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BOTOX ® Injection (Uses of Botulinum Toxin in Plastic Surgery) botox

botox_effect What is Botox®?

Botox has become one of the most popular non-surgical cosmetic procedures today. But what exactly is Botox? This is a non-surgical cosmetic procedure designed to help an individual achieve a more youthful facial appearance.

This procedure does not require any incisions, but instead Botox is administered through injections.

The results of the Botox treatment can last anywhere from six to nine months. The effects of the Botox treatment will gradually fade and follow up treatments will be needed to keep wrinkles and lines from reappearing.

Treatments can last anywhere from a few minutes to an hour, depending on the size of the area that needs to be treated. Plus most patients are able to return to their normal activities right after treatment.
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Mechanism of Action of Botox:

Botox is a form of Botulinum toxin that is purified and diluted for cosmetic purposes. When injected, Botox keeps certain muscles that cause wrinkles from contracting. In fact, the injections actually paralyze the nerves temporarily. This can prevent new wrinkles and fine lines from forming and help reduce the appearance of pre-existing lines and wrinkles. This results in a younger, more relaxed facial appearance.

Botulinum toxin is a medication and a neurotoxic protein produced by the bacterium Clostridium botulinum, and is known to be very toxic with an LD50 of roughly 0.005–0.05 µg/kg. Despite its deadly toxic effect, it is sometimes used in very small doses to treat muscle spasms. Popularly known by one of its trade names, Botox®, botulinum toxin is now commonly used in various settings for cosmetic procedures.

(Therefore, The Botox is not a Dermal Filler)

mechanism of action of Botox

+ History of Botox:


What Are The Benefits and Medical applications of Botox® Injection?

Botulinum toxin (Botox®) can be used in many medical application, like:

- Wrinkles (dynamic wrinkles) like improvement the appearance of moderate-to-severe frown lines between the eyebrows (glabellar lines), crow feet around the eye, upper lip coarse wrinkles ...etc.

effect of botox

- Blepharospasm, strabismus
- Hemi-facial spasm,
- Headaches (including migraine)
- prostatic symptoms, asthma, obesity,
- The Upper Motor Neuron Syndrome (Joint motion may be restricted by severe muscle imbalance related to the Upper Motor Neuron Syndrome, when some muscles are markedly overactive. Injecting an overactive muscle to decrease its level of contraction can allow improved reciprocal motion, and so improved ability to exercise),
- Sweating (hyperiderosis),
- Cervical dystonis,
- and many other indications are ongoing.

(The beneficial effects of the injection lasted only 6-18 months)

other indications of Botox

Manufacturers of Botox® and Dysport:

-- In the United States, Botox® is manufactured by Allergan, Inc. for both therapeutic and cosmetic use.
-- Dysport, a therapeutic formulation of the type A toxin developed and manufactured in Ireland.
-- Lanzhou Institute (China) manufactures a BTX-A product, producing 50U and 100U type A toxin.
-- Neuronox, a BTX-A product, was introduced by Medy-Tox Inc. of South Korea.


Are you a Good Candidate for BOTOX® Cosmetic?Dysport

ever looked in the mirror and watched those lines around your brow? You may ask yourself, is it a result of aging, change in weight, or too much sun? What about stress? How skin ages is a combination of many factors. The lines that appear between your brows are the result of repetitive muscle movement over time. The more you have frowned or squinted your eyes, the more these muscles have contracted, causing the skin to crease. Over time the creases remain on the face and can become more pronounced. For women, whose faces tend to be more dynamic and active than men's, and whose skin is typically more delicate, these lines may appear overstated and more permanent.

BOTOX® Cosmetic has been used to treat adults of all ages. Though the results have been excellent in all age groups, they are most dramatic in those with minimal signs of aging. It is recommended for patients who:

- Have neck or facial wrinkles
- Are in good physical condition,
- Are motivated to improve their appearance,
- Have realistic expectations.


How is BOTOX® Injection is Performed?cold fomets

The whole process takes about ten minutes to half an hour, depending on the number of areas being treated.

For any BOTOX® Cosmetic procedure, we have to apply ice to the treated area a few minutes before treatment. This is for two reasons:
- it causes the vessels in the skin to constrict which helps reduce bruising,
- it helps decrease the small amount of pain associated with multiple injections.

Once seated upright, we will ask you to contract the muscle in the area being treated so that we can better target the injection into the muscle. Thus, if you're receiving injections for wrinkles between the eyes, you will be asked to frown.

On average, you'll receive three injections per muscle (depending on the area being treated, more or less injections may be needed).

With each injection you will feel a needle prick, then a mild stinging or burning for a few seconds as the toxin flows in to the muscle.

