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Dermal Fillers

The Same Applies to Botulinum Toxin-Brands We Use Botox, Azzalure, and Bocouture

Botulinum toxin safety and quality are important. The procedure may seem simple with rare complications, but it can be life-changing. Ask the cosmetic doctor for possible side effects and complications and how to treat such complications if they occur. Most importantly, do botulinum toxin in a hospital or clinic with a qualified cosmetic doctor or aesthetic practitioner.

One cannot stop the ageing process, but one can lessen the ageing using cosmetic products and procedures. The Botulinum toxin procedure may appear simple, but there are more injections that one does not know. The skin records all the constrictions it has ever made, like one first smile or frown. These skin constrictions are made repeatedly, and over time the skin develops fine lines and wrinkles due to less collagen. Collagen helps the skin to maintain elasticity. The quality and safety of the botulinum toxin injection are crucial to one’s health and well-being and ensuring how long the fillers will last.

What is Botulinum Toxin

Botulinum toxin in cosmetics, commonly referred to by clients as Botox, is an injectable used to smooth facial wrinkles and fine lines. The botulinum toxin injection blocks signals from the nerve to the muscle.Satriyasa (2019) showed that botulinum toxin is used to smooth wrinkles and frown lines, diminish neck bands, soften a square jawline, and correct a gummy smile.

Safety and Precautions for Botulinum Toxin

Qualified cosmetic doctors or aesthetic practitioners should do Botulinum toxin injections. The procedure may seem simple, but you can have serious complications if anything goes wrong.Witmanowski &Błochowiak (2020) stated that botulinum toxin procedures are safe. Also, ensure that the product is approved by the government to be used for botulinum toxin treatment.

What to Do Before Botulinum Toxin Injection

  • Avoid alcohol and thinning medications for at least a week before the appointment. According to Alleyne & Dopico (2021),  alcohol is a blood thinner and a vasodilator.
  • Alcohol is both a blood thinner and a vasodilator. According to Deshmukh et al. (2016), thinning medications make blood hard to clot, worsening bruising. You can continue taking thinning pills if prescribed, but one should inform their cosmetic doctor.
  • Avoid bleaching, waxing, tweezing, or using hair removal creams on the areas to be treated. One should also avoid wearing makeup during their appointment.
  • Avoid sunbathing before one’s appointment because sunburnt skin is difficult to treat.
  • Inform the cosmetic doctor about your medical history, like herpes, which will help them prepare medications should they reserve again.

After Botulinum Toxin Injection

The Botulinum toxin injection is a sterile procedure, and antiseptic is applied afterwards.Proper care and hygiene are required to avoid infections. Ice on the treated area is not recommended because it can irritate the skin and introduce germs.

Do not rub or massage the treated area, including applying makeup and sleeping on the face for at least 48 hours after the botulinum toxin injection.

Avoid alcohol and heavy exercises for at least 48 hours after botulinum toxin injection.

After botulinum toxin, keep the face upright for 4 hours.

Avoid extreme facial expressions for at least 12 hours, but repeatedly frown during the first hour to increase the treatment’s effectiveness.

Types of Botulinum Toxin Injections


Botox is the common botulinum toxin injection product. It helps to smooth wrinkles and fine lines by blocking the signals from the nerve to the muscles of the treated area; this prevents muscle movements. Botox can also be usedfor lazy eyes, cervical dystonia, and muscle contractures.


Azzalure is a muscle relaxant used to correct glabellar lines, moderate to severe frown lines, and crow’s feet. Azzalure is commonly used in the top parts of the facebut can also be applied around the mouth.Azzalure also uses the same drug, botulinum toxin type A- used in Botox.


Bocouture is the newest form of botulinum toxin type A-, which is highly purified. Bocouture helps to smooth wrinkles, fine lines, and crow’s feet. Bocouture relaxes the treated muscles and prevents muscle movements by stopping nerve signals from reaching the treated muscles.

Side Effects and Complications of Botulinum Toxin

The common side effects of Botulinum Toxin are

  • Redness, irritation, bruising, and swelling at the injection point can last a few days. 
  • Temporal facialmuscle weakness pr dropping
  • Flu-like symptoms
  • Nausea and headache

Botulinum Complications

The toxin might spread to other areas beyond the treatment point, which can cause botulism-like symptoms such as difficulty breathing, slurred speech, and muscle weakness. The complications can be severe if unqualified personnel dobotulinum toxin injections.

What is the Cost of Botulinum Toxin Treatment?

The average cost of botulinum toxin is £500, depending on the type of toxin. The price of getting botulinum toxin varies by the cosmetic doctor, location, the number of injections, and the location of the area treated. Medical covers do not cover cosmetic procedures like botulinum toxin; this also contributes to the cost of botulinum toxin. One should choose a cosmetic doctor based on experience and qualification, not cost; this will minimise side effects and complications.

Frequently Asked Questions about Botulinum Toxin Treatments

How Long Does Botulinum Toxin Last?

Botulinum toxin can last for three to six months. The botulinum tox wears off due to metabolism leading to the return of wrinkles, fine lines, or frown lines.One can redo botulinum toxin after a few months to maintain your new appearance.

How Does Botox Work?

Botox works by blocking signals from the nerves to the muscles, stopping muscle movements and contractions, which form facial expression lines and wrinkles.

What Areas CanBe Treated with Botulinum Toxin?

Botulinum toxin helps to smooth wrinkles, fine lines, and frown lines on areas like the forehead, eye area, and lips.

Is Botox Painful?

The botulinum toxin procedure is not painful;however,one can feel discomfort, which will not persist after the treatment.


When getting botulinum toxin, the number one priority should be safety. Cheaper botulinum toxin injections are very tempting. However,one will not be sure about the quality of the botulinum toxin injection. Apart from their safety, quality products can last longer. The cosmetic doctor will give you precautions and guidelines according to the area to be treated and the expertise to use during the procedure. The common side effects of botulinum toxin are bruising, nausea and headache, and avoiding alcohol and thinning medication before botulinum toxin can reduce bruising. Complications with botulinum toxin are rarebut can occur when unqualified personnel fillers.


Alleyne, J., & Dopico, A. M. (2021). Alcohol use disorders and their harmful effects on skeletal, cardiac and smooth muscle contractility. Advances in drug and alcohol research1, 10011.

Deshmukh, S. N., Dive, A. M., Moharil, R., & Munde, P. (2016). Enigmatic insight into collagen. Journal of oral and maxillofacial pathology: JOMFP20(2), 276

Satriyasa, B. K. (2019). Botulinum toxin (Botox) A for reducing the appearance of facial wrinkles: a literature review of clinical use and pharmacological aspect. Clinical, cosmetic and investigational dermatology12, 223.

Witmanowski, H., & Błochowiak, K. (2020). The whole truth about botulinum toxin – a review. Postepy dermatologii i alergologii37(6), 853–861.

Nataly Komova