for vision correction in case of early myopia.

        Congenital cause. such as weakness of the eye muscles responsible for changing the curvature of the lens.

        Some vision diseases. for example, squint. astigmatism and others.

        Increased intracranial and intraocular pressure.

        Other reasons. which include multiple infectious diseases, disruptions in the hormonal system, birth and traumatic brain injuries. All those conditions that cause weakening of the body and disrupt the flow of nutrients to the eye.

        Degrees of myopia

        There are several degrees of myopia, which is determined by the distance the focus is removed from the retina:

        1st degree. The first, or low degree, of myopia refers to a distance not exceeding 3 diopters. As for the eye, its length increases by an average of 1.5 mm from the accepted norm. A person does not experience problems when looking at objects at a close distance, but when looking into the distance, objects are slightly blurred.

        2nd degree. The second degree of myopia refers to the distance between the focus and the retina, in the range from 3 to 6 diopters. The length of the eye increases by an average of 3 mm. With moderate myopia, the vessels inside the eyeball are stretched and have less thickness. Often this condition provokes the onset of degenerative processes in the retina. Nearby, a person can see objects clearly, but at a distance not exceeding 30 cm. When moving away, their contours become unclear, and the picture itself is blurred.

        3rd degree. With the third degree of myopia, the distance between the focus and the retina exceeds 6 diopters. This is the highest degree of myopia. In this case, the eye undergoes significant changes, the retina and blood vessels become thinner, to such an extent that the sclera becomes visible. Vision is reduced so that a person can only see fingers located at arm's length.

        The higher the degree of myopia, the more the eye is elongated and the more its blood vessels are stretched. This leads to the development of serious complications and complete blindness.

        Complicated myopia

        Myopia, as a rule, does not greatly affect a person’s activities and capabilities, since this vision defect can be easily corrected with the help of lenses and glasses. But it also happens that myopia is very pronounced and requires serious interventions.

        If you have to constantly change your glasses to stronger ones, this means that myopia is progressing. This means that the eyeball is enlarged. In turn, this leads to decreased visual acuity. Since there may be defects in the retina, its detachment is also possible. Enlargement of the eyeball can occur constantly throughout life, and therefore vision will also deteriorate.

        With such a complex form of myopia, serious consequences are possible, including complete loss of vision.

        "False" myopia

        In ophthalmology there is such a thing as pseudomyopia or “false” myopia. This condition, unlike true myopia, is completely curable. However, it is important to seek help from a doctor when the first symptoms appear.

        Children most often suffer from pseudomyopia school age. It occurs due to the fact that the load on vision, namely on the accommodative muscle, increases significantly. If its spasm occurs, a person loses the ability to clearly see objects located in the distance. You may also experience pain in the eye sockets, head, and temporal region. The eyes get tired quickly.

        The development of false myopia can be preceded by infectious diseases, rheumatism, tuberculosis, vegetative-vascular dystonia, hysteria and other causes.

        If false myopia was noticed during the first year, then you can quickly get rid of it. In the case when a person delays contacting a doctor, the disease can develop into true myopia.

        Treatment depends on the causes of this condition. It is imperative to normalize your diet and daily routine. Particular attention should be paid to the workplace and proper lighting. It is necessary to reduce the load on vision and the body as a whole as much as possible. If there is a doctor’s recommendation, then you should use glasses or lenses to correct vision, take medications to improve eye nutrition, and perform specialized sets of exercises.

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        Methods for improving vision for myopia

        In order to improve vision, if you have been diagnosed with myopia, you must strictly follow all the doctor’s instructions. Treatment for myopia is complex process, which can only be dealt with with the help of an ophthalmologist.

        Modern methods of improving vision are varied and patients have plenty to choose from:

        Correction of myopia using laser.

        Methods surgical intervention. Used when the disease is highly developed. It is possible to replace the lens with an intraocular lens and install an actual lens.

        Drug treatment of the disease.

        Correction of nutrition to improve blood supply to the eye and the supply of nutrients to it.

        Laser vision correction for myopia

        Laser correction is a modern, safe and effective way to get rid of the problem. This treatment will allow you to stop wearing glasses and contact lenses. The essence of the intervention comes down to the fact that the shape of the cornea is changed for a person, making it flatter, due to which its optical power is reduced. That is, with the help of a laser it is possible to create the effect of wearing glasses, as if located inside the eyes. As a result, light rays, after refraction in the lens of the eye, are focused on its retina.

