Botulinum toxin type A
(Botox®, Dysport® or Xeomin®)
Since 1993, KALAMIŞ MEDIKAL & OPTIMAL SAGLIK have been using Botox for cosmetic indications and were in fact the first cosmetic clinics in Turkey to have ever used Botox for cosmetic indications.
BOTOX for injection is a sterile, vacuum-dried purified botulinum toxin type A, produced from fermentation of Hall strain Clostridium botulinum type A, and intended for intramuscular, intradetrusor and intradermal use.
Although seven different types of botulinum neurotoxin are produced by the bacterium Clostridium botulinum, only types A and B have been prepared for commercial use.
Botulinum toxin can be injected into humans in extremely small concentrations and works by preventing signals from the nerve cells reaching muscles, therefore paralyzing them.
In order for muscles to contract, nerves release a chemical messenger, acetylcholine (a neurotransmitter), at the junction where the nerve endings meet muscle cells. Acetylcholine attaches to receptors on the muscle cells and causes the muscle cells to contract or shorten. Injected botulinum toxin prevents the release of acetylcholine, preventing contraction of the muscle cells.
Instructions For Safe Use
Indication specific dosage and administration recommendations should be followed. When initiating treatment, the lowest recommended dose should be used. In treating adult patients for one or more indications, the maximum cumulative dose should not exceed 400 Units, in a 3 month interval.
The safe and effective use of Botulinum toxin depends upon proper storage of the product, selection of the correct dose, and proper reconstitution and administration techniques. Physicians administering Botulinum toxin must understand the relevant neuromuscular and structural anatomy of the area involved and any alterations to the anatomy due to prior surgical procedures and disease, especially when injecting near the lungs.
Preparation And Dilution Technique
Prior to injection, reconstitute each vacuum-dried vial of BOTOX with only sterile, preservative-free 0.9% Sodium Chloride Injection USP. Draw up the proper amount of diluent in the appropriate size syringe and slowly inject the diluent into the vial. Discard the vial if a vacuum does not pull the diluent into the vial. Gently mix BOTOX with the saline by rotating the vial. BOTOX should be administered within 24 hours after reconstitution. During this time period, reconstituted BOTOX should be stored in a refrigerator (2° to 8°C). Do not use after the expiration date on the vial. Reconstituted product should be clear, colorless, and free of particulate matter.
Are you a good candidate for Botilunum toxin:
Ideal candidates are non-pregnant 18- 70 year-olds with reasonable expectations who have stopped over the counter medicines, herbal remedies, aspirin and ibuprofen at least two weeks prior to injection. Patients who should not receive Botulinum toxin injections include patients with neurological disorders like ALS, Lambert-Eaton syndrome or myasthenia gravis, those who are allergic to any ingredients in Botox or Botox Cosmetic or to another botulinum toxin brand (such as Myobloc, Xeomin or Dysport) or had any side effect from these products in the past and those who have a skin infection or other condition in the injection area
On the face, Botulinum toxin is commonly used to soften crow’s feet, forehead lines, and vertical lip lines. It can be used to temporarily lift brows, nasal tips, or downward mouth corners. It can widen eyes and smooth platysmal neck bands.
The first signs of aging are often wrinkles around your eyes, forehead, cheeks, and lips. Wrinkles are a normal feature of the human face. But many people feel wrinkles make them look tired or older. To reduce the appearance of wrinkles, some people choose to have injections (shots) of botulinum toxin. These injections are often called by their brand names, such as Botox®, Dysport® or Xeomin®. The injections relax certain muscles in the face, and certain wrinkles become less noticeable for a period of time.
Types of wrinkles
There are two types of wrinkles: dynamic wrinkles and very fine lines and wrinkles.
Dynamic wrinkles are caused by facial muscles that move when you smile, laugh, and squint. These are often around the lips, on the forehead and between the eyebrows. They are also the “crows’ feet” at the corner of your eyelids. Everyone is born with dynamic wrinkles. As you age, these wrinkles get deeper and easier to see. Botulinum toxin can be used to make these dynamic wrinkles less noticeable.
Very fine lines and wrinkles are formed when collagen in the skin starts to thin. Collagen is protein just beneath and within deep skin layers. Aging and sun damage cause collagen thinning. It makes the skin on your face stretch and sag, creating fine wrinkles. Botulinum toxin does not erase fine lines and wrinkles. However, there are other ways to reduce their appearance.