Again, depending on the area being treated, you may be asked to gently press a gauze pad against the injection site and/or hold to it for a few minutes.

As soon as the series of injections is completed, you can go back to your regular activities.

botox vs filler injections


What is After BOTOX® Injection Procedure?

 - We will probably ask you to refrain from bending or laying down for approximately four hours after the injections until the toxin has had time to attach to the nerve-muscle connection. You will be asked not to rub the area in order to prevent the toxin from spreading to adjacent muscles.

- Caution: Do not massage the area immediately after your injection, since this could cause the toxin to spread to adjacent muscles that causes unpleasant effects.

- BOTOX® usually takes two to four days or even a week to have its full effect.

- You might be asked to return after a week so that we can evaluate the results of the treatment, and make retouch if needed.



How Long Does BOTOX® Cosmetic Last?

Depending on the area being treated, injections generally lasts six to nine months (due to re-enervation of the muscle), though in some cases the improved appearance can last up to one and half years.

As the toxin wears off, your wrinkles will gradually return, but they won't be any worse than before the treatment.

With repeated injections, the effects generally tend to last longer. There is some evidence that after prolonged treatment the affected muscles may become permanently weakened, so fewer treatments will be needed.

failure of botox

 

What are the Side Effects of BOTOX® Cosmetic?

There are very few side effects associated with BOTOX® Cosmetic injections:

- Small bruises or red marks at the sites of the injection may appear but usually fade within a few days.
- Mild headaches and nausea, though rare, have been reported by patients who receive forehead injections.
- Some injections can cause mild muscle aches.
- It is also possible for an adjoining muscle to experience weakness, although this is usually temporary (one to three weeks).
- Swelling, though rare, may occur in the area around the injection.
- In rare cases, BOTOX® Cosmetic injections around the eye area can cause the eyelid to droop, though this will wear off in two or three weeks.
- It is even more rare, but possible, for injections in the neck muscles to cause difficulty swallowing.


How Much is BOTOX® Injection Typically Cost?

Although price is a factor when deciding on cosmetic procedure, the most important factor is that you feel you are getting a good quality, natural-looking result from the procedure.

BOTOX® injection costs are variable according to the treated areas and the indication. Usually the cost is ranging from 100 to 500 U.S. dollars. When dealing with costs, you also need to take into consideration the fact that the procedure may need to be repeated. Most medical insurance providers do not cover the procedure.


FAQ from patients when considering undergoing BOTOX® injection?

Q - What is the type of anesthesia, and when I can return to normal life?
A - No anesthesia is needed except local cream. You can practice your normal life within 2 hours.

Q - What are the symptoms that may occur in the first five days after injection procedures?
A - Soreness, redness and there may be edema or swelling of the face.

Q - What are the guarantees that the success of the process?
A - There is no doubt that the followers of the medical instructions and close follow up visits are the main factors for the success of any procedure. If not, the process to achieve the agreed outcomes before, the process repeats at reduced cost. The procedure may needs refine touch after 2 weeks.injection

Q - When can we get the final results?
A - The final results is achieved within the first three days.

Q - Is the rejuvenated face seems naturally?
A - Yes.

Q - What is ideal age for BOTOX® injection?
A - It could be done at any age.

Q - If you are not Egyptian, What is the minimum period for follow up?
A - Just one day.

Q - What are the contraindications of BOTOX® procedures?
A - There are no contraindications but the patients should inform their surgeons about any allergies, serious medical conditions, and medications they may be taking.

Q - Where will the BOTOX® injection procedures be performed?
A - In outpatient bases (clinic).

Q - In my case, what amount is most appropriate in helping me achieve my cosmetic goal?
A - It depend on the your age, facial features and your preference.

Q - How much does BOTOX® injection procedure cost and what elements factor into that cost like anesthesia, and so on?
A - Ranging from 100 to 500 U.S. dollars. Medical insurance dose not cover facial rejuvenation procedures.

Q - What is the surgeon’s level of experience in performing BOTOX® injection procedures?
A - Consultant or Doctoral in Plastic surgery.

Q - What percentage of patients experience complications with BOTOX® injection procedures?
A - 3 - 7%


Summary of BOTOX® Injection Procedures:

The time of the procedure: Half an hour.
Type of anesthesia:
local anesthetic Cream.
Location:
Clinic.
Expected Side effects:
Temporary swelling and pain.
Recovery time:
return to work within 2 hours and the final outcome within 3 days.
Cost:
according to treated areas ranging from 100 to 500 U.S. dollars.
Results: ranging from months to years and sometimes, after repeated injections, permanent results.