Botox has been used in different medical fields as Urology, Neurology, Ophtalmology since mid seventies for  terapeutical  reasons, then started in the early ninenties in Plastic surgery for treatment of wrinkles, mainly for lines on the forehead, between the brows (frown lines) and around the eyes (crows feet). Millions of patients have been treated in the last ten years with Botox applications for cosmetic reasons, even if the clinical use of the purified toxin from Clostridium Botulinum is much wider, because allows to get a real non surgical remodelling of the face, or raising the brows or elevating the corner of the mouth or reducing wrinkles and platysma bands on the neck. This way we can correct facial asimmetries as malpositions of the brows or  nasolabial folds or the corner of the mouth, congenital defects or after a facial palsy. With Botox we can get a better simmetry with improvement of all face. Still the Entropion, malposition of the upper or more often lower eyelid where lash grow up inside the eye with congiuntivitis, can be corrected with Botox injections. Hyperidrosis, which is the excess of sweatting in the axillary area or on the hand and feet can be also improved with Botox. Facial rejuvenation with Botox is very natural because it slows down the contraction of the muscles, relaxing the wrinkles; the effect starts a few days after the injection and lasts for several months, with appropiate technique doesnít spread out the treated area and doesnít cause any damage to the muscle. The final effect is a relaxed and natural face. Any unnatural look happens for an uncorrect use of Botox, like palpebral ptosis (dropping of the brow). The use is not allowed in patients with pregnancy or neurological diseases like myastenia. Preliminary clinical evaluation is mandatory to get a good result;  Prof. Tarallo uses a personal technique in marking the injections points, depending on the patientís needs: this way we can get a rejuvenation of the area and a natural result.


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