Botox

Botox had been used for decades to relax muscle spasms in the neck and around the eyes prior to its use in cosmetics. Once it was discovered that the temporary paralysis of facial muscles eliminated facial wrinkles, the use of Botox in esthetic practices soared. Furthermore, if used at a younger age, Botox may actually prevent or postpone the formation of facial wrinkles.

What is Botox? The muscles of facial expression are connected to the skin overlying them. After years of use, the muscles create lines and creases. By paralyzing these superficial muscles with  Botox, the wrinkles "relax" and soften.  Botox is a product made from the bacterium Clostridium botulinum. Because of the diluted concentration, there is no risk of botulism from this product. The most commonly treated areas are the forehead, around the eyes (crow's feet), and between the eyebrows.

What can I expect? The process starts with a consultation, which is free of charge. Before your treatment, it is helpful to avoid aspirin and anti-inflammatory pain medications which thin the blood and hence, increase the risk of bruising and transient bleeding. The Botox is injected into the superficial muscles with an ultrafine needle. Ice packs applied to the area immediately before therapy minimize discomfort. Treatment sessions usually last 10-15 minutes.

What about afterwards? There is rarely any discomfort after treatment, although headaches may occur temporarily if the entire forehead is injected in one session. Because the effects of Botox are not permanent, significant side effects are extremely rare. If the Botox migrates too close to the eyelid, a temporary drooping of the upper lid can occur. This is treated with drops if the drooping interferes with vision. Remember though, no adverse effects are long-lasting.

How long does the Botox effect last?  Individuals vary in their response, but in general, most people report that the effect lasts approximately 3 months. Facial muscles which are larger (such as in men) or which are used a lot in very "expressive" individuals may require treatment more frequently. Often the facial muscles become "trained" not to move as much so that over time, less Botox is needed to keep the facial lines relaxed.