How Botox and other neuromodulators work is by taking a seat at the table. Normally, this seat is reserved for a chemical that sends a message to muscles to contract. In the case of facial muscles, this contraction creates an expression but also may create a wrinkle.
When Botox claims the seat, rather than the originally intended substance, the signal or message is blocked. Once blocked, the communication to contract (read: wrinkle) is inhibited or also blocked, resulting in no muscle contraction and no wrinkle. This blockage is temporary and may last from a few weeks to a few months, depending on the dose, strength and amount of Botox injected as well as the individual's metabolism.
What can happen is that someone experienced results that may have been a result of too much Botox on one side and/or not enough on the other side. It may also be the result of an injection technique that did not honor the anatomy and function of her muscles and how you normally moves them.
To help ensure a beautiful experience and FAbulous results, when receiving Botox injections for the first time, it is important for the physician to assess holistically the patient's face, taking into account anatomy, muscle function and natural movements. Also, asymmetries must be noted and the patient's desired outcome should be discussed. "Do you want to have no expression at all (read; no wrinkles) or are you ok with a few residual wrinkles and a softer look?"
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