What is Botox?
BOTOX is a formulation of botulinum toxin type A. It is derived
from the bacterium Clostridium botulinum. This bacterium
produces a protein that blocks the release of acetylcholine and
relaxes muscles. Type A is just one of seven different types of
botulinum toxin (A, B, C1, D, E, F, and G), and each has
different properties and actions. No two of these botulinum
toxins are alike.
Today, BOTOX is produced in controlled laboratory conditions and
given in extremely small therapeutic doses. It has helped over 1
million patients worldwide with conditions caused by overactive
Botox represents a natural non-surgical way to rejuvenate an
aging face. Dynamic wrinkles are the lines that form from years
of smiling, squinting and frowning. Botox can dramatically
reduce dynamic wrinkles and create a more rested and youthful
look by relaxing the muscles which create wrinkles and lines.
For more than 15 years, physicians have safely and successfully
used Botox to control involuntary blinking and facial tics.
While Botox has few negative side effects, doctors noticed that
patients receiving Botox injections experienced a dramatic
reduction in frown lines and wrinkles around the eyes. In 1993,
physicians began using Botox as a means of reducing lines and
wrinkles. Depending on where it is injected, Botox works by
blocking the action of the muscles responsible for frown lines
or crow's feet, resulting in smoother skin around the eyes
and/or forehead. A minute amount of the substance is injected
directly into the muscle, and within 24-72 hours, the muscles
relax, reducing the appearance of frown lines or crows' feet.
BOTOX is also being used to reduce sweating in the axilla, palms
of hand and feet.
Treatment is in the form of multiple injections made using very
fine needles with ice or local anaesthetic cream to numb the
area. The injections are not painful. The effects start to
appear in a couple of days and the best result is seen in a
week. The results generally last about 4-6 months and then the
injection has to be repeated.
While the use of BOTOX Surgery is new in cosmetic surgery, it is
by no means untested. For many years, it has been used in the
treatment of patients who have spasmodic contractions of the eye
or other facial muscles in conditions such as hemi-facial spasm
or blepharospasm, as well as certain spasmodic voice disorders.
How does BOTOX eliminate wrinkles?
BOTOX works very effectively in eliminating the appearance of
facial wrinkles that occur with aging or overuse. A few drops of
Botox are injected with a tiny needle into the muscle that
creates the wrinkle. Botox can inactivate the muscles that
produce the wrinkles, thereby causing the lines to disappear or
dramatically diminish. Botox is ideal for improving and
smoothing the skin between the eyebrows, the lines of the
forehead, and the crow's feet area around the eyes.
WHERE IS BOTOX USED?
BOTOX is used on the face, only around the eyes and forehead so
as not to affect a patient's smile. It is important to
understand that Botox only relaxes the overactive facial muscles
that cause wrinkles. Your skin will feel the same and you will
have normal sensation in all treated areas. Muscles that are not
treated and related to other expressions are not affected.
IS BOTOX SAFE?
BOTOX has been used safely and successfully by cosmetic surgeons
for over 10 years and for wrinkle therapy since the early
1990's. Although it is a toxin, it is safe and there have been
no serious side effects reported. The most serious side effect
is drooping of the upper lid due to paralysis of the lid muscle
or double vision caused by paralysis of small muscles of the
eye. This complication is temporary and will disappear once the
effect of Botox wears off. This is avoided by keeping the
injection away from the lid and not lying down for 4 hours after
the injection. No systemic side effect has been reported to
date. There may be some minor bruising which can be covered up
What are the advantages of BOTOX?
BOTOX is a quick and effective way to remove wrinkles. A typical
treatment takes 10 minutes. Results are seen within 4 to 7 days.
Person can immediately resume full activity. There is no
physical evidence that you had a cosmetic procedure done.
The effect of Botox is reversible-lasting between 3 to 9 months
depending on the number of previous treatments.
A memory response may develop with repeated Botox injections if
they are done every 3 months for approximately one-year. So,
although the effects are not permanent, there may be a gradual
lengthening of the time interval between treatments. This will
mean fewer treatments to obtain the same effect.
The head should be held elevated for 4 hours or more (no lying
down). Ice application to the injected area will help in
reduction of bruising and swelling. Makeup can be used within an
hour. Expect results to start appearing in a couple of days and
best results take a week.
Botox is a safe, non-surgical approach to facial rejuvenation.
WHO IS THE BEST CANDIDATE FOR BOTOX?
BOTOX is for almost anyone who desires a more rested and
youthful look. Patients have the added benefit of preventing
further etching of the skin caused by repeated squinting,
frowning, and creasing of the forehead. Patients who are
pregnant, breastfeeding or have a neurological disease should
not be treated.
If any of the following apply, you should not receive Botox®
Have myasthenia gravis
Have neuromuscular disease
Have an allergy to human albumin
Have an allergy to botulinum toxin
If you are now pregnant or breast feeding
If you have had beer, wine or alcohol in the last one week
If you have taken aspirin or anti-inflammatory medication in the
last two weeks.
What to Do before Your Botox Injections?
No alcohol one week prior to treatment
No anti-inflammatory medication or aspirin two weeks before
What to Do after Your Botox Injections?
Do not lie down for 4 hours after the treatment
Do not massage the treated muscles, this can cause the Botox to
spread to the muscles around the eyes.
Exercise the muscles every 15 minutes for 1 hour after the
treatment, the Botox attaches better to active muscles.
What to Expect after Your Botox Injections?
The treated areas will take 5 – 10 days to soften; treatment
will last 4 – 6 months.
Can You Have Repeat Botox Injections?
Yes, Injections can be repeated every 4 – 6 months. There
are no known long term side effects. With time some patients
will require less frequent treatments as they break the habit of
contracting frown lines and other muscles of facial expression.