Facial expression lines develop from the action of the underlying muscles on the skin. Although these lines help us to convey to others a range of emotional states, some facial expression lines always seem to connote fatigue or anger, even if those appearances do not represent how we are feeling. This is especially true of lines of the forehead and between the eyebrows. Other lines, such as crow’s feet, may make us appear older than our chronological age. Botox is used to block the nerve impulses that tell those muscles to move therefore revealing a fresh, healthy, you. Botox is used to treat wrinkles that are found when you make facial expressions.
“I had a wonderful experience- it was my first time getting Botox and I was a little nervous. Dr. Rotundo instantly put me at ease and quelled my anxiety. She explained all of my options for future treatments and even gave me a purple stuffed unicorn to hold on to while she performed my treatment!!! Thank you for a pleasant and relaxing experience!!!” RL April 2019
What is Botox?
Botox is a FDA approved purified protein naturally derived from the bacterium Clostridium Botulinum Type A. It has been used for more than 20 years to reduce unwanted muscle activity, and is considered safe and effective. Initially introduced for treatment of ophthalmologic and neurologic muscular diseases, it is now also used for the cosmetic reduction of facial expression lines.
What is the cause of wrinkles and facial expression lines?
As noted above, lines and wrinkles develop, at least in part, from the action of facial muscles under the skin. After years, furrows may remain along these facial expression lines even without any active facial muscle expression. The development of these lines is promoted by years of sun exposure, and to from these facial muscles. Botox is capable of preventing the unwanted facial expression lines and improves or blends the wrinkles that were visible while the muscles were at rest.
How does Botox work?
Botox acts by immobilizing the muscle at treated sites. It does this by inhibiting contraction of the targeted muscles. Only those muscles producing these undesirable lines are treated.
What areas can you use Botox for?
Frown lines between the eyebrows, crow’s feet lines and forehead wrinkles are effectively treated with the Botox. It can be used to give an eye lift and even to diminish tension headaches. The treatment takes a few minutes and the Botox takes effect in three to four days. Patients return to work or other activities immediately after treatment.
Does the Botox injection hurt?
When Botox is injected there is a minor sting for a few seconds. Once the injection is complete, there is usually no discomfort. Most patients report mild discomfort that subsides within a minute.
What kind of facial lines does it remove?
Prominent facial expression lines, especially horizontal lines on the forehead, vertical lines between the eyebrows, and crow’s feet are most dramatically improved with treatment.
How does Botox compare to other products such as collagen and filler materials?
Unlike filler materials, Botox treats the underlying cause of the facial expression lines. Filler materials, such as Juvederm and Restylane, plump up the skin. Although fillers reduce the appearance of lines when there is no facial expression, the moment the person does smile or frown, the lines reappear. Botox actually prevents the unwanted lines from appearing with facial expression and often even at rest. These two products work together in tandem to help maximize the desired results.
How is treatment performed and how many treatments are required?
A small quantity of solution is injected directly into the muscles that are the cause of the prominent furrowing or expression lines. Typically several injections are given with each treatment, and one treatment is usually effective for 3 months. Each patient metabolizes Botox at different rates so the treatment may last longer than others, or not as long.
How long do the results of Botox last?
Botox lasts for approximately 3 months with results varying from person to person. When the effect of Botox wears off or diminishes, the muscles that contribute to these facial expression lines again become active, treatment can again be administered.
How does the skin appear after Botox?
Immediately after treatment the skin appears normal as there may be some redness and swelling at the treated sites. Occasionally, there can be mild bruising. If present, these changes resolve within a few hours to days. The skin feels normal and there is no unusual sensation.
When can I expect to see results after treatment?
Within a few days after treatment, reduction in the muscle activity will be noticeable and the maximum effect of the treatment will be at 2 weeks.
Are there any limitations after treatment?
We recommend avoiding rubbing the area until the effects of your treatment can be seen and refrain from any exercise for a full 24 hours to avoid any negative effects.
Is there any discomfort with treatment?
There is usually mild discomfort at the injection sites. This only lasts for a few seconds.
Are there any risks or side effects?
Rarely. If Botox should affect an adjacent muscle, it too may have reduced activity however, any such unwanted muscle relaxation would be temporary. We ask that you do not rub down on the area for a few days after the injection to minimize this possibility. This will be discussed at your consultation and you will receive a post care instruction sheet after the injection.
Can Botox cause botulism?
No. Botox is a purified protein and is not the bacteria that can cause Botulism. Wherever you have Botox injected please make sure it is only the FDA approved formulation from Allergan that we use.