What are Botox and Xeomin?
These are the trade names for the purified protein of Botulinum Toxin (BT), a neuromodulator that is injected into specific muscles to relax them and temporarily weaken the strength of their contraction without affecting the sensation of the skin. The goal of the procedure is to lessen or eliminate the appearance of wrinkles in the treated area and reverse the signs of aging.
This cosmetic treatment is extremely popular, but it is important to keep in mind that 1) it should be administered only by trained medical professionals who master the subject of facial anatomy and 2) it is done in a medical setting.
What muscles can be treated with Botulinum Toxin (BT)?
BT is an excellent therapy to smooth away the forehead lines, the wrinkles between the eyebrows, the crow’s feet, the wrinkles around the mouth (smoker’s lines), the chin dimples as well as to reduce the mass of the masseters muscles and produce a slimming facial aesthetic effect. The best results occur in patients whose wrinkles appear with their facial expressions. Wrinkles present at rest may not disappear completely.
Other medical uses of BT are:
bruxism and facial pain
excessive perspiration under the arms and/or hands
What can I expect during and after the treatment?
The day of your appointment the physician will evaluate your face at rest and with expressions, and you will describe your treatment goals.
The injection is done with a very fine needle and is practically painless, but at patient’s request topical anesthesia can be used to decrease discomfort. Generally, results are visible within 2 to 10 days with a full effect 2 weeks after the treatment.
The results last 3-6 months, but they may vary with each individual. BT has an accumulative effect, meaning that with ongoing maintenance treatments, the dose required to produce the aesthetic results may decrease and/or the intervals between treatments may increase.
What are the side effects of Botulinum Toxin?
The most common side effects are related to the injection: bruising, redness and swelling in the treated area.
Other side effects are uncommon and are the result of misplacement or spread of the product away from the injection site producing drooping of the eyelid/s or brows, muscle weakness.
No permanent side effects from the use of BT have been reported.
What should I avoid after a BT treatment?
It is crucial that you follow the written physician’s instructions after the treatment to avoid complications.
Avoid laying down for 4 hours after the treatment, manipulating the treated area (massage, or facial). Do not engage in strenuous exercise, a yoga class or any activity which can cause flushing to reduce the likelihood of product migration.
If bruising occurs, you may apply ice to the area for 10-15 minutes, every 1-2 hours.
You will be re-evaluated 2 weeks after the treatment, and evaluate with the doctor if further enhancements are indicated.