Botox must be injected into the superficial layers of the skin in some areas, while in others, it needs to be injected deeply. One example is the masseter muscle near the mouth. If a practitioner doesn't inject this muscle deeply enough, patients can end up with an uneven or unbalanced smile.
Even if the masseter muscle is reached, failure to inject deeply enough can leave the lower parts of the muscle moving as normal while the top part is relaxed, creating a 'chipmunk' appearance. Practitioners should aim to inject at the site where the muscle meets the bone, using a longer ½” needle for best results.
However, when it is not performed properly, Botox can result in a "frozen" or fake look. The most common causes of botched Botox are: Improper injection techniques. Many unskilled injectors make the mistake of injecting Botox too deeply or too superficially into the skin.
You should avoid injecting botulinum toxin into the frontalis muscle, which is the muscle that raises your eyebrows and arches your forehead. You should also try to not inject botox into several other facial muscles, such as those that allow you to smile or chew.
As one of the possible risks of fillers and Botox, vascular occlusion (VO) happens when the injection hits an artery. It can also result when the arteries and capillaries surrounding the injected area are compressed.
Bruising may occur if an artery or blood vessel has become blocked due to filler injection. Bruising may range from a blue discoloration to a dusky purple-grey appearance. Swelling is likely to occur in and around the injection site if vascular obstruction is present, and may range from mild to severe.
Botox gets its name from the Botulinum toxin, a protein extracted from Clostridum botulinum (mentioned above). If this live bacteria enters the bloodstream, it will attach itself to muscles and replicate, weakening or completely immobilizing the muscle. This toxin is in fact quite deadly.
[7] Injection too superficial or too deep can lead to inadvertent injection of the wrong muscle, potentially causing an opposite effect from the desired outcome. The muscles of facial expression are innervated by terminal branches of the facial nerve.
You may experience redness, bruising, bleeding or swelling. More serious complications include allergic reactions, shortness of breath and headache or flu-like symptoms. However, these side effects can be limited or prevented if you have your treatment done by a skilled professional with anatomical knowledge.
Once inside a neuron, botulinum toxin cleaves proteins responsible for fusion of chemical containers, known as vesicles, with the plasma membrane. This fusion event releases chemical signals that underlie communication with muscles, and the inability to fuse leads to the temporary paralysis caused by botulinum toxin.
BOTOX® can only be prescribed by a medical professional such as a Nurse Prescriber but there are no regulations around this treatment which means the actual treatment can be performed by anyone no matter what their level of training is, if any!
The most common reason that Botox does not work is that not enough was given. Botox is not a one size fits all treatment and the same dosage does not work for everyone. Some individuals may need additional Botox to reach an effective level of muscle weakness. The Botox may also be old, overdiluted, or fake.
Injecting into the wrong muscle, bypassing the muscle altogether or injecting into the wrong muscle can result in your Botox having absolutely no effect whatsoever. The rules of injection and strict adherence to the injector's knowledge of facial anatomy must be followed for the ultimate natural look.
bruising, swelling and redness where the needles went in the skin. a frozen look – you might not be able to move the muscles in your face if too much botulinum toxin is injected. temporary weakness and droopiness in your face – for example, your eyelids or eyebrows may droop if the botulinum toxin moves into these ...
Botox injections are usually performed in a medical office. Your health care provider uses a thin needle to inject tiny amounts of botulinum toxin into your skin or muscles. The number of shots needed depends on the size of the treatment area and other things.
For example, the frontalis muscle of the forehead has two lobes that come together in the center, but with a gap in one area. It's possible to miss the muscle entirely if someone injects the center of the forehead without understanding where that gap is. The drug then can't do its job because it's not in the muscle.
So what could be the reasons behind Botox not working on forehead wrinkles? Some of the most common ones involve not getting enough Botox units for your skin issue, Botox not being injected correctly, or it could also be that some wrinkles are at a certain depth and could only be corrected so much.
Too much Botox in the forehead muscles can cause the eyebrows to droop, making the upper eyelids look very heavy and hooded. The face may look angry or sad all the time. Too much Botox around the eyes can dramatically affect facial expression. The face is simply frozen.
“Typically, the three main treatment areas for Botox are the Glabella, the forehead and Crow's feet and they all have their own specific Botox injection patterns.
Injecting Botox under the eyes is not an approved use. Botox is intended to reduce the appearance of wrinkles in areas where there is significant muscle movement. It may be less effective when injected under the eyes than when used in the forehead, for example.
Botox tends to work faster on smaller wrinkles. So if you receive injections in the crow's feet around your eyes and the more severe wrinkles on your forehead, you are likely to see the relaxation of your crow's feet sooner.
Although Botox will not migrate too far from the initial injection site, rubbing or pressing on that location during the first 24 hours can increase migration risks.
Rarely, Botox can affect your heart. It has the potential to cause heart rhythm problems or even heart attacks. This can be more likely if you already have heart problems. Be sure to talk about any heart problems with your healthcare provider before receiving Botox.
Technically no, there is no reversal for Botox. Once it kicks in you have to wait for it to wear off or augment the results in some way (when possible). The good news is that it's not permanent and results gradually wear off over 3-4 months.