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偉大なるボトックス
Botox
the Great


No intentions has the title to imply any jokes or sarcasm about the topic.
It is just trying to tell, on the contrary, that it is not an overstatement to say there is no more remarkable discovery in medical cosmetic field than that of Botox.

Botox was just mainly indicated to wrinkle use in its early entry into cosmetic medicine.
But now it has numbers of usage and seems to multiply them soon, as if it is an almighty drug that heals everything in our modern society.

Here let's unfold the list of Botox's usage while mentioning details of its actual application and the effects that follow.


1.Involuntary Movements Treatment     Uncontrollable movements such as limb jerking(sudden muscle contraction) observed in cerebral palsy or facial spasms were primarily the target of Botox treatment.
The actual first Botox treatment was not for cosmetic reason but for the abnormality of the muscle for eyeball movement.

Dr. Scott
In 1980、an American opthalmologist, Dr. Scott, was the first to perform Botox injection as a remedy for strabismus(crossed eye)、by relaxing muscle movement of the eye.
In this treatment, not only the eye symptom but expression wrinkle lines around the eyes also faded away, which was an unexpected delightful side effect for the patient.
Since then Botox injection has become one of the most-desired treatments in cosmetic medicine, and the demand started exploding in 1989.

 
2.Wrinkle Treatment   Since Botox is good for relaxing tense muscle tone, facial muscles that easily express their tension through face skin wrinkling are good targets of this treatment.

Specifically the expression wrinkle lines around the eyes such as forehead horizotal lines、frownlines called glabella lines, and crowsfeet at eyes end corners are usually the main subjects of Botox treatment, the reason why we call them the 3-part set in our clinic.

      before Botox                  after Botox

This 3-part set is not an esthetically bad set in the beginning of a youthful skin, shows the person's character as a very expressive individual, making a very positive cosmetic image.
But when time comes these wrinklings begin to become deeper and carve some mark even on a relax face, those good images turn into other different kinds of pictures which might sometimes show unpleasant impression to the beholder.

      before Botox                  after Botox
Besides these 3 parts, Botox treatment includes some other lines such as upper & lower lip vertical lines、nose ridge scowl lines、chin uneven surface, etc.

      before Botox           after Botox
Gummy smile, a smile that shows rich gums, can also be corrected upon treatment of the lip lines.

Treating these wrinkle lines alone is making Botox the No. 1 most demanded cosmetic care on the globe.
In 2014, Botox treatment performed around the world was equivalent to 2 billion dollars just for a year. In 2018, it is predicted to grow into a 4 billion market, making it near to the level of 8 billion of the rheumatism or diabetis drugs, medications that have the most demand these days.

Nasolabial folds(lines running along the sides of nose & mouth) & Marionette lines(lines that descend from mouth angles) are lines that derive mainly from anatomical dents instead of expression muscles.
So using Botox for these parts is not a good idea because it might cause some unwanted effects such as crooked or freezed lips.
These lines are good candidate of HA(hyaluronic acid) filler treatment.

          before HA filling               after HA filling

Actual Botox injection
of forehead, for example, needs 5 needle points(using 32G needle, width 0.2mm, tiniest one available)、with 3 to 5 units in each point, to make the frontalis muscle relax.injection sites of forehead
      

3.Hyperhidrosis Treatment    Besides wrinkles, Botox's another popular usage is for treatment of perspiration control.

      before Botox              after Botox
Armpit for the most part、palm and sole are also good parts to be treated for sweat control、sweat of brow and other parts of the body are treatable.

      before Botox              after Botox

Arrector pili muscle, the aim of this Botox treatment, is located near the pore where it lets the sweat gland secrete sweat through the pore out of the skin.
Unlike face expression muscles, arrector pili is a micro-sized muscle inside the skin, so Botox injection must be done intracutaneously(within the skin) to gain wanted effect.
sweat gland & arrector pili m.

Botox effect regularly appears as early as the 2nd or 3rd day、7th at the latest, is completed in 2 weeks.
MEDJET needle-free injector
Sweat control treatment with Botox is easier if done with MEDJET injector(a needle-free injector).
This device emits Botox through a jet stream, making injection painless and comfortable.


