Mid & Lower Face Botox Treatments

Botulinum toxins treatment to upper face hyperkinetic lines is popular and often the first aesthetic course a new practitioner undertakes.  The use of botox or azzalure in the lower face is more complex.  It is less reliable than its use in the upper face and use in the lower face is also fraught as adverse events being more disturbing. The complex group of muscles in this region are  close together and interface at different levels and depths to perform heterogeneous functions (talking, eating, drinking, and expressions. This course provides guidelines to perform botulinum toxin injection safely and effectively. The review of each muscle group with its relevant anatomy and relationship of this three-dimensional anatomy with the cutaneous plane gives the exact position of injectable locations. 

Botox is an excellent adjunct for rejuvenation of the lower face. It should be considered in addition to surgery, resurfacing, skincare, and filler materials to improve the appearance of the lower face. Excellent control and familiarity with the toxin are essential before injecting these rewarding, although technically more demanding areas of the face. In the perioral region, a few stray units in the wrong muscle or wrong portion of a muscle will guarantee an unhappy patient; this is not an area for the novice injector. When first beginning to inject the lower face, lower doses and more frequent touch-ups are better than larger initial quantities and severe complications.