What is BOTOX® Cosmetic used for?
Cosmetic diminishes or eliminates so-called dynamic wrinkles
in the face. BOTOX® Cosmetic acts by paralyzing the muscles
that cause dynamic wrinkles. BOTOX® Cosmetic is injected
into the muscle and prevents the muscle from contracting by
blocking the transmission of nerve impulses to the muscle. Because
the muscle cannot contract, the wrinkle relaxes.
BOTOX® Cosmetic is mainly
used to treat dynamic wrinkles in the upper third of the face. However,
many physicians use it to cosmetically treat other areas of the
face and neck. Moreover, BOTOX® Cosmetic has also been used
to treat migraine headaches and even excessive underarm sweating.
BOTOX® Cosmetic is not as
effective on so-called static wrinkles. Static wrinkles are better
treated surgically or with dermal fillers.
What is BOTOX® Cosmetic?
The BOTOX® Cosmetic is a highly
purified muscle toxin, isolated from a certain strain of bacteria.
The toxin blocks the chemical signal between the muscle and the
nerve, leading to temporary paralysis of the muscle. The paralysis
occurs over 1 to 5 days and peaks in two to four weeks. Results
last from three to six months. The effect gradually wears off, allowing
the dynamic wrinkle to return.
What do BOTOX® Cosmetic injections feel like?
BOTOX® Cosmetic is injected
directly into the muscle that underlies the dynamic wrinkle. A very
small needle is used to minimize discomfort. The injection feels
like a small prick with a little stinging. The entire procedure
takes about 10 minutes. In some cases, ice or topical anesthesia
is used to reduce the pain of injection.
What will my skin feel like after the botox injections?
Usually, there is no pain, once
the injection is over. Occasionally, people have headaches after
the injection as well as some redness or swelling of the area injected.
How many botox treatments will I need?
Usually, one treatment is all
that is needed, and the effect lasts for 3-6 months.
How long before I can
return to my usual activities?
Since the procedure is non-surgical,
no recovery time is needed; patients can return to work or other
How long do the results last?
The effects usually last 3-6 months.
What are the risks of BOTOX® Cosmetic injections?
The most common side effects are headache, respiratory
infection, flu-like syndrome, temporary eyelid droop, and nausea.
Less frequently occurring (<3%) adverse reactions
include pain in the face, injection site redness, and muscle weakness.
These events are thought to be associated with the injection and
occurred within the first week.
BOTOX® Cosmetic can’t be used if there
is an infection at the proposed injection site(s) or in individuals
with known hypersensitivity (allergy) to any ingredient in the formulation
(i.e. the milk protein Casein).
Patients with neuromuscular disorders like Myasthenia
Gravis and Eaton Lambert Syndrome may be at increased risk of clinically
significant systemic effects from typical doses of BOTOX® Cosmetic.
How much do BOTOX® Cosmetic injections cost?
Injections can range from several hundred to several
thousand dollars, depending on the number of areas that are injected.
To maintain the effect, injections need to be repeated, at additional
What are some of the risks of bargain injectables
Botox parties have been a staple of many women’s social calendars for the last
few years, the hope is that the specialist giving you your treatments is qualified
and behaves in an ethical manner. Patients may have to pay with their health or even
their lives if they mistakenly choose an unqualified, unscrupulous practitioner to
administer wrinkle-fighting injectable treatments. It has been reported, although
not frequently, that several cases have emerged of what has become an increasingly
common problem -- illegal and unsafe drugs administered as cosmetic treatments by
practitioners without appropriate training or credentials. In some cases there have
been reports suggesting the individuals who have gone through these botched procedures
might be suffering from botulism, but it turns out to be the result of something else.
Cases such as one reported in Fort Lauderdale, FL, have suggested that the individuals
may have been injected with an unapproved substance, perhaps containing botulinum toxin
or some other agent. There is more than 15 years of clinical research and experience with
the therapeutic applications of botulinum toxin (type A) on millions of patients worldwide,
and it has never produced a response of botulism when it has been used at recommended doses.
Botulism is very rare. According to several infectious diseases experts, the disease is
contracted only by eating or being injected with living spores from the botulinum bacteria. This
may occur by eating unpasteurized food or through a contaminated, open wound.
With the popularity of injectables, including Botox and other soft tissue fillers- it may have
encouraged non-medical practitioners to obtain illegal substances and perform procedures under
unsupervised conditions. Incidents reported have been documented where patients were seriously
harmed by injections of non-medical grade materials. Patients are lured in with the promise of
cheaper treatments, or with promises of "new, breakthrough" procedures.
The fact is that treatments such as skin resurfacing and Botox injections are medical procedures
that need appropriate training and qualified judgment in order to ensure safety. Procedures
should be performed in appropriate facilities by a properly qualified physician who has received
the specific training in the particular procedure.
Botox temporarily blocks the impulses from the nerve cells to the muscles that cause
frown lines and other dynamic wrinkles, smoothing out existing lines over time, preventing
further development of wrinkles. Botox treatments may require repeated treatments to maintain
the results. According to statistics nearly 2.8 million Botox procedures were performed in
2005, making it the United States most popular non-surgical procedure.
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