{"id":28740,"date":"2025-07-14T20:19:52","date_gmt":"2025-07-14T18:19:52","guid":{"rendered":"https:\/\/drromanovaleria.ch\/?post_type=infographie&#038;p=28740"},"modified":"2026-05-31T08:43:31","modified_gmt":"2026-05-31T06:43:31","slug":"tossina-botulinica-ruga-glabellare-prima-dopo","status":"publish","type":"infographie","link":"https:\/\/drromanovaleria.ch\/it\/infographie\/toxine-botulique-ride-lion-avant-apres\/","title":{"rendered":"Tossina botulinica per la ruga glabellare prima\/dopo"},"content":{"rendered":"<h1>TOSSINA BOTULINICA RUGA DELLA GLABELLA PRIMA-DOPO<\/h1>\n<h2>Riempire la ruga del leone con tossina botulinica<\/h2>\n<p>La ride du lion, ou ride de la glabelle, est une ride d\u2019expression situ\u00e9e entre les deux sourcils. Elle est caus\u00e9e par la contraction r\u00e9p\u00e9t\u00e9e des muscles corrugateurs et procerus, particuli\u00e8rement actifs lors des \u00e9motions n\u00e9gatives comme la col\u00e8re, le stress ou la concentration intense. Tr\u00e8s fr\u00e9quente, elle peut appara\u00eetre pr\u00e9cocement, d\u00e8s la trentaine, et donne au visage une expression dure, ferm\u00e9e ou fatigu\u00e9e.<br \/>Parmi les traitements disponibles, les injections de toxine botulique\u00a0s\u2019imposent comme une solution de r\u00e9f\u00e9rence. Mais \u00e0 quoi s\u2019attendre concr\u00e8tement en termes de r\u00e9sultats\u202f? Que montrent les photos avant-apr\u00e8s\u202f? \u00c0 quel moment l\u2019effet est-il visible, et est-il naturel\u202f? Cet article r\u00e9pond \u00e0 ces questions en s\u2019appuyant sur l\u2019exp\u00e9rience clinique et les retours objectifs des patients.<\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"220\" src=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau.webp\" alt=\"immagine di una pelle giovane e idratata\" srcset=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau.webp 300w, https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau-16x12.webp 16w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><br \/>\n\t\t\t\t\t<a href=\"https:\/\/drromanovaleria.ch\/it\/contattare-dottore-romano-valeria\/\"><br \/>\n\t\t\t\t\t\t\t\t\tPrenota un appuntamento<br \/>\n\t\t\t\t\t<\/a><\/p>\n<h2>\n\t\t\t\tIndice\t\t\t<\/h2>\n<p>\t\t\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z\"><\/path><\/svg><br \/>\n\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M240.971 130.524l194.343 194.343c9.373 9.373 9.373 24.569 0 33.941l-22.667 22.667c-9.357 9.357-24.522 9.375-33.901.04L224 227.495 69.255 381.516c-9.379 9.335-24.544 9.317-33.901-.04l-22.667-22.667c-9.373-9.373-9.373-24.569 0-33.941L207.03 130.525c9.372-9.373 24.568-9.373 33.941-.001z\"><\/path><\/svg><br \/>\n\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M500 975V858C696 858 858 696 858 500S696 142 500 142 142 304 142 500H25C25 237 238 25 500 25S975 237 975 500 763 975 500 975Z\"><\/path><\/svg>\t\t\t<\/p>\n<h2>Prima del trattamento : una ruga dinamica che evolve in una piega permanente<\/h2>\n<p class=\"translation-block\">Nella maggior parte dei pazienti, la ruga del leone compare inizialmente in modo intermittente, solo durante alcune espressioni facciali. Si tratta di una ruga detta dinamica, visibile solo durante la contrazione muscolare. Ma col tempo, con la ripetizione delle contrazioni, questa ruga pu\u00f2 approfondirsi e diventare visibile anche a riposo, trasformandosi in una ruga statica.