Botulinum toxin combination treatment

TCA-SAS allows hardly any concomitant combinations, and most of the treatments that one might wish to combine it with must be carried out 8-15 days before the peel. For example, nothing can be injected immediately before a TCA-SAS peel, ft is, of course, possible to inject botulinum toxin in the upper part of the face just before or after applying a TCA-SAS peel to the area around the lips, but the toxin should not be injected before applying a TCA-SAS peel in the same area. The immediate inflammation induced by the peel could cause the toxin to migrate. 

Dynamic wrinkles respond well to a combination of botulinum toxin and peels the peels restructrue the epidermis and the dermis on an unmoving base and the clinical results are better when these two treatments are combined than when used alone. 

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