Although approved only for selected medical conditions, Botox and other purified botulinum toxins are used by physicians of almost every specialty for an array of off-label medical indications.
Apart from cosmetic use, physicians utilize Botulinum toxin for a variety of medical conditions including: pediatric incontinence, hyperhidrosis, overactive bladder, anal fissure, dysphonia, headache, underarm sweating and spastic disorders due to disease or injury of the central nervous system like trauma, stroke, multiple sclerosis, and Parkinson’s disease. The National Institute of Health currently has more than 79 Botox trials enrolling for medical diagnoses such as reduced lung function, thoracic outlet syndrome, psoriasis, achalasia, and back spasm. Other researchers report that Botox can be useful in facial scar improvement, non-surgical breast lift, diabetic foot pain, depression and chronic pelvic pain.
BOTOX is indicated for the prophylaxis of headaches in adult patients with chronic migraine (≥15 days per month with headache lasting 4 hours a day or longer).
For treating chronic migraine, injections should be divided across 7 specific head/neck muscle areas. With the exception of the procerus muscle, which should be injected at one site (midline), all muscles should be injected bilaterally with half the number of injection sites administered to the left, and half to the right side of the head and neck. The recommended re-treatment schedule is every 12 weeks.
Recommended Injection Sites (A through G) for Chronic Migraine
Recommended Dose (Number of Sites)
20 Units divided in 4 sites
10 Units divided in 2 sites
5 Units in 1 site
30 Units divided in 6 sites
40 Units divided in 8 sites
30 Units divided in 6 sites
Cervical Paraspinal Muscle Group
20 Units divided in 4 sites
155 Units divided in 31 sites
a Each IM injection site = 0.1 mL = 5 Units BOTOX b Dose distributed bilaterally
Safety and effectiveness have not been established for the prophylaxis of episodic migraine (14 headache days or fewer per month) in seven placebo-controlled studies.
Primary Axillary Hyperhidrosis
BOTOX is indicated for the treatment of severe primary axillary hyperhidrosis that is inadequately managed with topical agents.
The recommended dose is 50-100 Units per axilla. The hyperhidrotic area to be injected could be defined using standard staining techniques, e.g., Minor’s Iodine-Starch Test. The recommended dilution is 100 Units/4 mL with 0.9% preservative -free sterile saline Using a sterile 30 gauge needle, Botulinum toxin is injected intradermally in 0.1 to 0.2 mL aliquots to each axilla evenly distributed in multiple sites approximately 1-2 cm apart.
Repeat injections for hyperhidrosis should be administered when the clinical effect of a previous injection diminishes.
Instructions For The Minor’s Iodine-Starch Test Procedure:
Patients should shave underarms and abstain from use of over-the-counter deodorants or antiperspirants for 24 hours prior to the test. Patient should be resting comfortably without exercise, hot drinks for approximately 30 minutes prior to the test. Dry the underarm area and then immediately paint it with iodine solution. Allow the area to dry, then lightly sprinkle the area with starch powder. Gently blow off any excess starch powder. The hyperhidrotic area will develop a deep blue-black color over approximately 10 minutes.
Each injection site has a ring of effect of up to approximately 2 cm in diameter. To minimize the area of no effect, the injection sites should be evenly spaced as shown in the figure:
Injection Pattern for Primary Axillary Hyperhidrosis
Each dose is injected to a depth of approximately 2 mm and at a 45° angle to the skin surface, with the bevel side up to minimize leakage and to ensure the injections remain intradermal.
Safety and effectiveness of BOTOX have not been established for the treatment of axillary hyperhidrosis in pediatric patients under age 18.
The safety and effectiveness of BOTOX for hyperhidrosis in other body areas have not been established. Weakness of hand muscles and blepharoptosis may occur in patients who receive BOTOX for palmar hyperhidrosis and facial hyperhidrosis, respectively.
Patients should be evaluated for potential causes of secondary hyperhidrosis (e.g., hyperthyroidism) to avoid symptomatic treatment of hyperhidrosis without the diagnosis and/or treatment of the underlying disease.
