With ageing, associated natural changes to the face can give the impression that we are tired, sad or angry – even when we’re not.
The repeated contraction of muscles in the upper face when we make facial expressions can cause the formation of facial lines and wrinkles, which can be obvious even at rest. The decrease in soft tissue volume (naturally occurring complex sugars and under-skin fat tissue) which happens naturally over time, also contributes to the development of upper facial lines. Sun exposure and smoking are also strong contributors to the damage.
Patients should know that Botulinum toxin is not used to keep them from expressing themselves but simply to keep them from making facial grimaces and frowns that have become habits and are unintended.
When done correctly, most people who are not trained cosmetic surgeons will not notice that a Botulinum toxin injectable procedure has been performed but simply that the patient looks more rested or happier.