        There are laser correction methods such as LASIK (creating corneal parameters using a template), Super LASIK (creating individual corneal parameters) and PRK (used for thin corneas and low myopia). Each method has its own distinctive features and is used depending on the financial capabilities of the person and the condition of his eyes.

        Glasses for myopia

        Glasses are most often used to correct the vision of a person suffering from myopia. By installing diverging lenses in them, they weaken optical system eyes, and the image is pushed back onto the retina. Sometimes it is necessary to wear glasses with cylinders if myopia is complicated by astigmatism.

        It is better to use glasses with double lenses. They are divided into two parts and allow you to see objects equally well, both at long and near distances.

        Prevention of myopia

        Any disease, including myopia, is easier to prevent than to cure. Therefore, it is important to prevent myopia from an early age.

        To do this, you must follow the following recommendations:

        Maintain a distance of at least 30 cm between the eyes and the monitor, book, tablet, etc. This will reduce the effort required to focus vision and prevent the development of both temporary and permanent myopia.

        The eyes need to be given rest. The longer your vision is strained, the higher the risk of developing myopia. Therefore, you definitely need to take a break after 40 minutes of visual work.

        You should not read while lying on your back or side, or in a moving object (in a car, train, subway, etc.). The accommodation apparatus will have to reconfigure itself every second in order to capture the image, which will inevitably lead to its overstrain. If you read while lying down, then one eye will always be further away from the object than the other, which also causes visual strain.

        It is important to always keep your back straight. Correct posture will allow you to look at the object of vision from the required angle.

        Due attention must be paid to adequate lighting. This will relieve your eyes from overstrain. Sunlight is optimal for the human eye. But since it is not always possible to achieve such lighting when working, it is important to use artificial light. Must be installed table lamp when working in the evening hours.

        It is important to protect your eyesight from the damaging effects of ultraviolet radiation.

        Proper nutrition is an equally important factor for the prevention of myopia. Daily intake of minerals and vitamins will allow the organ of vision to function better and avoid overwork.

        Vitamins for eyes for myopia

        In order to avoid the development of myopia, it is important to consume vitamins that help preserve vision. If this is not possible, then you should use special complexes that your doctor can recommend.

        The most relevant eye vitamins for myopia:

        Thiamine or vitamin B1. It affects the functioning of the nervous system as a whole, and its deficiency will lead to the eyes quickly getting tired and binocular vision to deteriorate, which increases the risk of developing myopia.

        Riboflavin or vitamin B2. Its lack negatively affects the elasticity of blood vessels, provokes their ruptures, including those located in eyeballs. Increased fatigue and tension of the accommodative muscle are manifestations of insufficient intake of riboflavin in the body.

        Niacin or vitamin B3. With its lack, the blood supply to the optic nerve deteriorates.

        Priridoxin or vitamin B6. Its deficiency causes inflammation of the optic nerve and provokes conjunctivitis.

        Cyanocobolamine or vitamin B12. Without it, your eyes water and get tired faster.

        For the prevention and treatment of myopia, it is important to supply all vitamins, and especially those belonging to group B.

        Exercises for prevention

        There is a certain complex for the prevention of myopia. It includes methods such as improving blood circulation in the tissues of the eye, general strengthening body, especially useful for a child, strengthening the sclera, activating the functions of the respiratory and cardiovascular systems.

        Since people who suffer from myopia have a very developed habit of sitting incorrectly and placing text close to the eyes, you need to pay attention to corrective exercises.

        Also, in order to increase tone eye muscles, often use the “tag” exercise. For this exercise, a mark of three to five millimeters is placed on the glass at eye level. A person should stand away from the glass, approximately thirty centimeters from it, then turn his attention to some object located outside the window, but so that this object is on the line of the drawn mark. After you have fixed your gaze on this object, you need to move your gaze to the mark on the glass and then back. Repeat this several times.

        Do these exercises for half an hour, twice a day. If vision still does not improve and there are few changes, then you need to systematize the exercises and repeat them for about fifteen days with breaks.

        In the first two days you need to do the exercise for three minutes. Then on the next two days - five minutes, and on the remaining days - seven minutes until the end of the entire course.

        Botox

        Botox rejuvenation is a currently popular remedy against facial wrinkles. This is a safe and effective way to make the skin around the eyes and forehead area smooth and youthful. The method involves the use of a drug based on botulinum toxin type A of weakened action; it has been actively used for more than 25 years.