Side effects of Botulinum toxin: The most commonly reported side effects include headache, respiratory infection, flu, temporary eyelid droop, and nausea. Although most side effects from botulinum injections are mild and self-limited, some patients have experienced more severe side effects related to the spread of botulinum systemically which have resulted in hospitalization and in some cases, death. Because of these concerns, the FDA has placed a black box warning on botulinum products alerting them of the risk of muscle weakness, breathing difficulties, loss of bladder control and pneumonia. Most of the life-threatening cases have involved children with concurrent health problems given high doses of botulinum for spasticity. Officials speculate that many of the problems occurred when one botulinum product was substituted for another without appropriate dose adjustments. No life-threatening cases involved cosmetic or dermatologic procedures. Use of illegal or unauthorized Botox can have serious consequences.
Botox Cosmetic is not expected to travel far enough through the body to affect a fetus or breastfeeding infant. However, for ethical reasons, clinical studies have not been done on expectant or new mothers, so nobody knows for sure.
Therefore, the manufacturer (Allergan) advises that you should not have Botox injections if you are planning or trying to conceive a child, are pregnant, are planning to breastfeed or are currently breastfeeding. It’s better to be safe, and you can always have Botox later on.
How Botox injections work
A wrinkle in the skin is typically formed perpendicular to a contracting muscle located directly beneath it. For example, the muscle in the forehead is a vertical muscle, and when it contracts (such as when you raise your eyebrows), the lines that form (wrinkles) will be horizontal.
Likewise, the two muscles that are responsible for the frown lines are positioned slightly horizontally between the eyebrows, so when they contract, the frown lines appear vertical.
Botox Cosmetic is injected into muscles, where it blocks nerve impulses to those tissues. The muscle activity that causes the frown lines is reduced, and a smoother look results. Without a contracting muscle beneath it, the skin has a difficult time wrinkling.
Facial lines that exist when your face is totally relaxed are not very good candidates for Botox. These lines are better handled by the dermal fillers. Botox can frequently “soften” these lines but not always get rid of them.
The injections take about 10 minutes, and you should have no downtime afterward.
Normally you would see improvement within a few days. Botox requires two to four days for it to attach to the nerve ending that would normally stimulate the muscle to contract. The maximum effect usually occurs at about 10-14 days. Therefore, whatever effect is obtained two weeks after the injections should be considered the maximum effect that is going to occur.
Is Botox painful?
Any injection can hurt, but the needles used for Botox injections are very small, so pain is usually minimal. The area can be numbed with a topical anesthetic cream or cold pack 10-20 minutes before the injections are given, so you may not feel much pain, if any.
You may feel a little discomfort later, once the anesthetic cream has worn off. Other side effects are listed below.
How often should you get Botox injections?
You’re probably wondering how long Botox lasts. Most people see effects for three to four months, but several factors may shorten or lengthen that period:
Botulinum toxin use
- Your age. Older people with less muscle tone may see results diminish sooner than those with younger, firmer facial muscles.
- Your facial structure and expressions.
- Whether you smoke.
- Your diet.
- Whether you take good care of your skin; use facials, microdermabrasion or other resurfacing methods.
- How much sun you get and how much sun damage your skin already has.
- Whether you use Botox repeatedly or not. However, this seems to differ from one person to another. Some obtain a longer-lasting effect with repeated use, while others seem to develop a resistance to the drug and need more frequent treatments.
Doctors disagree on which of the above factors are the most important so it’s a good question to ask your practitioner. In any case, it is not recommended to have injections in the same injection site (such as for crow’s feet) more frequently than every three months.
As with the injection of any medication, your body’s immune system can develop antibodies to the medication, which render the drug less effective or possibly cause development of an allergy to the drug. The more frequently the drug is injected or the more quantity that is injected, the higher the risk for these antibodies to be formed against the drug.
Botox side effects
Potential Botox side effects include pain at the injection site, infection, inflammation, swelling, redness, bleeding and bruising. Some of these symptoms may indicate an allergic reaction; other allergy symptoms are itching, wheezing, asthma, a rash, red welts, dizziness and faintness. Tell your doctor immediately if you have any breathing issues or a faint or dizzy feeling.
Also, dry mouth, fatigue, headache and neck pain have been reported.
You may have heard of other side effects as well, such as numbness, droopy eyelids, muscle spasms or twitching, and migration of the substance.
Numbness as an absence of physical sensation is not really an issue with Botox, because Botox is not an anesthetic. Numbness as the result of the inability to move a muscle is an issue for some people.
, problems. Causes include injury, teeth grinding/clenching, stress and osteoarthritis or rheumatoid arthritis.
