Botox Dubai – Botulinum Toxin Anti-Wrinkle Injections

Botox Dubai as a muscle relaxant has an excellent safety record and a long record of use in medicine. It has been used successfully in adults and children in variety medical conditions over the last 20 years. It has been used cosmetically to treat facial wrinkles for about 15 years and has become one of the most popular and frequently used cosmetic treatments.

Botox Treatment can be used for treating wrinkles in men and women, however men often need slightly higher doses than women. It should not be used in People with infection at the proposed injection site. People who have previously had an allergic reaction to Botulinum toxin type A injections. People with muscle problems or chronic diseases affecting the muscles, such as Myasthenia Gravis, Eaton Lambert syndrome. Children under the age of 18 years. Women who are pregnant or breast feeding. It should be used cautiously in (please let the doctor know if the following applies to you) People at risk of bleeding as there is an increased risk of bruising post procedure. These include people who have blood clotting disorders such as Haemophilia, those who are taking treatments with anticoagulant medicines such as Warfarin, Heparin, Aspirin and Anti-Inflammatory medicines. Certain herbal remedies such as Gingiko Bilboa, St John’s Wort and Vitamin E People with excessive weakness or wasting in the muscle to be injected, such as those patients with history of Strokes or Bell’s Palsy People with Chronic Breathing difficulties

Botox Dubai injections are relatively painless as the injections are performed using a very fine needle. Patients therefore and do not require any anaesthesia. The full treatment takes about 15-20 minutes to perform and you are able to drive and go to work the same day.

It can take about 2-14 days to see the full effects after the initial treatment. The cosmetic effects of Botox Dubai can last up to six months but typically range from three to four months. Eventually most people require re treatment as the wrinkles reappear. However in some treated areas (such as frown wrinkles), the wrinkles may return less severe after repeated treatments as the unconscious muscle contraction habit is broken. We offer all our patients a free two week follow up appointment to assess the effect of treatment and administer any top up treatments if necessary.

Most people find that the Botox Dubai injections cause only mild local pain and tenderness. Immediately after the injection there may be mild swelling at the injection site which usually subsides within 48 hours. Slight bruising is also possible. Side effects of these treatments are extremely rare. Occasionally, the treatment may relax nearby muscle groups causing temporary drooping of the eyebrow or eyelids. This may last for a few weeks but will resolve with time. As with any medicine an allergic reaction may occur, this is however quite rare. Conversely there may be some unintended benefits in some people such as easing of tension type headaches as the muscles in the forehead relax. Botox has been used for over 20 years and does not appear to cause any negative long-term effects. Once administered, Botox typically leaves the body within 3-4 days, although, as with any medical procedure, it is important to seek advice from a qualified professional beforehand.