        What is Botox?

        Botox is an injectable drug; the procedure for its administration itself is called similarly. The drug is administered intramuscularly or subcutaneously and is used for non-surgical facial rejuvenation.

        The basis of this drug is botulinum neurotoxin type A - the strongest poison in the world, which is used in microscopic doses. In this case, its action is easy to monitor, control and direct in the necessary direction. The main active ingredient is extracted in the laboratory from the microorganisms Clostridium botulinum, then the drug undergoes stabilization and purification from protein impurities.

        The principle of action of the drug is as follows: the drug enters the muscle tissue and blocks the transmission of nerve impulses into cells. As a result, the muscles stop contracting and remain in a relaxed state. The skin remains motionless and smoothes out. This unique property has certain limitations; it is important to understand that the boundaries of Botox’s action are clear.

        With its help you can remove only facial wrinkles. Other types of wrinkles are not affected by the toxin. In particular, it will not be possible to eliminate natural nasolabial folds, wrinkles that formed as a result of skin stretching, as well as problems caused by the structural features of the skull.

        Its duration of action is 6 months, during this period the muscles remain motionless and wrinkles do not form. Then muscle activity increases again.

        Indications for the use of Botox

        The drug allows you to eliminate the problem on almost any area of ​​the face. Nai best results obtained when working with the frontal part and eye area. In most cases, Botox is used to correct the following defects:

      • Forehead and brow wrinkles;
      • Small wrinkles on the sides of the eyes, so-called crow's feet;
      • Folds around the lips and on the chin;
      • Wrinkles at the base of the nose;
      • Neck folds.
      • With the help of Botox injections, you can remove facial asymmetry, lengthen the chin, raise the tip of the nose, narrow the width of the nostrils, and change the height of the eyebrows.

        There is another direction for the use of injections - injections in the palms, armpits, and feet. These procedures eliminate excessive sweating. They are prescribed to people with hyperhidrosis, often used before the summer season.

        An important question is from when you can use Botox injections. Experts say that for cosmetic purposes, the procedure is best performed from an adult age. Cosmetologists advise starting injections at the first signs of wrinkles on the face.

        Botox for the face - possibilities

        Botox injections can correct any area of ​​the face, but the best results appear when working with top part faces. Good effect appears when working with horizontal wrinkles on the forehead, area around the eyes, folds on the nose.

        The drug is usually injected into the so-called target muscles:

      • frontalis – the top of the forehead, allows you to eliminate creases on the forehead and wrinkles near the eyebrows;
      • corrugator supercilii – the muscle responsible for wrinkles on the forehead;
      • orbicularis oculi - muscles around the eyes, inserted into the outer corner of the eye to remove crow's feet;
      • procerus – on the back of the nose, eliminates wrinkles between the eyebrows;
      • nasalis - the area of ​​the nose, nasolabial folds are removed, but injections into these places are rarely used. There is a danger that the corners of the lips will droop;
      • m.depressor anguli oris – on the sides of the lips, they allow you to get rid of the accumulation of wrinkles and make the lip line more pronounced. It is impossible to increase the volume using injections;
      • mentalis – chin;
      • platisma - neck. To eliminate creases and prevent sagging cheeks and chin.
      • For your information! Botox is believed to help with persistent headaches - migraines. This is due to its action of blocking the release of pain mediators; it has a depressing effect on peripheral sensitization. But this action has not been fully studied.

        The injection sites are determined individually in each specific case. They are selected depending on the problem and the wishes of the patient. Botulinum toxin is rarely used in the lower part of the face, this is due to the danger of muscle drooping if the injection area is incorrectly determined.

        If the injections were done correctly, the toxin has a local effect. It does not affect surrounding tissues and does not cause any harm to the body.

        Dysport or Botox?

        Currently, cosmetologists use two drugs, which at first glance have an identical composition. This is Botox and Dysport. The similarity lies in the fact that both injections are based on botulinum toxin type A, they are injected intramuscularly and are used to eliminate facial wrinkles and relax muscles.