\n<br>Le fotografie \u201cprima\u201d dell\u2019iniezione mostrano generalmente :<\/p>\n<ul>\n<li>Una piega verticale pi\u00f9 o meno marcata tra le sopracciglia, talvolta doppia<\/li>\n<li>Una zona intersopracciliare tesa e contratta<\/li>\n<li>Uno sguardo percepito come duro o severo, in contrasto con lo stato emotivo reale del paziente.<\/li>\n<\/ul>\n<p>Il trattamento a questo stadio pu\u00f2 prevenire l\u2019aggravamento e correggere la ruga se non \u00e8 ancora troppo profonda.<\/p>\n<h2>Apr\u00e8s l\u2019injection de toxine botulique : disparition des rides, ouverture du regard<\/h2>\n<p class=\"translation-block\">Le fotografie \u201cdopo\u201d l\u2019iniezione \u2014 generalmente effettuate due settimane pi\u00f9 tardi \u2014 mostrano una trasformazione netta ma sottile, basata principalmente sul rilassamento muscolare mirato. La tossina botulinica agisce bloccando temporaneamente la trasmissione nervosa nei muscoli responsabili della ruga, senza alterare le altre espressioni del volto.\n<br>Nei giorni successivi all\u2019iniezione, la ruga del leone si attenua progressivamente. Quando il risultato \u00e8 ottimale, due settimane dopo l\u2019iniezione, si osserva :<\/p>\n<ul>\n<li>Scomparsa o forte attenuazione della ruga, anche durante la contrazione muscolare.<\/li>\n<li>Rilassamento visibile della glabella, con pelle pi\u00f9 liscia e distesa.<\/li>\n<li>Un miglioramento della simmetria della parte superiore del viso.<\/li>\n<li>Uno sguardo pi\u00f9 aperto e meno chiuso, senza effetto rigido<\/li>\n<li>Un\u2019espressione del viso pi\u00f9 neutra, pi\u00f9 distesa.<\/li>\n<\/ul>\n<p>Il contrasto prima-dopo \u00e8 spesso sorprendente, soprattutto nei pazienti molto espressivi.<\/p>\n<h2>Qual \u00e8 il tempo necessario per risultati visibili nelle foto ?<\/h2>\n<p class=\"translation-block\">La tossina botulinica non agisce immediatamente : sono necessari in media da 3 a 5 giorni per osservare i primi miglioramenti, con un effetto ottimale tra il 10\u00ba e il 15\u00ba giorno. \u00c8 in questo momento che \u00e8 opportuno realizzare uno scatto comparativo o programmare una consulenza di controllo.<br data-start=\"362\" data-end=\"365\">Le fotografie prima\/dopo realizzate a 15 giorni mostrano generalmente una correzione evidente della ruga. L\u2019evoluzione, sufficientemente graduale, preserva la mobilit\u00e0 ed evita qualsiasi aspetto rigido o artificiale. Questa progressiva stabilizzazione del risultato ne consente l\u2019integrazione naturale nelle espressioni del paziente.<\/p>\n<h2>Prima-dopo : valutazione dei risultati\u00a0<\/h2>\n<p>Pour \u00e9valuer correctement les r\u00e9sultats d\u2019un traitement par toxine botulique sur la ride du lion, il est indispensable que les clich\u00e9s avant et apr\u00e8s soient r\u00e9alis\u00e9s dans des conditions identiques : m\u00eame lumi\u00e8re, m\u00eame cadrage, sans maquillage et sans expression volontaire.<br data-start=\"339\" data-end=\"342\" \/>Cette standardisation photographique est essentielle pour objectiver l\u2019\u00e9volution. En consultation, elle permet \u00e9galement au patient de visualiser plus clairement le b\u00e9n\u00e9fice r\u00e9el du traitement, parfois plus \u00e9vident sur l\u2019image qu\u2019au miroir. Une photo comparant la contraction volontaire des sourcils avant et apr\u00e8s injection illustre de fa\u00e7on tr\u00e8s parlante l\u2019effet d\u2019inhibition musculaire obtenu.