.It is possible for the Botox to spread a little beyond the intended injection site and affect surrounding tissues. For example, if you receive injections into the forehead close to your eyebrows or your upper eyelids, they could be affected and may droop temporarily.
The best practitioners know the correct sites of injection to avoid side effects such as droopy eyelids. A small, highly concentrated dose of Botox dose is less likely to spread from the injection site than a large diluted dose.
This underscores the importance of finding a practitioner who has long experience with giving Botox injections. Also, if you have any questions about your Botox treatments, your doctor is the one who knows the specifics of your regimen to best assess any reactions or concerns you may have.
How to avoid Botox side effects
The list of possible side effects mentioned in this article is a long one, but it would be extremely rare for anyone to experience all of them. And following these six tips will minimize or prevent most Botox side effects:
- Make sure your practitioner is very experienced at Botox injections and is a respected medical professional. A salon stylist, for example, is not an appropriate person to administer Botox, because he or she would not have emergency equipment or sufficient medical knowledge if something went wrong. Some disreputable people have reportedly administered injections that were over- or under-diluted with saline, as well as counterfeit solutions that didn’t contain Botox at all.
- Before having injections, tell your practitioner about any health problems you have.
- Tell your practitioner about medications, vitamins, herbal preparations or other supplements you take, since some combinations of these supplements with Botox could cause serious side effects. It’s especially important to mention having taken injected antibiotics, muscle relaxants, allergy or cold medicines and sleep medicines.
- Follow your practitioner’s pre- and post-injection instructions very carefully.
- Report all side effects — especially those that are bothering you or won’t go away.
- Beware of Botox injections at a “Botox party” at someone’s house. You need to be in a medical setting, where any side effects can be treated immediately. You may not see the final effects of the injections during the party anyway, as they usually take a few days. A Botox party isn’t such a bad idea if it’s held by a doctor in a medical setting, but even then there’s a risk of the doctor’s attention being divided between you and the other attendees.
Is Botox safe for your eyes?
Botox also is used to treat eye muscle problems (strabismus) and uncontrolled eyelid twitching (blepharospasm), and it was developed and FDA-approved for these uses with eye safety in mind.
Of course, precautions are necessary to prevent possible Botox Cosmetic side effects such as droopy eyelids, double vision, blurred vision, decreased eyesight, eyelid swelling and dry eyes. If you have any of these issues after an injection, report them to your eye doctor and your physician.
The cost of Botox Cosmetic injections varies from one place to another and from one practitioner to another, so you’ll need to ask your practitioner what he or she charges.
Some practitioners charge by the number of units injected. One vial of Botox Cosmetic contains 100 units. Advertised specials of $6-$7 per unit are not uncommon, while some practitioners may charge up to $10-$12 per unit.
Some practices charge by the “zone.” For example, the frown lines would be one zone, the crow’s feet another zone and the forehead yet another zone.
Prices per zone may vary between $250 and $350, depending on the practitioner and/or the region of the country.
.Whenever you smile, laugh or frown contractions of the delicate underlying facial muscles can lead to wrinkles. Botox injections improve the appearance of worry lines, frown lines, and laugh lines, crow’s feet and other wrinkles.
Botox is used medically to treat certain muscular conditions, and cosmetically to remove wrinkles by temporarily paralyzing muscles. It is made from a neurotoxin called botulinum toxin that is produced by the bacterium Clostridium botulinum.
Although Botox is a powerful poison, when used correctly, it has a number of applications.
Fast facts on Botox:
- Botox is the most popular non-surgical cosmetic treatment, with more than 6 million Botox treatments administered each year.
- Botox is a neurotoxin derived from Clostridium botulinum, an organism found in the natural environment where it is largely inactive and non-toxic.
- Botulinum toxin is used to reduce fine lines and wrinkles by paralyzing the underlying muscles.
- People also use Botox to treat excessive sweating, migraines, muscular disorders, and some bladder and bowel disorders.
- Botulism, an illness caused by botulinum toxin, can cause respiratory failure and prove deadly.
- Just 1 gram of botulinum toxin could kill over 1 million people. Two kilograms could kill the entire human population of Earth.
What is Botox?
Botox injections have a range of medical uses.
Clostridium botulinum, the bacterium from which Botox is derived, is found in many natural settings, including soil, lakes, and forests.
