Botox

Botox is an Excellent Way to Prevent Wrinkles from Froming.

Botox is the treatment of choice for the dynamic wrinkles of facial expression. Botox is not the optimal treatment for permanenet wrinkles.

Case 1: Glabellar (Frown) Wrinkles. Botox is generally preferred for wrinkles of facial expression. The patient shown here has glabellar (frown) wrinkles only when frowning. Botox injections paralyzes the frown muscles (procerus and corrugator supercilli muscles) and prevents frowning.

For the glabellar area, as shown here, we typically use about 10 units of Botox. Our unit charge of Botox delivery is $20 per unit, which means the total cost of the treatment in case 1 is $200. However, individual patients may need more or less than this amount depending upon Botox tolerance, muscle mass, etc.

Once shallow, permanent wrinkles form, Botox alone will not completely correct the problem. Shallow permanent wrinkles will respond best to laser resurfacing and laser skin tightening. Heavier wrinkles will need temporary or permanent fillers. If the wrinkled area is associated with excess skin, a surgical lift procedure will be needed.

Minor Complications of Botox may include:

  • Bruising, bleeding, pain, redness, or swelling where the injection is given is probably the most common complication. The eye area is especially prone to swelling and bruising. Bruising may be delayed, for hours or days. For bruising we recommend local pressure, triamcinalone prescription cream or Arnica-based over-the-counter such as Bruise Stick. Time will take care of the rest. Even significant bruising may be covered with good mineral foundation. For bruising, we like using skin Mattifying primer sp20/Chockolate Moose. This primer has ani-inflammatory (oat beta glucan), provides coverage for discoloration but also has coca, which is great for tender areas. Over this, a pressed mineral foundation will provide adequate coverage even after surgical procedures. Mineral makeup is non-reactive and well tolerated in tender areas. For patients who want to treat the bruising more aggressively, pulsed dye laser may be used.
  • Headache, muscle stiffness, neck or back pain may occur but are self-limiting.
  • Muscle weakness near where the medicine was injected. especially true for patients who have received 100 or more units of Botox to the head and neck area, such as for the treatment of migraine headaches or torticollis.

Unusual Complications of Botox may include:

  • Fever, cough, sore throat, runny nose, flu symptoms,
  • Dizziness, drowsiness, tired feeling;
  • Nausea, diarrhea, stomach pain, loss of appetite;
  • Dry mouth, dry eyes, ringing in your ears;
  • Increased sweating in areas other than the underarms;
  • Itchy or watery eyes, increased sensitivity to light

Severe, rare complications of Botox may include severe allergic reactions:

  • Trouble breathing, talking, or swallowing;
  • Hoarse voice, drooping eyelids;
  • Unusual or severe muscle weakness (especially in a body area that was not injected with the medication);
  • Loss of bladder control;
  • Problems with vision;
  • Crusting or drainage from your eyes;
  • Severe skin rash or itching;
  • Fast, slow, or uneven heartbeats; or
  • Chest pain or heavy feeling, pain spreading to the arm or shoulder, general ill feeling.