What is Botox Cosmetic?
Botox (Botulinum toxin) is an FDA approved for the temporary treatment of moderate to severe dynamic glabellar frown lines. Botulinum toxin therapy is commonly used to reduce and eliminate the appearance of facial wrinkles. It is also used for excessive underarm sweating (called axillary hyperhidrosis). Other off-label cosmetic uses include reduction of wrinkles in the upper and lower face, neck and chest as well. Botulin toxin therapy is the most popular cosmetic procedure used to reduce, eliminate the facial wrinkles and fine lines between your eyes. Small quantities of botulinum toxin are injected into target muscles, causing them to relax.
Moderate to severe forehead lines
After (30 days)
How Does Botox Work?
Botulin toxin is a neurotoxin protein derived from the Clostridium botulinum bacterium. When small quantities of botulin toxin are injected into target muscles, localized chemical denervation occurs due to inhibition of acetylcholine release at the neuromuscular junction. By blocking this neurotransmitter, this temporarily reduces muscle contractions and smooths skin wrinkles in the treatment area. By relaxing muscles and inhibiting muscle contractions, it allows for wrinkles to soften and prevents permanent wrinkles from forming, and gives the area treated a youthful visage.
Moderate to severe crow's lines
After (30 days)
Why do we have wrinkles?
Skin naturally thins and loses collagen from many factors, it is not only for decreased hyaluronic acid, elastin gradually diminishes, collagen depletion, hormone loss. This process of dermal atrophy results from a combination of many factors such as sun exposure and other extrinsic factors such as smoking. Hyperdynamic facial musculature also contributes to formation of visible lines. Initially, lines and wrinkles are seen only during active facial expressions such as laughing, frowning and are referred as dynamic lines. Over the time, dynamic lines become permanent etched into the skin resulting in static lines.
Moderate to severe frown lines
After (7 days)
Who is the ideal candidates for Botox?
The best candidate for Botox treatments are people who are physically healthy, would have to be aged 18 or older, not be breastfeeding or pregnant and no history of neuromuscular diseases. You also are considered a good candidate for these procedures if you have visible horizontal frown lines, frown lines (also called the 11’s), low-positioned eyebrows and upper eyelid skin laxity, bunny lines, lip lines (called smoker’s or lipstick lines), gummy smile, marionette lines, neck bands, and axillary hyperhidrosis.
Who would not be considered a good candidate for Botox
Individuals with peripheral motor neuropathic diseases, amyotrophic lateral sclerosis, or neuromuscular junction disorders (eg, myasthenia gravis or Lambert-Eaton syndrome) should be monitored when given botulinum toxin. Patients with neuromuscular disorders may be at increased risk of clinically significant effects including generalized muscle weakness, diplopia, ptosis, dysphonia, dysarthria, severe dysphagia, and respiratory compromise from onabotulinumtoxinA
Results and Follow-Up
Treated muscle typically demonstrate partial reduction in function 2-3 days after botulinum toxin treatment, with maximal reduction 1-2 weeks after treatment. If desired reduction of muscle function is not achieved in the treatment area, a touch-up procedure may be performed 2 weeks after the initial treatment.
How to prepare for the treatment.
Do not take ibuprofen, aspirin, or naproxen two weeks before the treatment.
Inform the doctor all medication you are taking, including over the counter medication.
Avoid lying down for 4 hours after the treatment
Do not manipulate the treated area
Do not performed activities that can cause facial flushing, exercising, and tanning.
If bruising or swelling occurs, a soft ice pack may be applied for 10-15 minutes to each bruise site, every 1-2 hours until it is improved.
**Patients images courtesy of Allergan
* Results may vary