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advice: 'baby botox' may be less invasive, but are there risks?

the term “baby botox” describes the technique where botox is distributed in smaller amounts across the forehead and crow’s feet to allow some facial movement and expression, but avoid the “frozen forehead."

side-effects of botox include headaches
dermatologist geeta yadav says the trend to start injections younger has benefits. getty
dear asking for a friend, i am a baby botox fan — something about being able to get a little bit done, without the chance of noticeably tightening my face is tempting. still, i am concerned about the risks. 
yes, it’s great to feel vibrant and look youthful. the popularity of less-invasive cosmetic procedures like dermal filler injections for adding facial volume and plumping lips, and neurotoxin injections like botox to temporarily reduce fine lines and wrinkles, continues to rise. in fact, the american society of plastic surgeons reports that the number of botulinum toxin injections, commonly referred to as botox, jumped 459 per cent from 2000 to 2020 with almost 4.5 million procedures in 2020.
botox isn’t a long-term fix, according to the mayo clinic. the botulinum toxin is produced by the microbe that causes botulism, which is a type of food poisoning. it temporarily reduces or eliminates those frown lines, forehead creases and the crow’s feet that show up near your eyes, especially when you laugh. it works by blocking the nerve signals to the muscle where it’s injected, so the muscle isn’t able to contract and create wrinkles as a result. it’s also used to treat conditions like neck spasms, excessive sweating, overactive bladder, and help prevent migraine headaches.
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the term “baby botox” or “micro-botox” describes the technique where botox is distributed in smaller amounts across the forehead and crow’s feet to allow some facial movement and expression, avoiding the “frozen forehead,” women’s health reports. but no matter how small the dose, you’re still getting a toxin injected into your face.

botox is considered safe and effective

that said, the treatment is widely considered as safe and effective. polish researchers from the university of torun reviewed the evidence of possible complications in the journal advances in dermatology and allergology, noting that there are no long-term or life-threatening adverse effects related to botulinum toxin treatment for any cosmetic applications. the authors also noted that the risk of possible complications can be reduced by a thorough analysis of a patient’s medical history and the use of the appropriate dose and technique for the injection.

don’t forget a good skin care regimen and sun protection

dr. geeta yadav, a board-certified medical and cosmetic dermatologist and founder of facet dermatology in toronto, has clients in their 20s who are starting botox treatments and others who have been getting botox for 25 years. she says the trend to start the injections younger has its benefits, along with a good skin care regimen and sun protection.
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“i can see how the face ages with people that have been dedicated to [toxin injections] over the years and compare it with people who are starting it later in their life,” she says. “i will tell you the face will age better for having had it earlier because those wrinkles are just not as deep. they’re not as permanent.”
although the effect of the product wears off in three to four months, the targeted muscles weaken with repeated injections over time.
“imagine you’re sick with the flu and you’re lying in bed and you don’t get up for three days and when you get up, you’re like, ‘oh my gosh, i feel so weak,’” says yadav. “if i do botox in your forehead and you can’t move it for three months, it’s going to be weaker.”
she notes that the interval between your toxin injections will get longer because it also takes longer for that muscle to get to a place where it will wrinkle again.

botox side-effects

possible side-effects that can be common for a few days following the injections are headache or a feeling of heaviness in your forehead, but yadav is confident in the treatment in terms of safety and delivering results.
“when i see a patient in my practice for toxin treatment, i need to know what their goals are,” she says. “if someone says, ‘i don’t want too much, i don’t want to look frozen, i want it to be a little bit softer and carry some expression,’ then what i’m doing is finding the recipe that works for them. the first time i inject them, i always go with what they’re kind of looking for and then i bring them back two weeks later to assess and see if it fits their expectations.”
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baby botox would typically be a milder dose for someone who is younger, says yadav, whereas her interpretation of the micro-toxin technique uses the same dose of traditional toxin injections, but distributes the medication over a larger area.
“you’re not using less in the exact same area, but you might be spreading it around,” she says. “for example, one of the places i love to use micro-toxin would be in the crow’s feet because some people have those lines and they radiate quite far. a standard injection pattern might mean you concentrate that dose in a few single areas, but i tend to go a little bit beyond that just to soften those lines.”
for yadav, who began her dermatology career at women’s college hospital in toronto, giving people a great result is an all-around win, whether she’s removing a cancerous mole or providing cosmetic injections and laser treatments.
“i get a big lift when people have a good experience,” she says. “there’s value above and beyond the monetary value to do it well. i think as doctors, we’re lucky to have a profession where we can give things to people in that way that really is dependent on our skill sets.”
if you are thinking about botox, she recommends going for a consultation with an experienced injector and ideally someone who specializes in a variety of services so that you have more options.
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karen hawthorne is a toronto-based writer.
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karen hawthorne
karen hawthorne

karen hawthorne worked for six years as a digital editor for the national post, contributing articles on health, business, culture and travel for affiliated newspapers across canada. she now writes from her home office in toronto and takes breaks to bounce with her son on the backyard trampoline and walk bingo, her bull terrier.

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