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What is Botox Therapy?
Botox is a purified Botulinum toxin and is used to soften facial lines and wrinkles.  Botox is injected into the muscle in these areas and works by weakening the muscle, which in turn lessens the lines of facial expression. Botox relaxed muscles do not contract fully. Botox blocks impulses from the nerve to the tiny facial muscles that are related to expression lines. 

Are Botox Treatments safe?

Botox injections have been used safely and effectively for several years to treat many non-cosmetic  disorders. Thousands of patients receive Botox treatments yearly for a variety of conditions, with reversing the visible signs of aging the motivator. Botox treatments for wrinkles and signs of aging have not specifically been approved by the FDA. Physicians have taken advantage of its properties to perform cosmetics.

What are the side effects of Botox?

Side effects are possible: headaches, bruising, pain at the site of injection, and, in fewer than 1% of cases, drooping eyelids or eyebrows that return to their natural position within a few months.

Botox for migraines?

Botox is used to treat chronic headaches such as NDPH or migraines. Botox is injected into specific areas in the head and neck with very fine needles. 

What is the treatment like?

Cosmetic balancing with Botox is a simple and relatively safe procedure. Using a tiny needle, a very small amount of Botox is injected into several locations on the face. Because the needle is so fine and only a small amount of liquid is used, the pain associated with the injections is minimal. You can drive yourself home. Some patients experience a slight bruising at the injection site. This can be covered with make-up. The treated areas will take 5 to 14 days to soften and last 3 to 4 months.

Precautions to be followed: You should not receive Botox injections:- if you have myasthenia gravis - if you have neuromuscular disease such as muscular sclerosis - if you have an allergy to human albumin (eggs ) or to botulinum toxin - if you are pregnant or breast feeding - if you have taken aspirin, Advil or anti-inflammatory medication in the last two weeks.

What to do after Botox injections: Do not lie down for 4 hours after the treatment. Do not massage the treated muscles for 4 hours, this could possibly cause the Botox to spread to the muscles around the eyes.

How long does it last and how often can I receive Botox?

The facial muscle activity varies on both sides of the face causing an imbalance of the facial features and uneven lines and folds of the upper face. The muscles between the brows are very strong and are the first to return after the treatments. In order to maintain a balance to these muscles, it is recommended that Botox sculpting is done every 3-4 months for the first year. This will allow the facial muscles that pull on the skin to weaken, resulting in fewer lines and wrinkles. During the year that the muscles are not as strong, the body gets used to not frowning or pulling on the skin. This learning period then allows the muscles to be less active after approximately 1 year. The Botox may wear off at the same interval of 3-4 months, but the muscle action may be less. With time, some patients will require less frequent treatments as they break the habit of contracting frown lines and other muscles of facial expression. The muscles themselves may weaken from lack of use.  Botox usually starts to work at 24-36 hours but the full effect may take up to 7-14 days.

Why repeat Botox Injections? 

​Injections can be repeated every 3 to 4 months. With time some patients will require less frequent treatments as they break the habit of contracting frown lines and other muscles of facial expression. The muscles themselves may weaken from lack of use. Sometimes an injection does not have sufficient effect and a touch-up is necessary. The Botox effect may take 5 to 14 days (or sooner). Repeat injections are necessary every 3-4 months or sooner in some individuals.
Sometimes the Botox injection is not effective due to the production of antibodies or individual resistance to Botox. Botox effect may also decrease in its effectiveness over time.

Are there any side effects?

Temporary bruising is the most common side effect. Sometimes an injection does not have a sufficient effect and a touch-up is necessary. Occasionally, individuals may be resistant to the Botox injection. Rarely, drooping of the eyebrow or eyelid can occur. Lasting for up to six months, this drooping may be reversible with an eye drop medication. A few patients have reported headaches or flu-like symptoms.
Although extremely rare, double vision has been reported. In some cases, Botox can migrate and cause a temporary weakness of nearby muscles and asymmetry of the face. The risk of any side effect depends on the muscles injected.

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