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One of the interesting things is when I asked patients this or patient’s report this to me is they talk about this crunch they hear in the forehead, when they get BOTOX. And they asked me, why they don’t hear it when I inject Botox in the forehead? And here is a reason why the person that’s getting a crunch is going through the Galea. The Galea is the fascial layer that separates parts of the scalp. So the mnemonic to understand the layers of the scalp is simply scalp, S C A L P, S is skin, C is abbreviation for cutaneous or subcutaneous fat, A is the aponeurosis, that’s that Galea thick sheet that if you rub your forehead, you can slide it up and down that you’re sliding the Galea over the L of the scalp loose tissue, and then P is a periosteum that lines the bone. So, that’s the layers of the scalp. When you’re injecting through the layer of A aponeurosis, you’re placing it into this loose tissue, and it goes all over the place. The problem with that is the Botox hurts more, causes more bruising, it has a terrible sound. It goes into the loose tissue, which means it’s not distributing equally well, and it’s too far away from the skin to make a good change in the skin. What kind of skin changes am I looking for? Improvement in quality of skin, light reflex, pores, texture, tone, even sometimes acne scars, discromias, muscle Improvement. Is that what Botox has all of that? I thought Botox is just simply supposed to help with some wrinkles. No, it actually does a ton lot more stuff. Listen to my virtual consultation. Start understanding what Botox does? It is incredible. But if you’re hearing the Botox crunch by your provider, I can almost guarantee you’re not getting most of the benefits, and you’re getting a lot of pain, you’re not going to be accurate results with it.

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