        Despite the similar effects, these drugs have a number of differences, which are expressed as follows:

      • The effect of using Dysport appears faster, its use becomes relevant in cases where it is required minimum term fix your face. At the same time, there is an opinion that its duration of action is longer, but this fact has not been scientifically confirmed.
      • Dysport has a higher diffusion ability; it is able to penetrate into neighboring areas. This is on the one hand positive quality, convenient for correcting a large area (forehead, bridge of the nose). But on the other hand, this property can lead to side effects such as drooping eyelids.
      • An important difference between Botox and Dysport is the concentration of the main active ingredient. One injection of Botox corresponds to 2.5-3 units of Dysport. The dosage of drugs also depends on this. Studies have shown that Dysport wins in the fight against expression lines around the eyes.
      • The differences also lie in the cost of the drugs. Botox injections cost three times more than Dysport. But given the concentration of the main substance, sometimes using Dysport is cheaper.
      • In its marketing policy, the manufacturer of Dysport, the Allergan company, uses data that the use of this drug provokes the production of antibodies that neutralize the effect of botulinum toxin and reduce the effectiveness of injections. Practice shows that this effect is more pronounced when using Botox.

        But in any case, it has been proven that the body raises protective forces against the action of these drugs only when administered in large doses, more than 200 units. Small doses are used to eliminate wrinkles, so this effect is usually not observed.

        How to decide what is better to use - Dysport or Botox? In principle, there is no particularly significant difference between these drugs. The main difference is the timing of the initial effect. When using Dysport, the result is noticeable after 1-4 days, although the final effect also occurs after 10-14 days.

        Most cosmetic clinics offer their clients both types of injections to choose from; the final decision in favor of one or another drug is made by a specialist depending on the individual characteristics of the body, the needs of the person, the location of problem areas, and the reaction to previously performed procedures.

        Botox injection price

        Each zone has its own number of toxin units. The dosage depends on the injection site and the desired effect. Approximate indicators are as follows:

      • Forehead – 10-30 units;
      • Between the eyebrows – 10-25 units;
      • For eyebrow lifting – 3-5 units;
      • Nose – 5-10 units;
      • Chin – 40-60 units;
      • Lips – 4-6 units;
      • Neck – 30-50 units.
      • These indicators apply only when using Botox; analogues have different dosages. The results of using the drug can be seen in the photo: before and after.

        Changes before and after Botox

        The use of Botox can correct many shortcomings, in particular, the positive consequences of its use can be the following:

      • Restores skin in the face, neck, and décolleté;
      • The shape of the face, the location of the eyebrows are corrected, the corners of the lips are raised;
      • Wrinkles disappear around the eyes, on the forehead, and neck;
      • Sweating decreases in the armpits, feet and palms;
      • The action of Botox is aimed at getting rid of headaches;
      • Relieve tension and stagnation in muscles, relaxation;
      • Relief from facial spasms.
      • The first noticeable results appear within a week after injections, but in in full improvements are noticeable only after two weeks. Over time, the effect of the procedure increases, and it lasts up to six months. The speed of obtaining results depends on the dosage and characteristics of the human body, and in women the phase plays a role menstrual cycle.

        Tips from cosmetologists! In order for the result to appear faster, experts advise making facial movements in the working area, this will allow the Botox to be distributed in a better way. In addition, after administering the drug, you can apply an ice pack to the affected area for several minutes.

        Main positive consequence administration of the drug - the muscle that received the injection remembers the relaxed state, and in the future it long time is in this position. The duration may exceed the exposure time of Botox. But in order to maintain facial skin in ideal condition, it is necessary to carry out procedures regularly. How often this should be done is decided by the cosmetologist.

        Important point! Botox helps relax facial muscles, while it smoothes out wrinkles that form when these muscles move. Therefore, with the help of this drug you can eliminate almost any type of wrinkles associated with muscle activity.

        Contraindications

        There are official contraindications to carry out injection procedures. They can be divided into several groups. Some contraindications are temporary and can be eliminated. Others depend on what area you plan to work on. Certain contraindications have been abolished, but in fact, manufacturers are in no hurry to remove them from the list, this is due to the fact that the drug will need to be re-registered.

        In what cases should Botox not be injected?