BOTOX® Cosmetic is an iconic brand. It’s been approved for use in 95 countries. But find out the truth behind common misconceptions, and you’ll get to know BOTOX® Cosmetic even better. WHAT IS BOTOX® COSMETIC? BOTOX® Cosmetic is the #1 selling treatment of its kind*: It’s the first and only treatment FDA-approved to temporarily make moderate to severe frown lines, crow’s feet, and forehead lines look better in adults Treatment requires minimal downtime. You can return to your daily routine immediately after you leave your specialist’s office You may begin to notice results within 24 to 48 hours for moderate to severe frown lines. Full results in 30 days It delivers predictable, subtle results, so you look like you, only with less noticeable facial lines Join the millions of men and women who make BOTOX® Cosmetic part of what they do to care for their appearance. Ask for the first and only BOTOX® Cosmetic by name. HOW MUCH RESEARCH HAS GONE INTO BOTOX® COSMETIC? When you choose BOTOX® Cosmetic, you can trust in its established track record. Backed by over 16 years of published studies, BOTOX® Cosmetic is the most widely researched and studied treatment of its kind, approved for use in 95 countries. The safety and efficacy of BOTOX® Cosmetic have been described in more than 528 peer-reviewed articles in scientific and medical journals. Learn The Story of BOTOX Cosmetic HOW DOES BOTOX® COSMETIC WORK? BOTOX® Cosmetic targets one of the underlying causes of frown lines, crow’s feet and forehead lines — the repeated muscle contractions from frowning, squinting, smiling and raising the eyebrows over the years. Your specialist will inject these muscles with BOTOX® Cosmetic to temporarily reduce muscle activity. You will begin to notice a visible smoothing of the frown lines between your brows, your crow’s feet lines and your forehead lines. Learn How BOTOX Cosmetic Works IS THERE A SUBSTITUTE FOR BOTOX® COSMETIC? BOTOX® Cosmetic is a biologic product that cannot be interchanged – or substituted – for another product. In fact, the FDA has stated BOTOX® Cosmetic is “non-interchangeable,” which means that its safety and effectiveness cannot be claimed by any other product. The potency – or strength – of BOTOX® Cosmetic is measured in scientifically defined units that cannot be compared to any other product, due to our unique manufacturing process. There are no substitutes for our product. People who are prescribed a biologic product have a right to know exactly what they are receiving. Be sure to ask which product you are being prescribed and why. WILL MY FACE LOOK OVERDONE OR UNNATURAL? BOTOX® Cosmetic is a technique-sensitive treatment. You can trust BOTOX® Cosmetic to deliver subtle results when you are treated by someone who is licensed, trained, and a medical expert in facial anatomy. So you’ll look like yourself—only with less noticeable lines. No one should be able to tell you’ve had anything done. Compare the before and after pictures of real patients in our gallery, and see the difference for yourself. HOW CAN I SAVE ON BOTOX® COSMETIC? Be wary of discount products or “cheap” BOTOX® Cosmetic – if it sounds too good to be true, it probably is. Your cost of BOTOX® Cosmetic not only includes the price of the product, but more importantly, the skill and expertise of the specialist or healthcare professional who is administering your treatment. The best way to save money on your treatments is to enroll in AllēSM, the aesthetics loyalty program by the makers of BOTOX® Cosmetic. IS BOTOX® COSMETIC ONLY FOR WOMEN? Not at all! Many men make BOTOX® Cosmetic part of what they do to care for their appearance. The number of men choosing treatments like BOTOX® Cosmetic has risen fast – in the past three years alone, men have received over one million botulinum toxin treatments. When surveyed, the majority of men say they want to look good and they’re bothered by the changes they see in the mirror. 80% would choose to treat their crow’s feet first, while 74% would prioritize their forehead lines, and 60% would most like to treat their frown lines.† †Results from a survey of men to determine most likely treatment areas and top areas of concern for injectable-naive, aesthetically-oriented men aged 30 to 65 years (N=600). Proportion of respondents selecting that area as highest priority to treat using the Maximum Difference (MaxDiff) scaling system. DO I NEED TO BE OVER 40 TO START USING BOTOX® COSMETIC? It’s not your age that determines when BOTOX® Cosmetic is right for you, it’s the severity of your lines. In fact, 64% of plastic surgeons report seeing a rise in cosmetic surgery or injectable treatments for patients in their early 30’s. The truth is, everyone’s lines form differently. The timing can be influenced by a combination of factors, from cellular changes that may occur over time, to reduction of collagen, to genetic factors, or damage caused by free radicals from the sun and the environment. Whenever your lines start to bother you, go speak with your doctor. They can help you determine if treatment is right for you. HOW MUCH TIME DOES BOTOX® COSMETIC TREATMENT TAKE? WILL IT HURT? Your specialist will discuss your treatment goals and perform a facial analysis to determine the appropriate treatment areas for you. Some patients report that being injected with BOTOX® Cosmetic feels like a pinch. Your specialist may use ice to numb the treatment area. Or, if you are concerned about discomfort, your specialist may apply a topical numbing cream before administering your treatment. Treatment requires minimal downtime. So you can return to your daily routine immediately after you leave your specialist’s office. WILL I SEE RESULTS QUICKLY? HOW LONG DOES BOTOX® COSMETIC LAST? You may begin to notice results within 24 to 48 hours, with full results in 30 days, with results lasting up to four months for moderate to severe frown lines. Remember that results vary from patient to patient though, so your physician will plan your next appointment based on your results and aesthetic goals. Start talking about your goals with a specialist today and find out what you could expect. Find a Specialist HOW LONG IS THE RECOVERY TIME AFTER TREATMENT? Treatment requires minimal downtime. So you can return to your daily routine immediately after you leave your specialist’s office. HOW MANY INJECTIONS WILL I RECEIVE? Treatment with BOTOX® Cosmetic is customized to your goals and needs. When you meet with your specialist, he or she will determine the appropriate treatment for any areas you wish to address, including moderate to severe frown lines, crow’s feet and forehead lines. Remember, only BOTOX® Cosmetic is approved to treat all three of these areas. For the crow’s feet area, your specialist will inject 3 areas of the muscle that frames the side of the eye. This will be repeated on the muscle that frames the other eye. For the frown lines area, your specialist will administer 5 injections into the muscles between your brows and in your forehead. For the forehead lines area, your specialist will administer 5 injections into a muscle in your forehead. WHAT WERE COMMON SIDE EFFECTS SEEN IN CLINICAL STUDIES? Three percent of patients experienced eyelid drooping in the frown lines studies, one percent of patients experienced eyelid swelling in the crow’s feet studies, and one percent of patients experienced brow drooping in the forehead lines studies. Other possible side effects include: dry mouth; discomfort or pain at the injection site; tiredness; headache; neck pain; eye problems: double vision, blurred vision, decreased eyesight and dry eyes; and allergic reactions. These are not all of the possible serious side effects of BOTOX® Cosmetic. Please see the Important Safety Information including Boxed Warning and Medication Guide and talk to your specialist. IS THERE A “GENERIC” BOTOX® COSMETIC? There is no such thing as a “generic” form of BOTOX® Cosmetic. Be wary of discount products or “cheap” BOTOX® Cosmetic. Medical formulations, potency, and approved doses vary among products, so no one product can take the place of another. FDA labeling states that BOTOX® Cosmetic is not interchangeable with any other product. If it doesn’t say BOTOX® Cosmetic on the vial, then it isn’t BOTOX® Cosmetic. BOTOX® Cosmetic has a one-of-a-kind formulation. And BOTOX® Cosmetic is the most widely researched and studied treatment of its kind. Backed by more than 16 years of published studies, the safety and efficacy of BOTOX® Cosmetic have been described in 528 peer-reviewed articles in scientific and medical journals. Finally, Allergan, the maker of BOTOX® Cosmetic, owns the entire manufacturing and packaging process, which helps ensure the reliability and safety of each vial. For proven results, ask for BOTOX® Cosmetic.

