Botox Cosmetic

Remove unwanted wrinkles. Banish unsightly neck bands. Clear away irksome crow's-feet.

What is Botox® Cosmetic?
Botox® Cosmetic is a simple, non-surgical, physician-administered treatment that can temporarily smooth moderate to severe frown lines between the brows in people from 18 to 65 years of age. It is the only treatment of its type approved by the Food and Drug Administration (FDA). When considering your facial aesthetic options, Botox® Cosmetic is also quite affordable.

Botox® Cosmetic may work for you
One 10-minute treatment—a few tiny injections—and within days there's a noticeable improvement in those persistent lines between the brows, which can last up to 4 months. Results may vary.

Botox® Cosmetic is a purified protein produced by the Clostridium botulinum bacterium, which reduces the activity of the muscles that cause those frown lines between the brows to form over time.

A million people have been treated with FDA-approved Botox® Cosmetic.

When it comes to selecting a physician-administered cosmetic treatment, chances are you'll want proof, not just claims. The proof for Botox® Cosmetic is in the numbers.

In clinical trials, nearly 90% of men and women surveyed rated the improvement in the appearance of frown lines between their brows as moderate to better 1 month after treatment. Results can last for up to 4 months, and may vary.

Botox® Cosmetic has been used to treat a million people in the United States since it was approved by the Food and Drug Administration (FDA) in 2002 for the temporary treatment of moderate to severe frown lines between the brows in people ages 18 to 65.

The American Society for Aesthetic Plastic Surgery ranked Botox® Cosmetic as the most popular of all physician-administered cosmetic procedures (surgical and nonsurgical combined) in 2002 and 2003.

Before After

How often is treatment recommended?
If you're pleased with the results of a Botox® Cosmetic treatment, you'll probably want to get on a treatment schedule so you can keep on being pleased.

Botox® Cosmetic is a non-surgical, physician-administered cosmetic treatment that can temporarily reduce the moderate to severe frown lines between your brows for up to 4 months. Within days, you may see a noticeable improvement. Results may vary. You can receive injections with Botox® Cosmetic up to every 4 months to help you maintain the results.

If you discontinue treatment, the frown lines between your brows gradually will look like they did before treatment.

Don't wait for a special occasion to use Botox® Cosmetic. Ask us about a Botox® Cosmetic treatment now.

What exactly is Botox® Cosmetic?
Botox® Cosmetic is a purified protein produced by the Clostridium botulinum bacterium. It is a non-surgical, physician-administered treatment that can temporarily reduce moderate to severe frown lines between the brows. During treatment, very low doses of Botox® Cosmetic are administered via a few tiny injections directly into the muscles that cause those stubborn lines. The treatment is usually done in about 10 minutes, and no recovery time is needed. Within days, you may see an improvement that can last up to 4 months. Results may vary.

How does Botox® Cosmetic work?
Those moderate to severe frown lines between your brows form over time as the result of muscle activity. Botox® Cosmetic is injected directly into the muscles between your brows. It works by blocking the transmission of nerve impulses to the injected muscles; this reduces the activity of the muscles that cause those persistent lines to form.

When will I see results from a Botox® Cosmetic treatment?
Within days, you may see a marked improvement in the moderate to severe frown lines between your brows. Lines continue to improve for up to a month, and results can last for up to 4 months. In clinical trials, nearly 90% of men and women rated the improvement in their appearance as moderate to better 1 month after treatment. Results may vary.

How long does Botox® Cosmetic last?
Results from treatment with Botox® Cosmetic can last for up to 4 months. If you discontinue treatment, the frown lines between your brows gradually will look like they did before treatment.

Is treatment with Botox® Cosmetic painful?
Discomfort is usually minimal and brief. Prior to injecting, your physician may choose to numb the area with a cold pack or anesthetic cream. The entire procedure takes approximately 10 minutes. Many people return directly to work or normal activity following Botox® Cosmetic treatment.

Who should not use Botox® Cosmetic?
Botox® Cosmetic should not be used in the presence of infection at the proposed injection site(s) and in individuals with known hypersensitivity to any ingredient in the formulation. Patients with neurological disorders such as ALS, Myasthenia Gravis or Lambert-Eaton syndrome may be at increased risk of serious side effects.

Will I experience any side effects?
The most common side effects include headache, respiratory infection, flu syndrome, temporary eyelid droop, and nausea. Less frequently occurring (<3%) adverse reactions include pain in the face, erythema at the injection site, and muscle weakness. These events are thought to be associated with the injection and occurred within the first week.

