Botox or hyaluronic acid?
This issue is put to me constantly in practice and privately when it comes to the injection of wrinkles. And which of the two we use best when and where, you´ll know after watching this short video.
Botox acts against wrinkles caused by muscle movement – while fillers such as hyaluronic acid fill up volume. The approach is therefore different. However, if both indications are present, the two substances can be used in addition.
Actually, we have to say botulinum toxin or botulinum, because the term botox is a registered drug´s name, but has now become established.
Botox is a protein extracted from a bacterium. If it is injected into a muscle, it blocks specifically the nerve impulses to the muscle – which as a result, can no longer be tensed up. The achieved effect depends on the dosage. Botox is therefore suitable for wrinkles caused by muscle movements – like frown lines, forehead wrinkles, crow’s feet, pleated wrinkles on the upper lip, curls on the bridge of the nose or vertical wrinkles on the neck.
But we can also slightly lift the eyebrows (botox brow lift), the corners of the mouth and the tip of the nose.
In contrast to the treatment with hyaluronic acid, the result with botox is not visible immediately. It unfolds over a few days, usually 3-8 after treatment and lasts for 3-6 months. Because over time, new connections between nerves and muscles are formed again.
For a permanent effect, my patients come on average twice a year.
And what is very important for me to tell you: There are unfortunately still producers who check their botulinum products on animals. But there are modern methods with cell cultures without the necessity of animal experiments. I only take these products. And if the welfare of the animals is important to you, ask at a treatment beforehand which product is used.
And here an additioonal link for those of you who like animated mechanism of action videos:
Now for hyaluronic acid, which is also called hyaluronan. It is a long-chain multiple sugar molecule that is also naturally produced by our body. It is a component of the connective tissue and has an immense water binding capacity. Hyaluronan adds volume to the skin and protects the collagen and elastic fibers – and unfortunately the natural content decreases with age.
The hyaluronic acid gel is injected into the targeted skin level – the effect being immediately visible in contrast to botox.
Injections with Hyaluronic Acid Hyaluronic work very well for the treatment of sunken dark circles under the eyes called tear troughs, for nasolabial and so-called puppet wrinkles that pull down from the corners of the mouth. Lips can be modeled with it, also the cheeks, temples or broader facial areas in terms of a liquid lifting. To some extent, the bridge of the nose and the chin can also be modeled and, in mild cases, avoid surgery.
Other indications for the use of hyaluronan are certain neck and décolleté wrinkles, sunken back of the hands and some scars.
There are several hyaluronic supplements, which differ in content, particle size, viscosity and durability. This gives us the opportunity to always select the right preparation according to the findings.
Hyaluronan is today produced biotechnologically in contrast to the animal origin earlier.
You see, the differences between the uses of Botox and Hyaluronic Acid are quite clear, and there are a lot of possibilities.
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