    1. Myasthenic reactions. This syndrome in itself is a very dangerous condition, which is caused by serious diseases. Anyone who knows what it is understands that in this case there is no question of injections.
    2. Inflammation, skin diseases in places where the operation is planned. This applies not only to Botox injections, but also to any other procedures. Even if an ordinary, unremarkable pimple appears on the forehead, near the eyes, above the eyebrow, it is better to stop injections for at least a week.
    3. Acute stage infectious disease. It is better to postpone injections until complete recovery. This contraindication applies to any infections - influenza, acute respiratory infections, ARVI, herpes.
    4. Myopia. IN in this case It is recommended to obtain permission from an ophthalmologist before performing the procedure. It is not recommended to perform surgery for high myopia.
    5. Allergic reactions to the composition of the drug. This phenomenon is extremely rare; botulinum toxins practically do not cause allergic reactions. But if there are any doubts about this, you can take an antihistamine, for example, Claritin, before the procedure.
    6. If there have been severe manifestations of allergies in the past, you should inform your doctor about this. Because in addition to botulinum toxin, a solvent is also introduced. Most often, saline solution is used as a solvent.

    7. The period of taking antibiotics and at least two weeks after completing the course. The doctor performing the procedure should be informed of all medicines, which the person took before treatment or is currently taking!
    8. Drinking alcoholic beverages. We are talking about alcohol abuse. Previously it was believed that ethanol neutralizes the effect of the main substance, and Botox will not work as expected. Recent studies have refuted this fact, so after the procedure you can slightly “mark” the event.
    9. The procedure cannot be performed after surgery for at least three months. This period is somewhat exaggerated; after many operations, botulinum toxin can be used after a month, but it is better to be safe. Before use, you should consult your surgeon.
    10. Noticeable hernias on the eyelids. The procedure causes swelling that may take a few days to two weeks to subside, increasing the size of the hernia. This is not an absolute contraindication; it is better to consult a specialist about this.
    11. Pregnancy and lactation period. Of course, botulinum toxin in such doses can cause harm to the expectant mother and the baby is not capable, but many cosmetologists prefer not to get involved with such manipulations. Before carrying out the procedure, a pregnant woman should do a large number of tests and undergo research, which is unreasonably expensive and takes a lot of time.

    All these contraindications are mostly relative. These are reasons why the procedure should not be performed. It is worth understanding that injecting botulinum toxin at home is prohibited; this should be done by an experienced cosmetologist.

    There are certain rules that should be followed after the injections are placed to avoid complications. Not recommended:

  • Scratch or massage the injection sites;
  • Use cosmetics during the healing period;
  • For 4 hours after the procedure, you should not bend or lie down;
  • You should not visit saunas and steam baths for 5-7 days after injections.
  • Possible consequences

    An unsuccessful procedure can lead to negative consequences. The following complications are possible:

  • Asymmetry of the face, corners of the eyes and lips may “leak” if the drug is administered incorrectly or inaccurately;
  • Pain and hematomas in the injection area, swelling;
  • Unnatural facial expressions, more like a mask;
  • Formation of new wrinkles in neighboring areas;
  • Seals at injection sites; they appear when the drug is unevenly distributed.
  • Possible negative consequences can be prevented. To carry out the procedure, you should contact trusted clinics and experienced specialists.

    Currently, Botox is the safest and relatively inexpensive way to correct facial defects, get rid of excess wrinkles, and restore beauty and youth. This is why it enjoys great love and trust among many people around the world.

    Hello again, dear readers! Today we will discuss one topic that will certainly interest many representatives of the fair sex. I mean Botox for myopia, the specifics of the procedure for its administration and the advisability of using it for diseases of the organs of vision.

    A modern alternative to surgery for rejuvenation and correction of facial skin is injections of drugs containing botulinum neurotoxin, which is popularly called Botox. Its main active ingredient is botulinum toxin, but I will talk about this a little below.

    Procedures for introducing Botox under the skin of the face are extremely popular among modern women. This is due the following factors:

    • practically complete absence pain;
    • speed of the procedure;
    • minimal rehabilitation period;
    • complete elimination of wrinkles.

    As you know, the skin around the eyes is incredibly thin and sensitive - under it there is a minimum of hypodermis and exocrine glands. Due to the rare fibrous structure of elastin and collagen, the skin stretches even more.

    In this case, the peripheral part of the orbicularis oculi muscle is subjected to the greatest load, allowing it to open and close the eye.

    Over time, blood circulation slows down, which leads to loss of muscle elasticity and contraction. As a result, fine wrinkles are formed, which gradually turn into deep wrinkles.

    Most of all, the thin skin of the periorbital zone is exposed to external influences of UV radiation, dry air, strong wind, burning sun, etc.

    Excessive tension in the eye muscles also affects the skin around the eyes. This happens due to active facial expressions, lack of sleep, bad habits, dry skin, regular stress and fatigue, lack of vitamins for the eyes. All these points must be taken into account before administering Botox.

