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Botox

Erase wrinkles and fine lines on your face to keep people guessing.

 

BOTOX® Cosmetic (onabotulinumtoxinA) is a prescription medicine that is injected into muscles and used to temporarily improve the look of moderate to severe forehead lines, crow’s feet lines, and frown lines between the eyebrows in adults.

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What is Botox?

Botox Cosmetics is a popular, well known and the oldest brand of botulinum toxin (like Kleenex is for tissue paper) out there and it stems from a bacteria called Clostridium Botulinum.  There are similar neurotoxins out there that also help to get rid of wrinkles such as Xeomin and Dysport. In very small and controlled amounts, it is carefully injected into muscles that cause wrinkles, temporarily decreasing tension of the muscles, therefore smoothing out the wrinkles.

To understand the science behind how Botox works, we have to understand how the wrinkles are formed in relations to our facial muscles.  Over time and with repetitive facial movements, like frowning, squinting and smiling, our skin begins to develop lines that gets deeper and deeper. 

The action of Botox lies at the site where it is injected.  When the Botox is injected in the muscle, it inhibits the signal between the nerve endings and muscle fibers.  Blocking this signal decreases or eliminates the contractions of the muscles.


No overactive muscle activities and no contractions means no deep wrinkles.  

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What Areas Can Be Treated with Botox

  • Forehead: Due to the extent of the forehead and the fact that forehead lines often span the entire region, forehead line injections typically require higher dosing than other fine-muscle treatments. 

  • Eyebrows: Eyebrow shaping and lifting are finer procedures involving smaller muscle groups. The treatment area is relatively small as well, usually confined to the length of the eyebrow above the upper orbital bone. 

  • Between the eyes: This is an even more compact treatment area that occurs only once on each patient’s face. 

  • Eye corners: This is one of the smallest facial treatment zones for Botox and involves some of the finest muscles safe to treat with the medication. 

  • Sides of the nose: Bunny lines can extend from the nasal flare up through the nasal bridge and may require multiple injection sites. 

  • Sides of the mouth: This complex of fine, shallow muscles does not require high volumes of Botox to remediate gummy smile. 

  • Upper lip: The lip lines (smokers’ lines) that form above the lip tend to be fine and shallow, if pronounced. 

  • Chin: Botox is indicated or used off-label for several related cosmetic treatments of the chin, including marionette lines (smile lines) and dimpled chin (an age-related condition exacerbated by collagen loss). 

  • Anterior neck muscles: The muscles on the front (anterior) of the neck are vulnerable to age-related “banding” that’s visible in frontal and profile views of the patient’s face (above the neckline of most clothing tops). 

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Long Track Record

Even prior to the approval from the FDA for use of cosmetic purposes, Botox has been used safely years prior to that. Medscape is a great source to dive into if you want to get the specifics of the origin of this protein dating back to the 1800s. 

December 1989 - Botox was FDA approved to treat medical condition such as strabismus, blepharospasm, and hemifacial spasm in patient's age younger than 12 years old

April 2002 - FDA approved Botox for cosmetic use to improve frown lines in between the eye brows

July 2004 - FDA approved Botox for treating severe underarm  sweating

March 2013 - FDA approved Botox for treatment of crow's feet

2017 - FDA approved Botox for treatment of forehead lines

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How Long Does Botox Last?

​Botox lasts 3-6 months (on average 3-4 months)

Longevity of botox depends on the frequency of the treatment, the dilution, and your individual muscle mass and body's response. If you are on top of your treatment plan and get it done routinely, it is much more difficult for muscles and wrinkles to return to it’s original state (before you first had your Botox treatment). In turn, the botox will last longer over time, and you may even see a reduction in the dosing of the botox.

The factor that no one can change is how big or small each of our muscle mass is and how fast or slow our body breaks down the Botox protein. Bigger muscles will require a high dose and under-dosing can result in wrinkles coming back quicker than desired. Even with average muscle mass, we sometimes see clients stating that the lines are coming back as early as 2 months and as long as 5 months. Ruling out all the factors above, we conclude that these uncommon unpredictable variations of longevity is most likely due to one’s individual processing of botox.

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Which 1* are you?

AKA Moderate to Severe Frown Lines Between the Brows

Your 1’s, 11’s, or 111’s are those moderate to severe vertical frown lines between your brows. Years of squinting, concentrating, or frowning can cause your skin to furrow and crease. As your skin becomes less elastic, those moderate to severe frown lines remain—even when your muscles are not contracting. With a few tiny injections, BOTOX® Cosmetic blocks nerve impulses to the injected muscles, which reduces the muscle activity that causes those persistent 1’s, 11’s, or 111’s to form. This reduced muscle activity helps reduce the appearance of moderate to severe frown lines between your brows.

Whether you’re a 1, 11, or 111, BOTOX® Cosmetic may be right for you.