Botox Dubai is a quick and safe procedure that has very little impact on usual activity on the day of injection. We deliver tiny injections to relax the action of the muscles that create excessive movement. These movements create ‘dynamic wrinkles’ over time. We recommend the following precautions to allow the anti-wrinkle injections to work optimally in the targeted muscles:

No rubbing or massaging of the injected area for 4 hours after treatment, including facials.
No strenuous exercise for 24 hours after treatment.
Keep upright for 4 hours — no lying on your front. Minimise activities such as shoe shopping.
Avoid headwear that is tightly fitted across the forehead.
Reduce excessive alcohol consumption or medically necessary blood-thinning medication before the treatment to prevent bruising.

2. How soon after can I go back to my normal exercise regime?

Patients can resume normal daily activities immediately following treatment. Light exercise can be performed after 4 hours but it is recommended that strenuous activities are avoided for 24 hours.

After 4 hours you may perform light exercise such as:

Walking
Jogging
Upright yoga (avoid any positions that leave you lying flat or upside down)
Gardening
It is recommended that you wait 24 hours before attempting any strenuous exercise, including:

Weight training
Cross-training
Long-distance running
Yoga (positions where the body is inverted)
3. Are there any possible side effects?

In most cases, there will be no side effects to treatment of BOTOX®. However, because everybody’s physiology is different, people can be affected in different ways. A small minority of people reported the following side effects.

Bruising — For the majority of patients, the area of injection will appear no different. For a small minority, some minor bruising may occur.
Bumps — A few minutes after treatment small bumps may be visible on the skin. These will disappear very quickly.
Headache — True BOTOX Dubai® allergies are exceedingly rare. Temporary headache is the most commonly reported symptom following anti-ageing injectables, though the numbers of patients who report headaches is very small compared with the number of treatments performed. Any headache can be treated with usual painkillers.
4. How soon can I drink alcohol after my muscle relaxant treatment?

