Botox Cosmetic is used for the temporary smoothing of glabellar lines (also called frown lines), which are the lines between your eyebrows that can make you look tired, unhappy or angry. It is also used for the lines radiating out from the outer aspect of your eyes (also called crows feet) and the horizontal creases on your forehead.
When we are younger the skin has some degree of elasticity and so when we frown, laugh or grimace creases form in the skin but then disappear again once the muscles relax. As we get less young the creases start to become more permanent and are present even when the muscles underlying the skin are relaxed. Eventually these can become fixed folds in the skin and remain permanent "wrinkles".
By relaxing the underlying muscles and stopping their forceful contraction the skin overlying them can recover and maintain a youthful smoothness. This is the function of Botox.
Botox is used in people aged 18 to 65.
It should not be used it if you:
Botox is injected into muscles and acts by blocking the nerve impulses meaning that the muscle cannot be activated.
The injections take about 5 to 10 minutes, and should have very little impact upon your day.
It normally starts working over a few days and reaches its maximal effect at 2 weeks. If there is still activity of the muscles at this stage it is sometimes worth "topping up" the treatment.
Any injection can hurt, but the needles used for Botox injections are very small, so pain is usually minimal. The area can be numbed with a topical anesthetic cream or cold pack 10-20 minutes before the injections are given, so you may not feel much pain, if any. Most people tend to cope well with the slight discomfort. It's all in a good cause.
Most people see effects for three to four months but it can vary depending on your age and the state of your skin. In most people retreatment is required 3 monthly for the first 2 years. After that the muscles themselves are weakened by disuse (they've been prevented from working for such a long time that they lose their ability to contract so vigorously) and therefore the frequency of injections can drop down significantly.
As with the injection of any medication, your body's immune system can develop antibodies to the medication, which render the drug less effective or possibly cause development of an allergy to the drug. The more frequently the drug is injected or the more quantity that is injected, the higher the risk for these antibodies to be formed against the drug.
Potential Botox side effects include pain at the injection site, infection, inflammation, swelling, redness, bleeding and bruising. Some of these symptoms may indicate an allergic reaction; other allergy symptoms are itching, wheezing, asthma, a rash, red welts, dizziness and faintness. I need to know immediately if you have any breathing issues or a faint or dizzy feeling after injection.
We're here to look after you so if you have any concerns please contact me. If is one of the main benefits of having a doctor do your Botox treatment in that you can ensure you get appropriate medical aftercare.
It is possible for the Botox to spread a little beyond the intended injection site and affect surrounding tissues. Rarely injections into the forehead close to your eyebrows or your upper eyelids can cause a temporary eye lid droop. This goes away after a while but is still inconvenient. As an eye surgeon I have an in depth understanding of the anatomy of the region around the eyes and therefore you should be protected from this complication.
This depends on how many "zones" you have treated.
I am an eye surgeon and so only treat the upper face. I do not believe that it is ethical or sensible for me to treat other areas and so I do not offer Botox elsewhere or Dermal fillers. There are too many people having a go at cosmetic procedures which they are not trained or skilled enough for. I therefore stick to the area that I am trained in.
The three zones are:
Most patients elect to have treatment to all three however each person is an individual and we can discuss what would suit you best at the consultation.