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To remove and smooth frown lines and crows feet

Pioneered by an ophthalmologist in 1987 to treat muscle disorders, Botox (botulinum toxin type A) was quickly adopted by cosmetic surgeons as a valuable aid to temporarily eliminate wrinkles.

Most frown lines are formed by excessive contraction of muscles in the forehead and Botox acts to place these into hibernation. Tiny amounts are injected into specific facial muscles so only the targeted area will be blocked. Since the offending muscle can no longer be so active the treatment will prevent further damage and more wrinkles, giving a more relaxed and youthful appearance

Botox® is a prescription drug and it can only be used under medical supervision by a doctor or dental surgeon using sterile techniques. The procedure is safe, not painful and is quick to perform. The effect is not permanent lasting at least three months.

The dose and injection site can be varied to achieve a more relaxed and youthful face which still has expression. On very rare occasions an eye brow or eye lid may droop slightly. This condition is known as ptosis. The chances of this happening are greatly reduced when careful attention is paid to the dose, injection site and the muscular anatomy of the face. Accuracy and precision play an important part in achieving a natural result without side-effects.

This is the most significant side effect and occurs in less than 1% of all injections. Special eyedrops are available to reduce the drooping in the unlikely event that it occurs.

F.A.Q.s

Botox

  1. Is Botox safe?
  2. Are there are any potential long term consequences?
  3. What does Botox treatment involve?
  4. Where does it work?
  5. I heard Botox can be used to treat "sweaty armpits". Is that true?
  6. Can men have Botox treatment?
  7. I have never heard of Dental Surgeons administering Botox. Is that common practice?
  8. When should I start using Botox?
  9. When will my treatment start to work?
  10. How long does it last for?
  11. Will Botox work for me?
  12. Will Botox remove all lines and wrinkles?
  13. What are the alternatives to Botox?
  14. Will my lines look worse if I do not continue my treatment?
  15. What unexpected benefits can come from Botox® therapy?
  1. Is Botox safe?

    Botox® is recognised as one of the safest cosmetic treatments. Side effects are rarely serious and always temporary, which is why it is now the most popular cosmetic treatment in the world.

    The most common side effect is bruising. To avoid bruising don't take aspirin, anti-inflammatory tablets or vitamin E for 48 hours before treatment. Rarely a transient numbness may develop in the treated area. If you are pregnant or breast feeding the treatment is not recommended.

  2. Are there are any potential long term consequences?

    The lethal dose of Botulinum toxin is 3,000 units. The average dose for the treatment of the forehead, crows feet and frown lines between the eyebrows is approximately 50 units in total. It has been used in much higher doses to treat muscular disorders for over 10 years. Your body regenerates neuromuscular connections so the muscle activity will return to normal with time.

  3. What does Botox treatment involve?

    You will be asked to frown or smile to assess muscle movement. This will determine which site will achieve the best results for you. Several injections are administered and it feels like an insect bite. Some patients feel no discomfort at all.

  4. Where does it work?

    Cosmetically, Botox is most commonly used for the following areas:

    • Vertical lines between the brows (frown lines)
    • Crow's feet
    • Squint lines
    • Horizontal forehead lines
    • Lines on the bridge of the nose
    • Downturned corners of the mouth
    • Chin puckering

  5. I heard Botox can be used to treat "sweaty armpits". Is that true?

    Sweaty armpits or "Axillary Hyperhidrosis " can be successfully treated with Botox and can last for around 6 months. However, causes of secondary hyperhidrosis (e.g. hyperthyroidism, pheochromocytoma) should be considered to avoid symptomatic treatment of hyperhidrosis without the diagnosis and/or treatment of underlying disease.

  6. Can men have Botox treatment?

    Yes, Botox works equally well for men and women. However, men may require a slightly higher dose due to stronger muscle contractions.

  7. I have never heard of Dental Surgeons administering Botox. Is that common practice?

    Botox can only be administered under the medical supervison of a doctor or dental surgeon. The administration of Botox by dental surgeons is now quite common in the UK, especially in England. Some people prefer to have Botox administered by a dental surgeon as their area of expertise is the head and neck region.

  8. When should I start using Botox?

    Traditionally, Botox is well-knowned for removing or reducing wrinkles, but it is excellent for the prevention of lines appearing. As one gets older the loss of elasticity results with lines appearing when muscles move such as frowning. If Botox is used to prevent excessive frowning then the lines will not appear in the first place.

  9. When will my treatment start to work?

    It usually takes 3-5 days to see the result and in a week it will look even better. To enhance the uptake of your treatment, smile and frown a lot for two hours following treatment, don't touch or massage the area and remain in a vertical position so it stays where it belongs.

  10. How long does it last for?

    Botox lasts up to 3-4 months initially but each case is different. A two week reassessment is always good to assess the effect and consider a top up if necessary in certain areas. The effects of Botox can last around 6 months or longer if used long term.

  11. Will Botox work for me?

    In clinical trials 90% of patients reported improvement in their lines.

  12. Will Botox remove all lines and wrinkles?

    Deeper lines and lines which have been present for many years may not be completely removed. Such lines will require to use of dermal fillers. However, you should think about the look you want to achieve before removing all lines. 100% wrinkle free may not be natural.

  13. What are the alternatives to Botox?

    Dermal filling agents such as Restylane may help eliminate deeper expression lines.

  14. Will my lines look worse if I do not continue my treatment?

    No, lines will gradually revert to their pre-treatment appearance over a period of months. Continued muscle activity will clearly make them worse over time if treatment is not resumed.

  15. What unexpected benefits can come from Botox® therapy?

    Tension headaches and migraine for some patients have disappeared. This occurs in patients using the muscles of the forehead and brow during periods of stress and tension. When muscles are relaxed using Botox the headaches fade.

AFTER TREATMENT INSTRUCTIONS FOR BOTOX

  1. Refrain from touching the treated area for 3-4 hours so BOTOX remains in position.
  2. Remain upright for 6 hours.
  3. Repeatedly tense treated muscle groups for 3-4 hours after treatment, as toxin works better in active muscles.
  4. Exercise and alcohol should be avoided for 48 hours.
  5. You may develop a slight headache following treatment. You may take paracetamol.
  6. Arnica cream can be applied to any bruising.
  7. DO NOT repeat BOTOX treatment more frequently than every 8-12 weeks as this may prevent BOTOX from being effective in the future.
  8. No line will disappear overnight, but when the muscles are immobilised, results will improve with time. Regular 3 monthly repeat treatments help this process.
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