Facial rejuvenation (Neuromodulators)

Depending on the cause of the wrinkles, we offer different medical treatments: botulinum toxin injections (BOTOX), implants with different types of hyaluronic acid, placement of PDO or PLLA thread lifts, injections of collagen stimulators (PLLA, polycaprolactone, or calcium hydroxyapatite), and CO2 laser biostimulation.

What we know as crow’s feet corresponds to the wrinkles caused by the repeated folding of the skin over the orbicularis oculi muscle. Therefore, the first treatment of choice will be botulinum toxin injections to partially relax its contraction in the outer part of the eyes, achieving correction with a completely natural appearance.

Botulinum toxin, or Botox, is a medication that works by causing temporary, localized muscle relaxation, which begins 48–72 hours after application. This effect becomes full between 10 and 15 days after it is injected.

Botulinum Toxin Type A is a protein that temporarily relaxes the muscle where it is applied, reducing expression lines, those that form when the face is in motion. It is used to treat wrinkles in the upper third of the face (frown lines, crow’s feet…)

The effects of botulinum toxin on facial muscles typically last between 4 and 6 months. The application can be repeated every 6 months indefinitely, as its effect is fully reversible and does not cause any physical damage to nerve structures.

They are two products with completely different functions:

• Botox works by relaxing the muscles responsible for expression lines, especially in the upper third of the face, without adding any volume.

Hyaluronic acid helps correct wrinkles with depressions, reshape facial contour imperfections, and improve skin hydration.

Botulinum toxin doses are measured in units, and the number of units to be injected will depend on each patient’s anatomy and muscle strength, as well as the brand used (the units for Vistabel, Azzalure, and Bocouture are not equivalent).

The effects of botulinum toxin on facial muscles typically last between 4 and 6 months. The application can be repeated every 6 months indefinitely, as its effect is fully reversible and does not cause any physical damage to nerve structures.

The effects of botulinum toxin on facial muscles typically last between 4 and 6 months. The application can be repeated every 6 months indefinitely, as its effect is fully reversible and does not cause any physical damage to nerve structures.

There are no specific restrictions before Botox application. However, after treatment, avoid manipulating or compressing the treated area (e.g., wearing a motorcycle helmet) for the next 3 hours to prevent the product from migrating to other muscles and causing undesirable effects.