A study on Botox labeled as “groundbreaking”compared the evolution oftwo identical twins, with one receivingconstant injections over 13 yearsand the other aging as nature intended.

Pictures of the two women, which could easily be mistaken for a miraculous before and after, went viral, with the study’s author triumphantly presenting his results as the ultimate proof of Botox being thedefinitive anti-aging compound.

Highlights13-year Botox study on identical twins sparks debate about anti-aging.The treated twin had less forehead and eye wrinkles than untreated one, but netizens were unconvincedDr. Binder, the study’s author, owns stock in the company responsible for the Botox brandExperts warn improper Botox use can cause visual and swallowing issues, but is otherwise an effective anti-aging treatment

The treated twin showed considerably younger skin, with much less noticeable wrinkles on her forehead and around her eyes, which the paper attributed to her receiving up to three doses of the serum for more than a decade.

Netizens, however, were not as impressed, with some dismissing the comparison as the result of factors unrelated to the toxin and others preferring the more natural look of the untreated twin.

“I’m sick of this as being a beauty standard for women,” one reader wrote. “Many of us don’t care about having wrinkles as we age.”

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A study compared the cases of two identical twins, one who had bi-annual Botox injections for 13 years, and the other who didn’t. Netizens are divided over the results

Twin sisters compared: one ages naturally, the other uses Botox, highlighting different aging effects.

Image credits:Mary Ann Liebert, Inc.

Thestudy, published in theArchives of Facial Plastic Surgery, compared the presence of imprinted facial lines in identical twin sisters, one of whom had received botox treatment in the forehead and glabellar region regularly for 13 years—and one who had not.

Dr. William J. Binder, the study’s author, presented the results as part of his life-long work with the toxin. The plastic surgeon became known in 1992 for using Botox to alleviate chronic migraines. He discovered that the toxin was not only useful in diminishing muscle tension related to the illness but directly inhibited the release of the neurotransmitters responsible for the pain.

Close-up of a woman with Botox injection points on her face.

The regularly treated twin received Botox injections approximately 2 to 3 times each year. Conversely, the untreated twin received only two injections in the 13 years the study lasted.

Twin comparison: one aging naturally, the other with Botox treatment.

The results were impressive, with the treated twin showing a much lesser presence of facial wrinkles, particularly in the forehead and crow’s feet area compared with her sister. The lack of aging did not show on their nasolabial folds, however, as they were left purposely untreated for research purposes.

It’s important to note, however, that Dr. Binder is astockholder and consultantto Allergan Inc., the company responsible for the production of Botox—the famous brand associated with the serum.

According to experts, improperly applied Botox can seep into organs such as the eyes and throat, causing impaired vision and problems with eating for up to 4 months

Twin sisters showing natural aging on the left and Botox effects on the right in a side-by-side comparison.

While Dr. Binder reported “no adverse events during 13 years of regular treatment,” members of the plastic surgeon community havewarned againstthe adverse effects of Botox when administered either improperly or in excess.

Twin comparison: one ages naturally, other with Botox; netizens react.

Bored Pandaspoke withCamila Atal, a cosmetic and dental surgeon specializing in Botox injections, who emphasized the importance of going to a licensed professional to ensure proper technique.

Twin sisters, one showing natural aging, and the other with Botox treatment.

“When this happens, we can try to diminish the effects of the toxin with infrared lasers, but total recovery only occurs once the compound leaves the body in 3 to 4 months.”

Otherreported effectsare dysphonia, dysphagia, and dystonia, which can cause the patient to lose the ability to speak and swallow and cause muscle spasms that can last for weeks on end.

Twin sisters comparison: one with natural aging and the other with Botox, showcasing differences in facial appearance.

“In the hands of a skilled injector who understands the anatomy of the area, adheres to proper dilution guidelines, and respects safety margins, Botox will continue to be an excellent anti-aging treatment,” Atal said, emphasizing the importance of regular check-ups to ensure the patient’s well-being.

The FDA issued a warning this year after detecting the distribution of counterfeit Botox in the United States, leading to patients being hospitalized

Person receiving Botox injection, healthcare professional wearing pink gloves and a hair cap.

Image credits:Anna Shvets/Pexels (Not the actual photo)

The risks associated with Botox injections have done nothing but increase alongside their popularity.

The numerous benefits of the serum, which include “helping prevent wrinkles from deepening, softening expression lines, and improving the skin’s texture,” according to specialists like Atal, have led to an increase in demand for cheaper, less “legal,” alternatives.

Close-up of a woman’s face with a headband, showing natural aging features.

Image credits:American Society for Dermatologic Surgery

In May, the Food & Drug Administration (FDA) issued awarningfor consumers and healthcare professionals, after finding unsafe, counterfeit versions of the toxin in multiple states being administered to users seeking cheaper alternatives.

Close-up of a woman’s face with black rectangles over her eyes, showing effects of Botox treatment.

The “FDA is aware of adverse events, including hospitalizations, linked to the counterfeit Botox,” the statement read.

“Symptoms included blurred or double vision, difficulty swallowing, dry mouth, constipation, incontinence, shortness of breath, weakness and difficulty lifting one’s head following injection of these products.”

Woman with headband showing natural aging, highlighted as one twin ages naturally compared to Botox use.

Netizens reacted with skepticism at the results of Dr. Binder’s research, with many attributing the differences to factors unrelated to Botox

“As a retired facial plastic surgeon, the photos are not equivalent. The twin that received botox are ALL brighter, thus hiding any fine facial wrinkles,” wrote one reader, dismissing the study.

“The multitude of variables involved makes it highly improbable that both individuals experienced identical outcomes unless they shared the same exposure to sunlight, stress levels, etc.” another wrote.

Others expressed concern over the usage of the toxin for such a long period.

“I find it hard to believe that injecting botulism toxin regularly won’t have other serious side-effects. You might look slightly better, but there ain’t no such thing as a free lunch,” a user argued.

“Simon Cowell, Amanda Holden, and Patsy Kensit regularly had botox I believe, and although they looked different with it I wouldn’t say they look youthful,” wrote another.

“They both look beautiful,” wrote one netizen, echoing the sentiments of many who felt the differences were too small to notice

Comment comparing twins, one aging naturally, the other using Botox.

Comment comparing twins' aging, one using Botox.

Comment on twins aging naturally vs. with Botox, netizen sees no difference.

Comment comparing twins aging naturally and with Botox, reading “Not a lot of difference.

Comment on aging naturally vs. with Botox says, “They look exactly the same to me.

Comment discussing Botox usage in relation to youth.

Comment from user comparing twins' faces after one ages naturally and the other uses Botox.

Comment by user Jenny Robinson saying, “They both look beautiful,” discussing twins aging naturally and with Botox.

Comment discussing the effects of Botox on aging and facial appearance.

Comment discusses Botox benefits, comparing it to high-quality face cream in a conversation about natural aging vs. cosmetic procedures.

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