What
creates a wrinkle?
Many wrinkles are actually
creases that have been worn into the skin by making the same expression
thousands of times. These "expression lines", often called frown lines or
crow's feet, are due to the contraction of a muscle under the skin in that
area. We have known for years that surgically cutting the muscle will improve
the wrinkle.
What
is BOTOX®?
BOTOX® is a purified
protein toxin produced by the clostridium botulinum bacteria. Although BOTOX®
is a toxin, there have been no serious side effects. This is because, for
the treatment described, it is used in extremely small amounts and does
not spread throughout the body.
How
is BOTOX® used?
A few drops of BOTOX®
are injected with a tiny needle into the muscle that creates a wrinkle.
When BOTOX® is injected into a muscle, it blocks the nerve impulse from reaching
that area, and as a result, the muscle weakens. As the muscle weakens, the
skin overlying the muscle relaxes and the wrinkles in the skin gradually
soften and often disappear.
 BOTOX® Relaxed |
 BOTOX® Tightening |
Does
a BOTOX® injection hurt?
When BOTOX® is injected
there is an initial minor sting for a few seconds. Once the injection is
complete, there is usually no discomfort.
Where
can BOTOX® be injected?
The most common areas
for the use of BOTOX® are the frown lines between the eyebrows, the horizontal
forehead lines, and the crow's feet. On occasion, some other areas may be
treated as well.
Does
BOTOX® affect other facial expressions or create numbness?
BOTOX® doesn't affect
the nerve, so there is no numbness in the area of the injection. Also, the
effect of the BOTOX® is only in the immediate area of the injection. Therefore,
the muscles related to other expressions are unaffected.
How
long does a BOTOX® treatment last?
The effects of BOTOX®
usually last three to five months, at which time another injection is required.
After several treatments, the effects of BOTOX® may begin to last longer,
sometimes up to six to eight months.
How
safe is BOTOX®?
BOTOX® has
been used safely and successfully in ophthalmology for over 10 years, and
for wrinkle therapy for over 6 years. In the amounts used for wrinkle therapy,
the only possible side effects are temporary and localized to the area of
injection.
Is
the treatment for everyone?
There are
very few restrictions regarding BOTOX® treatments. Patients who are pregnant
or have a neurological disease should not be treated.
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