Botox is a cosmetic form of botulinum toxin. It acts on the muscles to relax and reduce their power to contract. Facial wrinkles are caused in part by the contraction of underlying muscles. The Botox injection will reduce or eliminate these wrinkles to give the face a more youthful and rested appearance.
At the first consultation I will make sure that you do not have medical contraindication to Botox injection. Aspirin, anti-inflammatory and natural product that thins the blood should be discontinued 10 days before the visit. We will look at all the areas you wish to treat. Botox is mainly used for horizontal forehead wrinkles, glabellar wrinkles and crow’s-feet. It can also be used to raise eyebrows. I can also advise you to combine Botox and Juvederm (Softlift) for maximal results.
If you want the injections can be made during the consultation. The injections are very quick and not painful.
You will have small red marks at injection sites that usually persist for 30 minutes to 1 hour after injection. You can return to work immediately after the injection. It is advisable not to do intense physical sport and not manipulate the injected area for 24 hours. The effects will be observed after 3-15 days. Following the first injection it is possible that you have to come back after two weeks to make small adjustments. The quantities to be injected are different from one patient to another and may need to be adjusted after the first visit. As the effect of Botox is temporary, it is suggested to have a follow-up to 4-6 months. Over time the injections can be spaced as you will lose the habit of making the facial movements that cause wrinkles.
- Bruising and pain: very rare, can sometimes be observed at the injection site, usually disappear after a few days.
- Headache: can sometimes be present following the first injection. Temporary, lasting from a few hours to a few days.
- Asymmetries: These are easy to correct by further injection to relax the most active side.
- Persistence of lines or wrinkles: Some deeper wrinkles may persist despite the relaxation of underlying muscles. Juvederm can be used to address the most stubborn wrinkles.
- Ptosis (falling) of the eyelids: Rare (less than 1%) and always temporary. While waiting for spontaneous resoltution eye drops may be prescribed to decrease the severity.
- Ptosis (falling) eyebrows: A slight drooping of the eyebrows can be noted for 2 to 3 weeks after treatment of the forehead. This is especially noted in patients who compensate a low brow position by raising their forehead. If this is the case I will inform you about this possibility at the first consultation.
- Fatigue and flu-like syndrome
- Allergic reaction
- Problems swallowing, speaking or breathing
- What are the contraindications to the use of Botox?
Allergic reaction or hypersensitivity to any component of Botox (botulinum toxin type A, sodium chloride, albumin).
Infection at the injection site.
Neuromuscular disease: Myasthenia Graves, Lambert Eaton syndrome and amyotrophic lateral sclerosis.
Pregnancy and lactation.
Taking antibiotic of amynoglycosides: streptomycin, tobramycin, neomycin, gentamicin, netilmicin, kanamycin, amikacin.
Other antibiotics such as spectinomycin, polymyxin, tetracycline, lincomycin.
Tendency to hypertrophic scars or keloids.
- How soon can I see results?
The effects are usually visible from 3 to 15 days after injection.
- When can I wear makeup after the injection?
You can wear make up but it is important not to massage the injection sites for 24 hours.
- Can Botox be used to treat excessive sweating?
Botox can be used to treat hyperhidrosis (excessive sweating). Hyperhidrosis may be present in the armpits, the palms or soles.
- Are injections are painful?
The injections are made with very small needles are not painful.