Botulinium Toxin (Botox)

What is Botox?
Botox injections are a diluted form of purified neurotoxin protein complex derived from botulism toxin. The botulinum toxin is created by the bacterium, Clostridium Botulinum. Botox is a popular non-surgical injection that temporarily reduces or eliminates frown lines, forehead creases, crows feet near the eyes and thick bands in the neck.

How do Botox injections work?
Normally your brain sends electrical messages to your muscles so that they can contract and move. The electrical message is transmitted to the muscle by a substance called acetylcholine. Botox blocks the release of acetylcholine. By blocking the release of acetylcholine Botox blocks the message that tells the muscle to contract. Essentially, Botox decreases muscle activity by blocking the release of acetylcholine at the neuromuscular junction. Therefore, muscle spasms stop or are greatly reduced after the injection of Botox.

What are Botox injections used to treat?
Botox injections are most effective for wrinkles that are visible when smiling, laughing, raising the eyebrows or for crow's feet around the eyes. These wrinkles are called "dynamic" and tend to be much less noticeable when your face is completely relaxed. It also works well for bands in the neck. Botox injections are widely used to remove facial lines, especially frown lines, "crow's feet," and forehead lines. Botox is also indicated for the treatment of severe primary axillary hyperhidrosis (excessive underarm sweating) that is inadequately managed with topical agents.

Are Botox injections safe?
Botox injections are relatively safe treatment when administered by a trained medical professional who is experienced with using Botox injections. As with all injectable treatments, there are some potential side effects associated with Botox, but most of these side effects are mild and temporary. Pain, tenderness and bruising may be associated with the injection, and some people have reported a slight headache after treatment. It's important to remember that that all medical procedures carry risks as well as benefits, and you need to discuss these with your doctor.

Who is the best candidate for Botox injections?
Botox may or may not be the best treatment for the results you desire. An ideal candidate meets the following conditions:

Do Botox injections hurt?
The smallest needles available are used so the discomfort is minimal and brief. The Botox injections themselves do not tend to sting as much as injections of local anaesthetic. Some comparisons that are used to explain the sensation of the Botox injections are "like having your eyebrows plucked", "getting a bug bit" or "receiving a pin prick". Overall, the discomfort from Botox injections should be minimal and temporary. If needed, the Botox injection areas can be numbed with ice or a local anesthetic cream.

How long does the Botox injections procedure take?
Most Botox injection procedures take 10 to 15 minutes. There is no recovery time required. You may return to work or continue your usual daily activities immediately following the Botox procedure.

How soon will I see results from my Botox injections?
Most patients start to see some effect at two to three days after Botox injections. For the final Botox result, it often takes five to seven days. Some areas may take as long as two weeks. Lines continue to improve for up to a month after Botox, and results can last for up to 6 months. For most people, Botox results last 3 to 4 months.

Is there any thing specific that I should do or avoid after my Botox injections?
You should avoid strenuous exercise for 24 hours, lying down for at least four hours and massaging or pressing the Botox injection areas for fours after the Botox procedure. These activities can all cause the Botox to migrate into muscles that were not supposed to be relaxed and lead to droopy eyelids and other side effects. Using the muscle intentionally makes it contract and may help to localize the Botox to the selected muscle. Do not take any aspirin for two or three days either side of the injections as this may help to reduce the chance of bruising.

What sort of recovery is needed following Botox injections?
Since the procedure is nonsurgical, no recovery time is needed. After Botox Cosmetic treatment, you can get back to work or other activities right away.

Can I go back to work after receiving Botox injections?
Following injection recovery is immediate, and you can return to work immediately.

Are there any Botox side effects?
There are some potential side effects of Botox. Botox side effects vary according to injection site, dose, frequency of injections, and the level of physician expertise. Botox side effects such as pain, tenderness, swelling or bruising at the injection site are temporary and occur within a few days after treatment. Possible Botox side effects which have been reported include:

How long do Botox injections last?
The beneficial effects of Botox injections last, on average, three to four months with some individuals claiming benefits for up to six months. With each new treatment the results tend to last longer.

How often should I get treated with Botox Cosmetic?
The answer depends on how long you remain satisfied with the results. Since the length of time that the results last vary from person to person you will need to determine, along with your doctor, how often you should have treatment. For most individuals, it is usually 3 to 4 months between treatments.

What is hyperhidorsis?
Hyperhidrosis is a disorder characterized by excessive sweating that occurs in 1% to 3% of the population. The excessive sweating can occur in the hands (palmar hyperhidrosis), in the armpits (axillary hyperhidrosis), or in the feet (plantar hyperhidrosis).