treatments: botox

Botox Injections
The cosmetic form of botulinum toxin, often referred to by its product name Botox™, is a popular non-surgical injection that temporarily reduces or eliminates frown lines, forehead creases, and crows feet near the eyes. The toxin blocks the nerve impulses, temporarily paralyzing the muscles that cause wrinkles while giving the skin a smoother, more refreshed appearance.

Botulinum toxin is a purified toxin, used since 1980, that paralyses all striated muscles exposed to it. By injecting very tiny amounts into a specific facial muscle, only the targeted impulse of that muscle will be blocked, causing a local relaxation and weakness. Minute quantities of Botulinum toxin were first used in human beings to weaken eye muscles in the treatment of strabismus. This treatment has been used regularly as an alternative to surgery. Beginning in 1988 and reported in 1991, Botulinum toxin was used for frown lines, and other hyperactive facial lines including brow lines, crows feet, and banding in the neck.

Cosmetic Use of Botulinum Toxin
Botulinum toxin is used for treating glabella lines, these vertical frown lines are largely the result of over-activity of the corrugated muscles, with contribution from other muscles around the eye. The only function of the corrugators is to draw the eye brows together as an expression of emotion. Botulinum toxin also is used in the treatment for squint lines or crows feet at the corners of the eyes and brow lines. When the muscle has relaxed and weakened, it can't contract. The lines gradually smooth out from disuse and new wrinkles are prevented from developing.

Is Botox treatment safe?
Botox injections have been used by thousands of patients over the last 10 years. Botox is produced in a controlled laboratory, and given in extremely small doses. Although it is a toxin, it is safe and there have been no serious side effects reported. The most common minor complication is a slight and very temporary drooping of the eyelid.

Side Effects of Botulinum Toxin/Treatment
The dose used is far below the toxic dose of Botulinum toxin. There have been no reports of allergic or urticarial reactions. Occasionally transient bruising occurs in the injection site, or the injection is followed by brief pain or headache. Transient eye lid ptosis (drooping of the eye lid) is the most significant complication of injection in the glabella area, and occurs in 1-2% of patients. When it occurs, the drooping tends to be minimal and short lived, 2-12 weeks.

You should not have Botulinum toxin if you are pregnant, planning on becoming pregnant in three months, breast feeding, or you have a pre-existing neuromuscular condition (myasthenia gravis), or if you are allergic to Botulinum toxin or human albumin, or if you are on an antibiotic known as aminoglycosides.

Before & After Therapy
Treatment involves injection of very small amounts of botulinum toxin into the underlying muscles to immobilize them. Botulinum takes effect about 3-7 days after treatment and lasts about 3-4 months. After therapy, patients are asked not to rub the treatment site, and to remain upright for 4 hours to avoid the spread to other near-by muscle groups. Since the toxin appears to have an affinity to bind to actively contracting muscles, patients are advised to exercise their frown line muscles immediately after injection, and for a subsequent few hours. Muscle weakening begins 24-48 hours after injection, peaking at one week. Repeated treatments are generally performed at 3-5 month intervals, as muscle function returns.

Details of Treatment

No preparation is required prior to treatment.

No anesthesia is required. However, some patients do prefer to use a topical anesthetic to minimize any discomfort.

Botox is injected using fine needles into the muscles under the skin in the affected area.

Post Treatment:
Immediately after treatment some swelling may be noted in the area. This swelling can last approximately 2-3 hours. Occasionally bruising can occur. We request that you do not lie down after treatment for at least 4 hours.

The only major complication is a temporary short lived drooping of an eye lid. This complication is very rare.

Click here for the Botox Treatment Visualizer and upload your own photo and virtually "see" your potential post-treatment results.

Jessica Plotnick, P.A., P.C.   |   CPW Vein & Aesthetic Center
75 Central Park West  |   New York, NY 10023
p: 212.639.1259   |   f: 212.496.1919

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