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08-01-18 | Posted by

MicroBotox is having a moment. Sometimes referred to as ‘Baby BOTOX’, this term is used to describe the injection of multiple microdroplets of diluted toxin (BOTOX, Dysport, Xeomin) into the deeper skin layer or into the superficial layer of muscles.

“We already know that Botox, when injected into facial muscles, takes away frown lines, crow’s feet, and other wrinkles. But when injected in tiny amounts throughout the face, known as microbotox, or intradermal botox, this technique targets the superficial layers of your skin, reducing acne, pore size, oil production, and sweating. The skin becomes more refined, tighter, smoother, free of excess oil and sweat,” says Chicago dermatologist Jeffrey Hsu.

New York City facial plastic surgeon Sam Rizk explains; “The MicroBotox technique uses microdroplets of BOTOX to  improve skin texture. Instead of injecting the neurotoxin deeply into the muscles, this will target the superficial layer of muscles. It can also be effective for vertical banding of the neck and to improve the contour of the cervicomental angle, or chin and neck area, using a 30 or 32 gauge needle.”

Microdroplet Botox injections were actually shown to offer better outcomes for patents with lower face and neck laxity than the Nefertiti lift, but are less effective in reducing visible platysmal bands, according to a study published online in Plastic and Reconstructive Surgery (June 4, 2018).

Researchers Cyril J. Awaida, MD, et al, from Beirut, Lebanon, treated 25 patients, who had previously undergone a noninvasive “Nefertiti Lift” procedure, using a Microbotox technique. They injected microdroplets of the botulinum toxin (mean dose of 154 units) in the neck and lower face. Investigators viewed standardized pre- and post-injection photographs and rated the overall appearance of the lower face and neck using the Global Aesthetic Improvement Score. The jowls, marionette lines, oral commissures, neck volume, and platysmal bands at maximal contraction and at rest were assessed with validated photonumeric scales.

The Microbotox technique provided more improvement in the jowls and neck volume than the Nefertiti Lift, while the Nefertiti Lift was more effective in reducing platysmal banding both at rest and with contraction. All subjects were satisfied with both procedures.

Microneedling is also trending.

Based on the use of fine needles to create micro channels, like tiny holes in the skin, the microneedling process stimulates your skin’s natural ability to heal itself and causes the formation of new collagen and elastin. It is considered to be safe for all skin types.

Lisa Ishii, MD, facial plastic surgeon and AAFPRS board member says, “Microneedling is an excellent option for patients who desire an improvement in skin quality with minimal down time and expense.  After treatment and healing patients note that their skin is both tighter and brighter than it was before their procedure.  They appreciate that fine lines are minimized and skin color is more even.”

Microneedling can be used to treat acne, acne scarring, fine lines, wrinkles, pigmentation, slack skin, and pore size. It can be used all over the body, but the face, neck, and chest are the most popular areas. Professional skin needling should not be confused with the vast array of home care microneedling devices designed for home use that usually come in the form of stamps or rollers with short, fine needles.

Here is how medical microneedling basically works; After the micro injuries are made in the skin, the inflammation process produces redness and mild swelling that lasts for about 24 hours. Then the body begins to repair itself through the release of growth factors and production of fibroblasts. Lastly, the tissue begins to remodel by increasing surrounding collagen that theoretically thickens the skin’s outer layer. In most cases, these micro-channels are completely healed in less than 24 hours.

To foster healing and maintain the skin, many physicians recommend applying a serum immediately after the procedure. According to Dr. Rachel Reyes-Bergano of Contempo Aesthetics in Pasadena, CA,  “Alastin Regenerating Skin Nectar is an amazing product! There isn’t another product that we use in our practice, that has produced tremendous pre and post-treatment results with (laser and MicroNeedling). Our clients are in love with the feel and healing benefits.”

Note: Microneedling as described above should not be confused with Microneedling RF, which involves the addition of radiofrequency energy and is a medical procedure.

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