1. What is BOTOX®?
BOTOX® is one of the trade names of Botulinum Toxin Type A. There are other brands of Botulinum toxin like Dysport® and Neurobloc®.
2. What is a Botulinum toxin?
It is a neurotoxin that are produced by a type of bacteria (anaerobic bacterium Clostridium botulinum) that can cause muscle paralysis or botulism, a serious and life-threatening illness in humans and animals.
3. What are the uses?
Currently, it is being used for many medical (muscle spasm, excessive sweating, chronic migraine, etc. ) and cosmetic procedures.
4. What are the common cosmetic indications?
BOTOX® is used to reduce or remove dynamic wrinkles. These are wrinkles caused by excessive movements of facial muscles causing the skin to bunch together creating lines and folds (wrinkles).
5. Where are the most common locations (areas) for dynamic wrinkles?
a. Frown lines between the eyebrows (Frown lines),
b. Horizontal lines across the forehead (Forehead wrinkles),
c. Lines extending from the outer corners of the eyes (Crow’s feet)
6. How does BOTOX® work on the wrinkles?
Relaxing the muscles involved in creating the dynamic wrinkles will cause a reduction in their movements. Thus, skin over the area of the muscles will be spared from constant folding and bunching, reducing lines formation.
7. How long would a treatment take?
Ten to fifteen minutes (10-15 min) per area. It is just an office procedure.
8. How is the treatment carried?
A syringe with very fine needle is used to inject the medicine to the muscles (via skin). An ice pack is usually applied over the sites to be injected to make it numb and make the procedure comfortable (lesser in pain). Local anesthetics cannot be applied as it will interfere and diffuse the local effect of the BOTOX®.
9. How many injections per area are made?
4-6 injections per area.
10. What are the usual advise for patients after BOTOX® treatment?
a. Do not wash injection sites overnight.
b. Treatments like RF face or face/head massage are deferred for at least a week.
11. When do I expect the effect to be noticed?
Effects are observed as early as on the 3rd day and as late as after 7-14 days. (10 years younger!)
12. Do I have a follow-up after the procedure?
Follow-up after 1 week is recommended (if possible).
13. When do I repeat the treatment?
Effect of the treatment can last 4-6 months. A repeat after this period is an option to maintain the young-looking wrinkle-free appearance.
14. What are the complications?
Immediate complications are swelling, bruising, and headaches. But these are usually rare.
15. What other clinic procedures BOTOX® is used?
a. Excessive sweating of the underarms, palms, and feet.
b. Reduction of “Cow’s neck” that starts to appear at the age of 50.
d. Shaping eyebrows
e. Shaping the area between the cheeks and jaw
Taken from an article written by Dr. Al Farabi L. Jaafar at www.CosmeticSurgeryPH.wordpress.com
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