WHAT IS MICRO-BOTOX?

Botox, also known as onabotulinum toxin type A is an injectable drug used primarily in cosmetic medicine to eliminate or reduce the appearance and formation of wrinkles, but when used in small doses is classified as “Micro-botox”. Regular strength Botox works by completely eliminating muscular contractions, in turn restricting facial expressions that lead to the formation of wrinkles. Inevitably, it causes your face to “freeze”, hindering your ability to fully express yourself. For many patients this presents as both a personal and professional dilemma as they can be perceived as cold and unsympathetic as well as not fitting their professional roles. Dr. Schwarzburg sees many professionals including Broadway performers, attorneys, financial executives and many others. That kind of involved personal interactions often necessitate a full spectrum of facial animation. Hence, a sizable segment of Dr. Schwarzburg’s patients find it crucial to keep the balance between looking youthful and the ability to communicate with others organically and maintain warm and empathetic personalities. 

Micro-botox, also known as baby-botox prevents the “frozen”, expressionless and dull look as it is an overdiluted mixture of botulinum toxin and sterile saline, making it less paralytic and harsh for the injected facial muscles, and allowing patients to gently prevent fine skin lines without severely obstructing facial movement or limiting emotional expression.

Micro-botox can be used in younger patients for preventative measures or in patients who are looking for a mild wrinkle relaxer allowing them to maintain their expressive facial features. It is also used to improve skin texture as an ingredient in serums injected into the skin via microneedling such as an AquaGold treatment. Micro-botox is FDA approved for the prevention of fine lines and is clinically tested and proven to be both safe and effective in its ability to do so, without the loss of expression avoiding the frozen and unnatural look.

HOW IS BABY BOTOX DIFFERENT FROM REGULAR BOTOX?

Both micro-botox and Botox are composed of onabotulinumtoxinA and are used to inhibit the propagation of electrical signal at the neuromuscular junction, which in turn prevents muscular contractions and formation of rhytids. Botox is generally used to get rid of wrinkles and lines that form with age and repeated facial animation. While full strength Botox can be injected to reverse deep and severe wrinkles, baby botox is more commonly used for prevention purposes as it is diluted with saline, making it a “lighter” version of the original formulation of the toxin. Using micro doses of botulinum toxin allows patients to be more expressive while avoiding the formation of future signs of aging.

Baby Botox

WHY IS EVERYBODY DOING MICRO-BOTOX?

Over the past two decades micro-botox has grown to become the most popular cosmetic treatment on the market due to its unmatched ability to prevent, reduce and erase wrinkles in a minimally invasive manner. In fact, the number of Botox procedures carried out has increased by 459% from the year 2000 to 2020, not excluding the number of micro-botox treatments that go along with it. Baby-botox is particularly popular amongst younger patients with the desire to prevent wrinkles from forming in the first place as the treatment uses just enough diluted botox to gently smooth out a few tiny wrinkles while maintaining a full range of facial expressions. 

Known as a more subtle version of traditional neuromodulators, micro-botox has also gained a well accepted reputation amongst celebrities, social media influencers, models and actors, such as Jennifer Aniston, Hailey Bieber, and Kylie Jenner, to name a few. In addition to its primary purpose as a mild wrinkle relaxer, baby-Botox is also high in demand for skin rejuvenation and hydration treatments in formulas such as AquaGold and Mesotherapy. Multiple studies including this one confirmed that the intradermal injection of Botox combined with micro hyaluronic acid significantly improved skin hydration and appearance over the course of 4 – 8 weeks.

HOW DOES BABY BOTOX WORK?

Baby-botox is a form of low strength Botox, which can be injected both intramuscularly and intradermally to treat static and dynamic wrinkles, prevent premature formation of rhytids, and additionally reduce pore size, sweat gland activity, and sebaceous gland size. The fundamental difference between regular Botox and baby-Botox is that baby-Botox is reconstituted with a greater volume of sterile water making it less powerful avoiding the possibility of excessive muscular paralysis, which can lead to complete suspension of facial animation. Micro-botox can be injected either deep into the muscle to combat deeper cutaneous creases and lines, or superficially into the dermis as a means to hydrate dry skin and reduce pore size. 

For muscular relaxation and wrinkle treatment, the watered down version of Botox is injected into facial muscles in the area of concern to block the release of acetylcholine and thus gently restricting the muscle contractions that would otherwise lead to the formation of rhytids without the loss of movement in the treated area. 

For skin-oriented micro-botox injections, microscopic botox droplets are injected into superficial layers of the dermis, resulting in a reduction of pore and sweat gland size for an overall smoother and more refreshed appearance.

