Procedure, Cost and Everything Else You Need To Know

Botox Guide

Nowadays aesthetic medicine has progressed and there are surgical methods for almost anything people need to look better. Wrinkles, Marks and Spots, Scarring, Implants and so on can be easily fixed without any health risks and the recovery process is within a day or two, making these procedures highly available to everyone.

However, some of these treatments are highly invasive which is why people reject them and want something that doesn’t involve cutting and stitching.

To meet these requirements scientists have perfected the use of Botox for various conditions such as reducing wrinkles or more serious like healing overactive bladder or headaches as a treatment that is minimally invasive and done in just a few minutes.

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To know more about what Botox is, how it’s done, its effectiveness and cost, read in this extensive guide.

Note that within this in-depth guide, we offer you solely the history, facts as well as recommendations from experienced medical professionals. After getting to know more about Botox, please feel free to contact us with any questions you might have by using the contact information.

Chapter 1

What Actually The Botox Is?

Ever since it was approved as a treatment, Botox gained a lot of popularity and is now practiced all over the world.

You have probably got to know it through advertisements, read about it in an online blog or a magazine, or heard about it from your friends who used Botox injections.

Whichever the case might be, there is an array of misconceptions about it, the treatment and how it is used.

In order to show you the truth about Botox and set things straight,

let’s start at the beginning:

First and foremost, it is important to distinguish Botox Cosmetic with injectable fillers. The process of injectable fillers works very differently as they are only used to plump tissues on the surface of the skin to make lines and wrinkles disappear completely or diminish (Restylane, Radiesse, and Juvederm are examples for those).

Botox, on the other hand, is used mostly in the upper portion of the face, whereas fillers are used mostly in other areas, however if you have a hard time deciding which is the best option for you, we suggest talking to your practitioner, as he or she will help you decide which product(s) will work best to solve your personal appearance problems and issues.

Botox as a cosmetic injection, dealing with wrinkles and other aesthetic issues has been approved for general use back in 2002.

However, this was not the first time it was used in humans. Long before, in 1970 it was experimentally used on monkeys and 10 years after, they started injecting Botox in people when in 1989, Botox was first approved to be legally injected for medical purposes (for instance, uncontrolled muscle spasms), and that was when it was first approved by The Drug Administration as safe to treat these kinds of health problems.

Back then, it was primarily used on people to help them treat eye disorders caused by malfunctioning muscles such as squinting, strabismus (wandering eye), amblyopia (lazy eye) and blepharospasm (twitching eye).

After just a few years of medical use of Botox to heal all the issues related to muscles, eye specialists noticed how injecting Botox around this area made the entire skin much more relaxed and flexible with wrinkles notably less visible.

This is when studies, experiments, and examinations of Botox used strictly aesthetically for wrinkles have begun and the entire cosmetic medicine took a different turn.

Since then, after the approval of 2002, Botox is among the most popular anti-wrinkle treatments around the world, and it even got a US recognition in 2006 as the most popular cosmetic treatment.

There are also other uses that have been discovered later throughout the years, such as the prevention of underarm sweating, palm sweating, headache Botox treatment and others that we will discuss later on.

Botox, as a way to smoothen the frown lines between your eyebrows and other facial wrinkles, has gained a lot of popularity not just among women, but men as well. Statistics show that in 2015, it was the top nonsurgical cosmetic procedure, used by both, men and women.

That year alone there were 4,267,038 injections performed by physicians and their physician assistants and nurse injectors. 10% of the total number of injections were done on men.

 

The Science Behind Botox

As you know by now, Botox in today’s modern aesthetic medicine stands for a miraculous treatment for wrinkles and expression lines, but what exactly is Botox, and what is it made of? Read further to find out everything regarding the Botox method.

The name itself, Botox, has nothing to do with the ingredients of this substance. It is only a trade name. Among scientists and doctors, this substance is known as Botulinum toxin, which upon discovery, it was described as “the most poisonous substance known” that can paralyze and kill.

However, purified doses of it and in small quantities, actually have a safe and useful effect – medically and aesthetically.

Botox is injected into the skin in order to inhibit muscle movement. What this does, then, is the prevention of wrinkles, their development and/ or worsening.

Botox is made of a neurotoxin called botulinum toxin that is produced by the bacterium Clostridium botulinum, (an organism found in the natural environment where it is largely inactive and non-toxic) which is known to temporarily paralyze muscles in order to reduce wrinkles. In large quantities, this substance is deadly and able to kill instantly.

In fact, it is now known that 1 gram of botulinum toxin only, is able to kill over 1 million people instantly, where 2 kilograms are capable of erasing the entire human population from the face of the Earth. Isn’t that scary? Actually, it isn’t because although Botox is a powerful poison, it has a number of ways and applications when used correctly by a certified person.

To reassure you that Botox is completely safe, know that more than 6 million treatments of it are administered each year to treat excessive sweating, migraines, muscular disorders, and some bladder and bowel disorders.

 

Botox Type A and B

To quickly acquaint you with all its varieties, you should know that there are a total of 8 botulinum toxin types, named type A to H.

In large quantities, type A and B can easily cause disease in humans, while, but when operated safely, they can be effective commercially and medically, as mentioned above. The rest of the types from C to G are less commonly found.

While E and F are able to also cause disease in humans or in other animals. The last remaining type of Botulinum toxin, type H is known as the deadliest substance in the world. Studies have shown that an incredibly small amount of this type – 2-billionths of a gram – is capable of killing an adult.

No worries though, these aren’t available in nature, or to be bought, and we will not discuss them here.

The Botulinum toxin types A and B are those used by practitioners and doctors around the world to treat diseases characterized by overactive muscle, and other various muscle spasms.

However, treatments don’t stop there. The commercially used Botox or onabotulinumtoxin type A finds usage in three large areas: muscle spasm control, severe underarm sweating and cosmetic improvement.