Some practitioners advise limiting alcohol in the first 24 hours and for the day prior to treatment. This is because alcohol can thin the blood much like an aspirin, and abstaining can help prevent bruising.

5. What are the symptoms of a reaction to BOTOX Dubai®?

Generally, BOTOX® injections side effects are rare and recovery is swift. Your practitioner is available should you have any questions or concerns over minor side effects such as bruising and headache.

6. Am I allowed to touch my face after having anti-wrinkle injections?

Yes. Your face will not feel overly sore or tender. Treatment will not prevent you from washing or continuing with your normal skincare regimen. However, you are advised to avoid rubbing or massaging your face for up to 4 hours after your last treatment.

7. Are BOTOX® injections long-lasting?

Although some people experience longer-lasting results, scientific evidence shows that the effect of Botulinum Toxin injections usually last 12-16 weeks.

8. Can I keep having anti-wrinkle injections?

Yes. BOTOX® does not ‘build up’ or accumulate in your system. We recommend scheduled treatments at about 12-16 weeks. Once the effects have worn off it is safe for you to top up treatments in the same area. It is also perfectly safe to have multiple treatments in different areas at the same time.

See an amazing before and after result achieved for one of our lovely patients:

Botox Dubai Muscle relaxant before and after
9. What happens when Botox® wears off?

Once the treatment wears off, your muscles will function as they did before the injectables. This means that the wrinkles you smoothed or reduced will slowly begin to appear again. You will simply witness old wrinkles reappearing, and no new wrinkles should emerge.

10. Can I wear make-up after my treatment?

Yes. Ideally, avoid make-up for an hour or so. However, mineral make-up can be applied immediately after BOTOX®. Again, it is recommended that you do not apply too much pressure during these activities in order to ensure that the injectable treatment does not disperse from the treated area.

11. What if my BOTOX® results are not what I expected?

The results of Botulinum Toxin injections usually show through from 3–5 days to two weeks post-treatment. We review the technical and aesthetic results after this time in a follow-up session.

If you would like to see results from real patients please take a look at our before and after anti-wrinkle injections gallery.

12. Can I fly directly after having BOTOX® injections?

Yes. Patients will not experience any adverse effects from flying with anti-wrinkle injections. They not affected by changes in altitude or cabin pressure.

13. What should I do if I have any concerns after my anti-wrinkle injections treatment?

Our practitioners are always available at the clinic if you have any concerns regarding the aesthetic outcome of your treatment.

14. Can I sleep after BOTOX®?

Botulinum Toxin injections consist of a safe, naturally purified protein. A course of treatment has little impact on usual day-to-day activity and will not affect your sleeping patterns. To allow the BOTOX® injectables to settle, you should avoid putting pressure on the treated area or laying on your front for around four hours.

15. How soon after the treatment can I have a facial?

We recommend that you do not rub the Botox treatment area for up to 4 hours post-treatment. This includes the gentle rubbing associated with a facial treatment. We advise not having a facial within 24 hours post-procedure.

If you’ve had Botox®, or are considering having the treatment, you’ll want to know how to care for yourself afterwards. You’ll receive full Botox® aftercare instructions after having treatment with Health & Aesthetics, but the expert advice below will give you a good idea of what to expect.

Potential side effects after having Botox®
What to do and what to avoid after having Botox®
What happens when Botox® wears off
Further frequently asked questions on Botox aftercare
Potential side effects after having Botox®

What are some of the possible side effects?
Although they are very rare, there are some adverse effects associated with having Botox. After treatment you’ll receive full aftercare instructions, including a list of potential side effects. They include:

excessive bruising, swelling or redness at injection site
infection
nausea, headache or flu-like symptoms
occasional numbness
drooping eyebrow or upper eyelid
red and swollen eyelids
muscle weakness1
allergic reactions
rash and itchiness
facial swelling
If you experience any of the above after having Botox®, speak to your practitioner immediately.

How will I know if I’ve had an allergic reaction to Botox®?
An allergic reaction to Botox® is very rare. However, if you experience any of the following symptoms, this could be an indication of an allergic reaction and you should seek medical help immediately:

Itching and swelling of the face
A rash
Dizziness
Having trouble breathing
If it’s the injection sites are red and tender this might be a sign that the area has become infected. But don’t worry—this is extremely unlikely to happen if your Botox® was administered by a reputable clinic with qualified staff.

