Botox - RAM Plastic Surgery
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BOTOX Cosmetic Basics

Botulinum toxin Type A, commonly called BOTOX Cosmetic, is an injection used to block the nerve signals that make muscles contract. This effect smooths and relaxes the look of wrinkles and lines caused by repetitive facial movements.


Where is BOTOX Cosmetic injected?

BOTOX Cosmetic is most often injected across the forehead, between the eyebrows, around the eyes, and above the nose. Botulinum toxin works well to balance facial asymmetry and alleviate facial creases.


How exactly does BOTOX work?

Botulinum toxin Type A is a potent neurotoxin that blocks the release of acetylcholine, which is a substance that causes muscle contractions. When injected into specified muscles (forehead and around the eyes), those muscles will not contract and wrinkle, as the neurotoxin temporarily paralyzes the area.


Who is a candidate for BOTOX Cosmetic?

BOTOX is good for anyone who:

  • Has deep lines between and around the eyes that make them look sad, tired, or upset.
  • Has asymmetry in the face or eyebrow region that can be improved by relaxing muscles.
  • Suffers from deep forehead creases.
  • Wishes to look younger and more refreshed.


How do I prepare for the BOTOX Cosmetic procedure?

Receiving botulinum toxin injections is a low risk procedure, and it does not require intensive screening. Regardless, you should notify the doctor if you take any blood-thinning drugs, or use ibuprofen, aspirin, or naproxen long-term. In addition, tell the doctor when you last received BOTOX (if ever).


How is the BOTOX procedure done?

The injection of BOTOX is a simple office procedure, and it only takes a few minutes. After you meet with the plastic surgeon to discuss your aesthetic goals, the doctor discusses the risks and benefits of botulinum toxin and has you sign a consent form. The number of injections given depends on your areas of concern. After cleaning the area with an antiseptic, the doctor makes numerous injections across the forehead, between the brows, and around the eyes. No bandages are required after injections.


Do BOTOX injections hurt?

A very small needle is used for BOTOX injections, so there is not much pain. Most people say it feels like a small bee sting. After the injections, the forehead may feel a little sore, but this only last for a few hours.


What can I expect after the BOTOX injection procedure?

After you receive your BOTOX Cosmetic injection series, you can return to usual activities. However, we recommend that you avoid rigorous activities for the remainder of the day. Some mild bruising, redness, and swelling can occur, but this resolves quickly. You must avoid lying down or reclining for 4 hours after the injections. In addition, do not massage or touch the injected areas for a few days, as it could make the botulinum toxin spread to unintended areas.


Are there any side effects I should be concerned about?

While rare, there are some side effects that could occur. These include injection site infection, facial drooping, nerve damage, blood vessel damage, dizziness, and headache. However, most people who receive BOTOX Cosmetic report that they do not even know they have had the injections.


How long will the results last?

Results from BOTOX Cosmetic varies from person to person, and it depends on your skin condition and age. Typically, the effects last for 3-6 months.