Identical Twins Spark Debate for Reason Why One Appears Younger

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Botulinum toxin


A video of two identical twins with contrasting beauty regimes has gone viral on TikTok. In the video, posted by aesthetic practitioner Denisse Serrano, the two female identical twins can be seen sitting next to each other while an on-screen caption reads, “Identical twins…except for a lifestyle difference. Can you guess what it is?”

The video has been viewed more than 2.6 million times and Serrano reveals the secret in the post’s caption.

“I have been seeing the twin on the right for years and she has been constant with her regimen…It’s basically Botox and filler!!! Amazing results”, she says.

Serrano also mentions that as well as botulinum toxin and filler injections, she also prescribed skin treatments and products.

Botulinum toxin is used in a minimally invasive injectable procedure that according to the American Society of Plastic Surgeons was the most popular aesthetic treatment of 2021/2022. Often referred to as Botox, Botox is actually the name of a brand of botulinum toxin produced by Allergan. Other brands include Jeuveau and Xeomin.

When injected into muscle, botulinum toxin prevents the release of the neurotransmitter acetylcholine, without which muscle activity stops, smoothing the exterior of the area treated.

Now known for the treatment of wrinkles, clostridium botulinum was discovered by Belgian scientist Emile Pierre-Marie van Ermengem in the 1920s, but it wasn’t until the 1940s that botulinum toxin, which is derived from clostridium botulinum, was produced in a usable crystalline form by Dr. Edward J. Schantz. This came about after he discovered that botulinum toxin A was a bacteria commonly found within tinned foods. Military authorities were interested in weaponizing the bacteria in World War II.

Botulinum toxin
A stock image show a woman having a botulinum toxin injection. The FDA only approved botulinum toxin injections for the treatment of wrinkles in 2002.
Photology1971/Getty Images

In the 1960s, a researcher at the Smith-Kettlewell Eye Research Institute in San Francisco named Dr. Alan B. Scott tested a sample of the toxin on monkeys in an attempt to find a non-surgical cure for strabismus, or misaligned eyes (crossed eyes).

Strabismus is caused by imbalances in the actions of muscles that rotate the eyes, so relaxing certain muscles can alleviate the condition.

While testing the procedure, scientists noticed that wrinkles and lines along the glabella, the part of the forehead between the eyebrows, were visibly reduced and the FDA approved the use of botulinum toxin for fine lines and wrinkles on the glabella in 2002.

It was approved for general use by the Food and Drug Administration in 1989.

Despite the popular misconception, botulinum toxin never goes in the lips except for during the relatively new procedure the “lip flip,” where a small amount is injected into the lip line to create the appearance of fuller lips without the full procedure with filler.

Many users tried to guess the secret of the younger looking twin’s youthful appearance compared to her sister.

User sabrinavozikis wrote, “One works 60hrs a week and the other stays at home,” while Tati said, “The one on the right has more money.”

User Deb commented: “One uses sunscreen.”

Newsweek has reached out to Denisse Serrano for comment.



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