How can I prevent botox immunity?

I get a lot of questions about botox – whether it’s necessary, when to start it if it works in a trap muscle – but this is one of the most detailed, so we have to become technicians. Sounds like describing Botox resistance, which is when the injections of a cosmetic neurotransmitter (could be Botox cosmetic or another brand of name) do not have the same power or last as they used to. “We know that patients can take antibodies to neurotherators and these antibodies can lead to resistance,” says the dermatologist certified by the Board of Directors Melissa K. LevinMD In general, the incidence is quite rare. “But it’s hard to give an exact percentage because there are many different types of neuromoders and the resistance depends on which you get and how often you get them.”

I suggest you find an injector you trust and talk to them about your skin concerns – as well as any concerns you may have about the development of resistance. For me, this person is Levin (treat me with botox twice a year). When I brought your question to her, she explained that there are things that a good injector can do to minimize the chances of resistance and find a solution if that happens. Read below for her tips.

When we talk about neurotherators, we often use the general brand Candy To refer to all this, but it is important to make a distinction between the different types here. There are four neuromoders commonly used in the United States: Botox cosmetic (onabotulinumtoxina), Adverse (Abobotulinumtoxina), Frenzy (Incobotulinumtoxina), and DAXXIFY (Daxibotulinumtoxina -lanm). All of this contains Botulinum type A toxin, a protein that temporarily prevents nerve signals in the muscles, smoothing the appearance of dynamic wrinkles. Levin says that Botox Cosmetic and Dysport have a higher protein load than Xeomin or Daxxify and therefore more likely to develop antibodies that can lead to resistance. Still, it’s rare. For example, in a published research analysisAbout 0.5 % of people who were injected with onabotulinumtoxina (Botox Cosmetic) developed antibodies after treatment.

There are no definitive studies that compare all neurotherators and how people respond over time. However, Levin says Xeomin is perhaps the least likely to cause resistance problems. “You can still develop multiple different types of antibodies in it, but there is a lower chance of resistance than with botox or dysport,” he says.

“It is the frequency of injections that affect the response of your immune system more than the volume load,” says Levin. So, instead of removing a bunch of different types of Botox injections – perhaps getting a nefertiti elevator neck for a month, treating the accompanying lines the next and then decide to get a flip lip a month later – Levin suggests getting as many treatments as possible. “I’m trying to accumulate my patients’ cosmetic remedies,” says Levin. “This wasn’t so a matter of years ago, but as people get botox now. It’s something you have to think about.”

There are no commercial tests that the doctor can use to check the levels of multiple different types of antibodies to ingredients in cosmetic neurocrats. And, to make things even more confusing, even if there are antibodies, the resistance will not happen at the same time. “It’s not like going for an injection once and just does nothing,” Levin says. Most likely, you may notice that your injections do not last as they get used to or the muscles are not as immobilized after treatment. If this happens to you, talk to your provider as soon as possible what is happening. A good injector will always take before and after photos of his work, so they will have documentation of what is happening and they can talk to you about your choices.

Levin says depending on which neuromorphic you have taken, your provider can try another brand. Or, if you are still receiving an answer, they may need to introduce you more often. Another probability is a “wash period” where you do not use any neuromodulators for at least six months or up to a few years. “In some cases, this can reduce body resistance,” says Levin. But, she adds, most of her patients do not want to go so much without any kind of cosmetic intervention. So he can talk to them about energy -based treatments, such as laser or skin tightening. “We are likely to do this and you like it, and then a few years later, the neuromorphor works again.” Or you can always give control to Mother Nature and find out how great you see when you do nothing at all.

Send your questions to Askabeautyeditor@nymag.com. (Via email, agree to the terms here.)