Botox® is one of the world’s most famous brands. Every year since 2002, when Botox® was approved by the FDA for the treatment of wrinkles on the upper third of the face, Botox® injections have been the most popular cosmetic procedure performed in the U.S. The reason? Botox® works. It erases forehead lines, crow’s feet, and the 11s between the brows for around four months. Dr. Murrell offers Botox® in his practice.
What Is Botox?
Botox® is made from the botulinum toxin type A. Those are the same bacteria that cause botulism, but it works. Back in the 1950s, doctors discovered that when a small amount of the botulinum toxin was injected into a muscle, it temporarily stopped that muscle from contracting.
This lead to the Botox® brand being born. Initially, the FDA approved Botox® for the treatment of involuntary eyelid spasms, and other uses followed. But it was when the FDA approved it for treatment of wrinkles that Botox® became legendary.
What Can Botox Be Used To Treat?
Everyone, it seems, knows about Botox® and its treatment for wrinkles on the upper third of the face. But this neuromodulator has a variety of other uses. Botox® is also used to treat:
- Crossed eyes (strabismus)
- Uncontrolled blinking
- Muscle stiffness/spasms
- Temporomandibular joint disorder
- Migraine headaches
- Overactive bladder
- Excessive underarm sweating
What Areas of the Face can be Injected With Botox?
Botox is a popular treatment for numerous cosmetic concerns that arise from regular muscle use. Common treatment areas include:
- Horizontal forehead lines
- Brow lift
- Vertical frown lines
- Crow’s feet
- Horizontal Bunny lines at the bridge of the nose
- Marionette lines from the corners of the mouth to the chin
- Chin “dimple”/cleft chin
- Smoker’s lines around the mouth
- Vertical necklines
- Botox is also a treatment for Hyperhidrosis, excessive sweating
Best Candidates for Botox
If you want to feel more confident with the appearance of your skin, having this cosmetic treatment could work for you. You may be a good candidate for Botox® if you want to improve the look of:
- Forehead furrows
- Crow's feet
- Frown lines
- Skin bands on the neck
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At What age Should I Consider Botox?
Botox treatments can begin whenever you are ready. This FDA-approved drug is popular among younger adults who want to postpone the onset of dynamic wrinkles. Adults of all ages commonly turn to Botox to smooth lines and creases that have developed as they have gotten older. The right time to consider Botox is more about your treatment objectives than your age.
How Botox Works
Botox® injects right into the facial muscles causing furrows and deep wrinkles by using a very fine needle. When injected into a muscle, Botox® works by blocking the nerve messages sent from the muscle to the brain. The brain never receives the message to contract the muscle, so the muscle stays relaxed.
There are two types of wrinkles: dynamic wrinkles, which are formed by muscle contractions under the skin, and static wrinkles, which are on display at all times. Botox® only works on dynamic wrinkles. These are wrinkles found on the upper third of the face — crow’s feet, forehead furrows, and the 11s between the brows. They form when we make expressions such as frowning. When Dr. Murrell injects Botox® into the muscle creating crow’s feet, for instance, it blocks the nerve message to the underlying muscle that forms the wrinkle.
This cosmetic procedure doesn’t require anesthesia, however, some doctors decide to numb the injected areas with a topical anesthetic cream or ice packs. Botox® is the most popular physician-performed nonsurgical cosmetic procedure in the United States.
What Results Can I Expect From Botox?
Patients can typically see results within a few days of treatment which usually last up to four months. However, regularly treated areas may retain better and longer-lasting results. Following your treatment, normal activities can resume immediately.
How Soon Will I See Visible Results After Botox Injections?
It takes 5 to 7 days for Botox to reach full effect. During this time, the nerve impulses that cause muscles to contract are gradually diminishing. Once the muscles no longer receive the command to contract, it takes a short time for them to become smooth, releasing the pull on the skin. For this reason, we recommend scheduling Botox treatment at least one week before a special event if you want to look refreshed.
How Long Will the Results of Botox Injections Last?
While results can vary, the effects of Botox generally last 3 to 4 months. You will know when it’s time for a touch-up when the cosmetic concern you have had treated begins to reappear.
Is There Anything I Need to Avoid After Getting Botox?
Patients are generally advised not to sleep or lie down for 4 hours after getting Botox, as doing so might allow the drug to disperse beyond the target treatment area. If possible, also avoid sleeping in the treatment area. If you get Botox to lift the brows, for example, try to sleep on your back for a few days to allow the drug to get fully absorbed into the target muscles.
It is also helpful to avoid excessive heat and exercise for 24 hours after treatment. Keeping the heart rate in a normal, resting range decreases the risk of unnecessary bruising and redness. Additional aftercare precautions include avoiding touching the face and avoiding alcohol consumption.
Do I Need Any Time to Recover After Botox?
No. You may experience some redness and minor swelling at injection sites after your treatment. These side effects typically go away within a few hours. Some people feel slightly fatigued or flu-like after getting Botox. These side effects could last a few days but typically do not prevent normal activities.
What Are The Risks and Side Effects of Botox?
There are rarely any issues regarding Botox® injections. Some patients may experience mild pain and swelling, although this is not common. After receiving Botox® injections, side effects are usually mild and temporary.
Botox® has been injected millions of time across the world with minimal side effects. The main side effects are possible swelling and slight redness around the injection sites. This usually lasts just a day or two.
The main possible side effect has to do with the skill of the injector. If Botox® is injected into the wrong muscle, it can create unwanted issues such as a droopy eyelid. That’s where the expertise and training of Dr. Murrell come into play. He has extensive training in the use of Botox® and in facial anatomy. This ensures the wrinkle erasing results you seek.
Is Botox Safe?
The botulinum toxin itself can be life-threatening. However, in small doses, this same toxin can have therapeutic effects. This is not unlike many medicinal products. In the case of Botox, only small amounts of a highly-purified substance are necessary to achieve outstanding results.
Is Botox Painful?
Dr. Murrell injects Botox® with a very tiny needle. Most patients have no trouble tolerating this, equating the injections to the feeling of a pinprick. However, if you desire, we can apply topical numbing medication prior to your Botox® injections.
Botox Vs. Dermal Fillers
We use Botox® to relax dynamic wrinkles, which muscle contractions under the skin create. It erases these wrinkles by relaxing the muscle.
Dermal fillers, such as Restylane® and Juvederm®, have no effect on dynamic wrinkles. They work on the other type of wrinkles, static wrinkles. Static wrinkles are on display at all times. They are the result of sun damage, declining production of collagen, and other environmental factors. Dermal fillers, as their name implies, simply fill in the depressed area created by a wrinkle, pushing the skin back upwards and erasing the wrinkle.
Cost of Botox Injections
Botox® is priced by the vial. How much you need can vary depending on the area you are treating. Dr. Murrell will be able to give you an idea of how much Botox® you will likely need, and how much it will cost.