How To Make Botox Last Longer?

How to make Botox last longer?Botox is one of the four FDA approved neuromodulators, including Dysport, Xeomin and Jeuveau. All of them have the same active molecule, a botulinum toxin A, which binds to the nerve and prevents it from sending a message to the muscle. They differ in manufacturing processes, surrounding proteins and molecular sizes. As the muscles remain relaxed, overlying skin does not form wrinkles.

The benefits of Botox are to both prevent and reverse wrinkles, allowing us to look more relaxed and refreshed and to balance facial features, such as reducing gummy smiles, chin puckering, downturned smiles and improving neck appearance, among other things.

Injecting Botox is both a science and an art, because very detailed attention to detail and understanding of anatomy is so important. Botox treatments are comfortable and quick and full results are seen in 2 weeks. When a muscle is injected, all the other muscles have to rebalance and it is important to create a balanced , harmonious result. Assessment before injecting is critical to a good result, as scars, facial asymmetry, heavy brows can influence the outcome.

When performed by a well trained medical professional, Botox treatments create very happy patients, who want to maintain their great results. That is why Botox treatments are the most popular medical aesthetic treatments, with millions performed each year.

Botox starts to work in 3 to 5 days and is in full effect in 2 weeks. It starts to wear off around 8 weeks and lasts for 3-4 months. Unfortunately, during the pandemic many patients have noted that their treatments are not lasting as long as they did previously. Also, some people need higher doses to achieve desired results. Studies are still not available to explain whether this is due to stress or other factors.

Here are some things that you can do to help your skin stay looking good and Botox to last longer

  • No intense exercise for 24 hours after injections
  • Sunscreen to prevent collagen disruption
  • Do not smoke
  • Proper dosing: Botox duration is dose dependent and a lower than recommended dose will wear off quicker. Discuss your goals and budget with your injector.
  • Maintenance: Regular treatments every 3-4 months will keep the muscles relaxed and prevent further wrinkles. More frequent treatments may result in resistance. Slow and steady wins the race.
  • Zinc supplements: The chemical reaction that enables Botox to attach to the nerve is dependent on zinc. A study done in 2012 recommended a supplement of 50 mg a day to help maintain the Botox activity. Phytase is an enzyme that aids zinc absorption. Zinc and phytase supplements are available over the counter and maybe effective to prolong Botox longevity

Melasma and Hyperpigmentation: Causes and Treatments


Melasma is a common, chronic condition that results in spotty hyperpigmentation. Pregnancy, birth control pills, hormone replacement treatments and thyroid disorder can all trigger melasma
and sun exposure can make it worse.

Melasma is more common in women, usually with an onset between the ages of 20 and 40. It is more common in people who tan easily or who have naturally dark skin.

The pigmentation results from an overproduction of melanin. Avoiding sun exposure and continuous sunscreen use is very important to prevent flares. Therapy is aimed at suppressing melanin production.

There is no cure for melasma and it is prone to episodic flares. Many different treatments have been tried and often a multifaceted approach is required. Mask wear has predisposed people to melasma mustaches and women find this particularly frustrating.

Lasers, IPL Photofacial, microneedling have all been used and unfortunately, sometimes have worsened the conditions.

Chemical peels are often used to help with melasma. A set of peels is often the most beneficial for best results.

Hydroquinone, retinoids and topical steroids can be used at home to suppress melanin production. Hydroquinone is not available in Europe as it is potentially carcinogenic. Retinoids, which are vitamin A derivatives, promote cell turnover and help suppress melasma. Dermatitis is
a potential side effect of hydroquinone and retinoids.

Several agents have been studied and found to improve melasma. Glutathione, kojic acid, vitamin C, licorice extract, tranexamic acid and arbutin have all been found to be helpful. Niacinamide or vitamin B3 stimulates collagen synthesis, acts as an antioxidant and humectant.
It can reduce pore size, reduce redness and hyperpigmentation.

At Inner Glow AestheticsMD we have created a cocktail of hyaluronate, which keeps moisture locked into the skin, combined with several ingredients shown to help hyperpigmentation. They are mixed together and applied into the skin using a painless micro injection device. Our
Pigment Correcting Glow Treatment will even out the skin tone and the correct at home skin maintenance will keep you glowing.

Botox for the Lower Face – Nefertiti Neck Lift

Botox for the Lower Face - Nefertiti Neck Lift

Botox is most often used aesthetically in the upper face to treat the forehead, frown lines and crow’s feet. It has been FDA approved for aesthetic treatments since 2002 and our knowledge has grown exponentially, with many more indications for this very versatile tool.

The face ages obliquely down and in. As we grow older, bone and deep fat loss, as well as displacement of tissue, creates a heaviness in the lower face. Jowling becomes more prominent, and the neck skin becomes more lax. As a result, the contour and definition between the jawline and the neck decreases. Constant use of our devices has also contributed to a phenomenon called the “tech neck” with prominent horizontal lines across the neck from staring down.

While nothing replaces a surgical neck lift, multiple minimally invasive procedures are available to prevent and improve the appearance of the neck and lower face. Hyaluronic fillers can be used to gently fill in the horizontal lines, making them less pronounced. Microneedling and Radiesse, a filler that stimulates collagen, can be used to help promote collagen to maintain skin quality.

Botox is a neuromodulator that prevents the muscles from contracting. The platysma is a flat superficial muscle along the sides of the neck.  It becomes hypertonic over time and forms bands, pulling down on the face and contributing to jowling and a downturned mouth.

Very comfortable and quick injections to the platysmal bands and along the jawline can relax the pull. This helps prevent jowling in younger patients and diminishes it in older ones.  A better-defined jaw line, better skin quality, a more flattering resting face without a downward curve to the mouth are some of the benefits of lower face and neck Botox.

The treatment is called the Nefertiti neck lift in honor of the Egyptian queen known for her beautiful neck. It’s quick and very comfortable. The results last for 3-4 months. If you have any questions, please feel free to contact us.