What are the side effects of Botox® for migraines?
They are the same as having Botox® for cosmetic reasons. Some patients may also experience neck pain, although—as with other side effects—this is very rare.

You can find out more about Botox® treatment for migraines and headaches here.

What are the side effects of underarm Botox® injections for excessive sweating?
They are very similar to those that come with having Botox® as a facial treatment. You can find out more in the risks and side effects section of our page How Botox Stops Excessive Sweating & How It Can Help You.

Will I experience bruising after Botox®?
Bruising is one of the most common side effects of having Botox® treatment. It sometimes happens where the needles are inserted into the skin. However, unless it’s excessive, it’s nothing to worry about and is a natural part of the healing process.

How long does Botox® bruising last?
This varies from person to person, but if you do experience bruising after Botox®, you can expect it to last for around a week.

My forehead is swollen after having Botox®—is this normal?
Yes, some swelling is normal after having Botox® treatment.

Ways you can reduce swelling include:

applying a cold compress to the area (though make sure you don’t rub the area or hold the compress in place for too long)
applying arnica cream to the area (some people have found that arnica works at making swelling go down)
avoiding lying down for four hours after treatment
If you’re worried that the swelling is excessive, speak to your Botox® clinic.

I have tightness in my forehead after Botox®—is this normal?
Yes, you may experience tightness on your forehead around four or five days after having treatment. It can last for five or six days.

What can I do to reduce swelling, bruising and bleeding after having Botox®?
There are certain medications, supplements and vitamins you should stop taking before having Botox® treatment, as they can cause any swelling and bruising to worsen. These include:

ibuprofen or aspirin—stop at least one week before having treatment
blood thinning medication
St John’s wort
gingko biloba
vitamin E
If a doctor has prescribed you any of these medicines, you must check with them first that it’s safe to stop.

When you come to Dr. Vigo for your consultation, we will take a full medical history from you, including any current medications and supplements you’re taking.

Can Botox® cause dizziness?
Yes, dizziness can be a side effect of Botox®, although it is very rare. If you experience dizziness after having Botox® injections, speak to your practitioner immediately.

Could Botox® cause hair loss?
No, there is no scientific evidence that Botox® causes hair loss.

Does Botox® make you tired?
No, there is no scientific evidence that Botox® causes tiredness.

Why do I have droopy eyelids after Botox®?
If the Botox® has been injected too low in the forehead, it can cause the muscle to overly relax and ‘push down’ on your upper eyelids. However, this effect isn’t permanent and will wear off in three to four months.

Choosing a qualified and experienced practitioner will help avoid having negative results such as droopy eyelids.

I’ve had Botox® without realising I was pregnant. What should I do?
It’s not advisable to have Botox® injections when pregnant because there have been no large-scale, long-term studies to assess the effect Botox® has on a developing baby.

However, as the amount of Botox® administered is small and won’t easily move to other areas of the body once injected, the risk of it harming your baby is extremely small.

Can you reverse Botox®?
No, it isn’t possible to reverse the effects of Botox®. So, if you’re unhappy with the results, you’ll need to wait around 10–12 weeks for the effects to wear off.

Choosing a highly experienced and qualified Botox® practitioner will ensure you’re happy with your results. However, if you’re not satisfied for any reason, speak to your practitioner, as they may be able to do some corrective work.

What to do and what to avoid before and after having Botox®

To ensure you get the best possible results from your Botox®, there are a few do’s and don’ts you should follow after having the treatment.

Pain management after Botox®
Should I apply ice after having Botox®?
Dr. Vigo recommends not applying any pressure to the area as this can move the Botox, this includes pressing ice onto the area. Instead we suggest you take arnica tablets to help reduce the risk of bruising and also to help any bruising to settle

What painkillers can I take before or after having Botox®?
You can take paracetamol before and after the procedure but avoid anti-inflammatory medications such as Can I take ibuprofen before having Botox®?

You should avoid taking ibuprofen before having Botox® as the medicine is an anticoagulant. This means it can prevent blood from clotting properly, which can increase the risk of bruising.

You should also avoid taking ibuprofen for at least four days before having Botox® treatment.

