Botulinum Toxin

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What is botox?

There are certain muscles in the face often referred to as "expression lines" or "dynamic lines". The contraction of these facial muscles results in creases between the eyebrows, over the forehead, around the eyes, mouth and in neck folds. Botulimum toxin or Botox is an FDA approved drug for softening dynamic wrinkles by relaxing these facial muscles.

Which areas can be treated by Botox?

Cosmetically, Botox is most commonly used for the following areas:

1. Vertical lines between the brows (frown lines)

2. Lines around the eyes (Crow's feet)

3. Horizontal forehead lines

4. Lines on the sides of nose(Bunnys lines)

5. Lines on the bridge of the nose

6. Downturned corners of the mouth

7. Chin puckering

8. Jaw Line sagging/Sharper jaw line

9. Vertical Neck cords

What can I expect during my appointment for Botox?

Firstly, you will have a session with the dermatologist and all the problem areas are identified. Then depending on the problem area, the patient's expectations and choice, a suitable treatment, botox or filler or mesolift or a non invasive treatment like non surgical face lift is finalised.

For a patient scheduled for a botox, we will determine where to administer the injections and how many units by examining your ability to move certain muscles in your face or neck and the bulk of the muscle. After you completely understand the procedure, what results you can expect and what is the post care, you will be readied for the procedure.Tiny injections of Botox will be administered directly into the target muscles. You will given post procedure care and can get back to routine almost immediately. You will be advised to visit the doctor after 10 days for a touch up, if necessary.

What do I expect after i get my botox done?

Results begin to show from the 3rd day and complete results come in 7 - 10 days. So if you have a function to attend, we advise to take your shot 2 weeks in advance.Patients taking medications that contain aspirin or NSAIDs can develop pinpoint bruising. Patients can wear makeup immediately but should avoid heavy workouts for 24 hours.

How soon are the results seen?

It usually takes 3-5 days to see the result and in a week it will look even better.

How long do the effects last?

Botox lasts up to 4-5 months initially but each case is different. A two week reassessment is always good to assess the effect and consider a top up if necessary in certain areas. The effects of Botox can last around 6 months or longer if used long term.

Is it safe?

Botox is recognised as one of the safest cosmetic treatments. Side effects are rarely serious and always temporary, which is why it is now the most popular cosmetic treatment in the world. It has been used safely and effectively for over 14 years with few reported side effects.

Is it painful?

Like most injections, Botox can be slightly painful, especially between the eyebrows. One can use topical anesthesia cream before the procedure or ice the area to numb it.

Is there any downtime?

No. Most people return to work or normally activities immediately following treatment. It is recommended however, that you avoid exercise, heavy lifting and massaging the injected area injected for one day.

Does it have side-effects?

Every drug has side effects, and Botox is no exception. If injected properly, there are no side-effects except slight bruising.Most side effects are temporary.

What is the ideaL AGE TO START BOTOX?

You don't need to do it before you have wrinkles. Other than that, a patient can have Botox safely whenever they are bothered by their wrinkles.The best candidates for the procedure are those between ages of 25 and 65. In many cases, wrinkles in people over 65 are "static" and do not change when relaxing the face. Dermal Fillers would work better for these patients. Each person is different however, and should undergo a consultation determine the most effective treatment plan.

Who should not do Botox?

Botox should not be used in the presence of infection at the proposed injection site and in individuals with known hypersensitivity to any ingredient in the formulation. Patients with neuromuscular disorders such as ALS, myasthenia gravis or Lambert-Eaton syndrome may be at increased risk of serious side effects.

Will my lines look worse if I do not continue my treatment?

No, lines will gradually revert to their pre-treatment appearance over a period of months. Continued muscle activity will clearly enhance them over time if treatment is not resumed.

Will Botox give me a frozen look?

No. But if too much is injected, it can give a frozen look. That's why it's important to be treated by an experienced doctor who can judge the size of your muscles and how much Botox you will need.

Are there are any potential long term consequences?

The lethal dose of Botulinum toxin is 3,000 units. The average dose for the treatment of the forehead, crows feet and frown lines between the eyebrows is approximately 50 units in total. It has been used in much higher doses to treat muscular disorders for over 10 years. Your body regenerates neuromuscular connections so the muscle activity will return to normal with time.

What's the difference between Botox and Fillers such as Restylane, Perlane, or Juvederm?

Botox targets and relaxes your facial muscles to keep them from creating wrinkles. Fillers smooth and fill in existing wrinkles, restoring skin fullness and volume. Thus Botox acts as both a corrective and preventive measure against future facial lines and Filler deals with existing lines restoring the volume that has been lost.

Is Botox affordable?

When considering your facial aesthetic options, Botox is quite affordable. People spend so much in buying fancy expensive branded antiaging creams that only temporarily plump up the lines. Whereas Botox is a very wise investment with a target oriented approach and cost effective too.

Will botox affect sagging skin?

No Botox will not effect sagging skin. One needs dermal fillers to lift the same.

There are a lot of creams that claim to have a botox like effect. Is it true?

Yes, there are a lot creams available in the market that claim to have a botox mimetic action. What needs to be understood is that Botox is injected directly into the muscle which is quite deep, even below the pad of fat below the skin. So a cream massaged onto the face will not reach the target muscle and can not give a botox like result. Most antiaging creams only hydrate the skin temporarily and give an impression of erasing the lines, albeit temporarily.

Can Botox be used for sweaty armpits?

Sweaty armpits or "Axillary Hyperhidrosis" can be successfully treated with Botox and can last for around 6 months. However, causes of secondary hyperhidrosis (e.g. hyperthyroidism, pheochromocytoma) should be considered to avoid symptomatic treatment of hyperhidrosis without the diagnosis and/or treatment of underlying disease.

What are the Non Cosmetic uses of Botox?

Botox is used to treat chronic migraine and medical conditions with muscle rigidity such as cerebral palsy etc and also a wide variety of ophthalmic conditions.