 

  • TYPE A: This type is made from the bacteria that causes botulism. Botulinum toxin blocks nerve activity in the muscles, causing a temporary reduction in muscle activity.This type contains botulinum toxin type A as the active ingredient, human albumin (a protein found in human blood plasma) and sodium chloride. This type includes Botox(R) and Dysport(R) and is the only one approved by the FDA for cosmetic usage. This means that if you are getting a Botox treatment for your wrinkles, too much sweating on your palms or underarms, you will be getting type A as a method, from your doctor or practitioner.
  • TYPE B: Botulinum toxin, or type B Botox, is marketed under the brand name Myobloc. This type is used for a variety of muscle-related This type is almost never used by doctors and professionals because is practically has no advantage over the Botox(R) and Dysport(R), the type A Botox. What is important and crucial to the comparison to be mentioned is that studies have found that not all people respond well to type B as they do to type A. Patients who have had results with type A in the past, do not respond at all to Type B, and others who feel like they had some results with type B, still don’t have them as effective as they have experienced with type A. Doctors believe that this might simply be due to the fact that there still hadn’t been discovered the right dosage of the Type B dose for that person.

 

How Does Botox Work?

Now that we settled on which type is useful and effective and which is not, let’s go into the usage of Botox, or more clearly, how does Botox work in your body when injected.

Firstly, the bacterium that produces Botox is called Clostridium botulinum and is found in nature, in settings like forests, lakes, and soil. It can also be found in the final tracts of mammals and fish and in the gills and organs of crabs and other shellfish.

Occurrences like this are harmless because they are only in the form of spores, however when these spores transform into vegetative cells and its population arises, they begin producing the botulinum toxin, the deadly neurotoxin responsible for botulism.

These neurotoxins target the nervous system, disrupting the signaling processes that allow neurons to communicate effectively.

You see, in order for muscles to work and contract in our bodies, they need to release a chemical messenger called Acetylcholine which is known as a neurotransmitter. It is being released at the junction where the nerve endings meet muscle cells.

Acetylcholine attaches to receptors on the muscle cells and causes the muscle cells to contract or shorten. This is when Botox is used, to stop this process of Acetylcholine being released.

This way Botox prevents contraction of the muscle cells, preventing signals from the nerve cells reaching muscles, therefore paralyzing them.

Research showed that a single shot of Botulinum toxin into a certain area will cause a significant reduction in abnormal muscle contraction, and this then allows the muscles to be less stiff and more relaxed like they normally would. This effect lasts about three to twelve months, depending on what you are using it for.

Chapter 2

When We Need Botox?

By now, we are sure you have an idea of where on your body you can use Botox, and what it does.

However, its uses are getting significantly higher as medicine and technology advance.

Because Botox is a drug made from a toxin produced by the Bacterium Clostridium Botulinum,

It is crucial that is handled by a professional when treating issues like:

 

TEMPORARY SMOOTHING OF FACIAL WRINKLES AND IMPROVING YOUR APPEARANCE

Botox relaxes the muscles to relieve the tension in them in order to stop the production or wrinkles and soothe the surface of the skin. To do so, the injections waken and/ or paralyze the targeted muscles by blocking certain nerves.

Botox Cosmetic is used for to temporarily smoothen the glabellar lines (also known as frown lines), which are the lines between your eyebrows that can make you look tired, unhappy or angry.

However, it is used on other areas as well, such as the horizontal forehead lines, crow’s feet, marionette lines at the corners of the mouth and smoker’s lines around the lips, without any issue.

 

SEVERE UNDERARM SWEATING AND SEVERE PALM SWEATING

Firstly, the usage of Botox was limited to forehead lines, but when doctors and patients noticed that they sweat less, scientists began studying whether injecting Botox can be an effective therapy for people with severe primary axillary hyperhidrosis – or over sweating. This was approved 2 years afterward and it is now used by people who sweat severely under the arms, palms, and feet.

 

CERVICAL DYSTONIA

If you are suffering or have someone suffering from a Cervical Dystonia, then you know that this is a neurological disorder that causes severe neck and shoulder muscle contractions. This problem is painful and scientists have discovered that besides the usual medical treatments for it, Botox does wonder.

 

BLEPHAROSPASM – UNCONTROLLABLE BLINKING

Blepharospasm is abnormal, involuntary blinking due to a glitch in an area of the brain known as the basal ganglia, which is responsible for controlling tone and movement of muscles, including some facial muscles.

Doctors recommend Botox for treating this issue since it is the most minimal-invasive and risk-free option to loosen the tension around the eyes and relax the muscles.

Researchers said that they noticed complete relief in up to 90% of the tested patients. Expect to see improvement in 1 to 14 days from the Botox injection. This effect of relaxation of the symptoms will last you for 3 to 4 months and then your doctor/ cosmetic practitioner will tell if you need more Botox injections or not.

If you are afraid of the side effects, you shouldn’t be because they are only temporary that you should know that they will include double vision, tearing, droopy eyelids, and maybe a blurred vision.

If your doctor/ cosmetic practitioner plans the entire treatment well and the dosage you receive is kept small and is the right one for you, given to you at a minimum of three-month intervals, then you can expect long-term relief.

 

STRABISMUS – MISALIGNED EYES

Misaligned eyes or crossed eyes is a condition that requires treatment as soon as it occurs. This is because in time it only gets worse and the longer you wait, the harder it gets to be improved.

Up until now, Botox has proved to be the most effective way of treating this issue and doctors worldwide recommend it highly instead of surgery. What is great about it is that Botox injection does not disturb the anatomy of the eye muscle.

 

CHRONIC MIGRAINES AND HEADACHES

Although chronic migraines are something that requires searching for the cause right away, Botox can be used as a help in the meantime. It was discovered to be a solution for headaches and migraines in 1992 when a large number of patients was observed and reported that they got fewer headaches after their Botox treatment against wrinkles.

