Botulism Toxin
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The botulism toxin is indicated for wrinkles in the forehead, between the eyebrows), lateral of the eyes, and in rare cases of cervical, mouth, and nasal wrinkles (neck).
Dysport® and Botox® are the tradename of Toxina Botulínica tipo A, a powerful muscular paralysing, derived from the botulism toxin.
The botulism toxin stops the transmission of the electric impulse between the nerve and the muscle, paralyzing the local musculature.
The dynamic wrinkles (caused by the movement) of the face and neck exist due to the muscular contraction. So, if we paralyze the muscles that produce them, will not have more formation of wrinkles.
It is in these specific muscles that the plastic surgeon applies botulism toxin, through an injection of extremely thin needle.
Beyond this more common utilization, this substance also has been used in the correction of the excessive sweat of armpits and hands, being applied locally, stopping the necessary muscular contraction for the elimination of the sweat by the glands.
The application is quick (between 5 to 10 minutes) and little aching. The muscular paralyzation occurs after 48 to 72 hours, with average duration of six months (3 to 6 months) and does not leave the patient without facial expression.
Ceased the effect, the application must be repeated.
Anyone who has marks of expression (dynamic wrinkles of the face and neck) or excessive sweat is able to be submitted to the botulism toxin handling, however the patient individually should be evaluated by the doctor, who will indicate which is the best handling for each case.
There is not minimum age for botulism toxin application. Its use is recommended, since there are wrinkles to be fought.
After prior evaluation, a topical anaesthetic is applied thirty minutes before of the procedure, or local anesthesia.
In many cases, none anaesthetics are utilized, therefore the patient tolerates very well the procedure.
Its duration is around ten minutes and consists of local injections, inside the facial muscle, using squirts and extremely delicate needles, that liberate small quantities of the product in the local pre-determined by the doctor.
Major of the patients do not relate significant pain, barely a light discomfort in the localities of the application.
Its recommended the utilization of compresses or mask chilled by 20 minutes after application.
The first results are visible in approximately four days. The maximum therapeutic effects can be seen in fifteen days, approximately
The duration of the therapeutic effect of the medicine varies from patient to patient, being, on average, of 3 to 6 months. After this period, the procedures must be repeated.
The botulism toxin is contraindicated in pregnant women, therefore the security of its use in these patients is not well verified yed. Also, it is contraindicated in some neurological illnesses, allergy to the product, and in the use of some specific antibiotics.