4.Muscular Hypertrophy Treatment      
Small-face effect or slimming body parts, which are considered as attractive effects among Asian people, can also be achieved with Botox by reducing obvious face or body muscles hypertrophy(muscle enlargement).
Masseter muscle(chewing muscle)or calves are good subjects of this treatment.

    before Botox          after Botox

By relaxing tensions of these muscles, body parts look as if they are reduced、giving the person slimmed or lessened down effect.
Relaxing masseter muscle is also a remedy for reducing involuntary teeth gnashing in sleep.

   before Botox          after Botox

Botox effect regularly lasts for about 3to 8months, showing variable duration in every person.
These differences are considered as results from
muscle size and activity variation.
Some point out the difference of every individual's
nutrition status.
Partaking essential
minerals, especially magnesium, regularly helps to elongate Botox effect duration.
Botox necessitates minerals when it reacts with nerves in the body.
Taking minerals 2 weeks before treatment might give you long lasting result.


Stated so far
are the basic uses of Botox in cosmetic care.
Form this point are more like the non-traditional practices of Botox、but may become more basically desired treatment before long.

5.Pores Reduction Treatment     If Botox can control sweat secretion, it is assumed that it can also control sebum(skin fat) secretion through skin pores.
Sebum sometimes clogs skin pores、that makes skin appear dilated, resulting in some skin issues like acne.
Botox's abitlity of controlling sebum secretion benefits those who have these skin issues, allowing skin to gain smoother looks and touch.
dilated skin pores

Microbotox is the word that is circulating nowadays in the Japanese cosmetic websites and this actually refers to sebum control care by using Botox, injecting a micro amount intracutaneously(within skin injection) to get smoother skin while expecting also a little effect on relaxing expression muscle to result in lifted looks of the face, which some Japanese call it Microbotox Lift.

  before pores care      after pores care   
Cheek is the main part of interest, then forehead, neck, etc.

6.Saggy Neck Treatment       The forementioned
Microbotox Lift is introduced a bit deeper on the neck part, especially in the mid area to improved the saggy look of the platysma band(muscle band under neck skin) and to minimize the horizontal neck skin wrinkling together with the care for skin complexion.

    before Botox         after Botox

7.Nose Correction Treatment            In addition to smoothing of wrinkles on nose ridge, nose alar reduction and tip elevation can also be possible with Botox.

    before Botox        after Botox
Nose ala(nostril) has the dilator nasalis muscle that can be supressed by Botox to reduce nostril flare and have slimmer nose width.
The
depressor septi muscle together withlevator labii superioris alaeque nasi muscle functions as nasal tip depressor, so by relaxing them with Botox, nose tip will be released upward, appearing as if it is nose-lifted nonsurgically.

    before Botox         after Botox


8.Chin Correction Treatment              Face muscles that suspend the chin sometimes create some annoying wrinkling or jagged chin and show less projection. Botox can erase these unevenness and give the chin a sharper look.
    before Botox         after Botox

9.Mouth Angle Correction Treatment              Depressor anguli oris muscle serve as mouth angle depressor.
If loosened with
Botox, better image of lifted angle can be achieved.

    before Botox        after Botox


10.Trapezius Muscle Reduction & Relaxing              Tension of trapezius muscle is a great discomfort for Japanese people, so by relaxing this with Botox, treatment and prevention of the symptom is not only the gain but also more feminine changes of the nape.

     before Botox              after Botox


11.Runny Nose Treatment              Pollen allergy is an annual epidemic particularly in Japan.
By dripping some
Botox on the nasal membrane, an easing of nose mucous is not a common practice in otorhinology but possible.


12.Depression Treatment              Recent report about Botox finally deals about a psychiatric issue.
Patients with
depression who acquired Botox treatment show subsidence of depressive symptoms which is still a matter to be explained.



These were the latest development we heard about Botox.
There might be some missed facts and some other that is to be discovered in the near future.

Anyway, the well-known name
Botox is a drug brand name, and its common name is botulinum toxin.
Botox by Allergan
Other brand names include about 10 or more brands, but among the few brands that is
approved by the FDA beside Botox,
Dysport from the UK is another credible one.
Dysport by Ipsen

さらなる詳細
 、 further details

Miyagi Cosmetic Surgery宮城美容外科クリニック

〒900-0016
沖縄県那覇市前島2−2−1(3F)

2-2-1-3F Maejima, Naha City
Okinawa, Japan 900-0016

TEL 098-860-9120
FAX 098-860-9176

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