Where can Botox® be injected?

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Most of us know that Botox® can eliminate our frowns, but did you know what Botox® can give pleasing results in many other areas of the face, and even elsewhere on the body?  The diagram above shows us what these areas are.

  1. The 11: The most common complaint that people seeking Botox® have is that they have a permanent frown, making them look upset, angry and old. Botox® into your frown area will prevent you from forming the horizontal line across the top of your nose, as well as prevent you from drawing your brows towards the midline causing those vertical parallel lines between your brows.
  2. Horizontal lines running across the brow when raising the eyebrows are usually part and parcel of a treatment for frown lines (although this area does not have to be treated!).  Your injector needs a little more experience when treating these lines because paralyzing the vertical movement of your brows completely not only looks somewhat abnormal, but can also make older patients who have excess skin over their eyelids very uncomfortable since they will no longer be able to lift this skin out of their eyes by raising their brows, leaving them feeling half asleep and partially blind!  What these patients REALLY need is a blepharoplasty.
  3. Crow’s feet” are probably the second most common complaint in Botox® patients – these lines are caused by smiling or by squinting, and are the lines that radiate from the outer corner of your eyes. These lines are usually exacerbated by sun-damage and they look great if they only appear when you smile or express yourself, however when they take up permanent residence even when your face is at rest, they tend to make us look old and weathered.  Botox® in this area should smooth out these lines, but should not affect the movement of your eye itself, meaning that your smile won’t be affected.
  4. Botox® can give us what we call a “brow lift” if injected strategically over the outer eyebrow. This counteracts the action of the muscle drawing your eyebrow down towards your eye, and instead allows the arch of your brow to float up a few millimetres; opening up the eye area and making you look well rested and refreshed.
  5. Bunny lines” are lines that appear on both sides of your nose when you scrunch your nose up (like a bunny!). Many people will never have noticed these lines on their faces since they are not inclined to use this specific muscle in expression.  For those that do have these lines, eliminating them stops you from constantly looking like you are scrunching your nose up at everything!
  6. Botox® can also help to reduce a “gummy smile” by relaxing the muscle that pulls our top lip up when we smile. This allows the top lip to lengthen during smiling and reduces the appearance of the underlying gum.
  7. Smokers lines” in the upper lip do not always occur due to smoking, and in fact many people who have these have never indulged in a cigarette in their lives! Tiny amounts of Botox® can help to reduce the appearance of these lines, however it is important to note that if you do have this treatment you may have difficulty pursing your lips afterwards, making tasks like drinking through a straw difficult.  This treatment is usually optimized by combining it with a filler to strengthen and redefine the border of the lips.
  8. Marionette lines” are the lines that start at the corners of the mouth and track downwards toward the chin, separating the chin from the jowls. These lines are terribly aging and often stubborn however they can be improved using Botox® on the jaw line.  In some cases a filler may also be indicated in conjunction with Botox® for these lines.
  9. Dimpling of the chin is common to all of us when we pull the corner of our moth down and jut our bottom lip. As we age we tend to form a ridge about a centimetre underneath our bottom lip above the flesh of our chin, while the chin muscle underneath begins to look dimply even at rest.  Botox® into the chin muscle relaxes the chin, preventing the formation of the “apple chin”, as well as smoothing the wrinkle between our lips and chin.
  10. Many of us grind our teeth at night, or even during the day. Repeated grinding strengthens our chewing muscles, and as with all muscles the more you exercise a muscle the bigger it gets.  This can result in a wide, square, masculine look to the jaw.  Botox® injected into these chewing muscles can reduce the size of the muscle without impinging on chewing or eating, but lessening the teeth grinding at night.
  11. As we age we lose the fat that gives us fullness under our skin, and that hides our muscles and veins underneath. One of the places that this is most evident is in the neck.  As we age our neck muscles tend to take on a more banded appearance as these rope-like muscles lose the smooth contour they had when they were well padded by fat.  By injecting Botox® into these bands we can allow them to relax, and eliminated the ropey appearance they give.  (this is commonly known as the “Nefertiti lift”).
  12. Hyperhidrosis or excessive sweating can also be treated with Botox®. Because each sweat gland is controlled by a nerve fibre within our pores, by injecting Botox® into the areas that sweat too much we can paralyse the glands that cause sweating and thus vastly decrease the amount of sweating that takes place.  This treatment is incredibly effective for under arm sweating, however due to the amount of Botox® needed to cover a large surface area, it can be quite costly.
  13. A drop of Botox® into the muscle that pulls the nose downwards when we age   releases this muscle and allows the tip of the nose to move up a tiny amount, giving the nose its youthful upward turn back and reducing the appearance of the hooked nose we develop due to aging.

Essentially, where there is a muscle Botox® can be injected, the thing to determine is exactly which muscle to inject and exactly how much to inject it with.  For this reason amongst others, you should always ensure that your Botox® is injected by a qualified professional, and in South Africa that means a trained doctor or dentist only.

To find out more contact us via email (info@capeaesthetics.co.za) or telephone (021 683 3048 extension 1), or leave a comment!  we also have a website (www.capeaesthetics.co.za) and a facebook page (www.facebook.com/capeaesthetics)


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