The bacterium can also be found in the intestinal tracts of mammals and fish and in the gills and organs of crabs and other shellfish. Such naturally occurring instances of Clostridium botulinum bacteria and spores are generally harmless. Problems only arise when the spores transform into vegetative cells and the cell population increases. At a certain point, the bacteria begin producing botulinum toxin, the deadly neurotoxin responsible for botulism.
Neurotoxins target the nervous system, disrupting the signaling processes that allow neurons to communicate effectively.
Botulinum toxin is one of the most poisonous substances known to man. Scientists have estimated that a single gram could kill as many as 1 million people and a couple of kilograms could kill every human on earth. In high concentrations, botulinum toxin can result in botulism, a severe, life-threatening illness. Botulism, left untreated, may result in respiratory failure and death. Despite botulinum toxin being so toxic, Botox is in huge demand.
Despite this, botulinum toxin has proven to be a successful and valuable therapeutic protein.
Botox is most commonly used for cosmetic purposes to improve the appearance of fine lines and wrinkles.
Botulinum toxin is predominantly used as a treatment to reduce the appearance of facial wrinkles and fine lines.
Beyond aesthetic applications, Botox is used to treat a variety of medical conditions, including eye squints, migraines, excess sweating, and leaky bladders.
Botulinum toxin is currently used to treat over 20 different medical conditions, with more applications under investigation.
Botulinum toxin is currently approved for the following therapeutic applications:
- Blepharospasm (spasm of the eyelids).
- Idiopathic rotational cervical dystonia (severe neck and shoulder muscle spasms).
- Chronic migraine.
- Severe primary axillary hyperhidrosis (excessive sweating).
- Strabismus (crossed eyes).
- Strabismus (crossed eyes).
- Post-stroke upper limb spasticity.
- Detrusor (bladder wall muscle) overactivity – causing urinary incontinence.
- Overactive bladder.
- Hemifacial spasm.
- Glabellar lines (frown lines between the eyebrows).
- Canthal lines (crow’s feet).
Botulinum toxin is also used off-label (not approved) for:
- Achalasia (an issue with the throat that makes swallowing difficult).
- Anal fissure and anismus (dysfunction of the anal sphincter).
- Sialorrhea (producing too much saliva).
- Allergic rhinitis (hay fever).
- Sphincter of oddi (hepatopancreatic) dysfunction (causes abdominal pain).
- Cerebral Palsy.
- Oromandibular dystonia (forceful contraction of the jaw, face, and/or tongue).
- Laryngeal dystonia (forceful contraction of the vocal cords).
Botulinum toxin is sold commercially under the names:
- Botox, Vistabel, Botox cosmetic (OnabotulinumtoxinA or botulinum toxin type A)
- Dysport (AbobotulinumtoxinA or botulinum toxin type A)
- Bocouture, Xeomin (IncobotulinumtoxinA or botulinum toxin type A)
- Myobloc (RimabotulinumtoxinB or botulinum toxin type B).
Botulinum toxin is administered by diluting the powder in saline and injecting it directly into neuromuscular tissue. It takes 24-72 hours for botulinum toxin to take effect. In very rare circumstances, it may take as long as 5 days for the full effect of botulinum toxin to be observed.
Botulinum toxin should not be used in pregnant or lactating women, or by people who have had a previous allergic reaction to the drug or any of its ingredients.
Risks and side effects
Possible side effects of a Botox injection include migraines, nausea, double vision, and general malaise.
Injections with botulinum toxin are generally well tolerated and there are few side effects. In rare cases, an individual may have a genetic predisposition that results in a mild, transient unusual response to the drug.
Around 1 percent of people receiving injections of botulinum toxin type A develop antibodies to the toxin that make subsequent treatments ineffective.
Along with its intended effects, botulinum toxin may cause some unwanted effects. These can include:
- Mild pain, local edema (fluid buildup) and/or erythema (reddening of the skin) at the injection site.
- Malaise – feeling generally unwell.
- Mild nausea.
- Temporary unwanted weakness/paralysis of nearby muscles.
- Temporary upper lid or brow ptosis (drooping).
- Weakness of the lower eyelid or lateral rectus (a muscle controlling eye movement).
- Dysphagia – trouble swallowing.
- Neck weakness.
- Flu-like illness.
- Brachial plexopathy – a condition affecting the nerves either side of the neck and chest.
