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Botulinum medicine (shortened to B.tox) is fast becoming popular in Sydney society and has become a beauty routine necessity for some people in the Harbour City. Nevertheless I am often astonished when I hear the rumours about this simple treatment. Below are a few of the myths which I encounter daily at Star Cosmetic Medicine, where I work as a physician.

Mistake no. 1: B.tox may freeze all my expressions!

Below the skin of the face are 60 or so muscles. The extended use of these muscles over time may cause lines to appear. Too many doses of B.tox have the effect of the forehead looking less taut. In general doctors use relatively minute quantities to make you appear refreshed, however you will still appear every bit as expressive.

So by employing the correct amount of the preparation in precisely the right areas facial expression is maintained whilst the wrinkles undergo a softening effect.

Mistake no. 2: Botulinum is toxic!
There is a grain of truth in this. Its scientific name is Botulinum Toxin Type A. An overdose can result in loss of muscle tone and can make you extremely sick.

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Chemists have a well-known expression that states ‘everything is a poison – all depending on the dose’. A large dosage of any medicine will cause illness. Even water can be a poison if you take enough.

Mistake no. 3: B.tox is painful!
In our practice Star Cosmetic Medicine the doctor utilises hypodermic needles smaller than hair. Many patients have said that the injections are not as sore as mosquito bites. It is certainly not as sore as a procedure like a vaccination.

Mistake no. 4: B.tox will deaden the sensation in my face!
Untrue. B.tox affects the neuromuscular junction, not sensate nerve fibers. B.tox only affects the relaxation of muscular tissues.

Mistake no. 5. You cannot stop having B.tox or you might wrinkle quicker than ever!
Also wrong.

One set of injections will last around 3 months. Further injections tend to last longer. The lines will eventually return as the muscle returns to normal. But they will certainly not be any more noticeable than when you began.

In fact the wrinkles should be be less noticeable than if you hadn’t had B.tox – even when you never persevere with the therapy. This, of course is generally so due to the fact you have given your skin a ‘wrinkle holiday’ for a few months.