Just to clear up some misunderstandings.
Botox was originally developed to inject into the masseter muscle, the muscle that connects your bottom jaw to your top jaw. The muscle becomes very bulky in people who grind/brux their teeth excessively giving them an over developed square jaw ( Sophie Ellis Bexter is a good example).
Injecting Botox into the muscle paralyses it so you no longer over clench. This has two effects the first is to reduce the chronic pain associated with extreme bruxing, the second is to debulk the muscle. When you can no longer use the muscle it reduces in size, think body builder who can’t train.
Only small areas of the masseter are treated otherwise you would be walking around with your mouth wide open all the time.
With its success in treating medical problems, it’s also been used in other conditions where muscle spasms cause imbalance, and the observation that using small amounts targeted at specific muscles its use in cosmetics grew.
It’s not a cow toxin, it is derived from bacteria found in soil or contaminated food. Outbreaks are usually the result of contaminated food where the spores infect a can of food where the seal has failed. The bacteria have time to grow and produce the neurotoxin responsible for botulism. Others food that provide the opportunity and time for toxin levels to become significant are fermented vegetable products and honey. If you ingest the spores generally your body kills the bacteria before they produce the toxin, however in infants and immunosuppressed individuals, it may cause symptoms.
So after the lecture:-
- the toxin produced for medical use is safe as long as it is from a licenced reputable source.
- if used correctly it does iron out the creases
- avoid the lip curl/lift combined with fillers- you will struggle to drink without dribbling and you will not be able to use a straw along with other activities that require a fully functioning obicularis oris
- new regs mean that you must be assessed by a prescriber if person who injects you is not qualified to prescribe
- less is more, freezing your face makes social interactions weird, people can’t read the subtle expressions because your face can no longer make them
I toyed with the idea of training to do Botox and fillers, but I just didn’t fancy dealing with problems if it goes wrong. I give injections into the mouth and face multiple times a day at work so I’m used to sticking needles in people, but for me it doesn’t align with our “do no harm” mantra.
I have had Botox and was impressed with the results. It was subtle and although I could see the difference my DH never spotted it, the ultimate test.
Unfortunately the colleague who did it has stopped doing any facial aesthetics because the indemnity insurance is extortionate and she doesn’t really have the time to do enough cases to make it worth while.
The one thing I won’t have done is fillers, I’ve just seen too many disasters and I don’t mean when it goes wrong but when it ruins a perfectly beautiful face by distorting the features. But as someone who gets very up close and personal with patients I see what the makeup and phone filters cover up.