From then on, Botox was tested to see if it really gave patients relief from migraines, and finally, in 2010, the case was confirmed. Now it is officially possible to use Botox strictly for migraines and severe headaches.

 

OVERACTIVE BLADDER

In 2013, the use of Botox was expanded to include treating an overactive bladder as well.

What it does is calming the nerves and muscles around your bladder which are the main reason for the overstimulation of your bladder muscles which then you feel like the need to urinate without a real reason.

Doctors worldwide reported tremendous improvements in patients with overactive bladders. Botox is approved in people for whom anticholinergic drugs didn’t work. After just a single injection, 70% of the people treated, reported improvements by 50%.

However, it should be taken carefully because Botox can shut down the bladder too much, and people may need to use a catheter.

Another side-effect of it noticed in the patients is the higher number of urinary tract infections compared to people who used anticholinergic pills.

How it is done: Botox injection is injected into your bladder muscle after which you have to wait at your doctor’s office for 30 minutes and/ or until you urinate.

This is just a precaution that allows your doctor to make sure you tolerate the Botox and that there were no problems with the injection. Most people tolerate the injection well, so you don’t need to worry about it.

The effect of the Botox injection for some people lasts for up to 8 months after which you need to see your doctor again and check with him or her if you need another injection.

The limitations hadn’t been set to how long you can use Botox therapy for overactive bladder, however, it is advised that your treatments are at least 12 weeks apart. This time is needed so your body is able to release the Botox from your system and cleanse your bladder muscle until your next shot.

 

DEPRESSION

The studies around Botox being used as an antidepressant are still in process. There are professionals and doctors who are skeptical and there are those who support the entire process and want to do further examinations to discover the truth around Botox and depression.

So far, in its early stages of examinations, results suggest that Botox does indeed supports better mood and alleviates symptoms of depression.

The entire mechanism around it is based on the facial feedback hypothesis. What this means is that a person’s facial expressions can greatly influence their mood.

This was noticed back in 2014 when 52% of the people who received Botox reported a drop in symptoms six weeks later, and those who were given placebo reported only 15%.

Further studies are done at the moment to reveal whether Botox can truly treat depression.

 

PREMATURE EJACULATION TREATMENT

This effect of Botox is currently in the examination. However, it is strongly believed that injecting Botox into the penis might relax the muscle and delay ejaculation. Another issue that Botox might fix, as well, is erectile dysfunction but this is also an issue that requires further studies, so it remains to be seen whether it gets approved or not.

 

ABNORMAL HEARTBEAT

Botox so far has shown potential for healing the issue of abnormal heartbeat (also called postoperative atrial fibrillation) after an open-heart surgery. This is still under certain final studies and examinations, but it really seems like a promising method for the issue.

 

SEVERELY COLD HANDS

Currently, in several locations in the world, Botox is being used (off-label) as an effective treatment against severely cold hands. This is done by Botox being injected into the patient’s hand relaxing the muscles around the constricted blood vessels which are believed to be the reason for poor circulation thus coldness.

When the person’s vessels relax and enlarge the blood is able to flow more freely from the hand to the fingertips, providing symptom relief. Doctors state that the effect of the treatment in some people is known to last for 2 to 3 months at a time.

 

CLEFT LIP SCARS IN BABIES

Studies show that each year 2670 babies are born with a cleft palate and 4440 with a cleft lip. Parents have no other choice but to take their babies to have a surgery and correct this condition.

However, doctors have developed a way to skip surgery altogether by injecting the infants with Botox. This can greatly improve the appearance of the scars. There is science behind this new and innovative procedure, although people are skeptical about giving Botox to little babies.

 

PAINFUL SEX

Women who experience spasms or contractions on their pelvic floor or vagina are treated with Botox to prevent having painful sexual intercourses. What Botox injections do is they ease the pain by making the muscles stop contracting so strongly.

Doctors and scientists, both agree that every woman will react differently to the treatment, as some will require a second shot after a 6 month period, and some will need them every couple years. Side effects of this procedure might appear as uncontrollable leakage but not necessarily. Patients should talk to their physicians and/ or doctors and consult before undergoing any treatments.

There are several other conditions that are also possible to treat with Botox injections, however not all practitioners and professionals might have them yet because they are still up for approval or have been recently approved.

Some of them are:

  • Achalasia (an issue with the throat that makes swallowing difficult).
  • Anal fissure and anismus (dysfunction of the anal sphincter).
  • Sialorrhea (producing too much saliva).
  • Allergic rhinitis (hay fever).
  • Sphincter of Oddi (hepatopancreatic) dysfunction (causes abdominal pain).
  • Cerebral Palsy.
  • Oromandibular dystonia (forceful contraction of the jaw, face, and/or tongue).
  • Laryngeal dystonia (forceful contraction of the vocal cords).
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Chapter 3

Botox In Hair

What Exactly Is Botox For Hair?

Botox treatments for hair don’t actually contain botulinum toxin as the main ingredient in them.

The name used for these products is only there to explain how the product works on the quality of your hair instead.

For instance, as Botox injections have the ability to relax the muscles and smooth the skin, “Hair Botox” has the ability to fill the fibers of each hair strain to help give it fullness and make it smoother than it was.

How Does The Botox For Hair Work?

This treatment works as a deep conditioning agent at coats hair fibers with a filler just like Keratin for hair.

The effect is very good for filling any broken or thin areas on the hair in order to make it appear fuller and shiny.

The ingredients in each Botox product are:

  • Caviar oil
  • BONT-L peptide
  • Vitamin B-5
  • E vitamins
  • Collagen complex, which makes up the “Botox” part of the treatment

 

Who Should Use Botox For Hair?

