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After-Procedure instructions and precautions

Home > Aesthetic Treatment > Botulinum Toxin

Overview of Botulinum Toxin

The technical name for Botulinum Toxin is Onabotulinum A, it is derived from a bacteria. Cosmetic form of botulinum toxin is a popular nonsurgical injection that temporarily reduces or eliminates facial fine lines and wrinkles. Injections of botulinum toxin block the nerve signals to the muscle in which it was injected. Without a signal, the muscle is not able contract. The end result is diminished unwanted facial wrinkles or appearance.

What are the benefits ?

Cosmetic uses of botulinum toxin include treatment of wrinkles on the face such as crow's feet, forehead furrows, frown lines, lip lines and bunny lines. It may also be used to diminish neck bands, improve the appearance of skin dimpling of the chin, lift the down turned corners of the mouth, soften a square jaw line and correct a gummy smile.

There is no down time or recovery period. You may assume normal routine immediately after the treatment procedure.

Who are the best candidates for Botulinum Toxin therapy ?

All facial muscle movements like smiling, frowning, squinting and even chewing eventually lead to one of the most common signs of aging – wrinkles. They can make you appear tired or even angry when you are not. Fine wrinkles caused by muscle activity are treated with botulinum toxin. Botulinum toxin is not effective in getting rid of deep wrinkles in very loose skin. Such skin may require volume enhancement through fillers or a surgical procedure for facial tightening such as Face Lift.

Botulinum toxin can be combined with other cosmetic skin procedures uch as chemical peels, laser treatments, dermal fillers or microdermabrasion, to further improve your results. This combination of therapies can even help to prevent the formation of new lines and wrinkles.

How is the procedure performed?

Although the treatment procedure may sound very simple. There are more than 40 muscles in the face and most them over lap to some degree, the correct amount of botulinum toxin at the correct point on face requires training and practice thus only a trained health-care professional should perform botulinum toxin treatment.

A very thin needle is used to inject extremely small amounts of toxin into specific muscles so that only the wrinkle producing muscles are weakened. Usually it is painless but there may may slight stinging. In pain sensitive individuals prior application of topical anesthetic cream eliminates pain. Number of injections and the amount of botulinum toxin used for treatment depends upon the muscle activity and the regions being treated.

It usually takes around 15 -20 minutes to perform the treatment.

When will I see the results?

You may begin to notice results within 24 to 48 hours with the maximum effect visible at 30 days. Results may vary and in case of suboptimal results treatment may have to be repeated with small amount of botulinum toxin.

The effects of the treatment can last anywhere from 3-6 months. As the effect decreases, muscle action returns gradually and the previously treated wrinkles may begin to reappear. With repeated treatment wrinkles often appear less severe than before, as the muscles are being trained to relax.

What are the specific risks and safety considerations?

You may resume normal activities immediately. Although generally safe, botulinum toxin side effects and complications can occur.

Because this medication is given at the site of your condition, most of the side effects occur close to where the medication is injected. Redness, bruising, infection, and pain at the injection site may occur.

Other side effects can be bruising and pain at the injection site, flu-like symptoms, headache, nausea, redness.

rubbing or massage of the treated areas after the wrinkle treatment may cause the botulinum toxin to migrate to another area of your face. If this happens, you could have temporary facial weakness or drooping.

Serious allergic reaction to this drug are rare. However in case of a serious allergic reaction, including: itching/swelling (especially of the face/tongue/throat), rash, severe dizziness, trouble breathing, contact the doctor immediately.

Botulinum treatment is not given, to pregnant or breastfeeding women, in case of skin infection or other condition in the area to be treated, allergy to any ingredients in Botox, Dysport, or any other botulinum toxin brand, having had a previous facial surgery, having any difficulty in swallowing, having weakness in forehead muscles.

What are After-Procedure instructions and precautions?

There is no downtime or recovery period after botulinum toxin treatment but a few precautions help to avoid any complications.

  • Stay in a vertical position for four hours following injection. DO NOT “rest your head” or lie down; sit upright.
  • You may apply an ice or cold gel pack to the area(s) treated (avoiding pressure) as this helps reduce swelling and the potential for bruising.
  • Once you have adequately cooled/iced the area(s) as instructed and any pinpoint bleeding from the injection site(s) has subsided, you may begin wearing makeup.
  • AVOID placing excessive pressure on the treated area(s) for the first few days; when cleansing your face or applying makeup, be very gentle.
  • AVOID exercise or strenuous activities for the remainder of the treatment day; you may resume other normal activities/routines immediately.
  • AVOID extended sun exposure until any redness/swelling has subsided. Be sure to apply an SPF 30 or higher sunscreen.
  • Wait a minimum of 24 hours (or as directed by your provider) before receiving any skin care or laser treatments.