- Gallbladder dysfunction.
- Diplopia (double vision).
- Blurred vision.
- Decreased eyesight.
- Dry mouth.
Botulinum toxin’s popularity continues to increase, with cosmetic minimally-invasive botulinum toxin type A procedures up 700 percent since 2000, to 6.3 million in 2013.
Can you use Botox under your eyes? Botox is often used to treat lines and wrinkles around the eyes and mouth. Can it also reduce dark circles or bags under the eyes? Using Botox under the eyes is not approved in the U.S. and researchers are unsure how well it may work and what side effects may occur. Here, learn about the procedure and its alternatives. READ NOW
What can I do about wrinkles? Wrinkles are creases, folds or ridges in the skin that appear as people get older. They happen when the skin gets thinner, drier, and less elastic.
How soon can Botox results be seen?
A: When injected appropriately, the results will be seen after the first treatment. Botox takes two to four days before the muscle weakening effect takes place. The maximum effect occurs at about 10 to 14 days. The effect then lasts up to three months.
How does the treatment work?
Botox blocks impulses from the nerve to the tiny facial muscles that are related to expression lines. After treatment, the overlying skin remains smooth and unwrinkled while the untreated facial muscles contract in a normal fashion, allowing normal facial expression to be unaffected.
How long does Allergan Botox take to work?
How long does Botox take to work? The effects are may be first noticed in 72 hours but it may take up to 7 days to maximize the effect. You may be asked to return after the first treatment so that your provider can assess your response. The first set of Botox injections may only give a partial response.
Can you see Botox results immediate?
You shouldn’t expect immediate results from botox injections. It usually takes between 2-14 days for the injection to take effect. … Most plastic surgeons say the minimum time for botox to take effect is around 2 days and that most people will have seen the full results they are going to get by 14 days.
How long does Allergan Botox last?
How long does a Botox® treatment typically last? Botox®is not permanent, and the effects of Botox last between three and six months on average. The exact duration of results depends on several factors, such as the dosage, the application, the anatomy of the patient, and the area that was treated with Botox®.
How long do the effects of Botox last?
Three to six months
The effects from Botox will last three to six months. As muscle action gradually returns, the lines and wrinkles begin to reappear and need to be treated again. The lines and wrinkles often appear less severe with time because the muscles are shrinking.1
How long does Botox last on lips?
Typically, Botox in the lips only lasts about 6-8 weeks, but for the cost, you’ll definitely get your money’s worth and LOVE your pout. One good thing about Botox in the lips is that you typically don’t have to wait the full 7 days to see results, the lip flips right away (results can vary).
What are the bad side effects of Botox?
Call your doctor right away if you notice any of these effects hours to weeks after receiving Botox: Muscle weakness. Vision problems. … Risks
- Pain, swelling or bruising at the injection site.
- Headache or flu-like symptoms.
- Droopy eyelid or cockeyed eyebrows.
- Crooked smile or drooling.
- Eye dryness or excessive tearing.
What are the risks in treatment?
Botox injections have been used safely and effectively for over ten years to treat many ophthalmological and neurological disorders. Each year thousands of patients receive Botox treatment for a variety of conditions and it is becoming a popular treatment for reversing the visible signs of aging.
Why is Botox bad for you?
Although botulinum toxin is life-threatening, small doses — such as those used in the application of Botox — are considered safe. … Still, the overall risk is minimal, and Botox is considered safe overall. You should always go to a board-certified dermatologist or plastic surgeon for Botox injections.
Can you Botox your lips?
The “Botox lip flip” is a procedure done with Botox injections to make your lips appear larger. … If you‘re looking to add plumpness, talk to your dermatologist or plastic surgeon about adding a lip filler injection. You can opt for only lip filler, or use Botox and lip fillers for a dramatic plumping effect.
Does Botox stop working?
The body begins to form antibodies against the product. Eventually the antibodies will block Botox® from working, and the facial muscles will recover very rapidly. … It is recommended that patients wait until a former dose of Botox® has completely worn off before getting treated again, to help protect against resistance
How long does Botox ptosis last?
Botox is a temporary treatment. The treatment can last three to seven months, but the droopy eyelids will typically go away in four to six weeks. Apart from waiting, a couple of treatments might alleviate the problem: eyedrops, such as apraclonidine (Iopidine), which can help if the eyelids are drooping, not the brows.