In case you have split ends, or a very thin hair that lacks volume or luster, hair that has been damaged over the years or frizzy hair that you want to straighten, then you are a good candidate for a full Botox hair treatment.

Do not worry, hair Botox is extremely safe for any type of hair.

The Cost of Hair Botox

The costs vary from 100 to 250 pounds per treatment, depending on the salon and on your hair needs.

Also note that if you decide to use it at home, you will save more money than having the treatment done in a hair salon.

 

Is Botox Safe For Your Eyes?

This question is asked frequently among patients who are about to receive a Botox Cosmetic type A injection. The answer is yes. You don’t have anything to worry about if you are receiving Botox injections near your eyes.

After all, Botox is used to treat eye muscle problems like strabismus and uncontrolled eyelid twitching such as blepharospasm. It was developed and FDA-approved as a treatment for all these uses with eye safety in mind.

Of course, precautions need to be taken and are necessary to prevent any occurring Botox Cosmetic side effects such as those mentioned in the list earlier.

If you experience any of these eye problems after a Botox injection we advise you to immediately report them to your eye doctor and/ or your physician.

 

Is Botox Painful?

Just as any other injection, the Botox injections might feel a little unpleasant but the good thing about it is that the needles that are used for Botox injections are very small, making the pain minimal to non – existent.

You can ask your doctor/ cosmetic practitioner to numb the injected area with a topical anesthetic before injecting with Botox, or to give you a cold pack to hold for 10-20 minutes before he or she gives you the injections. This will make the entire experience completely pain – free.

Other than the list of the side effects you read about earlier, you may feel a little discomfort later when the topical anesthetic has worn off, but this is nothing too painful.

Chapter 4

Botox In Lips?

Botox Cosmetic is also used for various appearance improving goals.

One of which is the enhancement of the size of the lips with the Botox lip injections.

What this means is that the patient gets a Botulinum toxin type A into the lip area in order to get cosmetic benefits or improvements.

When a person receives a Botox Cosmetic type A lip injection he or she can get some or all of these benefits:

  • Minimize creases in the upper and lower lip area
  • Elevate the corners of your mouth
  • Remove marionette lines or lines that run downward from the corners of your mouth
  • Correct a “gummy” smile
  • Enhance the upper lip, also known as the “botox lip flip

 

The way Botox lip injections change the appearance of your lips depends on where you received the injections. For instance, if you want to get the “Botox lip flip,” then your doctor/ cosmetic practitioner will inject Botox into the muscles around your lips and cause them to curl up which will make them look larger. The entire process usually takes around 10 to 15 minutes, and as the Botox injections aren’t considered a surgical procedure, and no recovery time is needed afterward. This is why most people are able to continue their usual activities right after their Botox treatment.

 

We understand that Botox lip enhancement isn’t something to be taken lightly, so in order to make the right decision read further in our Lip Injection guide.

 

How does the ‘Botox lip flip’ work?

The procedure of the “Botox lip flip” is done with Botox injections to make your lips appear larger. In order to achieve this “Botox lip flip” effect, your doctor/ cosmetic practitioner will inject multiple units of Botox into the upper middle part of your upper lip.

After few hours your muscles will relax completely and your lip will curl upward. This is very popular Botox technique because it lengthens your upper lip, making it appear larger without actually adding any volume, so it looks really natural.

However, if you are looking to add plumpness to your lips Botox Cosmetic injections aren’t the way to achieve it.

For this, you have to consult with your dermatologist or plastic surgeon about adding a lip filler injection. This injection can be combined with Botox for a more dramatic plumping effect, or just by itself to only add volume to your lips. This effect will last you two to three weeks, which is why it’s a popular choice for special occasions.

 

What’s the best Botox technique for a ‘Gummy’ smile?

In case you’ve never heard of it, ‘gummy’ smile is when he gums above your upper teeth show when you smile, or it’s also when people display little or no upper lip when they smile. Just as with the lip flip, Botox is extremely popular for the ‘gummy’ smile as well.

If you made a choice to get Botox Cosmetic injections for your ‘gummy’ smile then they doctor/ cosmetic practitioner will will inject Botox into the area of your lip known as the Cupid’s bow which is the middle of your upper lip, where the orbicularis oris muscle is – the muscle that engages when you pucker your lips.

This muscle will relax due to the relaxing properties of the Botox injection causing your lips to curl slightly so when you smile, the upper muscle which is relaxed now will cover your gums completely and help you show more lips than gums and teeth.

Another benefit of this is that your lips will look bigger and plumper. Just as with the “Botox lip flip,” you should consider a consultation with your doctor/ dermatologist or cosmetic practitioner in order to make the right choice.

 

Other Botox lip uses

Using Botox to smooth out lip lines and wrinkles?

Lips are known to reduce in size when the person is getting older.

They also tend to wrinkle and lose their plumpness which is why people turn to Botox Cosmetic injections.

What they do is reduce or temporarily eliminate lines and wrinkles on the lips and the surrounding lip area.

You see, lip lines and wrinkles develop naturally over time as a result of laughing, smiling, frowning, kissing, smoking, aging and this is completely normal for all people.

 

 

Side effects and risks of Botox Lip Injections

What are the possible side effects and risks of using Botox for the lips?

Botox Cosmetic and other lip injections are considered safe, however, they need to be performed by a licensed medical professional who follows the safety guidelines.

There are several side effects of the Botox lip injections which are usually pretty mild and tend to diminish after few hours.

  • Numbness at the injection site
  • Bruising at the injection site
  • Swelling, which can cause your lips to temporarily appear larger than expected
  • Tenderness
  • A headache
  • Nausea

Side effects aside, there are also risks to be taken into account when you undergo Botox Cosmetic lip injections. These may include the relaxation effect that will weaken the lip muscle and reduce the appearance of wrinkles which can limit your movement with the lips temporarily.