<\/p>\n<h2>Trattamento delle rughe profonde : prima-dopo\u00a0<\/h2>\n<p>Lorsque la ride du lion est tr\u00e8s profonde, notamment chez les patients de plus de 45 ans ou tr\u00e8s expressifs, la toxine botulique seule ne suffit pas toujours. Le rel\u00e2chement musculaire obtenu permet d\u2019arr\u00eater l\u2019aggravation, mais la cassure cutan\u00e9e peut persister au repos.<br \/>Dans ces cas, un protocole combin\u00e9 est propos\u00e9 : une premi\u00e8re injection de toxine botulique pour inhiber la contraction, suivie, 10 \u00e0 15 jours plus tard, d&rsquo;une injection d\u2019acide hyaluronique tr\u00e8s fluide, pour combler la cassure.<br \/>Les photographies avant-apr\u00e8s dans ce type de protocole sont particuli\u00e8rement d\u00e9monstratives : le pli vertical est effac\u00e9, la glabelle est liss\u00e9e, mais l\u2019expression du visage reste naturelle. Ce traitement en deux temps donne souvent un taux de satisfaction tr\u00e8s \u00e9lev\u00e9.<br \/>Mais au-del\u00e0 de l\u2019image, un \u00e9l\u00e9ment revient fr\u00e9quemment dans les t\u00e9moignages des patients : la sensation de d\u00e9tente musculaire ressentie au niveau du front et de la glabelle. Beaucoup d\u00e9crivent un \u00ab apaisement int\u00e9rieur \u00bb, une impression de calme difficile \u00e0 objectiver mais d\u00e9terminante pour leur confort apr\u00e8s injection.<br data-start=\"1250\" data-end=\"1253\" \/>Cette dimension subjective, invisible sur les photos, contribue largement au haut niveau de satisfaction mis en \u00e9vidence dans les \u00e9tudes cliniques et les enqu\u00eates de suivi.<\/p>\n<h2>Durata del risultato\u00a0<\/h2>\n<p data-start=\"77\" data-end=\"874\">Sur les clich\u00e9s r\u00e9alis\u00e9s trois mois apr\u00e8s la s\u00e9ance, on observe g\u00e9n\u00e9ralement une bonne persistance du r\u00e9sultat, m\u00eame si une l\u00e9g\u00e8re activit\u00e9 musculaire peut r\u00e9appara\u00eetre. \u00c0 partir du quatri\u00e8me ou du cinqui\u00e8me mois, la ride dynamique tend \u00e0 se reformer lors de la contraction. Ce retour progressif, jamais brutal, permet d\u2019anticiper sereinement la s\u00e9ance d\u2019entretien, le plus souvent programm\u00e9e autour du cinqui\u00e8me ou du sixi\u00e8me mois.<br data-start=\"509\" data-end=\"512\" \/>Avec le temps et la r\u00e9p\u00e9tition des s\u00e9ances, les photographies \u00ab avant \u00bb t\u00e9moignent d\u2019une am\u00e9lioration progressive : les rides y apparaissent moins marqu\u00e9es, car la contraction musculaire s\u2019affaiblit durablement. La toxine botulique n&rsquo;a pas qu&rsquo;un effet imm\u00e9diat : il contribue \u00e9galement \u00e0 pr\u00e9venir l\u2019aggravation et la r\u00e9apparition d\u2019une ride du lion profonde.