• Plastic Surgeons
  • Anesthesiologists
  • Frequently Asked Questions

Trinidad Institute of Plastic Surgery

Phone/Whatsapp 1-868-760-5591 / 1-868-794-1350, Office Verdure Health, #4A Alexandra Street, St. Clair, Port of Spain, Trinidad, W. I.

  • Home
    • About
    • CEO Message
    • Manifesto of Aesthetic and Cosmetic Surgery
  • Craniofacial Surgery
    • Reconstructive Surgery
    • Migraine Headaches Treatment Center
  • Hand Surgery
    • Hand Fractures
    • Wrist Fracture – Scaphoid Fracture
    • Carpal Tunnel Syndrome
    • Tendon Injuries Hand
    • Tendon Syndromes
    • Thumb Arthritis
  • Aesthetic Medicine
    • Skin Rejuvenation
    • Excessive Sweating Treatment
    • Lip Augmentation
    • Botox Treatment
    • Wrinkle Treatment, Filler Injections
  • Cosmetic Surgery
    • Tummy Tuck
    • Breast Augmentation
    • Breast Reduction
    • Breast Lift
    • Brazilian Butt Lift
    • Liposuction
    • Gynecomastia
    • Rhinoplasty – Nose Job
    • Midface Lift, Cheek Lift
    • Facelift
    • Blepharoplasty
  • Before After Galleries
    • SAFELipo Before and After Galleries
    • Brazilian Butt Lift Before and After Galleries
    • Bilateral Breast Augmentation Before and After Galleries
    • Mommy Makeover Before and After Galleries
    • Tummy Tuck Before And After Galleries
    • Breast Reduction Before and After Galleries
    • Blepharoplasty and Periorbital Surgery Before and After Galleries
    • Breast Lift Before and After Galleries
    • Gynecomastia Before and After Galleries
  • Contact
You are here: Home / Aesthetic Medicine and Skin Therapy / Botox in Aesthetic Medicine

Botox in Aesthetic Medicine

03/28/2013 By ttplastadmin

Botolinum toxin A (henceforth BTN-A) is a very potent neurotoxin produced by the bacterium Clostridium botulinum. Serious poisoning from food borne botulinum toxin are medical emergencies resulting in widespread paralysis, usually starting inn the face and eye muscles. BTN-A exerts its effect by irreversibly binding to protein SNP25 on the presynaptic nerve ending and inhibiting the release of the neurotransmitter acetylcholine. Acetylcholine is the substance that transduces the electrical signal (nerve impulse) into mechanical action (muscle contraction) at the synapse, which works as an electromechanical coupler between nerve and muscle. The paralytic effect vanishes once the body builds new SNP25 or sprouts new nerve endings.
Centuries ago Paracelsus stated that the main difference between medication and poison is the dose. At a low dose and when used by direct local injection into muscles BTN-A has multiple useful therapeutic applications. In strabism it is used to selectively weaken some of the eye muscles to achieve better globe position and cure double vision in various directions of gaze. In cases of spasticity after brain injury it is used to selectively weaken the overactive muscles. This is useful e. g. in cases of cerebral palsy with upper extremity spasticity to achieve better hand function temporarily and simulate the effects of a surgical intervention. In migraine headaches it is used to counteract the compression of certain nerves by their surrounding muscles at the front and back of the head.
Its use in aesthetic medicine is based on the anatomical properties of the facial, mimetic musculature. The pull of these muscle on the skin not only enables the expression of emotions but also generates wrinkles. These dynamic wrinkles are the target of BTN-A treatments. Dynamic wrinkles appear when the corresponding mimetic muscles are activated during expression of emotions and disappear when the muscles are relaxed. Static wrinkles on the other hand are present permanently at sites such as the forehead and frown area even if the mimetic muscles are not activated. Static wrinkles are not a good indication for BTN-A treatments. BTN-A is also not well suited to treat fine wrinkles resulting from intrinsic skin changes, as its target really is muscle, not skin.
Best research and track record of safety is available for the frown area (glabella) between the eyebrows and the forehead. Much of the scientific evidence of the benefits and safety of BTN-A was produced by Drs. Alistair and Jean Carruthers of Vancouver. Their research helped define optimal doses and reinjection intervals.
The aesthetic objective is to produce a smoother look with reduced depth and occurrence of wrinkles. A frozen appearance has to be avoided. Malposition of eyebrows and eyelids are occasional, temporary side effects of BTN-A treatments. Understanding of the closure dynamics of the eyelids and the muscle balance necessary to set lid and eyebrow position by the injector as well as a conservative dosing and injection regimen contribute to the avoidance of these effects and the ultimate satisfaction of the patient.

 

Botox is so popular and successful for a simple reason: it works. Botox wrinkle treatments result in a very high satisfaction rate in our clients from the Caribbean, Antigua and Barbuda, The Bahamas, Barbados, Belize, Dominica, Grenada, Guyana, Haiti, Jamaica, Montserrat, Saint Lucia, St. Kitts and Nevis, St. Vincent and the Grenadines, Suriname, Trinidad and Tobago, Bermuda, British Virgin Islands, Cayman Islands, Turks and Caicos Islands, Miami, New York, London, Toronto.

Filed Under: Aesthetic Medicine and Skin Therapy Tagged With: aesthetic medicine, botox, botulinum toxin A, crow's feet, facial palsy, facial rejuvenation, forehead frown lines, forehead lines, forehead wrinkles, frown lines, glabellar frown lines, glabellar lines, laughing lines, rejuvenation

Contact Us

    Your Phone Number Including Country/Area Codes (required)

    Popular Procedures

    • Caribbean Plastic Surgery Guide – Cosmetic Surgery of the Face
      • Blepharoplasty
      • Botox
      • Chemical Peel
      • Chin Augmentation
      • Chin Implants
      • Ethnic Rhinoplasty
      • Facelift Surgery
      • Facial Fillers
      • Lip augmentation
      • Medical Skin Care
      • MIDI Blepharoplasty
      • Mini Facelift
      • Natural Nose Jobs
      • Rhinoplasty
      • Upper Blepharoplasty
    • Caribbean Plastic Surgery Trinidad
      • Breast Augmentation
      • Butt Augmentation
      • Gynecomastia – “Male Boobs”
      • Liposuction
      • Mommy Makeovers: Tummy Tuck, SAFELipo, Breast Augmentation
      • SAFELipo Liposuction and Body Contouring
      • Tummy Tuck
    • SAFELipo Before and After Galleries
    • Cosmetic Surgery Price List – Plastic Surgery Cost
    • Skin Rejuvenation, Aesthetic Medicine and Medical Skin Care Services

    Copyright © 2025 Bioengineering Associates LLC