It is also known to affect speech and enunciation and there have been reports of people saying they tend to bite their lips inadvertently.

Also, there is the risk of the Botox moving from the targeted muscle to other locations in your body, so if you feel any of these, seek immediate medical attention:

  • Overall Muscle Weakness
  • Difficulty Breathing
  • Difficulty Speaking
  • Difficulty Swallowing
  • Visual Disturbances

 

Note that Botox injections of any kind are prohibited and unsafe if you are pregnant or plan on becoming pregnant within the next three months.

 

Other considerations

How Much Do Botox Cosmetic Lip Injections Cost?

When you think of getting a Botox Cosmetic Lip Injection, you should think about the long-term costs. Insurance does not cover the Botox Cosmetic Lip Injections so you should expect to pay for cosmetic treatments out of pocket, and once you get them, you need to continue with the treatments in order to preserve the full effect.

Prices, the same as with any Botox injections depend on the location, the office and the practitioner who does them, but also on the type of injection used and the amount used. This is why you should discuss price with your doctor before undergoing the treatments.

 

Speak With Your Doctor!

It’s normal to have fears and doubts before you receive the Botox Cosmetic Lip Injections. This is why you shouldn’t hesitate to talk to your doctor or a medical professional, ask to see before and after photos of any procedures that you’re considering and don’t be afraid to mention anything from your medical record.

It’s really important that your doctor understands the goal you want to reach from the procedure.

 

Lip Fillers

What else can you get to have your lips plumped?

 

Primarily done for aesthetic purposes, this treatment is extremely popular worldwide.

Lips are known to reduce their size due to the aging, so certain adults may also be interested in lip plumping to counter these effects.

If this is the case for you, then you should know that other than Botox Cosmetic there are other options to consider in order to improve the appearance of your lips.

 

These include:

  • Juvederm Ultra or Restylane Silk: It adds a little bit of volume, just enough to smooth out lines. This treatment is ideal for people who do not want a full dramatic effect of enlarging the lips. This effect will last about 6 months.
  • Regular Restylane or Juvederm Ultra Plus: If you really want a full effect of enlarging the lips for a more dramatic look, then one of these will help you for sure. If you do any of both alongside Botox, the effect will last about 6 months or even longer.
  • Restylane Refine and Restylane Define: Again, just as with the Juvederm Ultra or Restylane Silk, these two create a natural look without looking over-plumped. It’s enough for those who want their lines smoothen out. The effect of both lasts about 6 to 12 months.
  • Volbella: This is the most natural and subtle treatment for your lips and its enlarging effects last about 2 years.

Keep in mind that all these treatments along with Botox Cosmetic will give each person a different result, even though they are truly effective for what they are meant to do. This is why we recommend talking to your doctor/ dermatologist in order to determine which treatment is right for you.

If you want something more permanent, you have the option for a surgical procedure, but this is highly invasive as it involves cutting and using other substances injected into your body that might increase your risk of possible complications in the future.

Chapter 5

Botox In T.Joint Disorder (TMJ)

It is now known that Botulinum toxin is able to help and treat with symptoms of Temporomandibular Joint (TMJ) disorders.

So if you are suffering from this disorder, you may benefit from this treatment the most in case other methods haven’t worked.

You can expect a relief from jaw tension, headaches due to teeth grinding, and lockjaw in cases of severe stress.

Efficacy Of Botox Cosmetic in Treating TMJ

{Treating Temporomandibular Joint (TMJ) }

Botox has proven to be effective when it comes to treating TMJ in some people, however, these treatments are still experimental and not approved by the Food and Drug Administration.

In a small study of 26 participants back in 2012, scientists have found that Botox could significantly decrease pain and increase mouth movements for three months following treatment, so since then it has been heavily used to prevent such pain and discomfort.

Also, other studies in 2003 and 2008 have shown similar results. The improvement of symptoms in the participants of the study was up to 90 percent – and these were people who didn’t respond to other conservative treatments.

This being said, Botox is still under study about whether it should or should not be approved as a treatment for TMJ disorders.

 

Side Effects Of Botox when treating TMJ disorders

Just as with any treatment and drug out there, Botox has shown several side effects when given to participants with TMJ disorders.

These were:

  • A headache
  • Respiratory infection
  • Flu-like illness
  • Nausea
  • Temporary eyelid droop
  • Pain
  • Redness at the injection site
  • Muscle weakness
  • Bruising at the injection site

 

What happens during the procedure?

The Botox treatment for TMJ disorder is a minimally-invasive, outpatient nonsurgical procedure that will be performed in the office of your doctor/ cosmetic practitioner. Each treatment session will take 10-30 minutes and you will receive at least three injections over the course of 3-4 months, however, the doctor will decide the amount because it all depends on your state and symptoms.

The Botox injections will be injected into your forehead, temple, and jaw muscles and also other areas, depending on your symptoms. It’s recommended to numb the injection area before injecting and then using something cold to numb the injection site in order to minimize the after effects of the needle on the skin.

You might feel an instant relief after you receive the Botox injection, but note that the real improvements and effect will take several days to be felt.

Usually, people are able to go back to their normal routines right after they are injected with the Botox Cosmetic shot.

 

Cost of the Botox Injections for TMJ

Since this is a condition, a disorder you are having and not an aesthetic improvement, your insurer might be able to cover the costs, so you need to call them and check it out because this might save you a lot of money.

The price varies from country to county, and from office to office so it’s best to consult with the medical personnel who will be giving you the Botox injections in order to form the final price.

 

Other treatment options for TMJ

In case if Botox isn’t your ideal solution or you just cannot cover it financially, there are other surgical and nonsurgical options available to ease your symptoms.

