How Does Botox Therapy Fight Wrinkles?
Most wrinkles and lines on the face are caused by the repetitive creasing and folding of the skin caused by the movement of the underlying muscles. These imperfections in the skin are referred to as “dynamic” wrinkles or “wrinkles in motion”. As we age, the muscles of facial expression become hyperdynamic or hyperactive as a result of years of habit of activating these muscles.
By relaxing selected muscles, the skin has the opportunity to recover from this repetitive motion, and wrinkles and lines disappear or fade dramatically. Long-term and regular use of this treatment has been shown to have the best results, and patients have found that they require less treatments as the muscles “re-learn” how to activate without being hyperactive.
Myths Associated with Botulinum Toxin
“Botulinum toxin is new and untested”
- Botulinum toxin has a 30 year history with the FDA.
“Botinum toxin can give you botulism”
- No definitive serious adverse events of distant spread of toxin effect associated with dermatologic use of botulinum toxin at the labeled dose have been reported to date
- A lethal dose injection would consist of 25-30 vials
- Most patients need just 1 to two at most if we were treating the entire face and head
“Botulinum toxin freezes your face and makes you lose expression”
- Muscles are temporarily relaxed, so they are still functioning but to a lesser degree in order for the skin to recover and the lines to soften
“Botulinum toxin is only used for cosmetic purposes”
- FDA has approved use of botulinum toxin for first line treatment of chronic migraines since 2011
Who is Not a Good Candidate for Botox Therapy?
- Pregnant or lactating women
- Hypersensitivity to Albumin 9 Human Blood Product
- Neurological disorders such as amyotrophic lateral sclerosis (ALS), myasthenia gravis, or Lambert-Eaton syndrome
- Flu or cold symptoms
- Infection of the skin in the areas to be treated
How to Best Prepare Myself for my Botox Treatment?
- Avoid alcoholic beverages at least 24 hours prior to treatment
- If possible, avoid anti-inflammatory/blood thinning medications ideally for two weeks before treatment – please consult with your primary physician
- Avoid medications and supplements such as Aspirin, vitamin E, Ginkgo Biloba, St. John’s Wort, Ibuprofen, Motrin, Advil, Aleve, and other NSAIDs that can thin the blood
- Not being able to avoid the above medications does not make you a bad candidate, it can just increase the risk of temporary bruising or swelling after the injections
Some Tips to Achieve Best Results Following Botox Treatment
- Do not touch the face for 3-4 hours after treatment
- Do not get a massage, facial, peel, microdermabrasion for a few days
- Stay out of the sun for a few days
- Try to sleep on your back that night