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Botulinum therapy (abbreviated to B.tox) is rapidly becoming the latest trend in Sydney society in fact it is becoming an important part of grooming for some people in the Harbour City. Nevertheless I never fail to be astounded when I hear the various stories that have developed about this treatment.

Here I have listed a few of the errors that I encounter in my work as a physician at Star Cosmetic Medicine located in Pyrmont, Sydney.

Myth Number 1: I will not be able to express emotions normally!

There are sixty or so muscles in the human face. The excessive use of these muscles over time may result in wrinkles. Too many treatments of Botulinum Toxin have the effect of the facial muscles becoming slightly less taut. The dose injected by almost all doctors will result in you looking refreshed, but still you will keep your normal expression.

So by injecting small quantities of the preparation in precisely the right areas you should get a reduction in the lines without reducing facial expression.

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Myth Number 2: B.tox is a poisonous substance!
This to some extent is correct. Its pharmaceutical term is Botulinum Toxin Type A. Too large a dose can loosen facial muscles that you do not want relaxed and can cause illness.

However to help us understand the reality of the situation - a well known chemist’s saying is that ‘everything is a poison - it all depends on the dose’. A large amount of any medicine will induce illness. Even water can kill you if you take enough.

Myth Number 3: Wrinkle injections hurt!
Your hairs are larger than the hypodermic needles we have at Star Cosmetic Medicine. Some people liken the treatments to getting bit by mosquitoes. Certainly not as sore as having a regular shot.

Myth Number 4: I might lose sensation in my face!
Not true. Botulinum medicine works primarily on the junction between the nerve and the facial muscle, and not on sensate nerves. Just the ability to relax muscles is impacted by B.tox injections.

Myth Number 5. You can’t stop getting B.tox or else the lines and wrinkles become worse!
Also false.

B.tox is believed to last for up to three months. Later injections do last a little longer. Eventually as muscle strength returns, the wrinkles will slowly reform. However they will certainly not be any more pronounced than previously.

Even should you don’t have B.tox shots again - those lines will most likely be a little smoother than if you had never been treated. This is typically the case because your skin has had a ‘wrinkle holiday’ for a few months.