Wrinkles and folds represent signs of muscular activity. Every time we smile, laugh, frown or exhibit other emotions the delicate facial muscles contract. In some of us facial muscular activity is excessive or facial muscles are stronger and hence wrinkles might appear earlier than usual and often are more pronounced than in others.

Indikation
Dynamic wrinkles such as worry lines, forehead wrinkles, "crow's feet"

What is botulinumtoxin and how does it work?
Botulinumtoxin is produced by a bacterium, Clostridium botulinum. Injected into muscles the substance blocks nerval impulses and selectively relaxes the muscle so that a contraction is prevented. This process is called cosmetic enervation. Other nerval qualities such as sensibility of the skin are not affected.

Due to the selective inhibition of particular muscles the overlying skin relaxes and is freed form permanent mechanical (muscular) alteration. Mainly used for worry lines, the effect is seen after 3-5 days and will last for 3-6 months after the first treatment. The duration of the result is increased with repetetive applications, so that one will need less injections over a given period of time, owing to the specific muscles becoming weaker.

Our experience
Botulinumtoxin A (Dysport®, Botox®, Vistabel®, Xeomin®) is a very safe and effective drug. It has been used for many years not only in cosmetic surgery but also for other indications in dermatology and neurology. The specific use in the treatment of wrinkles such as worry lines and crow's feet represents a solely cosmetic procedure which is proven to give very satisfactory results, if used properly and for the correct indication.

Treatment
After adequate dilution botulinumtoxin is administered with a very fine needle into the desired region. Using a microneedle the procedure is almost painfree, a slight temporary bruising due to the injections rarely beeing the only side effect. Once the application is completed the areas are cooled to minimize swelling and bruising.

After the treatment
For two hours after the procedure no make-up should be applied and the head should be kept in an upright position.