Botox®.

 

Botulinum toxin, or Botox®, is a temporary muscle relaxator. By relaxation of a specific muscle the contraction of this muscle can be blocked temporarily. In this way wrinkles can be significantly smoothened or lost and facial expression can be improved (the most common indication for this treatment is that people look tired or angry but their emotions don't correspond to this). 

Botox® (Botulinum toxin type ‘A’) is a purified protein produced by the Clostridium botulinum bacteria. It was developed during the 1970s – 1980s to treat blepharospasm (spasm of the eyelids) and strabismus (squint). 

In 1997 it achieved FDA approval for cosmetic use in the USA and by 2006 was granted a license by the MHRA in the UK for the treatment of frown lines. Worldwide, now more than 3 million Botox® treatments take place per year.

How does Botox work?

Botox is injected into the target muscle and works at the neuromuscular junction by blocking the transmission of signals from the nerve ending to the muscle. This causes temporary relaxation of the treated muscle, which results in the reduction or loss of wrinkles. The result is not permanent because the nerve ending re-establishes it's signalling by forming new nerve sprouts. This sprouting takes approximately 3-6 months, at which point the muscle regains it's activity and the wrinkels begin to reappear. 

Indications

Botox® can be used for medical and aesthetic treatment indications. 

  • Aesthetic: most common treatment areas are frown lines, crows feet and forehead lines. But also bunny lines (lines on nose), gummy smile (appearing gum during smiling), smokers lines (vertical lines on upper lip), low brows en 'peau d'orange' on chin (dimples) can be treated quite easily with Botox®.
  • Medical: migraine, bruxism (teeth grinding) and hyperhidrosis (excessive sweating) are medical indications for Botox®.

What happens during my appointment?

  • A few tiny injections into facial muscles using the finest needle world wide
  • No local anaesthetic required – discomfort is minimal

  • Takes 10 mins to perform – no downtime necessary 

  • The whole appointment takes less than 30mins

  • Noticable wrinkle reduction in 3-5 days. Optimal result in 2 weeks

  • Results last at least 3 months

Botox aftercare

  • DO gently exercise the treatment areas by frowning, smiling, squinting and lifting the eyebrows occasionally - this will optimise your result
  • DO NOT rub or massage the treatment areas – this may increase the risk of complications by spreading the product
  • AVOID alcohol, aspirin and ibuprofen for 24 hours which can increase the risk of bruising and swelling
  • AVOID lying flat or bending down excessively
  • AVOID very strenuous physical activity

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FAQS

Can I fly after having Botox?

YES but it is recommended to wait at least 12 hours

Can I go to the gym after having Botox?

YES but it is recommended to wait at least 12 hours

Can I drink alcohol after having Botox?

YES but it is recommended to wait at least 12 hours

How long will the treatment take?

Most procedures can be completed within 20 minutes

Will it hurt?

Discomfort is minimal and no local anesthetic is required

How long does Botox take to work?

There is a noticeable wrinkle reduction in 3-5 days and the final result appears by 2 weeks

How long will the result last?

You should expect results to last at least 3 months

Is Botox dangerous?

NO - administered in the correct manner by a skilled professional carries very little risk. Botox has a proven safety record since the 1970s

How many people have Botox?

Over 3 million Botox treatments take place per year

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Possible side effects of Botox

  • Small area of redness at treatment site lasting 2-3 hours (common)
  • Bruising / swelling of treatment area (less common)
  • Dull heavy sensation +/- occasional headache (less common)
  • Ptosis (droop) of eyebrow or eyelid (rare)
  • Double vision (very rare)

Who should avoid having Botox?

Although most people would benefit from treatment, you should avoid Botox® if any of the following are relevant: 

  • Known history of hypersensitivity to any ingredient in Botox®
  • Disorders of muscle weakness (eg. myasthenia gravis)
  • Concurrent use of certain antibiotics (eg. erythromycin)
  • Anticoagulants and bleeding / bruising disorders
  • Pregnancy / breast feeding
 
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