Dr. Rahul Balmiki

Botox is a wrinkle treatment, but is used for treating a range of medical conditions. It has been in use for well over 18 years and is considered to be safe when performed under the guidance of a medical practitioner. Apart from aesthetics, a range of other facial, migraine and dermatological problems can be addressed by Botox.

Myth #1

Botox limits facial expression: The primary objective of a Botox treatment is to enhance the look of a person and not the contrary. When administered by a skilled physician, you can still smile and animate like before. Botox in no way affects the sensory nerve. The muscle beneath the point of injection gets relaxed and remains active. The apprehension of limited facial activity is baseless.

Myth #2

Botox travel through your body: This again is a myth. Botox diffuses not more than 1cm into the skin. Due to its localized nature, it does not affect any other parts of the body other than the intended area.

Myth #3

Botox has toxic content: Botox, like any other drug, is safe when taken under supervision. Like other drugs, it too gets scanned by the drug regulatory authorities. It is neither dangerous nor contains any toxic substance.

Myth #4

Dermal fillers involve intense pain: Dermal fillers are not as painful as advocated by many people out there. It does have its fair share of discomfort but a medical practitioner always uses a topical anesthetic and other anxiety related medications during the treatment.

Myth #5

Downtime for Botox is fairly long: Botox is known as the afternoon injection for its convenience and easy procedure. Botox procedure has no downtime at all. Doctors often suggest against lying down for a good 2-3 hours after the injection. Dermal fillers might result in minor swelling but there are medicines to counter that too.

Myth #6

Botox is permanent in nature: Botox effects lasts for 4-6months. For people who take Botox shots regularly, it tends to last longer. 

Myth #7

Dermal fillers and Botox are the same: While people these days use them interchangeably, they are not the same. For instance, Botox lessens the effect of wrinkles by relaxing the facial muscle whereas dermal fillers add volume to the tissue and restores the muscle.

Myth #8

Botox is applied only when Facial lines are visible: This is not necessarily true. If the family of an individual has a history of facial lines, it makes sense to start Botox for facial line prevention. This delays the actual facial line appearance and requires fewer Botox shots going forward.

Skin complexion varies and is caused by the skin pigmentation known as ‘melanin’, produced by cells called melanocytes, which gives skin the colour. The more amount of melanin, the darker the complexion. Melanin has a protective effect against sun exposure, as it reduces damage caused by the sun on the skin. It is proven that people with a darker complexion (with more melanin) are less prone to damage from sun exposure.

What are they? Freckles are cells that contain more amount of melanin compared to the surrounding areas. It is a common sight where some people have small, tiny black/brown spots on their faces. These spots may also be present on the hands, elbows, neck, back, etc., but are most obvious in the face. These are known as freckles.

Causes: Freckles are very common, and they are triggered by exposure to sunlight. The melanocytes absorb the sun and produce more melanin, thereby causing freckles. They are a natural reaction of the skin to the sun.

• It runs in families, and children are likely to have freckles if the parents had them.

• It also depends on complexion – fair people are more prone to have freckles than dark people.

• Tanning, whether done by the sun or in a salon, also increases the chances of having freckles.

• In some people, the freckles appear in the summer and disappear in the winter.

• While some precancerous lesions may start off as tiny brown spots and be mistaken for freckles, freckles per se are not cancerous.

Management: While there are stories that freckles are angel kisses, they are not true. Freckles do not bring any good luck charm and can be prevented and avoided to improve overall skin and esthetic appeal.

Prevention is the first option, and if you are genetically disposed to have freckles, it is best to take measures that can reduce freckles. Avoiding or reducing sun exposure and using good sun protection can help in reducing the number of freckles and the darkness of the freckles.

Freckles can be treated by one of the following:

1. Topical Creams- Though widely used, these contain bleaching agents which act on the entire skin and not just the freckles. Retin-A is one of the widely used products.

2. Laser- Considered the best method for freckle removal, a beam of the laser is used to get rid of the unwanted melanocytes which produce melanin. This not only reduces freckles, it also improves skin tone and colour.

3. Cryotherapy- Liquid nitrogen is used to freeze the melanin-producing cells, thereby removing freckles.

If you have freckles, try these measures for getting rid of them. Once that is done, preventing freckle formation with limiting sun exposure and sun protection is extremely essential.