Skin Botox (Microbotox)

How it works

Many tiny injections are made in the upper layers of the skin, often across the cheeks, forehead or T-zone. The toxin is diluted and spread over a wide area. It may reduce oil production and the pull of fine muscle fibers near the skin, which for some people makes pores look smaller and skin look smoother. The effect is mild and usually wears off after a few months. It is not a substitute for muscle-relaxing injections when strong expression lines are the main concern.

Who it may suit

• Visible pores and an oily-looking T-zone
• Fine surface texture and small lines that show with movement
• People who want smoother skin without changing their expressions
• Those who want a gentle option with little downtime

The treatment day

1. Skin assessment. The doctor looks at oil, pores and fine lines, and asks about earlier toxin treatments.
2. Numbing cream. A numbing cream is usually applied and left on for a short time.
3. Dilution and plan. The doctor explains the area to be treated and how the product is prepared.
4. Micro-injections. Many small injections are made just under the skin, creating tiny bumps that settle.

Aftercare

• Do not rub the face for the first day.
• Avoid makeup for several hours unless the doctor says otherwise.
• Skip saunas, intense exercise and facials for a day or two.
• Use gentle skincare and sunscreen while skin settles.
• Photograph your skin on the day and again after about two weeks to track changes.

Things to know first

• Small bumps, redness, pinpoint bruises and mild tenderness can occur.
• Too much product in the wrong place can cause a stiff or uneven expression for some time.
• Skip it during pregnancy or breastfeeding, and if you have certain nerve or muscle disorders.
• Tell the doctor about skin infections, cold sores or an active breakout in the area.
• Effects are modest and vary by person, and treatment must be repeated to continue.

Talking through skin botox in English

Names vary: skin botox, microbotox, intradermal toxin. Begin by asking the doctor to explain, in simple English, how this differs from standard injections in the muscle. Say clearly what you want, for example smaller-looking pores or less shine, so the plan matches your goal and not a different treatment.

Ask which product is used, how it is diluted, and whether the treated area includes places near the brows or mouth. Tell the doctor if you have had toxin before and how your face responded. Mention pregnancy, breastfeeding, nerve or muscle conditions and any recent procedures.

Terms you may hear: dilution, intradermal (within the skin), sebum (skin oil), and wheal, meaning a small raised bump after injection. Ask for the aftercare in writing and for the product name to be recorded in your notes.