Neuromodulators... Neurotoxins... TOX...

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Made from a purified strain of botulinum toxin, TOX injections temporarily "freeze" the movements of your facial muscles, particularly expressions in the forehead region. The creases that develop from these repetitive muscle movements are called "dynamic." Eventually, the dynamic wrinkles start to exist, even when your face is fully relaxed. TOX injectable treatments can dramatically decrease the appearance of these lines by reducing muscle movements and giving the tissue on top a chance to rejuvenate itself.

When you hear the word “Botox,” an image of wrinkles on the forehead or around your eyes comes to mind.

According to the latest survey by the American Society of Plastic Surgeons, more than 7 million people opt for TOX treatment. That makes it one of the top minimally invasive cosmetic processes in the USA. 

The expert injectors at Evolve Med Spa excel at offering TOX treatments to help patients smooth out their natural wrinkles and face lines while creating a youthful and vibrant appearance.

Let’s plunge into the discussion to learn more about tox for their medical and cosmetic uses to improve your skin aging signs and health.

TOX is a great treatment option for patients who want to diminish and soften the look of wrinkles, lines, and moderate folds on their upper face, as well as receive nonsurgical lip augmentations (LIP FLIP.) Also, TOX works well for patients who do not want to undergo surgery. Even if you do not have signs of aging, TOX is often used as a preventive, anti-aging treatment. Keep in mind how often you make facial expressions! This great nonsurgical treatment helps reduce obvious forehead wrinkles or frown lines between the brows. We can also use it to treat Crow's feet around the eyes. 

At Evolve Med Spa we do our TOX treatments in one of our private treatment rooms. After your consultation, we can usually perform the treatment on the same day. Before we do the injections, your provider will ask you to make different expressions using the upper face, such as squinting and frowning. This will allow us to properly mark the injection sites. Generally, TOX is placed in between the brows, on Crow's feet, and throughout the forehead.

Once we have marked the injection sites, we will clean your face and administer BOTOX with a fine needle. TOX injections take about 10 – 15 minutes to complete, and you can resume your day with no required recovery. There is minimal to no pain or discomfort at the time of injection.

After your appointment, you can return to your regular activities, but you should avoid strenuous exercise for at least a day. Following your treatment, we suggest sleeping upright and to avoid touching your face, which may accidentally spread TOX to other areas. For the next few days, the treated sections of the face may look slightly bruised, swollen, or red. These symptoms should subside in the next few days, and you should not develop any serious side effects. If you do, please call our office as soon as possible. Typically, it takes up to two weeks before you can see the final effects of TOX, and they should last about 3 – 4 months and with Daxxify up to 9 months. To maintain your results, speak to your injector about when to schedule follow-up appointments.

Forehead lines are often referred to as glabellar lines in reference to the glabella, the smooth area on the forehead between the eyebrows.  They are one of the most prevelant types of wrinkles because of how reliant our expressions are on using our eyebrows.  Surprise, sadness, happiness and responsiveness have distinguishable eyebrow movements.

2.  FROWN LINES 

Directly under forehead wrinkles is another notorious group of wrinkles:  frown lines.  These lines develop directly between the eyebrows.  They are usually vertical on either side of the face, creating a drastic outline above your nose that is very noticeable when someone is looking at or speaking with you.

While frown lines are apparent, they often only need small doses of Botox to achieve full correction. This is because the muscles that cause these wrinkles are also small, allowing for a quick, painless fix.

As we move slightly to the side of the frown lines, we come to the area beneath the eyebrows. While wrinkles in this area aren’t necessarily a huge concern, sagging is another story. The muscles on the eyebrows slowly lose their integrity as we age, causing them to pull down and create the appearance of droopy eyebrows.

It might seem counterintuitive to use Botox in the muscle area of the eyebrow to create a lift, but by relieving the pressure from the pulling muscle with wrinkle injections, the eyebrows can actually achieve a pretty substantial lifting effect.

Crow’s feet are the closest neighbor to droopy eyebrows when it comes to conditions prime for Botox treatment. These unfortunate wrinkles develop directly on the side of the eyes — the focal point of our faces and the area that people are fixated on when we interact with them. It is probably one of the most common and substantially aging types of wrinkles that exist.
Luckily, Botox can make quick work of these wrinkles by targeting the direct muscles responsible for folding the skin near the eyes. When movement is restricted, the skin will have a chance to smooth out and rid itself of these wrinkles.

Lip lines, smoker’s lines, lipstick lines — there are plenty of names for these wrinkles. They form directly above the upper lip and below the bottom lip. They are often very small and most prevalent when pursing your lips together; hence the numerous aliases they have been awarded over the years.

Preventing the pursing motion is the most effective way to reduce the appearance of lip lines. Not only will an immediate improvement be noticeable by stopping the motion that reveals them, but long-term results are also possible by giving the skin time to relax.

We place a lot of emphasis on the attractiveness of a smile. But even if you have pearly white teeth and a picturesque dentition, an overly gummy appearance could throw the natural balance of your smile off.

When we smile, a group of muscles is pulling up on our lips to reveal our teeth. Botox can stop this process to whatever degree is needed, preventing too much gum from being exposed and achieving a more harmonious smile.

Sometimes, people are born with congenital issues or develop other concerns that cause parts of their faces to emote more than the others. If you are smiling and your left side doesn’t extend to the same distance as your right side, a pronounced asymmetry occurs.

Luckily, balance can be achieved by using Botox in the more expressive side or area of the face. Many people are concerned that this will make them appear emotionless, but it creates a much more aesthetically pleasing opportunity to use facial expressions in practice.

Traditional masculine ideals of beauty include a rugged, strong, sharp jawline. But if you are partial to a softer, more traditionally feminine appearance, you may be looking for a way to tone down the harshness of your jawline. Botox can be injected directed into the jaw muscles to weaken the tension and soften the overall appearance.

When we talk about chin dimpling, we aren’t talking about a single divot like the ones we find in cheeks. Chin dimpling is actually caused by the deterioration of the skin near the chin, creating an appearance that resembles cellulite in the legs. This is typically noticeable during certain expressions when the chin is stretched, but it can add a lot of years to your overall appearance.