These are some of the traditional and alternative treatments for TMJ that are worth knowing about:

  • Medications such as pain Relievers and anti-Inflammatories
  • Muscle relaxants
  • Physical therapy
  • Oral splints or mouth guards
  • Open-joint surgery to repair or replace the joint
  • Arthroscopy, a minimally invasive surgery that uses a scope and small instruments to treat TMJ disorders
  • Arthrocentesis, a minimally invasive procedure that helps remove debris and inflammatory byproducts
  • Surgery on the mandible to treat pain and lockjaw
  • Acupuncture
  • Relaxation techniques

There is a high possibility that you will benefit if you combine these treatments with Botox injections. Talk to your doctor and to find out what will work for you the best.

Chapter 6

Botox Procedure: In Details

A Wrinkle in the skin is usually formed by a contracting muscle located right beneath it. For instance, the muscle in the forehead is a vertical muscle, and when it contracts (such as when you raise your eyebrows or get mad for something), the lines that form (wrinkles) will be horizontal.

Likewise, the two muscles that are responsible for the frown lines are positioned slightly horizontally between the eyebrows, so when they contract, the frown lines appear vertical.

You will receive Botulinum Toxin as an injection into your muscles where is needed and what then Botox does is blocking the nerve impulses of the affected tissues. With this, the activity of the muscle which is actually the reason for creating those wrinkles and lines is reduced resulting in a smoother look.

If you have already made an appointment with your doctor to receive a Botox injection for a health issue or cosmetic one, and you are wondering of how the process looks like, first of all, do not worry.

It is minimally invasive, done in a matter of minutes and most of the patients do just fine afterward without any complications.

As far as the procedure goes, Botulinum Toxin is administered by diluting the powder in saline and injecting it directly into neuromuscular tissue wherever you have the problem with.

Some treatments treating more sensitive areas like the bladder or pelvic muscles require a certain amount of time right after the treatment to be spent waiting at your doctor’s office.

This is just in case, a precaution if something goes wrong in the first 30 minutes after the injection. If nothing happens, then you are fine to go home and continue your daily activities normally.

Note that Botox shots take 24-72 hours for the Botulinum Toxin to take effect, and to attach to the nerve ending that would normally stimulate the muscle to contract.

Also, in some individuals, this period might prolong up until 5 days of the shot, for the patient to see the full effect of the treatment.

Chapter 7

Botox Related Cosmetic & Other Drugs

Taking one drug at a time is different than taking several drugs at the same time. This is because pills might interact among themselves and cause problems in your system that you are unaware of.

This is why when talking to your doctor you should tell him or her about all medications you are taking and note that you shouldn’t start, stop, or change the dosage of any medicines without the approval of the doctor who prescribed those in the first place.

Possible interactions between drugs include but not limited to: some antibiotics (e.g., aminoglycosides such as gentamicin, polymyxin), anticoagulants (e.g., warfarin), Alzheimer’s disease drugs (e.g., galantamine, rivastigmine, tacrine), myasthenia gravis drugs (e.g., ambenonium, pyridostigmine, quinidine).

Botox Cosmetic Overdose

What happens if you miss a dose?

Rest assured that you won’t have any contraindications if you miss a single treatment of Botox Cosmetic. The symptoms you are healing might appear again but that is about all. Everything will get back to normal once you take your next shot.

This is because botulinum toxin has a temporary effect and you receive it each at widely spaced intervals, so missing one dose of it will not put you in any danger.

 

What happens if you overdose?

If you are taking your Botox Cosmetic treatment injected at a doctor’s office then the chances of overdosing are minimal to none and even if this happens you have medically trained people around you that will help you.

On the other hand, if you somehow have taken Botulin toxin on your own, and felt like you overdosed you need to immediately seek help by calling your doctor’s office or someone who is close to you.

Note that the symptoms of the overdose might not appear at the same moment but later on, so if you feel any muscle weakness, weak or shallow breathing and/ or trouble swallowing, know that you need to seek help.

 

What Should I Avoid After Receiving Botox?

While this doesn’t happen very often, you need to be careful while driving after you receive your Botox cosmetic injection. This is because Botox may impair your vision or depth perception, so it’s best if you have someone else to drive you home or get a taxi until you are able to see clearly again, which will happen in few hours or less.

In case you have been treated with Botulinum toxin for excessive underarm sweating, you need to avoid using underarm antiperspirants or deodorants for 24 hours after the injection. Also take some time to yourself, especially if this is the first time you are receiving a Botox Cosmetic injection. Relax, sit at home, and avoid going back to your daily routines and your normal physical activities too quickly.

As far as the allergic reactions go, it is possible for you to experience itching, wheezing, asthma, a rash, red welts, dizziness and/ or faintness. This possibility to get one or more of these depends on your body and how bad it experiences the Botox injection. One thing is for sure though, you need to contact a medical person as soon as you experience any breathing issues, you faint or you feel dizzy.

Some patients might experience a difficulty in swallowing, speaking and breathing. This is because the muscles used for these vital activities are affected as unintended muscles of the area and may become too relaxed due to the properties of the Botox Cosmetic.

This is rare but possible to happen if your doctor or practitioner used the correct dosage of Botox. No matter what the reason may be, you need to seek immediate medical attention because it can lead to serious life-threatening occurrences.

Additionally, there might be a feeling of dry mouth, fatigue, headache, and neck pain little after being injected with Botox Cosmetic injection. Other additional side effects that you might have heard of are numbness in the injection spot and migration of the substance under your skin.\

Some people say they experience muscle spasms or twitching, but scientifically this is impossible since Botox Cosmetic type A is used to treat muscle spasms like benign essential blepharospasm, hemifacial spasm, cerebral palsy, fibromyalgia and temporomandibular joint disorder, in the first place. Another side effect that might happen to people after receiving a Botox Cosmetic injection is numbness.

However, numbness as an absence of physical sensation is not really an issue with Botox because this treatment doesn’t act as an anesthetic.

