If you should be thinking about getting Botox, but still have not done so because you only don’t understand how Botox works, then this information is for you. When you’re done, you will understand how Botox works, what Botox does and what Botox can’t do.
Botox is actually a protein. In fact, it is an extremely tiny amount of an extremely purified protein. There is simply no bacteria in a vial of Botox, NONE. The confusion has regarding how Botox is made. The condition, Botulism is the result of a bacteria that creates huge quantities of 7 different proteins all a exactly the same time. These 7 proteins are labeled A, B, C, D, E, F and G. Only the A and B proteins have any medical use. When Botox is done, the “A” protein is extracted, purified and precisely measured. A vial of has about 5 billionths of a gram with this highly purified protein. When the doctor gets the vial of Botox, it actually looks empty. Water is included with the vial so your protein may be drawn into a syringe and injected.
So what are the results when the Botox is injected? The Botox spreads about 1 cm. Any spread beyond 1 cm is really small so it has hardly any chance to do anything at all. The protein is then absorbed into the nerves which can be within 1 cm of the injection site. Over another 15 minutes, the Botox protein, now inside the nerve, finds another protein called a SNAP-25, attaches to it, and dissolves it. In the process to do so, the Botox itself dissolves. Quite simply, after 15 minutes, the Botox is GONE.
At this point, the nerve remains alive and well, but it’s lost nearly all of it’s SNAP-25 proteins. Without SNAP-25 proteins, the nerve does not learn how to talk to the muscle. The muscle is perfectly fine, but it is not getting any messages from the nerve. So, they both just sit there and do nothing. It will take about 3 months for the nerve to create new SNAP-25 proteins. That is why the Botox appears to work for about 3 months. Remember, the botoks disappears in about 15 minutes. The duration of the result is based on just how long it requires for those nerves to create new SNAP-25 proteins.
Observe that I did not even mention skin or wrinkles when talking about how Botox works. That is because Botox does NOTHING to skin. Botox only works on the muscles underneath your skin, not your skin itself. That is why Botox will not get rid of deep wrinkles in your skin. It relaxes the muscles so your skin isn’t being moved around as much. The wrinkles that appear once you move parts of your muscles will disappear quickly. If you keep getting retreated with the Botox without letting it wear off between treatments, even the deep wrinkles will begin to get better because your skin isn’t being folded over and over again.
In summary, Botox is just a protein that dissolves another protein called SNAP-25 which exists inside the nerves. Having less SNAP-25 proteins prevents the nerve from conversing with the muscles that causes the muscles to relax. The wrinkle reduction is because of the muscles not moving as much as normal. The Botox itself does nothing to the skin.