HOW MUCH DOES MICRO-BOTOX COST?

The procedure can cost anywhere from $100 to $800 or more, depending on how much of the micro botox droplets are needed for your desired outcome, and how the treatment is done.

WHAT OTHER SKINCARE TREATMENTS WORK WITH BABY BOTOX?

Baby botox can be used with many skin care procedures including lasers, and various forms of microneedling. A lot of younger patients benefit from the carbon laser facial, which is a wonderful tool to clear out the pores and treat acne and oily skin. AquaGold microneedling on the other hand is used to hydrate the skin via intradermal vitamin infusion. 

For patients looking to further rejuvenate their skin, smooth out acne scars, and improve uneven skin texture and tone, Fraxel laser and Secret RF microneedling are excellent options to use alongside micro-botox.

HOW IS BOTOX DILUTED? 

In order to produce micro-botox, Onabotulinum toxin type A is diluted with a greater than standard volume of sterile saline. The final concentration of Botox in sterile saline is determined by Dr. Schwarzburg who will administer the ideal custom dilution based on your individual anatomy, aesthetic goals, and needs. On average, the ratio of toxin to saline is 20 units of neurotoxin to 1 mL of solution.

HOW LONG DOES BABY BOTOX LAST?

The longevity of your micro botox results depend on your individual response to the toxin and how quickly your body metabolizes it, as well as the number of units and area injected. On average your baby botox should last up to 3 – 4 months. Many of Dr. Schwarzburg’s patients get touch-ups every 2 – 3 months to avoid full disintegration of their results.

HOW MANY UNITS ARE IN BABY BOTOX?

The number of units used in your baby botox formulation is determined by Dr. Schwarzburg during your consultation. He will base the number of units needed off of your desired outcome, medical history, the treatment area, as well as the strength of the muscles to be treated. With baby botox, fewer units are used than a usual botox session. For example, an area in which you would usually get 20 units of Botox, would likely be closer to 10 units for a baby botox treatment.

CAN I GET BOTOX UNDER EYES?

Yes! Botox can be used under eye eyes to treat rhytids on the lower eyelids or to remedy the appearance of crow’s feet. This may also be combined with an under eye dermal filler to replace lost volume and create a more youthful appearance by eliminating dark circles and hollowness that may have developed with age or due to genetic factors.

CAN ROSACEA BE TREATED WITH BOTOX?

Several studies have confirmed the efficacy of Botox to treat rosacea, a skin disorder that causes redness and flushing, papules, and ocular involvement. When injected intradermally, botox has been found to interfere with the dilation of blood vessels, mitigating the redness that results from rosacea.

Can you microneedle with micro-Botox?

One form of administering micro-botox is intradermally using a hand held mechanical microneedling tool to inject either baby-botox, or another neurotoxin-containing solution designed to hydrate the skin and treat uneven skin texture and imperfections. Two of the most popular methods to do so include Mesotherapy and AquaGold.

WHAT IS A MICRO-BOTOX FACIAL?

A micro-botox facial involves the intradermal administration of microdroplets of neurotoxin for facial revitalization. This can be administered via injection or microneedling. It differs from conventional botox, as it is not injected into the underlying muscle to paralyze the area of concern, but into the skin, to reduce pore size, and infuse the skin with rejuvenating ingredients and vitamins.

What is Gold Baby Botox?

Also called AquaGold, this minimally invasive intradermal vitamin infusion is designed to deliver a 5mL custom solution composed of 20 – 40 units of neurotoxins such as Botox, hyaluronic acid (such as Juvederm or Restylane), vitamin C, and peptides, using a tiny hand-held device equipped with several 24-karat gold needles. As these tiny needles mechanically puncture the skin, microchannels are created in the epidermis and dermis, allowing the micro-botox-containing solution to immerse into the skin, resulting in facial rejuvenation, restoration, and hydration.

CAN I DO MICRONEEDLING AFTER BOTOX?

Microneedling is safe to do before a botox treatment. However, if you want to get microneedling after botox, you should wait 3 – 5 days post neurotoxin injection to avoid migration and non-targeted diffusion. However, it is safe to get micro botox injected intradermally via microneedling.

IS IT SAFE TO GET BOTOX AFTER MICROBLADING?

Yes! Microblading is a temporary tattoo to fill in your eyebrows and should be performed before a Botox treatment to maintain your natural eyebrow curvature, rather than getting your brows microbladed after neuromodulator injections. 

HOW DOES BOTOX COMPARE TO PLASTIC SURGERY?