On the other hand, if you are still feeling numb in certain parts, it may be due to the inability to move a muscle which has been affected by the Botox. This should go away in a day or so, so you don’t have to worry about getting your full muscle functionality.

Lastly, droopy eyelids are commonly reported side effects of the Botox cosmetic injections, especially in people who received the injections into the forehead close to the eyebrows or their upper eyelids. This is possible because the Botox Cosmetic liquid might spread a little beyond the intended injection site and affect surrounding tissues.

 

However,  you shouldn’t worry about it because this is only temporary.

All in all, note that Botox Cosmetic has side effects just like all other drugs on the market. These side effects we mentioned above are rare and are associated risks of any treatment or procedure.

After all, there are many patients of ours that are being injected with Botox cosmetic injection in their lunch hour and return to work immediately afterward.

We have gathered a list of the possible complications that rare cases have experienced, but in order to find out more about Botox side effects, consult your doctor or pharmacist in the first place.

Chapter 8

Possible Risk And Side Effect

Unless you have a phobia of needles, Botox Cosmetic injections are nothing to be afraid of in the entire process is done by a trained professional.

There are some potential minor side effects like temporary pain at the injection site, redness, inflammation, and swelling. This all along with the bruising that also might occur, will go away and should subside quickly, in a matter of a day or so.

Other issues that some people get at the injection site are an infection, allergic reaction, and bleeding. It is best if you consult with your doctor/ cosmetic practitioner about all these so you avoid any misunderstandings and potentially more serious risks.

  • Mild pain, local edema (fluid buildup) and/or erythema (reddening of the skin) at the injection site
  • Numbness
  • Headache
  • Malaise – feeling generally unwell in the entire body
  • Mild nausea
  • Temporary unwanted weakness/paralysis of nearby muscles
  • Temporary upper lid or brow ptosis (drooping)
  • Weakness of the lower eyelid or lateral rectus (a muscle controlling eye movement)
  • Dysphagia – trouble swallowing
  • Neck weakness
  • Flu-like illness

  • Diplopia (double vision)
  • Brachial plexopathy – a condition affecting the nerves either side of the neck and chest
  • Gallbladder dysfunction
  • Bleeding
  • Blurred vision
  • Decreased eyesight
  • Dry mouth
  • Fatigue
  • Hives
  • Rashes
  • Wheezing
  • Swelling

NOTE: The effects of Botox on the muscles become apparent within a few hours, but the main effects that you are looking for, will appear about 5 to 7 days after being injected with the treatment.

Chapter 9

Botox Injection: Safe?

This is really a matter that you should discuss with your doctor/ medical or cosmetic practitioner because it all depends on where you use Botox and what you use it for,

and also it depends on your personal expectation and how your body reacts to it.

If you are wondering how long the effects of Botox Cosmetic do last, the answer is somewhere between two to four months.

However, note that several factors may shorten or lengthen that period:

  • The age of the patient (older people get less results or the results go away sooner)
  • Habits for facial expressions and facial structure
  • Usage of cigarettes
  • The intake of food
  • Whether the patient takes good care of their skin where Botox was injected
  • Sun exposure and sun damage
  • How often the patient uses Botox in that area (in time the body develops antibodies and you will experience less results)

While doctors often debate on whether these factors in the list above truly affect the length of the period you see full Botox effects.

One thing is for sure: you should not receive injections in the same injection site more frequently than every two months time. This is because receiving Botox too often will result in making your body and its immune system develop antibodies to the medication.

This will eventually stop the Botox effect and you will need to find another solution to what you are treating with it, or be injected with Botox more frequently which also may result in having a higher resistance level until it stops working on your affected area completely.

 

The Cost Of Botox Injections

Compared to the prices when it was first introduced on the market and when it gained its popularity several years back, now Botox prices have dropped.

Although they vary greatly among countries, in the UK an average session might cost around £200.

Variations will appear from practitioner to practitioner as well, so make sure to ask of the total price of the treatments because some practitioners charge by the number of units injected.

For instance, a vial of Botox Cosmetic contains 100 units in total. You might come across prices per unit or per entire session. You also might find professionals that charge by the zone of treatment.

An example of this would be one price for the frown lines, another for the crow’s feet, and the forehead yet another zone. Check multiple locations and offices before committing to one.

Chapter 10

Botox: What You Should Not Do

Although considered very safe, Botulinum toxin type A can cause certain problems at times.

Statistically, this is calculated to happen in about 1% of the people who receive Botox Cosmetic injections.

What will happen is that their organism would develop antibodies to the toxin and make the treatments ineffective.

So as you can see, this is the worst case scenario and there is nothing else health-hazardous that might happen to you.

Other not well – suited candidates for Botulinum toxin type A are pregnant or lactating women.

Another group of people who shouldn’t be injected with Botulinum toxin type A is people who have had a previous allergic reaction to the drug or any of its listed ingredients. This is an obvious reason and shouldn’t be taken lightly.

Before your first injection, you should carefully check the ingredients and consult with your doctor or practitioner about possible life-threatening risks.

The third group of people can be only checked by professionals and/ or your cosmetic practitioner who will give you Botox Cosmetic injections. Namely, we are talking about people who have facial lines and wrinkles even when they are totally relaxed.

These people aren’t good candidates for wrinkle – removal because those lines come naturally and cannot be diminished by Botox Cosmetic injections. If you fall into this category, what you can do is consult with a cosmetic practitioner about dermal fillers instead. These naturally occurring lines show much better results at soothing them by treatments with dermal fillers.

You should really check if this is your case because the cosmetic Botox injections will probably soften out these lines but not always get rid of them as you would like them to be. This might save you a lot of money on Botox injections.

Chapter 11

Discuss With Doctor: Botox Side Effect

What Should I Discuss With My Doctor Prior Being Treated With Botox?