Will my facial expressions continue to look natural?
Although the results are visible, a treatment with Botox® Cosmetic will not radically change your facial appearance or make you look as if you "had work done." The muscle activity that causes frown lines between the brows is simply reduced, so you can still frown or look surprised without the wrinkles and creases between your brows.

What will happen to the frown lines between my brows if I choose not to continue treatments?
If you do not continue treatments, the moderate to severe frown lines between your brows will gradually look like they did before treatment.

Botox® Therapy
Facial wrinkles occur due to an intimate combination of aged, sun-damaged skin and the chronic action of the underlying muscles. Until recently, methods of renewing the skin abounded, but no treatment was available for the over-dynamic muscles. Through a series of precise, usually painless, injections, Botulinum Toxin will relax the facial musculature, especially in areas such as the forehead, frown lines (between the eyebrows) and around the eyes. The result is softening or disappearance of wrinkles. This concept has revolutionized treatment of wrinkles in the upper third of the face.


Before & After Botulinum Toxin for crow's feet


Before & After Botulinum Toxin for hyperhidrosis (excessive sweating). Only the right hand was treated.

Although Botulinum Toxin is sufficient in many cases, ideally it is used with skin resurfacing to optimize results. Botulinum Toxin is one of the most popular methods of facial rejuvenation in the US today and has recently been approved by the FDA for cosmetic indications. Other uses include treatment of neckbands, chin and excessive sweating.

How does Botulinum Toxin work?
Botulinum Toxin works by selectively and temporarily paralyzing the muscles into which it is injected. The rationale for its use is that one can inject a chemical which selectively inhibits the action of muscles in certain hyperdynamic areas (like the forehead), then this in turn will eliminate the wrinkles which are caused by that muscle action. In the case of excessive sweating, Botulinum Toxin prevents signaling to sweat glands and normalizes sweat production.

How long do the Botulinum Toxin injections last, and are additional treatments required?
The effect of one Botulinum Toxin treatment usually lasts 3 to 4 months, after which re-treatment is required. After three to four simultaneous treatments, however, the Botulinum Toxin effects become more long lasting, as the muscles that cause the wrinkles begin to lose their strength and develop atrophy. Minimizing the use of treated muscles by controlling animation will help Botulinum Toxin last longer. The best time to re-treat is as soon as the muscle is starting to move. In the case of excessive sweating, re-treatments are usually needed after 6-9 months.

What are the possible side effects?
Temporary bruising is possible and is minimized by avoiding aspirin-like products and Vitamin E for 1 week before injections and alcohol for 3 days before injections. Mild headaches can occur and usually resolve with Tylenol. A slight change in the shape of the eyebrow is possible. Drooping of the eyelid is rare and usually resolves within a few days.

Are there any post-Injection precautions?
You should keep your head elevated for 3 hours if you have the frown lines treated (so pick up your bag while bending at the knees, after treatment). It is important to utilize the treated area for the first 3 hours to help the drug diffuse well. Mild exercise is allowed 4 hours after the treatment.

How quickly does it act?
Botulinum Toxin usually works within 2-4 days. The maximum benefit is seen at 14 days.

Does it hurt?
We use the smallest possible needles and ice to maximize patient comfort. Most people tolerate Botulinum Toxin extremely well. When treating palms and soles for excessive sweating, a nerve block may be needed.

F.A.Q.

Question: I've heard that Botox is primarily used on the upper half of the face. Is this true? Is it effective around the mouth?

Answer: Botox is used to treat fine lines and wrinkles on the forehead, frown lines, around the eyes and yes, Botox can be injected around the mouth.

Question:
Is it possible to become immune to Botox? Does its effectiveness decrease after multiple treatments?

Answer:
To put it plainly, Botox resistance (immunity) is not common, but does occur in some patients. According to those who do recognize the phenomenon of Botox resistance, the numbers are low -– about 1% to 3% of patients who are injected will develop toxin-blocking antibodies. Still, with millions of Botox injections being given every year, this number is not insignificant. To minimize the risk of becoming resistant, patients should be given the lowest possible effective dose.

Question:
Will a brow lift fix the small vertical creases between my eyebrows just above my nose?

Answer:
The lines between the brows are successfully treated with Botox.

Unretouched photos of paid models taken at maximum frown before treatment with BOTOX® Cosmetic and taken at maximum frown after treatment with BOTOX® Cosmetic at indicated time points.

 

 
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