Botulinum therapy (shortened to B.tox) has become established in Sydney society in fact it is becoming a beauty routine must for people in the Harbour City.

Even so I never cease to be startled by the various half truths that have originated in connection with the procedure.

Here I have listed a selection of the more popular errors which we encounter frequently in Star Cosmetic Medicine, where I work as a doctor.

Fallacy # 1: I may lose my facial expressions!

Research has found there are sixty or so muscles in the human face. They usually work in harmony, however over time lines or wrinkles may form. The overuse of B.tox may lead to the forehead becoming somewhat less taut. Most doctors would use comparatively minute amounts to result in you appearing refreshed, however you will still be just as animated.

So a carefully calculated amount of B.tox in the right place means one can achieve a softening of any wrinkles without any reduction in facial expression.

Fallacy # 2: B.tox is a toxin!
This to some extent is correct. Its pharmaceutical term is Botulinum Toxin Type A. In massive doses it may relax facial muscles that you do not want relaxed or can make one very sick.

Pharmacists have a well-known expression ‘everything is poisonous - it all depends on the dose’. A large amount of any medicinal drug may bring on sickness. Water can be a poison if too much is taken.

Fallacy # 3: B.tox will sting!
At Star Cosmetic Medicine the doctor will use needles smaller than hair. Many individuals have stated that the shots aren’t worse than a mosquito bite. Certainly not as sore as having a vaccination.

Fallacy # 4: B.tox will deaden the sensation in my face!
Not true. B.tox targets the neuromuscular junction, and not on the nerves of sensation. B.tox just impacts on the relaxation of muscular tissues.

Fallacy # 5. You cannot stop getting B.tox or else the wrinkles become worse!
This is also false.

Botox is expected to be effective for in the region of three months. Consequent treatments do last a few weeks more. The wrinkles will gradually re-emerge as the muscle recovers its normal function. But your lines will not be any more pronounced than when you started your treatment.

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In fact any wrinkles will generally be less evident than if you hadn’t had B.tox treatment - even when you don’t repeat the treatment. This is mainly due to the fact your skin has had a ‘wrinkle holiday’ whilst the treatment was effective.