There are many different surgical procedures that are designed to rejuvenate the face. However, surgical procedures are invasive and often come with an array of risks, side effects, and possible complications, as well as several weeks of downtime. For this reason, many people prefer micro-Botox as a means to maintain their youthful appearance without having to go under the knife or deal with the downtime associated with surgical procedures. Neurotoxins can be used to stop wrinkles from forming and fix the appearance of already existing lines in various regions of the face and the neck. 

WHO IS AN IDEAL CANDIDATE FOR MICRO-BOTOX TREATMENT?

Patients who apply to baby-botox are those that are looking to treat rhytids in various regions of the face including the crow’s feet that radiate around the eyes, horizontal, and vertical lines along the forehead and between the eyebrows with a non-frozen, more subtle and natural looking outcome. Micro-botox can be considered an “entry level toxin” allowing you to reap the benefits of traditional botulinum toxin without fully losing the ability to contract the facial muscles and maintain a full spectrum of facial animation whether it’s for daily life or as a professional requirement. 

For instance, a Broadway performer may have excessively strong facial features, and may only want to partially numb the expressivity without losing the ability to show emotion.  This is an excellent choice for patients looking for a balance between having a full range of facial expressions and halting the progression of skin aging.

Entry level micro-botox is also ideal for patients who are looking to reduce pore size or treat excessive sweating (also known as hyperhidrosis), excess sebum production, and even active acne breakouts, as it addresses overactive sebaceous glands as well.

All neuromodulators have certain contraindications which are listed here.

WHAT IS A BABY BOTOX PROCEDURE LIKE?

The first step is a consultation with Dr. Schwarzburg in which you will discuss your aesthetic goals and medical history followed by a thorough physical examination which will determine whether or not micro-botox is right for you and whether it will be administered intramuscularly or intradermally.

If your baby-botox is administered through intramuscular injection, the treatment area will be sanitized and the injection points marked before the diluted neuromodulator is injected.

If the latter option is selected, the face will be sanitized and a topical numbing cream containing 20% lidocaine is applied which works within 15 – 20 minutes to avoid any discomfort during your baby-botox microneedling infusion. 

DOES BABY BOTOX HURT?

If injected intramuscularly, micro-botox is fairly painless. Intradermal administration of micro-botulinum toxin droplets typically require a topical anesthetic to reduce discomfort as this method involves several tiny needles puncturing a larger area of the skin.

HOW LONG IS BABY BOTOX PROCEDURE?

The injection process of micro-botox can take anywhere from 5 – 30 minutes, depending on how much product is injected. When administered using a microneedling device, it typically takes up to 30 minutes due to the time needed for the numbing cream to settle. If used as a mild muscle relaxant for wrinkle reduction and prevention, you can expect your appointment to last no longer than 15 minutes.

IS THERE AFTERCARE FOR MICRO-BOTOX TREATMENT?

The procedural process of micro-botox is minimally invasive and does not involve any aftercare. You may want to avoid vigorous exercise or rubbing the treated area for the first 24 hours, to avoid migration of the micro-droplets or additional swelling or bruising.

If administered intradermally to improve skin quality, you will be advised to moisturize your skin as much as possible for the 5 – 7 days following, to prevent it from becoming dry.

WHAT WILL MY BABY BOTOX RESULTS LOOK LIKE?

Before your baby-botox, you may have fine lines or large pores that you would like to minimize. After your micro botox treatment, the progression of those lines will be temporarily halted and prevented from forming further giving you a fresh and rested look. There is also an associated decrease in the size of your pores along with an overall smoother skin texture will be observed.

Unlike traditional, full dose Botox, the micro-version of this neuromodulator therapy will not leave your face frozen, allowing you to make a full use of the entire spectrum of facial expressions needed both for persona and professional life. Additionally, if you have acne prone skin, micro-botox will help eliminate some of the oiliness by temporarily inhibiting over productive sebaceous glands.

DOES MICRO-BOTOX WORK?

Micro-botox has been clinically proven to be an effective method to treat the beginning stages of photo-aging as well as improve the quality of the skin by decreasing oil secretion and shrinking large pores with regular treatments. Scientific findings demonstrated a significant average reduction in pore size of 3.7, using a 0 – 4 scale after only one session of microbotox.

HOW CAN I GET STARTED WITH MY BABY BOTOX TREATMENT?

If you want to book your micro botulinum toxin appointment, then come to Skinly Aesthetics on the Upper East Side of Manhattan, New York, New York, owned and operated by Dr. Schwarzburg, a board-certified cosmetic surgeon with over a decade of experience, well known for his steady hand and expertise.

To schedule your one-on-one consultation with Dr. Schwarzburg, you can contact Skinly Aesthetics by calling or texting (212) 774-4264, or email us at info@skinlyaesthetics.com.