Sydney Botulinum medicine (Botox for short) has become established amongst stylish Sydney society and now it has become a beauty routine necessity for many individuals in the city. But I am often stunned by the misguided misconceptions in connection with this treatment.

Below are some of the more misunderstandings which I hear all the time at Star Cosmetic Medicine, where I practise as a doctor.

Misconception no. 1: I will not have the ability to use my facial muscles normally!

Research has discovered there are sixty or so muscles underneath the skin of your face. Their repeated use can cause wrinkles. When too much Botox has been injected facial muscles can sometimes become moderately less taut. The dose used by most physicians are designed to make you look less tired, nevertheless you will keep your facial expression.

By injecting a carefully measured quantity of the preparation in exactly the right spot facial expression is kept whilst the lines undergo a softening effect.

Misconception no. 2: Botox is poisonous!
This to a small extent is right. Its medical term is Botulinum Toxin Type A. An overdose may relax facial muscles that you do not want loosened and can even cause sickness.

But to maintain some perspective: an ancient pharmacy expression is that ‘everything is a poison – it all depends on the dose’. A large amount of any medicine may result in sickness. Even water can be fatal if you take too much.

Misconception no. 3: Botox hurts!
In our clinic Star Cosmetic Medicine the doctor uses a hypodermic needle finer than a hair. Several individuals liken the shots to mosquito bites. It is certainly less painful than something like a vaccination.

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Misconception no. 4: I will lose feeling in my face!
Completely incorrect. Botox acts on the junction between the nerve and the facial muscle, not sensate nerve fibers. Botox only targets the relaxation of muscles.

Misconception no. 5. You have to keep having Botox or else you might wrinkle faster than ever!
This is also untrue.

You can expect the first treatment to last for up to three months. Consequent injections do last a few weeks more. Eventually as muscle strength builds up again, the lines will eventually reappear. But they will certainly be no worse than before.

Even should you do not have Botox shots ever again – any wrinkles should be smoother than if you had never been treated. This, of course is mainly because your facial muscles and skin have had a ‘wrinkle holiday’ for a few months.