Unfortunately, in the aesthetic industry many people go to afternoon training courses, a mere 4-5 hours if that, where they are given a template and learn how to inject to match the template. This I can only think is due the fact it is easier for the injector to teach and the student to learn / memorise. It works don’t get me wrong, but one shoe doesn’t fit all. It may be the building block in training to understand how it works, what it will do, but by no means should an injector use this technique for everyone for the rest of their aesthetic career. Their client base will diminish, their word of mouth would work in a negative manner. The template works, but it freezes/paralyses the muscles and doesn’t take into account an individual’s unique features or muscle patterns. Thus, everyone comes out looking frozen and mask-like.” So how can you avoid it? “The best thing to do prior to getting injections is to look at people who have been treated by that practitioner. Do they have the look you are going for? Are they more natural or more frozen? Do they have the Spock brow, have they had a drop, do their brows feel heavy. The above is not normal post treatment.

Your injector should be looking at your face, analysing your muscle movements and strengths. Some people lines span the entire length of the forehead, where others have more central lines. Some want a brow lift, others want to avoid at all costs.

The definition of ‘Bad Botox’ is a result that looks unnatural at rest or while moving. A common ‘Bad Botox’ result is the ‘Spock Brow,’ where the tail of the brow is unnaturally high and the medial brow is unnaturally low. The crows feet area is again a whole other ball game. If Botox is injected incorrectly this can cause cheek lowering which essentially makes the client look like an English bulldog, hollow eyes and chipmunk cheeks. It’s not a technique to be tampered with.

Botox takes about 7 to 14 days for most people to have the full effect after a Botox injection. In some patients, it can take up to three weeks. Some injectors offer a “free top up”. I personally believe that it is not very often you require a top up if the injector has looked at you as an individual and taken your anatomy into consideration, yes there can be the odd occasion the Botox didn’t take in a manner that was expected but as above I believe this is rare. Remember too much Botox can cause the brows to feel heavy, it can work in a negative manner.

In order to treat the forehead with neuromodulators such as Botulin Toxin (Anti Wrinkle), injections into the frontalis muscle should be at least 2m above the orbital rim. This minimises brow Ptosis.

The corrugator supercilii and procerus muscles make up the two main brow depressors. They are responsible for the glabellar rhytide. You injector should always keep in mind the bony origin and superior dermal insertions when injecting these muscles.

Some practitioners may however suggest intradermal filler injections if the dermal lines are too deep to enable the toxin to work. It has been noted in various reviews that the glabella region with the use of intradermal filler is the most common site leading to visual loss. So again it is pertinent that the anatomy of the client is well understood.

Temporal region

The frontalis branch of the temporal artery crosses the hollow area of the temporal area, within the temporoparietal fascia. Again, there are risks involved with injecting in this area. This includes ischemia (lack of blood supply) and blindness via anastomoses with the supraorbital and supratrochlear arteries that branch off. To avoid complications, it is advised to stay superficial within the subcutaneous fields.

Within this region, neuromodulator injections into the lateral orbicularis oculi that can treat periorbital rhytids. Injections should start below the tail of the brow proceeding inferiorly to the vertical plane of the lateral canthus. Again, the use of subdermal injections in this region will avoid paralysis of the zygomatic major, hence reducing the likelihood of a weakened ipsilateral smile.

Note all the above is NOT TRAINING OR ADVICE.

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