    As for the procedure itself, it involves an injection with an insulin syringe. Botox injections generally penetrate quite deeply so that the muscle is completely paralyzed and no problems arise during the procedure.

    The exception is the outer corner of the eye - in this case a superficial injection is made. Within 20 minutes upon completion cosmetic procedure it is necessary to perform facial expressions in order to engage muscles that must be immobilized.

    Does Botox cause vision problems?

    During numerous clinical trials It has been proven that Botox injections under the skin of the eyes quite often cause temporary visual impairment. More and more patients are complaining of complications in the form of visual impairment that arise after the procedure.

    Important! Doctors managed to find out that the reason lies in botulinum toxin - this is a powerful natural poison, under the influence of which the orbicularis oculi muscle relaxes, which leads to a temporary deterioration in vision.

    In this regard, cosmetologists must inform patients about probable complications after botulinum therapy. This is especially true for women who suffer eye diseases(moderate myopia, glaucoma).

    Contraindications for cosmetic procedures

    There are certain contraindications to the Botox procedure. It is not recommended to drive it when:

    • chronic diseases (especially neurological);
    • pregnancy and breastfeeding;
    • diseases of the kidneys, liver and lungs;
    • dysfunction of the thyroid gland;
    • oncology.

    If a woman is pursuing the goal of getting rid of wrinkles around her eyes, she first needs to find out whether she suffers from eye diseases. For example, it is a contraindication for correction of the periorbital zone.

    Complications after Botox injection

    As already mentioned, at first Botox has an adverse effect on the eyes - this is the main negative consequence of botulinum therapy. It appears immediately after the injection is given. Injections have a bad effect on the organs of vision because they are often injected into the area between the eyebrow folds and the outer corners of the organ of vision.

    So, the side effects of Botox are as follows:

    • temporary visual impairment (double vision, deterioration of visual acuity);
    • ptosis (dropping of the upper eyelid);
    • dry eyes.


    Due to the fact that the negative effect of Botox injections on the eyes is due to muscle relaxation, it is important to follow the cosmetologist’s instructions and not overdo it with the frequency of such procedures. In this case, the duration of side effects will be short-lived.

    Speaking about whether it is worth using Botox for skin rejuvenation, I note that such injections are safe and effective, however, to achieve the desired result, this task should be entrusted to a highly qualified cosmetologist.

      Good afternoon I am 48 years old, I take it daily hormonal drug“Angelique.” I'm going to inject the drug Dysport. Is hormonal withdrawal required, or is everything compatible? Thank you!

      Sofia, Dysport blocks muscles without affecting hormonal system. The drugs are quite compatible. To be sure, you can consult your doctor.

      Hello, tell me, is myopia really a contraindication for Dysport? Five days ago I took 45 units (between the eyebrows and around the eyes) and the doctor didn’t even warn me about it, I have myopia - 6. All the days after that I feel tired, tense eyes and swelling of the upper eyelids. Is this normal or is it related to myopia?

      Good afternoon, 10 days ago I had Botox applied to the forehead, only a small area of ​​the forehead was affected and the wrinkles were not smoothed out, I move my eyebrows freely, I raise them up, is my facial expression preserved? What is the reason and is it possible to inject more of the drug? And after what time can you sunbathe in the sun? I live in Thailand for the first three days after the injection I didn’t even show myself in the sun. Get it right, it’s a hot country, there’s nowhere without sun. Thank you in advance for your answer THANK YOU

      Olga, there can be many reasons why Botox didn’t work: from high immunity to incorrectly diluted Botox. Try to inject, but a little so as not to waste money if it doesn’t work.

      Olga, myopia is relative contraindications and only its high degree.

      Catherine

      Hello! I am planning a pregnancy in the near future, 1-2 months; Is it possible to do Dysport before this?

      Good afternoon. 9 days ago I had Dysport done, including in the nasolabial folds and along the upper contour of the upper lip, as the doctor recommended, I couldn’t help but trust the doctor’s recommendations, because... I applied for the first time, the clinic is expensive with a good reputation, including the doctor. As a result, now I can’t go outside because... numb upper lip, sags and bends when smiling, (I can hardly smile), I can’t pronounce words fully, because... lip goes numb. I’m very concerned, I haven’t seen a doctor yet, please tell me. What should I do next and is it possible to cancel the effect of Dysport, although I spent a lot of money, about 210 units. in the face. Thank you.

