Antiwrinkle Injections


3 min read

Antiwrinkle injections are preparations of a substance called botulinum toxin, which is a powerful neurotoxic protein produced by the bacterium Clostridium botulinum and related species. They are sold under various brand names such as Botox, Azzalure and Bocouture. It has gained popularity in cosmetic medicine due to its ability to temporarily prevent wrinkles by “freezing” the muscles responsible for certain facial expression.

How Does it Work?

The facial muscles are responsible for our expression and subtle changes can make us look happy, angry or sad. For example worry lines on the forehead can make us look older; frown lines (folds between the eyebrows) or a downward pull on corners of the mouth can make one look angry or sad even though we are not.

The other important fact is that our muscles of expression get stronger with regular use over the years, like any other muscle of the body. Therefore, as we age these tight muscles pull on the thinning skin, making folds more pronounced, specially when we talk or smile. These are called 'dynamic wrinkles' such as the ones appearing on the corner of our eyes when we smile (crow's feet). Over time these wrinkles turn into more permanent dermal folds where the skin moulds into the shape of a groove. These are called as 'static wrinkles'.

When we wish to give ourselves a refreshed, relaxed or or a younger appearance, relaxing these muscles can get us the desired effect. When used correctly these injections can relax appropriate muscle fibres, thereby ironing out the folds and allowing skin to return to a smoother texture. It is the dynamic wrinkles that improve first after the treatment and then over time static wrinkles also begin to improve as our skin remoulds.

Sometimes people can be bothered by big chewing muscles around the jaw and wonder if it was possible to thin them to get a'V' shaped face. Fortunately the effect of Botox can be harnessed for debulking the muscles without losing the ability to chew. This treatment is very popular in Japan, Korea and other oriental countries where 'V face' is considered a sign of beauty.

Furthermore, these injections also cause shrinking of oil glands and sweat gleans in the skin. Therefore they are very effectively used in the treatment of hyperhidrosis or excessive sweating. When injected into the armpit or palms of hands it can stop or reduce excessive sweating for 3-6 months. Sometimes in the hands of a skilful practitioner these injections can also be used to shrink skin pores where other treatments have failed.


To minimise bruising, it is recommended that you do not take any blood thinners on the day of the treatment. If you are taking Omega 3 fish oils, Aspirin, Clopidogrel or NSAIDs (such as Ibuprofen) try and avoid them for at least 48 hrs before the treatment. Avoiding Alcohol a day before the treatment also reduces chances of bruising. Do not apply make up, sunscreen or mascara on the day of the treatment. Simply wash your face with a suitable cleanser.

What to Expect at Your Treatment Session:
  1. Consultation: Before your treatment, you’ll have a consultation with a qualified medical practitioner. They will ask you about your medical history, previous treatments taken and your expectations. Be clear about your reasons for seeking Botox injections and discuss any concerns or questions you may have. Your photographs may also be taken as a part of your medical notes.

  2. Injection Process: Your face will be cleaned, and Botox will be injected into specific facial muscles using a very fine needle. The practitioner will ask you to move your facial muscles to determine the best injection sites and may even mark those points with a pencil. These injections are usually pain free and you will not feel anything other than a minor temporary sting.

  3. Duration: The procedure typically takes about 10 minutes.

  4. Immediate Effects: You won’t see an immediate change, other than tiny needle marks and redness. It takes 2 to 3 days for Botox to start working and 2 to 3 weeks to see the full effect.

  5. Aftercare: Avoid massaging or rubbing your face for 3 days. Steer clear of applying heat vigorous exercise, sunbathing, and saunas for 2 days. Avoid lying down on bending your head down for 4-6 hours to prevent the substance migrating into undesired areas.

  6. Results: The effects usually last for about 3 to 4 months. If you choose to have Botox injections again, wait at least 3 months between sessions. With subsequent injections as muscles get weaker over time, the duration between treatments also increases.

Possible Side Effects:

While Botox is generally safe, some side effects may occur:

  • Bruising: Mild bruising at the injection site.

  • Headache: Some people experience headaches after treatment.

  • Muscle weakness: Rarely, Botox can cause temporary eyelid drooping or deviation of angle of the mouth or difficulty sipping when injection are given around the mouth.

  • Allergic Reactions: Although uncommon, allergic reactions are possible.

  • Flu-Like Symptoms: In rare cases, patients may experience flu-like symptoms.

Remember that Botox is not permanent, and its effects wear off over time. Always work with a qualified practitioner and weigh the benefits and risks before undergoing Botox treatment. If you have any concerns, seek professional advice.

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