Botox aftercare and sleeping
Can I sleep on my side after having Botox®?
Yes, provided you wait at least four hours before lying down. Botox® takes a few hours to settle into place, so lying down straightaway could cause it to migrate to other muscles in your face and increase the risk of complications.

Should I sleep in a certain position?
You can sleep in any position after having Botox®, but you should avoid lying down for at least four hours following the treatment.

How long after having Botox® can I lie down?
We recommend not lying down for at least four hours after having Botox®. Not only will it help prevent any excessive swelling but it will stop the Botox® migrating to other parts of the face and causing muscle weakness in those areas, a rare but possible side effect of having the treatment.

Exposure to heat after Botox®
Should I avoid heat after Botox®?
Yes, as heat can increase the chance of you suffering bruising where you were at the injection site. You should avoid hot showers, baths and hot tubs for 24 hours after having Botox®.

Can I go on a sunbed after having Botox®?
After having Botox®, you should wait at least four hours before you use a sunbed. This is because lying down for extended periods immediately after the procedure could cause the Botox® to move to other muscles in the face, away from the muscles that were injected.

Although exposure to UV light won’t affect the results of your Botox® treatment, it’s the number one cause of wrinkles. So, if you want your skin to look younger for as long as possible, avoid using sunbeds and use a strong sunscreen if you’re out in the sun.

How soon can I go out in the sun after having Botox®?
You can go out in the sun immediately after having Botox®. Sun exposure can cause wrinkles though, so be sure to wear a strong sunscreen.

Exercise and movement after Botox®
How soon can I exercise after Botox®?
It’s best to avoid strenuous aerobic exercise for 24 hours after having Botox®. Strenuous exercise can result in bruising and, in rarer cases, cause the Botox® to move to other areas of your face and temporarily paralyse the muscles there.

For the same reason, you should avoid doing yoga for 24 hours—the inverted positions can cause Botox® move to other muscles in the face.

What happens if I bend over after having Botox®?
It’s possible that the Botox® may shift from where it was injected to other areas of your face. However, the risk is very small, so unless you’re bending forward repeatedly or for substantial periods of time (for example, if performing yoga moves) straight after having Botox®, you should be fine.

Should I do facial exercises after having Botox®?
Certain studies have shown that doing facial exercises after having Botox can speed up the effects of having the treatment2.

Drinking, driving and flying after having Botox®
How soon after having Botox® can I consume alcohol?
It’s best to avoid drinking alcohol for a day or two before and after the procedure. As alcohol increases fluid retention and thins the blood, it can worsen the mild bruising that often occurs where the needles are injected.

Drinking alcohol is highly unlikely to have any long-term detrimental effects on the results of your treatment.

Can I drink coffee before…

How does Botox treatment work?

Botulinum Toxin (Botox ®) when injected into a muscle temporarily relaxes the muscle by blocking nerve impulses. As the nerve impulses are blocked the muscle is temporarily unable to contract so that dynamic wrinkles are not formed. This gives the overlying facial skin a softer, smoother and more youthful appearance.

Botox FAQsBotox is very well tolerated and usually problem-free. Side effects are minimal.uthful appearance.
Is Botox treatment safe

Botulinum Toxin as a muscle relaxant has an excellent safety record and a long record of use in medicine. It has been used successfully in adults and children in variety medical conditions over the last 20 years. It has been used cosmetically to treat facial wrinkles for about 15 years and has become one of the most popular and frequently used cosmetic treatments.

Who can have Botox?

Botox Treatment can be used for treating wrinkles in men and women, however men often need slightly higher doses than women.

It should not be used in

People with infection at the proposed injection site.
People who have previously had an allergic reaction to Botulinum toxin type A injections.
People with muscle problems or chronic diseases affecting the muscles, such as Myasthenia Gravis, Eaton Lambert syndrome.
Children under the age of 18 years.
Women who are pregnant or breast feeding.
It should be used cautiously in

(please let the doctor know if the following applies to you)

People at risk of bleeding as there is an increased risk of bruising post procedure. These include people who have blood clotting disorders such as Haemophilia, those who are taking treatments with anticoagulant medicines such as Warfarin, Heparin, Aspirin and Anti-Inflammatory medicines. Certain herbal remedies such as Gingiko Bilboa, St John’s Wort and Vitamin E
People with excessive weakness or wasting in the muscle to be injected, such as those patients with history of Strokes or Bell’s Palsy
People with Chronic Breathing difficulties
Does the injection hurt

Botox injections are relatively painless as the injections are performed using a very fine needle. Patients therefore and do not require any anaesthesia. The full treatment takes about 15-20 minutes to perform and you are able to drive and go to work the same day.

