Phenol peels botulinum toxin

Botulinum toxin often has to be used at the same time as a deep peel on patients with thick skins in order to limit the contractions of the orbicular muscle of the Kps and to improve/maintain results. The horizontal fold between the lower Kp and the prominence of the chin does not usuaUy respond weU to peels, even deep ones, ft can easily be filled in, however, together with the nasolabial folds 1-2 months after the phenol peel. 

Full-face phenol (Lip Eyelid formula) (a) before and (b) 30 days after the peel. The combination of botulinum toxin and phenol work together on the forehead, crow s feet, frown lines and sometimes wrinkles on the upper lip. 

Expression lines on the forehead and between the eyebrows and crow s feet have a natural tendency to recur partially and rapidly, even after a phenol peel. A botulinum toxin injection before the peel stops expression lines imprinting themselves on the skin as it renews itself, and this combination is very satisfactory, improving results significantly. The botulinum toxin should be injected 1 week before the peel so that new collagen can be synthesized on an immobile dermis. 

The injection can also be given 8 days after the phenol peel, if not done beforehand. Injecting botulinum toxin during the post-peel period of erythema and edema increases the risk of the toxin moving as well as the risk of temporary cosmetic complications caused by the toxin. The duration of the toxin s effect does not seem to change much, however. 

Before (a) and after (b) a full-face phenol peel (Lip Eyelid formula) a combination of yellow skin, wrinkles, fine lines and lentigines in a patient who smokes. Thirty days after the peel the erythema is normal. The patient is not wearing any make-up. Botulinum toxin was injected 8 days before the peel (forehead, frown lines and crow s feet). 

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