Botox®
Botulinum Toxin
Botox® is a toxin produced by a bacteria called botulinum. Although in
very large doses it can cause botulism, Botox® is safe in the doses
used for cosmetic and therapeutic purposes. It has been used safely
for decades in the United States. Originally Botox® was used to restore
a normal voice for people with a vocal chord condition called spasmodic
dysphonia. It has also been used to treat eye twitches, excessive
palm or armpit sweating, and headaches. In the mid 1990's, plastic
surgeons began using Botox® injections to treat facial wrinkles.
Wrinkles that Botox® Will Target
(Botox® is only effective for dynamic wrinkles)
Botox® will dramatically improve
(and often eliminate) horizontal forehead creases, scowl lines between
your eyebrows, crow's feet, and vertical wrinkles of your upper
lip.
Botox® is ineffective for fine wrinkles because they are not due to facial expression. To address fine wrinkles, you should see Skin Care, Micropeels, and Blue Peels. Botox® is also ineffective for wrinkles around your mouth that are due to sagging cheeks. To address the wrinkles from sagging cheeks, you should see Facelift.
How Botox® Works
Dynamic wrinkles, such as crow's feet, frown lines, and forehead wrinkles, are due to repetitive
facial expression. Weakening the muscles responsible for these facial
expressions can dramatically improve these wrinkles. With Botox®,
these muscles can be weakened without detracting from your facial
expressiveness.
The Procedure
Botox® can be injected by
your plastic surgeon in the office. You may experience brief mild
discomfort as you are being injected. Following injection, recovery
is immediate: you may place make-up and return to work immediately.
A few experience mild bruising that improves within a few days.
You will begin to see improvement in your wrinkles within 24 hours
and continue to see improvement for 5 days.
How Long Does Botox® Last?
Botox® results may last about six months, although the range varies from 3 to 12
months.
Cost of Botox®
Your surgeon will pay $450 for each tiny vial of Botox®. Your surgeon will charge
you about $200 - $300 for each area injected. Expect to pay this
amount every six months to maintain your result.
Risks of Botox®
No negative long-term effects have been observed. Very few short-term
problems have arisen. If Botox® is injected too close to your upper
eyelids, temporary upper eyelid droop may result. This can take
months to improve. Injection of your forehead will diminish your
ability to raise your eyebrows. This is not a problem for most,
but those with marked eyebrow droop may find that their droop worsens
following injection. Risk of allergic reaction is extremely small.
Women who are pregnant or who have nervous system diseases such
as ALS should not receive injections of Botox®.

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