BOTOX® is primarily used in the upper face as an effective, non-surgical option for the treatment of wrinkles in the forehead and around the eyes.
BOTOX® Cosmetic is a brand name cosmetic medication which has been approved by the Health Canada for the treatment of glabellar lines (lines that form between the brows) on a temporary basis. It is generically known as botulinum toxin. First introduced in 2002 BOTOX® Cosmetic, has a long track record of successfully and safely treating facial wrinkles.
HOW BOTOX® WORKS
BOTOX® must be administered by a trained healthcare professional. When safely and properly injected into the muscles of the face, it works by temporarily hindering nerve impulses to these muscles and thereby limiting their activity. By relaxing the underlying muscles, the overlying skin is given a smoother appearance.
AREAS TREATED BY BOTOX®
BOTOX® is best used in the treatment of wrinkles and lines that are caused by underlying muscle activity. This occurs most commonly in the forehead and brow regions. Crow’s feet (wrinkles on the sides of the eyes) are also often treated with BOTOX®.
BOTOX® is not intended for use in all areas of the face.
Things To Know Before Receiving BOTOX®
There are a few key things that patients should be aware before BOTOX® injection treatment. When you arrive for your consultation, Dr. Asaria or Dr. Alexander will go over this, and any other information you need to be aware of, in detail. The following are a few basic points that apply to all patients:
- Patients should avoid taking blood thinning medications, such as aspirin or Mortin, for a period of ten days prior to receiving BOTOX® treatment
- It is important for patients to understand that the effects of BOTOX® are temporary. Results generally last for a period of approximately four months
- Patient who are pregnant or breastfeeding cannot have BOTOX treatment
As a first step, Toronto BOTOX® Specialists, Dr. Asaria and Dr. Alexander will ask some basic questions to ensure that you are a proper candidate for BOTOX®. Once this has been confirmed, your doctor will ask you to accentuate lines in the areas to be treated, by intentionally frowning, furrowing and raising your brows. During this time, he will deliver a series of minor injection through a very small needle. Each injection is methodically placed, based on your specific needs. The actual procedure time, once your consultation is complete, is typically very short, lasting 10 minutes or less.
BOTOX® Recovery & Results
Patients typically start to see the effects of BOTOX® within forty-eight hours of injection, but it may take as many as four days for the full effects of to set in. If the lines or wrinkles being treated are rather deep, it may take as many as four weeks for the skin to completely relax.
During this period there are some specific instructions we advise our patients to follow:
- Patients should not lay down for a period of two hours following a BOTOX® injection treatment
- Patients should also avoid strenuous activity or exercise for the remainder of the day of treatment
You will find it difficult to move or contract the muscles in the injected area. This is to be expected, but some minor motion may still be possible.
Other Medical Uses of BOTOX®
In addition to treatment of facial wrinkles, other applications of BOTOX include the treatment of:
- Health Canada has approved BOTOX® (onabotulinumtoxinA) manufactured by Allergan, Inc. as a prophylactic (preventive) treatment for headaches in adult patients with Chronic Migraine who suffer from headaches 15 days or more per month, lasting four hours a day or longer.
- Teeth grinding (bruxism)
- Sweaty palms
- Excessive underarm perspiration (hyperhidrosis)
- One of the major advances in the treatment of hyperhidrosis (excessive sweating) has been the use of Botox and its approval by the Health and Protection Branch of Canada for this indication. The most common areas injected are the axilla (armpits).
How Long Does BOTOX® Last?
A typical BOTOX® treatment lasts about three to four months. It is recommended that patients return after three to four months for a follow up treatment.
Potential Complications of BOTOX® Treatment
The risk of complication with BOTOX® treatment is fortunately very small, when the procedure is performed by a trained and experienced injector. When complications do occur, they are typically related to overuse of product or misplaced injections. These two factors can result in more muscle freezing than intended or freezing of muscles in unintended parts of the face.
Other rare potential complications include temporary bruising and swelling at the site of injection, headache, and flu-like symptoms.