BOTOX: Botulinum toxin for reducing the facial wrinkles

IIWAM - International Institute of Wellness & Aesthetic Medicine is a One-Stop Centre of Excellence in Wellness & Aesthetic Medicine that provides Education, an Online Library & Learning Portal, and Advanced Cosmetic Procedures. IIWAM is destined to be the Future of Aesthetic Medicine.

IIWAM Aesthetic Education (previously known as Aesthetic Academy Asia) provides evidence-based Aesthetic Medical courses with Dual International Certificates for Medical Doctors, Dentists, Nurses & Certified Aestheticians.

In a recent article, we spoke about how Botox can help to relieve jaw clenching and teeth grinding with Bruxism treatment.

(Read the blog here- Botox: Relieve Jaw Clenching And Teeth Grinding With Bruxism Treatment)

In today’s article, we will help to educate you, how Botox can be used to reduce facial wrinkles.

How Botox helps in reducing facial wrinkles?

A drug made from a toxin produced by the bacterium Clostridium botulinum, Botulinum Toxin or Botox is prominently used as a treatment to reduce the appearance of wrinkles in the upper areas of the face, elevate the eyebrows as well as treat common problems such as hyperhidrosis (excessive sweating), lichen simplex, pompholyx and acne vulgaris.

As a muscle relaxant or neuromodulator, Botox has an anti-wrinkle effect through its mechanism of action on the neuromuscular junction which causes relaxation of facial muscles thereby reducing facial wrinkles like frown lines, crow’s feet at the side of the eyes, wrinkles around the mouth, nasolabial folds and smoothing out neck and chest wrinkles.

(Also read- Botox vs Dysport vs Xeomin)

The mechanism of action

Small quantities of botulinum toxin is injected into specific overactive muscles of the face. The toxin functions by cleaving a docking protein (synaptosomal-associated protein of 25 kDA [SNAP-25]) on the internal surface of neuronal membrane following which, the toxin diffuses into the tissue until it binds selectively and reversibly in the presynaptic terminal of the neuromuscular junction and then attaches to the specific protein-membrane that is responsible for acetylcholine excretion.

 Botox Dysport Training


The toxin immediately hinders the release of acetylcholine in the neuromuscular junction causing relaxation of local muscles that is reversible, resulting in reduced facial wrinkles/lines, of which some are due to constant facial muscle contractions.

The clinical effects of Botox are visible after the 1-4 days of injection. The duration of Botox effect varies among individuals due to differences in muscle arrangements in individuals. The effect usually lasts up to 120 days which may again differ depending from person to person.

Risks involved in using Botox

Botox is safe, fast, and almost painless. The results are natural-looking and any complications rarely occur. However, injecting Botox should be performed by certified aesthetic practitioners who are trained individuals and skilled to perform procedures with adequate knowledge about the treatment. The possible side effects of Botox include bleeding, swelling, erythema, and pain at the injection sites. Since Botox is generally injected into the muscles of facial expression, which are mostly muscles attached to soft tissues, rather than bones, most complications that arise from are technique-dependent such as blepharoptosis, eyebrow ptosis, facial asymmetry, undesired eyebrow shape, medication interactions, etc.

Hence it is crucial to undergo proper theoretical and clinical Botox training from a certified institution so that as an aesthetic practitioner, he/she knows how to avoid and/or treat complications and risks that may arise.

About IIWAM training in the administration of Botox

As always, the practitioner must undergo proper training in facial aesthetics to understand the procedure, the product, and the patient. Equally, he/she must know the benefits, risks, and counter-measures to correct complications. IIWAM also offers an Online Aesthetic Certification programme for Non-Surgical Body Sculpting, Advanced Dermal Filler Training (Restylane, Juvéderm, Teosyal, Bellotero), Advanced Botulinum Toxin Training (Botox, Dysport, Xeomin), Skin Booster Training (Restylane Skin Booster, Profhilo, Rejuran), Platelet Rich Plasma (PRP) Training, and Thread Lift Training (PDO, Aptos, Happy Lift).

 Botox Training

At IIWAM, our trainers pay utmost attention to teaching the following subjects in administering Botox for various treatments under Advanced Botox Dysport Training for Doctors.

  • Facial anatomy for Botox treatment

  • Difference between Botox & Dysport & Xeomin

  • How to inject Botox for reducing facial wrinkles?

  • Complications in using Botox for reducing facial wrinkles

  • How to avoid complications arising from using Botox?

  • Proper dosage required to maintain to avoid risks

About IIWAM Aesthetic Education

At IIWAM, we provide an International Aesthetic Certification program and also Advanced Online Aesthetic Courses for Doctors, Dentists, Nurses, Aestheticians, and Spa Owners in the field of Aesthetic Medicine.

Our Institute is based in Malaysia and has international students from the Philippines, Myanmar, Cambodia, India, Indonesia, and other parts of Asia. With our insignia of “Be Certified, Be Recognized”, we develop knowledgeable, skilled, and confident aesthetic practitioners of international repute. Our Aesthetic training focuses on teaching the principles of Aesthetic procedures before venturing into Aesthetic clinical skills. IIWAM training Programs are a combination of Onsite Training, LIVE Online Webinars, and Online Learning. IIWAM is the first Institute in the World to have its Programs assured by City & Guilds of London and certified by European International University. IIWAM is also a registered CPD Training provider with CPD Standards Office in the UK and by CPD Malaysian Medical Association.

Onboard is our Assoc. Prof Dr. Morthy, the lead trainer, medical director of the International Institute of Wellness & Aesthetic Medicine (IIWAM), formerly known as Aesthetic Academy Asia ( In the Aesthetic part of our Institute, we provide Advanced Aesthetic Medical Procedures that are Safe, Effective, and Affordable, offering a wide range of specialized treatments for All Your Aesthetic Needs.

(Also read: Botox: The Hidden Benefits of Botulinum Toxin)