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Botox ® Cosmetic (Botox) is the trade name of Botulinum Type A, a purified toxin
produced by the bacterium Clostridium botulinum. In large amounts, this toxin blocks
the nerve impulses to muscles, causing a form of paralysis called botulism.
By using extremely small doses of Botox, injected directly into a specific muscle, only
the action of that muscle will be paralysed. Therefore, the problem that muscle
causes, like a twitch, spasm or frown line, will be stopped.
Why is Botox so helpful?
Botox is the only way, short of drastic surgery, to slow down the formation of wrinkles
caused by the muscle movements of facial expression. Its use on the forehead and
for frown lines gives a more open look to the face that previously required major
surgery. Younger people can benefit by regular use to prevent their unwanted
frowning or forehead wrinkling from getting “etched” into their skin. Complementary
procedures such as Restylane and Laser PhotoFacial can be performed to create
a younger overall appearance without surgery. Dr. Rubinstein strives to give a
natural look to the face while maintaining the wrinkle improvement from Botox.
Where do you inject the Botox?
The frown line between the eyebrows is caused by the action of a muscle called the
corrugator. You can feel this as a thickening just below the inside of your eyebrows
when you purposefully make yourself frown
Injecting Botox directly into this corrugator muscle stops your ability to draw your
eyebrows together when you frown. Once the muscle is paralysed, it cannot contract,
and the frown line gradually fades away.
Botox is also effective in the treatment of crow's feet, forehead wrinkles, and neck
folds. It can also help with a “puckered lip” a bit, and is very helpful with the
“bubblewrap” puckered chin look.
Will it last?
The actual treatment takes only a few minutes and the Botox takes effect in one to
two weeks. Gradually over three to five months the Botox effect will fade, and the
muscle action will return. When the frown line starts to reappear, a simple repeat
treatment is all that is necessary to maintain the desired result. We recommend
treatments every four months to maintain maximum improvement.
How has Botox been tested?
Botox has been use since 1980 for the treatment of strabismus (lazy eye), and
blepharospasm (uncontrolled eye blinking). The use of Botox for forehead wrinkles
was pioneered in 1989 by Dr. Carruthers of Vancouver. A major study of this
technique was completed in 1995, and a review published in the Journal of the
American Academy of Dermatology. Botox Cosmetic received official FDA approval in
2002. Dr. Rubinstein conducted a Botox research project with Allergan, the
manufacturer of Botox.
Are there any side effects?
The side effects of Botox are related to the local injection of the solution. There will
be a slight discomfort from the needle entering the skin, and a small chance of a
bruise at the site of the injection. There are no reports of damage to the eye, with
injections to the eyelid. There have been no permanent side effects from the use of
Botox. Less than 1% of patients will develop a slight lowering or ptosis of one eyelid.
This is temporary and may not even be noticed by the patient.
Does Botox hurt?
Very tiny needles are used for the injections, and most patients tolerate the small
pinpricks very well with no anesthetic. About half of our patients choose to use one of
several topical anesthetic creams which are applied shortly before treatment. This
makes the treatment almost painless. Ask our staff.
Can Botox help anything else?
Botox can also be used to reduce sweating of the underarms, palms, and soles. For
patients with severe sweating who do not respond to prescription antiperspirants,
Botox can be the answer to ruined clothes and embarrassment. Injections need to be
given approximately twice a year. Botox has also been found to help reduce the
frequency and intensity of tension and migraine headaches.
Tutorial
WHAT'S RIGHT
FOR ME?
reason, we gather the
tissue between our
eyebrows into a fold. In
some of us, this causes
a chronic furrow. This
produces a frustrated,
discouraged, angry look
on our face. This can be
distracting to others, and
a bother to ourselves.
Now you can eliminate
these and other
expression lines without
surgery and without
scars, by a simple
treatment with Botox.
Ask us a question
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