What is BOTOX® Cosmetic?

BOTOX® “injection” or “Botox shot” is the term most widely used to describe the procedure of administering the Allergan BOTOX® Cosmetic treatment. BOTOX® injections utilize Botulinum Toxin Type A to treat wrinkles. BOTOX® injections were originally slated to treat neurological disorders; today. BOTOX® injections are widely used to remove facial lines, especially frown lines, “crows feet”, and forehead lines.

How does BOTOX® Cosmetic work?

In laypersons terms, BOTOX® simply keeps the muscles that cause frown lines from contracting. This causes the skin to become smoother. Normally your brain sends electrical messages to your muscles so that they contract and move. BOTOX® keeps that message from getting to the muscle that causes the wrinkles. Technically, BOTOX® is injected directly into the corrugator and procures muscles. It then goes on to enter the nerve endings to block the release of acetylcholine, the chemical that causes muscles to contract. BOTOX® works to block the release of acetylcholine and, as a result, the muscle doesn’t receive the message to contract. Once the muscles are at rest, the skin becomes smoother, creating a more natural and relaxed appearance.

Where can BOTOX® Cosmetic be used?

The most common areas are frown lines, forehead lines, and crow’s feet. Other areas include the neck and upper lip.

How long does BOTOX® Cosmetic last?

This depends entirely on the patient, but a single treatment of BOTOX® will normally be sustained for approximately three months. You will notice a gradual fading of its effects. At this point you will return to the doctor for your next treatment. Usually, BOTOX® treatment is required only three to four times a year. Symptoms may vary throughout the course of the condition, and so the degree of relief and duration of effects varies from person to person. Acceptable safety in long-term treatment has been well established. With dosing specific to treat frown lines, this same product is now marked as BOTOX® Cosmetic. However, formal clinical evaluations of long-term treatment have not been conducted.

Is treatment of BOTOX® Cosmetic painful?

Discomfort is usually minimal and brief. Prior to injection, your physician may choose to numb the area with a cold pack or anesthetic cream. The entire procedure takes approximately 10 minutes. Most patients are in and out of the physician’s office without downtime following BOTOX® Cosmetic treatment. Side effects associated with the injection include localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/bruising

WARNING: DISTANT SPREAD OF TOXIN EFFECT
Postmarketing reports indicate that the effects of BOTOX​® Cosmetic and all botulinum toxin products may spread from the area of injection to produce symptoms consistent with botulinum toxin effects. These may include asthenia, generalized muscle weakness, diplopia, ptosis, dysphagia, dysphonia, dysarthria, urinary incontinence and breathing difficulties. These symptoms have been reported hours to weeks after injection. Swallowing and breathing difficulties can be life threatening and there have been reports of death. The risk of symptoms is probably greatest in children treated for spasticity but symptoms can also occur in adults treated for spasticity and other conditions, particularly in those patients who have an underlying condition that would predispose them to these symptoms. In unapproved uses, including spasticity in children, and in approved indications, cases of spread of effect have been reported at doses comparable to those used to treat cervical dystonia and at lower doses.
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