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"Botox" or Botulinum
Toxin Chemo-denervation
What is the fuss about "Botox" ?
Botulinum Toxin Type A, of which Botox of Allergan (USA) and
Dysport of Ipsen ( UK/France) are the most widely known, is a
natural, purified protein derived from the bacteria of the same
name. In most world-renowned practitioners' experience there is
little to choose from in Botox and Dysport as far as efficacy
or effectiveness is concerned. The main significant difference
is that Botox is approved by United States' Food and Drug Administration
(FDA) whilst Dysport's approval is still pending.
By the way, FDA has to date approved Botox for glabellar frown
lines (wrinkles between the eyes) only. Other areas commonly treated
such as Frontal forehead wrinkles, Crow's feet wrinkles, Masseteric
hypertrophy (square face) are treated on an "off label"
basis. However, one can rest assured that all the common areas
mentioned above have been treated by doctors world-wide with resounding
success and with amazingly low untoward effects or complications
too. If this was not the case, "Botox" would not have
been the number one surgical procedure in the US for the past
few years and will likely continue to be for many years to come!
How does "Botox" work?
Chemo-denervation by botulinum toxin or " Botox" (for
sake of brevity), is useful mainly against dynamic wrinkles, which
are caused by repeated muscular contractions such as frowning,
squinting and brow furrowing. Suffice it to say that it works
by preventing the relevant muscles from contracting thereby causing
the wrinkles in the skin overlying them to soften and often disappear
altogether.
Botox is placed through several injections into the muscles with
a tiny micro-needle. The discomfort is very minimal and brief
and for the majority of patients, numbing by ice is all the "anesthetics"
that is required. The procedure is so quick and simple that patients
often have it done on their lunch break!
What do I expect after the treatment?
After the injection, it takes 2-3 days to see the dramatic changes
and around 7 days to see the full effect. The effects of Botox
usually last at least 3 to 4 months, after which the result will
fade away slowly and wrinkle lines may slowly return. After 2-3
years of repeated treatment it will gradually require less frequent
treatment in the future to maintain the results.
In some cases, Botox can migrate and cause a temporary weakness
of nearby muscles. In rare cases, there can be a drooping of an
eyelid or asymmetry of facial expression. The risk of any side
effect (including temporary bruising) depends on the individual
patient and the injection technique. Your doctor will discuss
this with you before your treatment. The most common side effects
of Botox are temporary and reversible, lasting only a few weeks.
It is not recommended for women during pregnancy or breast-feeding
and patients with a neuromuscular disease.
Botox is often used in combination with Injectable Dermal Fillers
or other Facial Rejuvenation treatments eg Photorejuvenation (Intense
Pulsed Light (IPL) Therapy)
Botox is so safe that Allergan claims that " If Botox
is Lethal, half of Beverly Hills would be dead!"
For more information please visit www.botox.com
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