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Botox might also cause the skin to create less scar tissue by modulating the fibroblasts that create it and tempering the overactivation of myofibroblastscells in scar tissue that contracthelping to steer healing toward fine, flat, pliable scars. This is an off-label use of the drugand its not a go-to for the doctors I interviewedbut studies in the plastic surgery literature show that botulinum toxin injections can help reduce the width of surgical scars and improve their overall appearance

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