"Doctor, my eyes look tired... Is it true that botulinum toxin can rejuvenate my appearance?"

We consult Dr. Salentina, one of the leading experts in botulinum toxin treatments (professor of aesthetic medicine at the University of Pavia and expert member of AITEB - Italian Society of Botulinum Toxin) to reveal some professional insights.

Dr. Salentina, does botulinum toxin affect wrinkles or facial expression?

It actually affects both. However, I always emphasize to my patients that I prefer to focus on enhancing facial expression, as minor wrinkles on a fresh, rested face can sometimes add naturalness.

Could you explain how it works on facial expression?

In the upper third of the face, there exists a balance between depressor and elevator muscles. The physician acts as a specialist, precisely modulating the equilibrium between these muscle groups as needed.

What are the results?

Patients who previously complained of a fatigued and heavy appearance can achieve a more relaxed, bright, and refreshed look through the selective inhibition of depressor muscles with botulinum toxin.

Is it suitable for summer treatment?

There are no seasonal contraindications, only minor precautions to follow in the days immediately after treatment. During summer months, facial muscles controlling eye and brow movement are particularly active due to sun exposure. Botulinum toxin remains the most reliable method for reducing these contractions, resulting in a more relaxed appearance.

At what age can treatment begin?

Botulinum toxin can be used preventatively in patients between 20 and 40 years old. As I have advocated since 2012 (AGORA - International Congress of Aesthetic Medicine) and as confirmed by the American Society for Aesthetic Plastic Surgery, botulinum toxin can be utilized as a preventative treatment for younger patients, even before signs of aging appear. This demonstrates that botulinum toxin, when administered by experienced practitioners, is both safe and effective for rejuvenation.