Removal of the skin is the result of the following mechanisms: aging, sequelae of acne lesions and genetic disorders.

The visible morphological changes associated with the aging process are:

– Shrinking bone structures

– Decreasing skin thickness and elasticity

– Decreasing the adhesion of the skin to the underlying layers

– the gravitational fall of soft tissues

– wrinkle formation in the areas of adhesion with deep structures and muscle insertion areasAround 30 years of age occurs: a surplus of skin in the upper eyelid area, fine wrinkles in the lateral areas of the orbits, deepening the naso-labial ditches.

Around the age of 40, glabellar wrinkles (between eyebrows) and forehead appear, and the others accentuate.

At 50, wrinkles appear on the neck and the tip of the nose drops down.

At 60, the skin of the face is much thinner and lowers adipose tissue in the temporal and buccal region.

There are 3 types of aging human skin wrinkles:

– animation wrinkles, resulting from the contraction of mimic muscles

– fine wrinkles caused by breakage of the fibrillated structure of the structure

– pronounced deep, wrinkled, sunny elastase products

Basically, there are several techniques available in facial rejuvenation:

– Correction of dynamic wrinkles by controlled and temporal paralysis of the muscles involved by injection of botulinum toxin

– the action of microscopic grinding of the skin and the improvement of its qualities by chemical peeling or laserpeeling

– Restoring the required volume of cheeks, cheekbones or lips through fat transplantation

Botulinum toxin wrinkle treatment

Botulinum toxin type A is used for therapeutic purposes for over 20 years for the treatment of strabismus, torticolis, facial spasm and blepharospasm.

Botulinic Toxin has been used in the cosmetic treatment of overactive facial wrinkles called Botox in the US, and in Europe as Dysport. Botulinum Toxin Type A is a protein produced by Clostridium botulinum bacteria. It acts on neuromuscular junctions blocking synaptic chemical mediators (acetylcholine), producing the temporal paresis of the interested muscle groups. Thus, the muscularity relaxes, causing the stretching of the overlying skin, which will become without folds and wrinkles. The skin will get a lighter and lighter color as a result of local vasodilation with a rich oxygenation of the skin. Botulinum toxin injections do not require hospitalization or anesthesia, and patient discomfort is minimal.

Botulinic Toxin can be used to treat wrinkles in the upper face of the face: – transversal wrinkling of the forehead (front muscles)- eyebrow loss (corrugator and orbicular muscles)- Vertical wrinkles at the root of the nose (procerus muscle)Due to its mechanism of action the effect of Botulinum Toxin lasts between 3 and 6 months, being influenced by dilution, the site of injection, individual tolerance.The first effects of injected Botulinum Toxin occur within 24 hours, the final result being appreciated after 7-14 days.

The contraindications to Botulinic Toxin are: 

– allergic persons to one of the components used in toxin preparation (albumin)
– conditions that cause a general decrease in muscle strength (myasthenia gravis)
– pregnancy and lactation
– people being treated with anti-inflammatory drugs- the presence of some face infections
– minor patients who have not obtained parental consent

Adverse reactions are temporary and can be:

– redness at the injection site
– slight pain in the face
– asymmetry
– palpebral pustules or eyebrows

Wrinkle treatment with Botulinum Toxin is an almost perfect cosmetic procedure, easy to achieve and which gives incredible patient satisfaction. For patient results, the patient will be photographed before and after 14 days.




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