If you already know that you are allergic to Botulinum toxin then it’s only logical that you tell your doctor and you don’t have the treatment at all.

Other occurrences where you need to postpone your Botox Cosmetic injections are if the spot that’s about to be injected is swollen, infected, already bleeding, feeling muscle weakness in the area, and similar things.

 

Also, don’t forget to mention to your doctor if you had any side effects after receiving a Botulinum toxin in the past.

So he knows what to expect from your treatment and provide you with a suitable care.

Go through this list of conditions and illnesses and see if you have them now, or had them in the past. If you did then let your doctor know because you might need a dose adjustment or further tests before the Botox injection.

  • Amyotrophic lateral sclerosis (or “Lou Gehrig’s disease“)
  • Myasthenia gravis
  • Lambert-Eaton syndrome
  • A breathing disorder such as asthma or emphysema
  • Problems with swallowing
  • Facial muscle weakness (droopy eyelids, weak forehead, trouble raising your eyebrows)
  • A change in the normal appearance of your face
  • A seizure disorder
  • Bleeding problems
  • Heart disease
  • If you have had or will have surgery (especially on your face) or
  • If you have ever received other botulinum toxin injections such as Dysport or Myobloc (especially in the last 4 months)

 

Preparations for Botox Cosmetic Injection

Since the treatment with Botox Cosmetic involves a nonsurgical, in-office treatment, itself it requires minimal preparation – make sure to cleanse your face from makeup (if you are receiving Botox Cosmetic injections on your face) or the area where you will be receiving the Botox Cosmetic injections.

After you have a consultation session with your doctor/ cosmetic practitioner, and you let them know about our medical history, allergies, or medical conditions, there is really nothing else you need to do.

All the rest is left for your doctor.

 

 

Precautions of the Botox Cosmetic Type A Injection

Make yourself aware of the ingredients in the Botox treatment. Besides talking to your doctor or pharmacist about allergic reactions to it, you need to know that this product may contain inactive ingredients such as cow’s milk protein, and/ or albumin made from human blood, which can cause allergic reactions or other problems to you.

Other things to discuss with the person who will be giving you the treatments of Botox are bleeding problems if you have any, surgeries that you had in the past, or maybe conditions like:

  • Glaucoma
  • Infections or signs of infections next to the injection spot
  • Heart disease
  • Muscle disorders
  • Urinary tract infection
  • Swallowing issues
  • Breathing Issues
  • Botulinum toxin injections in the last 4 months

If you are an older adult using this treatment to fight overactive bladder, you may become more sensitive to the side effects, especially urinary infections.

And if a younger person receives Botox Cosmetic injections in order to get help for muscle spasms, he or she may become more sensitive to the side effects of this drug that include difficulty breathing or swallowing.

Chapter 12

Minimize Botox Side Effect: Stay Safe

What Can You Do To Avoid or Minimize Botox Side Effects?

As you saw by now, there are many precautions that need to be taken when receiving Botox cosmetic injections.

Also, the list of side effects is pretty long and you should take all those into consideration before undergoing the treatment.

Luckily, studies conducted by scientists worldwide have shown that there are several tips, which you can follow in order to minimize or prevent most of the Botox side effects.

  • When choosing a doctor/ practitioner to give you the Botox cosmetic treatment, make sure he or she is very experienced at Botox injections and is a respected medical professional with a good review online or recommended by word of mouth.
  • You should pick a place where you see a good hygiene, good tools, and professional staff.
  • For instance, a salon where the primary work is hair and facial treatment is not really an appropriate place to receive Botox injections. Even if the person is experienced by now, he or she might not have the emergency equipment or sufficient medical knowledge if something goes wrong during the injecting process. If the place doesn’t seem like a reputable office don’t go at all.

  • Another think is if they offer really cheap Botox Cosmetic injections. While we all want to save money, ask yourself if it’s possible to get the treatment at such low price because the case might be that those disreputable people will give you injections that were over- or under-diluted with saline, as well as counterfeit solutions that didn’t contain Botox at all.
  • This way you might not experience any effect and will just spend your money pointlessly or even worse, you might put your health in danger.
  • The second one comes intuitively but it’s a must that we have to mention. You need to tell your doctor/ cosmetic practitioner about everything you have regarding health problems.
  • Also mention which medications you are taking, if taking any at the moment, headache pills, pain blockers, and everything else that falls into your daily routine. This might save you from further complications because some drugs and medications don’t interact well with Botulinum toxin.
  • Another thing that is especially important is to mention having taken antibiotics, injected or not, muscle relaxants, allergy or cold medicines and sleep medicine too.
  • Continuing with your medical record, don’t assume that if the pills you are taking are natural, they are okay to miss. You should mention any types of supplements including herbal preparations, vitamins, or even homeopathic medications you take because of the risk that those will interact negatively with Botox. Follow your practitioner’s pre- and post-injection instructions very carefully.
  • Avoid attending “Botox parties” at someone’s place. This is an event where you and several other people get Botox Cosmetic injected into your face by a doctor or cosmetic practitioner.
  • It is not wise to be in a leisure setting like this because if complications occur or you get side effects, they won’t be able to help you right away as they won’t have their medical equipment with them on spot.
  • Remember, it’s someone’s home, not doctor’s office. For what’s worth, know that the final results of the injections won’t be visible until later on – even after few days so there isn’t really a reason to attend these parties.
  • Another thing bad about one doctor injecting few people at the same time is the risk of the doctor’s attention being divided between you and the other attendees, so if you’re experiencing any side effects, he or she might not be able to help you right away.
  • A week or so before the Botox treatment avoid blood – thinning medicine like aspirin, fish oil, Vitamin E, gingko, or ibuprofen to reduce the risk of bruising. Check with your doctor about other blood thinners that you might be taking unknowingly, so you avoid them too, in order to walk out of the office bruise-free.
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