      Ekaterina, pregnancy is a contraindication for Dysport. As you understand, there are no studies on pregnant women. Since Dysport cannot be classified as an emergency procedure under any circumstances, it is better to postpone it until the birth of the child.

      Olga, are you not confusing anything? What kind of Dysport for lip contour? For what?

      Hello. I spent time in the hospital, was under anesthesia, and then received intravenous drips. After leaving the hospital, I went to a cosmetologist to remove facial wrinkles between the eyebrows and on the forehead. She told me that today was the last day of antibiotics and whether it was possible to inject Dysport. She said that there was nothing to worry about since the effect of Dysport comes in a week. After reading the article, I am now worried about side effects and what should I do in this situation? Thanks in advance.

      Olya, the only side effect may be the lack of effect from Dysport. It was necessary to wait until the antibiotic was removed from the body.

      valentine

      Good afternoon!!! Please tell me how often you can do Dysport injections? If the effect lasted 4 months, can I inject again right away or do I have to wait until 6 months have passed?

      Anastasia

      Hello, I have had both Botox and Dysport injections several times. This time, after two weeks, I had to add a little, because... mobility was preserved. And when the drug was administered, there was severe pain (and this has never happened before), as well as swelling in the form of lumps at the injection sites. What could be causing the pain? Should I be worried?

      Anastasia, the degree of pain may depend on the menstrual cycle, for example. The swelling should resolve. ideally, of course, they shouldn’t exist. I hope you applied ice after the injection.

      Hello, my husband and I are planning a pregnancy starting next month. Can I take Xeomin now or should I postpone it?

      Olesya, there are no studies on pregnant women and traditionally pregnancy is a contraindication.

      Hello. Today is the 7th day after the injection of Dysport into the eyebrow wrinkle, 10 units were injected. It's gotten better, but the wrinkles are still there. Today I decided to continue my training: I bent over a heavy barbell (this strains my face quite a lot) and squatted with it. After this, I felt discomfort at the injection site of Dysport, and then got a headache. Will the effect be lessened after this or will the Dysport move a little? Please also tell me if after 2 weeks of Dysport you go to the solarium 2 times a week, how much will its effectiveness decrease? or the longer you don’t start tanning, the better. Well, that is, if I go not after 2, but after 3 or 4 weeks, will it be better? Thank you

      Hello! I am the author of post No. 481. A month and a half has passed since the injections. I took a course of antibiotics, but the effect of Botox did not stop.. What could be the reason?? So what should I do? And I also heard that there is some kind of injection that causes the muscles to contract, thereby neutralizing the effect of the toxin, do you know if this is true?

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    The second topic that was raised within the “Risks of Aesthetic Medicine” business laboratory, organized by the 1nep.ru portal, was “Complications in botulinum therapy.” Someone you already know spoke on this topic Alexander Turkevich, dermatovenerologist and oncologist, candidate of medical sciences. Sciences, Associate Professor of Lviv Medical Sciences University, hosting the MedEstet clinic in Lvov, giving a course of lectures for doctors at the University of Rome and publishing the journal “Practice of Aesthetic Medicine” as editor-in-chief.

    For those who, by a happy coincidence, are not fully aware, what is botulinum therapybrief information. Botulinum toxin is a poison that paralyzes muscles. American ophthalmologist Alan Scott was the first to use botulinum toxin in medical practice. - in order to “block” muscle spasm. This was in the late 70s. IN medical purposes the drug was first approved for use in the United States in 1989. For aesthetic purposes - to prevent wrinkles from forming - it is approved everywhere in the world and recently, finally, even in America (to the great sadness of European aestheticians, and, in particular, Dr. Seb, to whom until then everyone went for injections Hollywood:) You can read about who he is and how I was in his chair.)

    The concept of “Botox” has long become a household word, like “copier” and “aspirin,” but in fact Botox is a trademark of a drug that is produced in Ireland. In addition to it, 3 products based on botulinum toxin are approved for use in Russia - “Dysport” (France), “Xeomin” (Germany) and Lantox (Russia). They differ slightly in duration of action and “blocking” power, as well as in price, but in essence they are the same thing. However, professionals, in order to avoid unnecessary friction with the company that produces Botox itself, prefer to call everything the general term “botulinum toxins.”

    Alexander Turkevich’s report was addressed to specialists - and after talking with him behind the scenes, I made something like a medley on a given topic so that his point of view would be clear to both professionals and amateurs.

