The Help Tabloid

Botulinum therapy (shortened to B.tox) has become established in Sydney society in fact it is becoming an essential part of a beauty routine for many in Sydney. But I am frequently astonished when I listen to the various half truths that surround this treatment.

Below are some of the more popular stories which I come across all the time at Star Cosmetic Medicine, where I am employed as a doctor.

Urban Legend # 1: I might not have the ability to express myself normally!

Under the skin of the face are sixty or so muscles. The extended use of these muscles over a period of time may cause wrinkles. Too many injections of Botulinum Toxin can lead to the face becoming a liile bit less taut. The dose injected by nearly all doctors will result in you looking well rested, yet you will remain just as animated.

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Thus by employing a carefully measured amount of the toxin in precisely the right tissues an expressive face is kept whilst any lines are reduced.

Urban Legend # 2: B.tox is a toxin!
This to a small extent is true. Botulinum Toxin Type A is the exact scientific terminology. Too great a dose can result in a decrease in muscle tone or can even make you extremely sick.

However to put everything into perspective - an ancient chemist’s saying is that ‘everything is poisonous - it all depends on the dose’. A large dosage of any medicine may bring on illness. Water can be fatal if you take enough.

Urban Legend # 3: B.tox injections will be painful!
The hypodermic needles used at Star Cosmetic Medicine have a diameter less than a human hair. Many patients say that the treatments aren’t worse than a mosquito bite. It for certain is less painful than something like a blood profile.

Urban Legend # 4: B.tox will deaden the sensation in my face!
Totally false. B.tox acts on the neuromuscular junction, not sensate nerves. B.tox just impacts on the relaxation of muscular tissues.

Urban Legend # 5. You can’t stop getting B.tox otherwise you will have worse fine lines and wrinkles than ever!
Once Again this is just incorrect.

The first treatment will last about 3 months. Later injections tend to last longer. Eventually as muscle strength returns to normal - the wrinkles will slowly reform. However they will certainly be no worse than previously.

In fact any lines should be be softer than if you had never undergone B.tox - even should you don’t repeat the therapy. This is chiefly the case because your facial muscles and skin have had a rest for a few months.