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![[DuHan Plastic Surgery Wrinkle Removal] - [Wrinkle Correction Botox] image 1](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/b74ebf64e99dab20d1581a5f8aa9a97ce78b1e2b1c451a356ebde0021894f47a.jpg)
For wrinkle correction
Botox procedure
Botox is a brand name, and its ingredient is a type of neurotoxin produced by an anaerobic bacterium called Clostridium botulinum, which is generated when canned food spoils.
When this neurotoxin acts on the human body, it blocks acetylcholine, a secreted substance, at nerve endings and has the effect of paralyzing muscles.
It is used to suppress facial expression wrinkles.
It can be applied to the glabella, crow’s feet, and forehead wrinkles, where expression wrinkles are strong.
![[DuHan Plastic Surgery Wrinkle Removal] - [Wrinkle Correction Botox] image 2](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/c12e74986c15bdddcfa4df33e8f0ac86f9a130f2c5df3e66b6555d03ab587c71.jpg)
The history of Botox (botulinum toxin) use
It began being used in ophthalmology in the 1970s to treat strabismus, and from the late 1980s it has also been used for wrinkle correction, including blepharospasm. More recently, it has also been used for localized hyperhidrosis (a condition that causes excessive sweating).
It has been used for nearly 30 years and has no particular side effects specific to the drug.
This muscle-paralyzing effect is applied to suppress facial expression wrinkles, and botulinum toxin type A (brand names: Botox, Dysport, BTX, etc.) is commercialized and used.
Application of Botox for facial wrinkle correction
Among facial wrinkles, the wrinkles that can benefit from Botox are expression wrinkles that appear when making facial expressions, such as horizontal forehead wrinkles, vertical glabellar lines between the eyebrows, crow’s feet that appear when smiling, and horizontal wrinkles above the bridge of the nose.
It should not be used under the eyes or around the mouth.
Under the eyes, the skin may sag or complications such as ectropion may occur, and around the mouth the expression may become stiff and awkward. For this reason, Botox should not be used below the eyes.
Areas where Botox is applied
○ Forehead wrinkles
○ Crow’s feet
○ Glabellar wrinkles
○ Nose bridge wrinkles
Botox procedure method
Inject the commercialized botulinum toxin into the areas where wrinkle correction is desired, and the pain during the procedure is only mild.
On average, the effect appears after 2 to 3 days, and there is no disruption to daily life.
The duration of effect is about 3 to 6 months, and as the drug effect wears off, muscle strength begins to return. After about 6 months, the effect of the drug almost disappears.
If desired at that point, the procedure can be repeated.
Anesthesia method and procedure time for Botox treatment
Botox is performed without separate anesthesia.
A topical anesthetic cream (EMLA) may be applied, but it is almost ineffective.
Because topical anesthetic cream numbs only the epidermal layer of the skin, it has almost no anesthetic effect for Botox procedures, which require the medication to be injected deeply beneath the skin.
Local injection anesthesia can also be used, but since there is pain when the needle pricks, there is no real benefit to anesthesia.
Rather, it can be said that receiving the Botox injection directly without anesthesia is less painful.
Because Botox procedures use the finest 30-gauge needle, there is no pain other than a slight stinging sensation, so there is no need to worry.
The procedure takes about 2 to 3 minutes per area.
The facial wrinkle Botox procedure process
![[DuHan Plastic Surgery Wrinkle Removal] - [Wrinkle Correction Botox] image 3](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/ffd054d4dd10b5d91923010f9112cb86a972323df8d3c314b1bf7399b058ef4d.jpg)
- Disinfect the facial area and mark the areas to be corrected with a design pen.
![[DuHan Plastic Surgery Wrinkle Removal] - [Wrinkle Correction Botox] image 4](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/b655656c9ad206d1345bb6c3c5cb75d463f6e4b2af1857e2f80f608777b70e4e.jpg)
- Draw the Botox into the syringe.