<\/p>\n<h2>Prima-dopo : studi clinici\u00a0<\/h2>\n<p>Plusieurs \u00e9tudes publi\u00e9es dans des revues de dermatologie esth\u00e9tique et de m\u00e9decine \u00e0 vis\u00e9e esth\u00e9tique ont \u00e9valu\u00e9 de fa\u00e7on objective les r\u00e9sultats des injections de toxine botulique dans la glabelle \u00e0 l\u2019aide d\u2019\u00e9chelles visuelles valid\u00e9es, telles que la Facial Wrinkle Scale ou la Glabellar Line Severity Scale (GLSS). Ces \u00e9tudes confirment que dans plus de 80 % des cas, les scores de s\u00e9v\u00e9rit\u00e9 de la ride du lion diminuent d\u2019au moins deux grades sur l\u2019\u00e9chelle clinique d\u00e8s la deuxi\u00e8me semaine suivant l\u2019injection.<br \/>Les photographies standardis\u00e9es avant-apr\u00e8s prises dans le cadre de ces essais montrent des r\u00e9sultats coh\u00e9rents avec ceux observ\u00e9s en pratique : am\u00e9lioration visible de la ride, am\u00e9lioration de la dynamique du regard, disparition des crispations faciales involontaires. Ces donn\u00e9es viennent objectiver ce que les clich\u00e9s grand public montrent de fa\u00e7on plus intuitive : une correction nette mais naturelle.<\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/07\/photo-docteur-romano-valeria-150x150.webp\" alt=\"Foto del medico Valeria Romano a Ginevra\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/p>\n<p>Articolo scritto dalla <a href=\"https:\/\/drromanovaleria.ch\/it\/\">Dott.ssa Romano Valeria<\/a><\/p>\n<p>CONDIVIDI QUESTO ARTICOLO SU<\/p>\n<p>\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 32H31.9C14.3 32 0 46.5 0 64.3v383.4C0 465.5 14.3 480 31.9 480H416c17.6 0 32-14.5 32-32.3V64.3c0-17.8-14.4-32.3-32-32.3zM135.4 416H69V202.2h66.5V416zm-33.2-243c-21.3 0-38.5-17.3-38.5-38.5S80.9 96 102.2 96c21.2 0 38.5 17.3 38.5 38.5 0 21.3-17.2 38.5-38.5 38.5zm282.1 243h-66.4V312c0-24.8-.5-56.7-34.5-56.7-34.6 0-39.9 27-39.9 54.9V416h-66.4V202.2h63.7v29.2h.9c8.9-16.8 30.6-34.5 62.9-34.5 67.2 0 79.7 44.3 79.7 101.9V416z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\tLinkedIn\t\t\t\t\t\t\t\t\t<\/p>\n<ul>\n<li>\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"mailto:dr.romano.valeria@gmail.com\"><br \/>\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M502.3 190.8c3.9-3.1 9.7-.2 9.7 4.7V400c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V195.6c0-5 5.7-7.8 9.7-4.7 22.4 17.4 52.1 39.5 154.1 113.6 21.1 15.4 56.7 47.8 92.2 47.6 35.7.3 72-32.8 92.3-47.6 102-74.1 131.6-96.3 154-113.7zM256 320c23.2.4 56.6-29.2 73.4-41.4 132.7-96.3 142.8-104.7 173.4-128.7 5.8-4.5 9.2-11.5 9.2-18.9v-19c0-26.5-21.5-48-48-48H48C21.5 64 0 85.5 0 112v19c0 7.4 3.4 14.3 9.2 18.9 30.6 23.9 40.7 32.4 173.4 128.7 16.8 12.2 50.2 41.8 73.4 41.4z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\tdr.romano.valeria@gmail.com<br \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n<li>\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"tel:+41%2078%20209%2002%2089\"><br \/>\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M497.39 361.8l-112-48a24 24 0 0 0-28 6.9l-49.6 60.6A370.66 370.66 0 0 1 130.6 204.11l60.6-49.6a23.94 23.94 0 0 0 6.9-28l-48-112A24.16 24.16 0 0 0 122.6.61l-104 24A24 24 0 0 0 0 48c0 256.5 207.9 464 464 464a24 24 0 0 0 23.4-18.6l24-104a24.29 24.29 0 0 0-14.01-27.6z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\t+41 78 209 02 89<br \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n<\/ul>","protected":false},"featured_media":0,"template":"elementor_header_footer","class_list":["post-28740","infographie","type-infographie","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - 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