Micro-Botox is a relatively new injection technique that applies BOTOX in low doses to the skin rather than the muscle. It involves placing a series of tiny injections to smooth lines and wrinkles while keeping your facial expression completely unimpacted. The Micro-Botox treatment uses less product per injection point than the traditional intra-muscular application with injectable solutions 3-5 thinner than normal. For this reason some people also call the procedure “Baby Botox”. Since the technique of placing a series of injections ressembles mesotherapeutic applications, another name for the therapy is “Meso-Botox”. Micro-Botox shows great results in refining large pores and alleviating oliy skin. Problems that oftentimes occur in the nasal area. At my medical practice LIPS and SKIN in Munich, this is the primary purpose I use this treatment for.
Arguably, Micro-Botox was invented for people worried about the possible side effects of the traditional method, i.e. an impaired ability to make facial expressions. I believe, however, that BOTOX injections must never cause a “frozen” look and such outcome is simply due to lack of competence on the side of the injector. Therefore, at LIPS and SKIN I hardly ever use Micro-Botox as a “low risk” variant of the traditional method when I believe that classic BOTOX is the best treatment option in any given situation.
As already mentioned above, my use of Micro-Botox at LIPS and SKIN is all about the reduction of the pores. And thus the reduction of sebum production. Both is possible by the superficial injection of BOTOX in low-dose-solutions. Study results on this application are convincing both objectively and subjectively: the authors observed a significantly lower sebum production and were also able to prove its reduction scientifically. Viewed objectively, Micro Botox is therefore suitable for the therapy of large pores. But even more important: over 90% of the study participants stated that they were very satisfied with the result. So also from the patient’s subjective view, the therapy works.
The treatment with Micro-Botox is basically the same as other botulinum treatments: A detailed self-disclosure of the patient is necessary to detect possible contraindications. In the subsequent patient discussion, the possibilities of botulinum therapy are discussed, but also the risks and possible side effects. The status quo is then documented by photo. For the subsequent injections I use the thinnest needles currently available on the market, called “invisible needle” by their manufacturer. The needles are inserted obliquely into the skin surface at an angle of approx. 75 degrees. They can hardly be felt, because they are only superficial. However, some patients are sensitive to the nose. And during the Microbotox treatment there are sometimes 10-15 punctures on both sides of the nose. As a rule, I therefore anaesthetise the nose with the local anaesthetic lidocaine before the injection.
After the treatment you are usually socially acceptable again within 30 minutes. Reddening of the skin at the injection sites should have disappeared by then. Slight hives at the injection points may still be visible, but they will also disappear shortly afterwards. For the days after treatment, the same instructions apply as for classic Botox therapy. However, since the Microbotox procedure, in contrast to the punctual botulinum therapy, expressly relies on the dispersion of the active substance in the treated skin areas, restrictions with regard to certain movements are not really necessary. However, patients should take it all the more seriously with visits to the sauna, solarium and fitness studio. Because they do not want to “sweat out” the highly diluted active ingredient.