Botox Buzzwords You Should Know

When you start exploring the world of cosmetic treatments, even common ones like Botox, it can sometimes feel like you are learning a whole new language.

Lucky for you, this guide breaks down the most common terms you may encounter when considering or undergoing Botox treatment.

The Basics

Before diving into specifics, it is important to understand the fundamental science behind this popular cosmetic treatment.

Neurotoxin

The term “neurotoxin” (or sometimes “neuromodulator”) might sound alarming, but in this context, it refers to a purified protein derived from Clostridium botulinum. When used in small, controlled doses for cosmetic purposes, it works by temporarily blocking the nerve signals to specific muscles. This prevents the muscle from contracting and smooths wrinkles caused by repetitive muscle movements.

Units

Neurotoxins are measured in “units.” This is a measurement of biological activity, not volume. This means you are paying for the strength or dosage required to relax the muscle, not the amount of liquid in the syringe, like you might with filler.

The number of units needed can vary from person to person and will depend a lot on the area being treated. For example, a smile lift may require as few as 4 units total, while the masseter muscles might require 20-30 units per side.

Brand Names

“Botox” is often used as a catch-all term for injectable neuromodulators. But in reality, Botox is just one brand of neurotoxin. There are several FDA-approved brands available, each with slight differences in its formulation.

• Botox: The most well-known brand and the first to be approved for cosmetic use.
• Dysport: Similar to Botox but has a slightly smaller molecular structure, which may allow it to spread out a bit more to treat larger areas.
• Xeomin: A brand of neuromodulator that does not contain additive proteins. This can be a good option for patients who have developed a resistance to other brands.

Treatment Areas and Techniques

Beyond the standard treatment of forehead lines or crow’s feet, neurotoxins are used in creative ways to address various concerns.

Lip Flip

A “lip flip” is a subtle enhancement that makes the upper lip appear fuller without adding filler. By injecting a small amount of neurotoxin into the muscle just above the top lip, it subtly lifts the lip without adding volume.

Brow Lift

By relaxing the specific muscles that pull the brows down, the muscles that pull the brows up can work better. This results in a subtle lift that opens up the eyes and creates a more awake and refreshed appearance.

Masseter Botox (Jaw Slimming)

The masseter muscles are the strong muscles at the angle of your jaw used for chewing. These muscles can become enlarged due to teeth grinding or clenching, creating a square or wide jawline. Injecting neurotoxin into the masseter muscles relaxes them, resulting in a slimmer, more contoured lower face. It also provides therapeutic relief for jaw tension and grinding.

Smile Lift (DAO Botox)

As we age, the corners of the mouth can naturally start to turn downward, creating a permanent frown or sad expression. This is often caused by the pull of the Depressor Anguli Oris (DAO) muscles. A “smile lift” involves injecting these specific muscles to weaken their downward pull, allowing the corners of the mouth to return to a more neutral or slightly upturned position.

Treatment, Safety, and More

When you consult with a provider, she will talk with you about the technical aspects of the procedure. Here are some terms to know.

Injection Sites

The specific points where the needle enters the skin are called injection sites. Your provider chooses these points carefully based on your unique facial anatomy and desired results. They will often ask you to make facial expressions, like frowning or raising your eyebrows, to see exactly how your muscles move before selecting the precise injection sites.

Contraindications

A contraindication is a specific situation or condition that makes a treatment inadvisable or unsafe. For neurotoxins, common contraindications include:

• Pregnancy or breastfeeding
• A known allergy to any ingredient in the formula
• An active skin infection at the planned injection site
• Certain neuromuscular disorders
• A recent surgery near the treatment site

Your provider will review your medical history thoroughly to ensure you are a safe candidate for the procedure.

Side Effects

While neurotoxin treatments are widely considered safe, potential side effects can occur. These are typically mild and temporary. More common side effects include:

• Bruising
• Mild Swelling
• Redness

Diffusion

Diffusion refers to the spread of the neurotoxin from the initial injection point to the surrounding tissue. A certain amount of diffusion is expected and desired for smooth, even results. However, if the product diffuses too far, it can affect unintended muscles. This is why providers advise against exposure to extreme heat, vigorous exercise, or rubbing the treated area for 24 hours after your appointment.

Maintenance Treatment

Neurotoxins are not permanent. Your body naturally metabolizes the protein over time, and nerve function to the muscle is gradually restored. “Maintenance” refers to the regular schedule of appointments needed to sustain your results. Most patients return for treatment every 3 to 4 months.

To fully understand how the treatment works and what to expect, there are a few medical terms that are helpful to know.

Combination Therapy

Many patients can get even better results by combining cosmetic treatments. Neuromodulators pair well with several other options, including dermal fillers, chemical peels, or laser treatments.

Ready to Try Botox?

If you have more questions or are interested in neuromodulator injections like Botox, schedule a consultation today!