Aestheticians spend a lot of time with a client’s skin. For years, they have been telling me that the quality of skin after Botox treatments is worse than for clients that avoid Botox. The Botox-ed skin is weak, brittle and hard to work with.
But why?
In this episode, we will present a theory for how Botox degrades the skin, that will seem obvious in hindsight.
The theory explains how Botox activity on muscles has an undesirable effect on a bodily system that is critical to the health of the skin.
The theory is so obvious, we call it The Obvious Theory.
But, despite being an obvious danger to an important physiological symptom, the effects of Botox have never been studied.
After 50 years of Botox on the market, we don’t have a single formal study.
Our evidence for the Obvious Theory is based on a case report and literature review of eyelid edema. Edema or swelling happens when lymph clearance is restricted.
The lymphatic system plays a key role in maintaining fluid balance in tissues, as it helps transport excess fluid, proteins, and waste products from tissues back into the bloodstream. If the lymph flow is impaired or blocked, fluid can accumulate in the tissues, leading to swelling or edema.
When lymph flow is insufficient, lymph fluid can accumulate, causing lymphedema—a type of chronic swelling.
So the Obvious Theory has some peer-reviewed clinical support (unlike for example, PRF for fat loss, topical growth factors and DMAE). [Links to other episodes]
The clinically relevant edema – so bad it is clearly visible – is just the tip of the iceberg. Even small decreases in lymph flow over time will lead to fat cell bloating. And once fat cell size reaches a critical point, a vicious cycle is set off where regeneration of new fat cells doesn’t happen as well and bloating intensifies.
After watching this video you will be able to stump your plastic surgeon or derm friend with this question.
How much does a 12-unit injection decreases lymph flow in the eye area?
If you get a good answer, please post it here.
PS If you want to read something funny from plastic surgeons and dermatologists, read their answers to why does Botox make the skin look shiny?