What results can be expected?
If wrinkles make you look older than you are, Botox injection makes you have a more youthful and pleasant appearance. However, this procedure cannot improve wrinkles due to aging and sun-damaged skin, since they are unrelated to facial muscle contractions. Botox injection will not improve sagging skin or replace the need for facelift or brow lift.
What are the limitations of Botox injections?
Unfortunately, Botox injections are a temporary solution for the treatment of dynamic wrinkles. The effect of injections lasts from 3 to 6 months. You will need to have injections about two to three times a year. In general duration of the effect increases by repetition of Botox treatments over time. Also, Duration of the effect varies from patient to patient, depending on many factors.
What are the side effects of Botox?
Temporary bruising is the most common side effect. In some cases, Botox can migrate and cause a temporary weakness of nearby muscles. In rare cases, there can be a drooping of an eyelid or asymmetry of facial expression. The risk of any side effect depends on the muscles injected. Because the effects of Botox are completely reversible, any side effects are temporary, lasting only a few weeks.
Here are some things you should and shouldn’t do after getting Botox injections:
- Don’t touch your skin where the Botox was injected…
- Avoid strenuous physical activity.
- Avoid consuming large amounts of alcohol.
- Avoid getting facials, chemical peels, microdermabrasion, etc. for 24 hours.
- What should you not do before Botox?
- A week before you get Botox injections and dermal fillers, stop taking: aspirin, ibuprofen, Excedrin, Motrin, ginkgo biloba, ginseng, flax oil, cod liver oil, fish oil, vitamin A, vitamin E and other essential fatty acids. Also, avoid drinking alcohol a few days before your treatment.
How long does Botox last the first time?
Four to six months
Results last longer after several sessions, as the skin has more time to regenerate the collagen it needs to fill in those lines and wrinkles. When injected for cosmetic purposes, Botox lasts four to six months on average, but you can expect the effects of your first treatment to wear off faster.
How much Botox can kill you?
It’s a good thing that for medicine, we only use billionths of a gram of botulinum toxin… as scientists have estimated that a single gram could kill as many as 1 million people and a couple of kilograms could kill every human on earth. In high concentrations, botulinum toxin can result in botulism, a severe, life-threatening illness
How often do you need Botox?
Typically, the effects of Botox last for up to three to four months. Therefore, the recommended treatment is once every three to four months. Nonetheless, if your facial muscles begin to train themselves to contract less, the period of time for each treatment may be extended longer than three or four months.
What happens if you lie down after Botox?
After receiving Botox, you should wait at least four hours before lying down to avoid the risk of pressure on the treated areas and to avoid the risk of having the area rubbed accidentally. Lying down can also cause your Botox to migrate.
Is too much Botox dangerous?
Although Botox has so many positive benefits, both cosmetically and medically, there are also risks associated with it. Botulinum toxin in very large doses can cause botulism, which is a rare and paralyzing illness that most commonly stems from food poisoning.
Is Botox permanent?
Botox is not a permanent treatment; it is a medical drug that works to relax the muscles of the face that cause dynamic facial expression wrinkles. … No, Botox is not a permanent solution. Your body will break it down over time and it will be necessary to get another injection.
Can you make Botox go away faster?
Athlete’s metabolism runs at a much higher rate than most people. Physically active bodies tend to heal faster and will eliminate the Botox from their body more quickly. … Through repeated Botox injections, your specific facial muscles become conditioned, and the results will start to last longer.
Do you wear makeup with Botox?
As for your skincare routine, we recommend that you avoid using retinol-based products for 24 to 48 after getting Botox injections. You can, however, wear your usual makeup.
Can I go to work after Botox?
Yes, you can continue your regular skin routine after having Botox, including touching your face to cleanse and moisturize the skin. However, avoid massaging or rubbing the face for at least six hours, but ideally 24 hours, after having the procedure.
What age should you start Botox?
Most patients typically start using Botox at age 30, some even in their mid-20s. It’s possible to benefit from preventative Botox treatments starting as early as 25, but before that, the odds are low that you could have built up enough lines to worry about.”
Is Botox bad for your health?
Although botulinum toxin is life-threatening, small doses in the billionths of a gram — such as those used in the application of Botox — are considered safe. … Still, the overall risk is minimal, and Botox is considered safe overall. You should always go to a board-certified dermatologist or plastic surgeon for Botox injections.