    1. Can botulinum toxin injections cause harm?

    In general, no. Botulinum toxin is the safest of all drugs used in aesthetic medicine. It works locally, exclusively in the place where it was injected, and does not spread throughout the body. True, there are cases where a bottle was brought from China, and it “amazingly” acted in a completely different way from what the doctor and, most importantly, the patient expected. The better the drug is purified, the safer it is. Unpurified drugs contain a lot of impurities - proteins, which can cause complications. Try not to fall into the hands of specialists who use Chinese “Botox”.

    2. What complications are fraught with the administration of a drug based on botulinum toxin?

    At most, the patient will receive temporary ptosis (sagging tissues and muscles) and/or asymmetry. Causes of ptosis - administration of the drug without taking into account anatomical features the patient’s face, incorrect choice of injection point, insertion depth, plus diffusion of some toxins - the greater the diffusion, the worse. For example, Dysport has significantly greater diffusion than Botox. Asymmetry arises for the same reasons. Many doctors do not take into account the work of antagonist muscles (we must understand that by “cutting out” one muscle, we place a double or triple load on the one associated with it). Both ptosis and asymmetry will go away, but not right away: Botox, unlike fillers based on , does not have a high-quality “antidote”, and it lasts for about 6 months, plus or minus 2.

    3. How can these complications be avoided?

    Choose a competent, intelligent and honest doctor who will not skimp on the drug. And learn to endure pain. To understand how muscles interact, I ask patients to smile, frown, and grimace during the procedure. Even if a topical anesthetic is applied to the patient’s face—the same Emla cream—the facial expressions will be changed. That's why I shoot for profit. It's not very pleasant, but it's bearable. Otherwise, you're taking a big risk. ( By the way, the same doctor Seba and other doctors also injected me for profit. I confirm: you can endure it :) It would be more difficult for me to endure six months of drooping eyebrows up to my ears. Ya-z-va.) If you come for the first time, and the doctor asks you to lie down on the couch, it is better to get up and leave immediately: in the “lying down” position, the location of the muscles is different from what we have in the usual vertical position. And the chance that you will be injected with something in the wrong place increases.

    4. Is it necessary to give the body a “rest” from botulinum toxin injections and take intervals between sessions?

    No. On the contrary, the more regularly the patient injects, the less likely there are complications. I have patients who come for the procedure regularly for 5-8 years. And they are still happy with the result. But you shouldn’t inject yourself more often than once every six months.

    5. Is it worth asking the doctor for the first time (or just in case) to “reduce the dose”?

    No. This leads to the fact that not all the muscle is saturated with the drug, and the remainder of it that “didn’t get it” works “for itself and for that guy.” As a result, the muscle hypertrophies, and the next time, a double dose is required to immobilize it. Dose adjustment towards a slight reduction is permissible only in patients who have been receiving these injections for many years.

    6. Is there another technique that fights expression lines just as effectively?

    As far as I know, no.

    7. I'm afraid that after the injections my face will stop expressing any emotions. How to prevent this from happening?

    Choose a doctor and don't insist that you want to look like a teenager. An adult should have facial wrinkles, or at least a hint of them. This is fine.

    8. Some doctors inject botulinum toxin not only into the forehead, between the eyebrows and in the crow's feet area, where expression lines are most obvious, but also in the middle part of the face and along the edges lower jaw to “support the oval.” What do you think about this technique?

    It’s normal if the injection is done by a competent doctor. It is necessary to take into account the features of the face. For some patients, I inject the drug into the entire face. For others - exclusively in the forehead area, because in all other areas this will lead to puffiness, ptosis, unnaturalness and other troubles. It took me about 10 years of practice to figure out what was what. I wish you to get to a specialist who has already walked this path.

    Fine. It works. But it is very painful, therefore, since you do not risk losing facial expressions in this case, insist on anesthesia.

    10. A favorite question from readers: at what age should these injections be given?

    Here age is not the main thing, but rather the last indication. More important is the activity of facial expressions, which leads to premature changes. If facial expressions are active, there is no need to wait. My daughter is 22 years old, I have done this procedure for her 4 times already. And she lost the habit of wrinkling her forehead. Yes, as a father, I want her to remain a beauty longer. But at 70, it’s probably too late.

    P.S.S. For our readers from Lviv. You can get an appointment with Alexander Turkevich by appointment. Tel. +380506479009