Unpacking Botulinum Toxin
A2 Aesthetic and Anti-Ageing Magazine|Spring 2017 - Issue 23

Botulinum toxin has been used for more than 30 years in not only aesthetic medicine, but also as a treatment for medical conditions such as excessive sweating, migraines, cerebral palsy with muscle spasms and after strokes.

Cobus Van Niekerk
Unpacking Botulinum Toxin

The list for the use of botulinum toxin in each indication is, in fact, growing on a daily basis. In aesthetic medicine, the overwhelming use is in muscle paralysis (mainly in the face) and nerve conduction cessation (treating excessive sweating). The treatment of frown lines (relaxing but not totally obliterating) and lateral cantal lines (laugh lines and crow’s feet) is among the aesthetic uses indicated in the package insert. Botulinum toxin is produced from refining the toxin created from the Clostridium botulinum

bacterium, which causes muscle paralysis in small doses and is a safe treatment for several conditions (migraines, eye spasms, cerebral palsy, and after a stroke, to name just a few). As per the package insert, the effects last between 12 and 16 weeks, but doctors should rather underpromise and overdeliver than the other way around.

Adhering to ethics and the law

Botulinum toxin is a Schedule 4 medication and should not be injected by anyone other than a trained medical doctor or dentist, and not by beauticians,somatologists or any layperson, according to the Ethical Rules of the Health Professions Council of South Africa and the Pharmacy Act.

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