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PermaTox: Botox results that are permanent?

PermaTox? I was sent a link to this page by a patient who was asking my opinion about this treatment.

Has anyone heard of this Permatox proceedure? The last line of this pitch discloses that it was developed by prominent cosmetic surgeon named Guillermo Blugerman. In looking up Guillermo Blugerman on Google it seems that he's a surgeon from Argentina.

Any plastic surgeons on the boards here heard of PermaTox or have an opinion on it?

Here's the pitch for PermaTox from a medical spa web site:

PermaTox – A Brand New Procedure That Promises Botox-Like Results That Are Permanent

Tired of frequent Botox injection visits? PermaTox might be the long-term wrinkle solution for you! A new procedure that promises to give you longer lasting results without the needles!

PermaTox - has been tipped as a possible future anti-wrinkle remedy that uses a thin surgical thread to sever the specific nerves that cause frowning, which results in less movement and fewer lines.

While PermaTox patients might still receive periodic Botox® injections in other forehead areas, sometimes keeping the glabella (frowning nerves between the eyes that makes that annoying furrow between the brows) relaxed can, over time, soften wrinkles in other forehead areas, as well.

An observed effect of this treatment has been that eyebrows gradually tend to become more elevated and horizontal forehead lines reduced, potentially eliminating the need for elective surgery or Botox injections entirely for some patients.

PermaTox , is safe and quick, taking only 30 minutes in the office to perform.

Dr. B_____ is the only one performing this procedure and trained by the prominent cosmetic surgeon Guillermo Blugerman, who developed this technique.

Interestingly, all of the Google search results for PermaTox are for pest control.

Reader Comments (3)

Sounds like a selective neurotomy procedure - dividing distal facial nerve branches to get the relevant facial muscle to relax.: the concept has been around for years, in the plastic surgery literature.

10.6 | Unregistered CommenterTF

Dear sirs, this procedure we just send to publish at the Derm Surg.Magazine is a percutaneous selective neurotomy.They receive different names Thread Tox, No-Tox, and now as I just know Perma-Tox.
I'm Plastic Surgeon in Buenos Aires Argentina. You can visit our web page at and look at our publications about innovative technique. We devellos Smart Lipo Procedure in 1999, and many other technique.
Best regards.
Dr. Blugerman

Recently, the American Academy of Cosmetic Surgery sponsored a surgical workshop in Buenos Aires at Dr. Guillermo Blugerman's clinic. I was fortunate enough to attend and watch as Dr.Blugerman demonstrated his simple, safe, and effective procedure to sever the nerve to the frown muscles, those muscles that are temporarily paralyzed by Botox. I predict it will become very popular, particularly for those who like the Botox effect, but don't like having to return every three to four months to repeat the injections as Dr. Blugerman's procedure has little or no complications and can last for years. We will be offering it shortly in our Peoria AZ cosmetic surgery facility.

Richard Fisher, MD

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