If the injection is given too quickly or too deep, excessive swelling and bruising may occur. Bruising is especially common if the injector hits a vein or pushes too hard. While this is a temporary side effect, the patient will be forced to live with an unsightly hematoma for days, if not weeks. While injecting botulinum toxin too deeply is a common mistake, so is injecting it too superficially.
This problem is most often observed when targeting the masseter muscle near the mouth, which is responsible for chewing. Since the risorium muscle is located above the masseter, if the toxin is not administered deep enough, the risorium may be affected, resulting in an uneven smile. Even if the masseter muscle is reached, the lack of deep enough injection can cause the lower parts of the muscle to move normally while the upper part is relaxed, creating a “squirrel” appearance. Doctors should try to inject at the site where the muscle attaches to the bone, using a ½ longer needle for best results.
One of the most common mistakes untrained professionals make is not injecting botox deep enough or injecting it too superficially. Botox should be injected into the superficial layers of the skin in some areas, while in others, it must be injected deeply. An example is the masseter muscle near the mouth. If a doctor does not inject this muscle deep enough, patients may end up with an uneven or unbalanced smile.
That's why it's so important to choose a clinic with excellent safety standards and trained staff who know how deep botox should be injected. Drooling and speech interference for these types of injections are almost always associated with excessive doses and volumes when treating this area. Without a doubt, Botox or botulinum toxin holds the title of the most demanded non-surgical cosmetic procedure in the world. As mentioned above, you should not inject Botox into the cheeks because it will affect the movement of the zygomatic muscle that raises the corners and upper lip.
A similar situation may occur if orbicularis oris is injected instead of the intended depressive septum, and some patients are unable to properly move the upper lip if this occurs. Studies have been done that show that superficial injection of Botox into the forehead, as you describe, is just as effective as deeper injections. Trained doctors used medically approved fine needles that are similar in thickness to what type 1 diabetics use every day when injecting themselves. Therefore, the proper technique for injecting this muscle is to have the patient form these lines by facial expression and inject the peaks (not the valleys) of the ritids portrayed by the patient.
They will use this knowledge to judge the location of the muscle where the Botox injection will go and the depth to which the needle should be inserted. The above article is a guide that will help you better understand the areas of adhesion and the need to correctly position the needle. This is not such a cumbersome guide to these injections, but it should help to expand your standard of care and thus improve patient care for these popular procedures. For example, in patients with a long forehead, two rows of injections may be required to cover the area sufficiently.
This condition is avoided by not performing injections under the eye into the orbicular muscle of the eye and usually affects elderly patients due to the muscle laxity of the orbicular muscle under the eye. The only risk that is different when injecting Botox into wrinkles under the eyes is that the injector must be very careful with the dosage, placement and selection of the right candidate. And although I am personally still sad as to whether to go under the needle, at least I can effectively argue with my husband that Botox is safe for his body. .