Frequently Asked Questions About Bocouture

What is Bocouture®?

Bocouture, also known as Xeomin® in the UK, is a well-known botulinum toxin A medication licensed for aesthetic procedures. While Xeomin is indicated for conditions such as cervical dystonia and blepharospasm, Bocouture is indicated for the treatment of vertical frown lines. As the body ages, the continuous muscle activity will form stubborn, pronounced lines and folds on the face. Using the neurotoxin botulinum toxin A, this injectable solution reduces the muscle tension by blocking the transmission of cholinergic reaction.

As a result, it relaxes the muscles and temporarily improves the look of moderate to severe frown lines between the eyebrows. This relaxation contributes to the restoration of smooth and firm skin, removing any visible lines. With 50 units per vial of this neurotoxin, the preparation and dilution of the solution allows for more precise, safe, and effective administration of the solution.

Ideal Candidate

Patients aged 65 and below who are looking to temporarily fix the prominent wrinkles on their forehead are good candidates for this treatment. These wrinkles appear on the skin due to repeated muscle contractions over the years.

It is not recommended as a treatment for those who exhibit hypersensitive reactions to botulinum toxin A or those diagnosed with severe muscle disorders such as myasthenia gravis or Lambert Eaton Syndrome.

Treatment areas

Bocouture is indicated for the correction of vertical lines between the brows. Doctors also use this to treat crow’s feet by injecting the solution into 3 injection points on each side of the muscles located on the outer side of the eye. It temporarily reduces the activity of the orbicularis oculi and eliminates the visibility of the lines. Specialists also use this for forehead wrinkles; cervical dystonia, which is a severe condition which deters the movement of the neck from twisting and turning smoothly; and blepharospasm, which is an abnormal contraction of the eyelids.

How does Bocouture work?

Manufactured by Merz Aesthetics, this product uses purified onabotulinumtoxinA, a potent neurotoxin without any complexing proteins. It temporarily halts cholinergic reactions by binding to the active site of the neurotransmitter acetylcholine, and blocks the delivery of a chemical signal for muscle contractions. As a result, the muscle does not tense and contract, but relaxes on its own. Due to the lack of complexing proteins, the effects can last longer with a reduced risk of antibody neutralization.

Afterwards, the skin’s surface stretches to eradicate any noticeable lines and folds at the affected area, becoming firmer and tauter. This creates a smoothing effect, thus reducing any imperfections on the face while maintaining the face's natural expressiveness.

Treatment details

This treatment should be carried out by legally licensed physicians or medical professionals.

Available in 50 units of purified, sterile powder, it requires reconstitution using sterile saline. To provide comfort and less pain during the treatment, apply an anesthetic to numb the site.

Refer to the product manual for the correct dosage and formulation according to the area and condition involved.

To maintain the result, administer a follow up treatment after 3 months.

How long do the effects last?

Each treatment can last for up to 4 months, although it is dependent on the client's biological condition, area of treatment, and dosage applied. To maintain the results, schedule a follow up treatment in 3 months.

Safety information

The injectable may cause common side effects, which include swelling, redness, and tenderness. If this effect persists for more than 2 weeks, advise the client to consult a doctor immediately for further treatment.

The toxin may cause, although rarely, swelling in the hands and feet, difficulty breathing, or swelling of the face. Refer to the product pamphlet for a complete list of side effects.

Recovery time

Clients may notice improvements and favorable results within 24 to 48 hours. The treatment has minimal downtime, so the client can return to their normal routine immediately after leaving the physician's office. Advise clients of appropriate aftercare methods.

Cost of Bocouture

Many practitioners and clinics charge by area of the treatment, and may cost the client up to $600 or more.

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