![[DuHan Plastic Surgery Wrinkle Removal] - [Wrinkle Correction Botox] image 5](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/1854bd58617f4b4406bdbdd9aec53a3d9fa01dd12827d54d061fdb4de048f275.jpg)
- Inject the botulinum toxin along the marked areas.
Usually, 0.5 cc is injected into each marked area.
![[DuHan Plastic Surgery Wrinkle Removal] - [Wrinkle Correction Botox] image 6](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/52526777a733c8d31eeffa6273cbbd69f69c301227be028381725db053eff314.jpg)
- Immediately after the procedure, you can apply makeup and go home to continue daily life.
Botox procedure examples
![[DuHan Plastic Surgery Wrinkle Removal] - [Wrinkle Correction Botox] image 7](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/131a57ba3e7caa8ccc0b463d6cfe561cd2c480bbca62f732df9f8c21e228534d.jpg)
![[DuHan Plastic Surgery Wrinkle Removal] - [Wrinkle Correction Botox] image 8](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/464cc7936f1590c68e0b8d309876a4246eb258bebed622a67e7b44e6bd460ea5.jpg)
![[DuHan Plastic Surgery Wrinkle Removal] - [Wrinkle Correction Botox] image 9](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/6f20515de72a89689351fc7573a420580a0e2a00c5ed607d30e1acba6fd4dde7.jpg)
Types and differences of botulinum toxin currently sold in Korea
The first product introduced and sold in Korea was American Botox.
Later, the product imported from France was Dysport, and more recently there is BTX, which is made in China through OEM production and imported as a domestic product.
All are the same botulinum toxin, so the ingredients are identical, but there are some differences.
The high-priced product is Dysport, followed by Botox, and the lower-priced product is Chinese BTX.
Different clinics use different types of botulinum toxin, so there are differences in treatment costs.
If the treatment cost is too low or the effect is poor, you should check whether Chinese products are being used.
Botox duration and recurrence
The duration of Botox varies depending on the area and the individual.
In some cases, the effect may wear off after just 3 months, while in others it may last more than 9 months.
On average, the effect wears off between 3 and 6 months, after which facial expressions return to normal and expression wrinkles recur.
If you want to suppress expression wrinkles again, you can have the procedure repeated.
Tolerance to Botox
When Botox enters the body as a foreign substance, the body may develop tolerance to it, just like with other drugs.
In some cases, the body itself produces Botox antibodies, and when antibody production is high, the effect of Botox may be almost unnoticeable.
As the number of procedures increases, the likelihood of the body producing antibodies against Botox also increases, so you should keep in mind that repeated injections may reduce the effect due to antibodies.
Wrinkles for which Botox is not effective
Botox works by paralyzing the facial muscles so that they cannot form wrinkles, so it is only effective for wrinkles that appear when making facial expressions.
However, even if Botox is injected, it is not very effective for deep wrinkles that remain visible even when the face is at rest.
To correct these wrinkles at rest, hyaluronic acid products such as fillers (Juvederm, Restylane) are used.
Botox side effects
Botox has no special side effects, but because it works by paralyzing facial muscles, the following side effects may occur.
● If injected under the eyes, the muscles may relax and the eyelids may appear droopy.
● If Botox is injected under the eyes in cases of senile lower eyelid laxity, ectropion may occur.
● If injected into wrinkles around the mouth, mouth movement may become unnatural and facial expressions may look awkward.
● When injected into the forehead or glabellar area, eyebrow ptosis or blepharoptosis may occur, causing the eyebrows or eyelids to sag.
● Because there are many blood vessels around the eyes, bruising may occur after injection.
Prevention and countermeasures for Botox side effects
You should receive the procedure from an experienced plastic surgery specialist.
Even if an undesired result occurs due to Botox treatment, it is temporary.
When the drug effect wears off, the condition returns to how it was before the Botox procedure, so there are no permanent side effects.
After 3 to 6 months, you will return to your original appearance.
![[DuHan Plastic Surgery Wrinkle Removal] - [Wrinkle Correction Botox] image 10](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/8850b77e8f8ebd60a1d6515e08ec9e44ec936baf54b001f05bb31c9cad30bab4.jpg)
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