Cosmetic surgery has come a long way; plastic surgeons now use fewer aggressive techniques, and have more effective technology for patients who are interested in reversing the signs of aging. In the October issue of Plastic and Reconstructive Surgery, a review of facial rejuvenation using neuromodulators to provide a younger facial appearance was presented.
The article illustrates some improvements and refinements in the way plastic surgeons approach minimally intrusive facial rejuvenation using botulinum toxins “neuromodulators.” These products are refined proteins that originate from bacteria, and can get in the way of communication between nerves and muscles; this creates local paralysis in the areas that are injected.
In an accompanying video, one of the authors, Dr. Rod J. Rohrich, shows his step-by-step method to completing facial rejuvenation with Botox. The method starts with comprehensive analysis of the patient’s facial appearance, including the effect of facial movement and any uneven areas. The plastic surgeon must have an understanding of the facial muscles, how they add to facial wrinkles, and the proper neurotoxin dose and injection method to create the necessary effect.
Patients can continue regular activities soon after neuromodulator injection, but they should be cautious and not massage the area after injection. The effects are temporary and won’t last for more than three to four months.
It should be noted, that while side effects can still be possible, they generally related to an inadequate injection technique. Drs. Kordestani, Small, and Rohrich conclude: “Knowledge of facial anatomy, accurate facial analysis, and familiarity with neurotoxin characteristics will minimize complications and optimize results.”