With over 4 million procedures performed in 2006, BOTOX® Cosmetic is the most popular minimally-invasive cosmetic procedure performed. Used to treat facial lines and wrinkles such as forehead lines, frown lines, crow’s feet, and lines around the neck, BOTOX® Cosmetic is the registered product name for Botulinum toxin, Type A. In small doses, botulinum toxin can be used safely to reduce the appearance of facial lines and wrinkles. In addition,botulinum toxin has been shown to be an effective method for treating other conditions, such as migraines, excessive sweating,and muscle spasms, among others. With little downtime and almost immediate results, BOTOX® Cosmetic can help you restore a smoother, more youthful appearance to the face.
How BOTOX® works?
BOTOX® combats wrinkles that are created when nerve cells within the muscles beneath the skin release a chemical called acetylcholine. This chemical triggers a muscle contraction that creates wrinkles. The BOTOX® product, medically known as Botulinum Toxin Type A, is an injectable compound that disrupts the release of acetylcholine which essentially paralyzes the muscle and stops the contraction. Results are fully evident within one week after treatment and remain for a minimum of three months.BOTOX® typically reduces wrinkles by 80 percent. Patients are typically between the ages of 35 and 60. Results vary among individual cases, and the results are temporary. You will need to plan for additional injections, depending on your long-term treatment goals.
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The BOTOX® Procedure
You will be asked about your expectations for treatment and if you have any allergies or any condition that wouldn’t make you a good candidate for BOTOX® .No anesthesia is required, although we may choose to numb the area with a cold pack or anesthetic cream.We will determine where to administer the injections by examining your ability to move certain muscles in the area to be injected. The selection of injection points is critical to the success of the procedure. Numerous injection points may be marked for each location to be treated. These points may not be located on the wrinkle itself, but at the area where the muscle contracts.The amount of BOTOX® to be used for the procedure is determined. Depending upon the extent of treatment; the procedure can take a few minutes up to 20 minutes.
USES OF BOTOX®
- Anti-wrinkle treatment for crow’s feet, frown lines, forehead lines,bunny lines, perioral lip lines, Marionette lines
- Chemical brow lift
- Nasal flare
- Nasolabial folds
- Mental crease
- Platysmal bands
- Horizontal neck lines
- Hypertrophic mandibular angles (masseter hypertrophy)
- Facial asymmetry
- Severe armpit perspiration (Hyperhydrosis)
Risks & side effects
The most common side effects following injection include temporary eyelid droop and nausea. Localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/bruising may be associated with the injection.Theses side effect usually resolve itself within days, or in rare cases, months after the procedure. Unmanageable pain or any symptoms that are progressive or abnormal should be reported to your doctor immediately. Pregnancy & lactation are contraindications for a BOTOX® treatment. Relative contraindications include disorders of neuromuscular junction (Myasthenia gravis, Eaton Lambert syndrome),disorders of muscle weakness (multiple sclerosis, amyotrophic lateral sclerosis) & concomitant use of aminoglycoside antibiotics.
Sameer Karkhanis, MD
Board-Certified Mumbai Plastic Surgeon
Chief Plastic Surgeon & the Director at CCRS is a qualified Aesthetic Plastic and Reconstructive Surgeon. He is Board Certified, with the qualification of DNB Plastic Surgery (Diplomate of National Board). He is an active member of the International Society of Aesthetic Plastic Surgery.