Deep lines between your eyes make you look tired, angry, sad, or upset. Your facial expressions cause wrinkles in and around your eyes and forehead. There is asymmetry in your eyebrows or face that can be corrected by relaxing a muscle. You suffer from migraine headaches and botulinum toxin may provide relief from this condition.
BOTOX Also known as BOTOX® Cosmetic, Dysport®, or Botulinum Toxin Type A
Botulinum toxin (Type A) is a cosmetic injection that blocks the nerve signals that cause muscles to contract. This effect relaxes and smooths the look of lines and wrinkles caused by repetitive movements on the face—most commonly, between the brows, crows-feet around the eyes, and horizontal forehead creases. Botulinum toxin is also used cosmetically to balance facial asymmetry and relax tight neck bands, as well as medically to reduce perspiration and to treat migraine headaches and muscle spasticity.
Are you a good candidate for botulinum toxin injections?
You may consider botulinum toxin injections for cosmetic reasons if you are developing lines and wrinkles on your face due to common facial movements. Depending on genetics, lines can appear on the face as early as your late twenties to as late as your early forties. If you are prone to developing lines and to making facial expressions that lead to wrinkles, your plastic surgeon may also recommend using botulinum toxin as a preventative measure.
Certain wrinkles or creases in the face caused by the weakening or sinking of the soft tissue, such as the nasolabial folds, which extend from the sides of the nose to the corners of the mouth, are generally best treated with fillers, fat grafts or surgery (although occasionally botulinum toxin is used to soften or partially improve them).
- Injections are relatively painless and carry a low risk, with little-to-no downtime.
- Can help you appear less angry and more approachable
- Make subtle changes that give you a refreshed or well-rested look
- Effects of injections will only last three to six months
- Risk of droopy eye or muscle if injected incorrectly
- If area to be injected is sensitive, bruising may occur
Detailed Procedural Info
How is a botulinum toxin procedure performed?
Botulinum toxin injections can usually be completed on the same day as the initial evaluation. They do not require hours to perform or days to recover. Once you and your surgeon have decided on an appropriate treatment, he or she will prepare you and the medication for the procedure. The injection site will be cleansed and will usually not require anesthesia prior to injection. The needles used are very short and thin, causing minimal pain. Depending on your specific concerns and condition, a number of injections will be needed to achieve the desired result. Slight pain, short-lasting swelling, and minimal redness and bleeding will likely occur as a result of your procedure.
Once the neurotoxin has been injected, it will take several days to reach full effect and a follow-up visit is often scheduled weeks to months after the initial injection.
After the injections you can return to your regular activities immediately; however, strenuous activity is discouraged for the remainder of the day. Redness and swelling that occur at the time of injection usually resolve quickly. Any bruising that might occur will usually resolve over a week or two.
Avoid massaging or touching the injected area afterwards; this may inadvertently cause the botulinum toxin to spread to an unintended area. Lying down or inverting the body shortly after injection can also cause complications. Avoid strenuous or vigorous activities for the rest of the day.