How Long Do The Effects Last?

It can take about 2-14 days to see the full effects after the initial treatment. The cosmetic effects can last up to six months but typically range from three to four months. Eventually most people require re treatment as the wrinkles reappear.

However in some treated areas (such as frown wrinkles), the wrinkles may return less severe after repeated treatments as the unconscious muscle contraction habit is broken. We offer all our patients a free two week follow up appointment to assess the effect of treatment and administer any top up treatments if necessary.

Are there any side effects?

Most people find that the injections cause only mild local pain and tenderness. Immediately after the injection there may be mild swelling at the injection site which usually subsides within 48 hours. Slight bruising is also possible. Side effects of these treatments are extremely rare. Occasionally, the treatment may relax nearby muscle groups causing temporary drooping of the eyebrow or eyelids. This may last for a few weeks but will resolve with time. As with any medicine an allergic reaction may occur, this is however quite rare. Conversely there may be some unintended benefits in some people such as easing of tension type headaches as the muscles in the forehead relax.

Botox has been used for over 20 years and does not appear to cause any negative long-term effects. Once administered, Botox typically leaves the body within 3-4 days, although, as with any medical procedure, it is important to seek advice from a qualified professional beforehand.

How Often can I have treatments?

When the effect of the Botox injection wears off the wrinkles will always return to their pre-treatment state. Treatments can be repeated at a minimum of three monthly intervals, but the effects may last longer for some individuals, especially if they have had previous treatments to the same area.

Will I still have expression in my face?

Botox treatments are designed to smooth dynamic wrinkles in the forehead and around eyes, they do not affect your facial expression. The final result can be tailored to each patient and can be discussed at the initial free consultation.

What After Care Advice Should I Follow?

Try to contract the treated muscle areas for up to four hours after treatment, by frowning and lifting eyebrows to allow the toxin to reach all of the treated muscle.
Avoid rubbing or touching the injected areas and avoid having facials and massage for 48 hours this is to ensure that the treatment remains at the site of injection.
Avoid vigorous exercise and alcohol-based products on the area treated for 48 hours.
If bruising develops the you can apply Arnica cream
Paracetamol can be taken for mild pain post procedure

BOTOX® Cosmetic is a technique-sensitive treatment. You can trust BOTOX® Cosmetic to deliver subtle results when you are treated by someone who is licensed, trained, and a medical expert in facial anatomy. So you’ll look like yourself – only with less noticeable lines. No one should be able to tell you’ve had anything done.

WHAT IS BOTOX® COSMETIC?
BOTOX® Cosmetic is the #1 selling treatment of its kind*:
It’s the first and only treatment FDA-approved to temporarily make moderate to severe frown lines, crow’s feet, and forehead lines look better in adults
Treatment requires minimal downtime. You can return to your daily routine immediately after you leave your specialist’s office
You may begin to notice results within 24 to 48 hours for moderate to severe frown lines. Full results in 30 days
It delivers predictable, subtle results, so you look like you, only with less noticeable facial lines
Join the millions of men and women who make BOTOX® Cosmetic part of what they do to care for their appearance. Ask for the first and only BOTOX® Cosmetic by name.
See Why BOTOX Cosmetic Is Different
*Data collected through 2020.
HOW MUCH RESEARCH HAS GONE INTO BOTOX® COSMETIC?
When you choose BOTOX® Cosmetic, you can trust in its established track record. Backed by over 16 years of published studies, BOTOX® Cosmetic is the most widely researched and studied treatment of its kind, approved for use in 95 countries. The safety and efficacy of BOTOX® Cosmetic have been described in more than 528 peer-reviewed articles in scientific and medical journals.
Learn The Story of BOTOX Cosmetic
HOW DOES BOTOX® COSMETIC WORK?
BOTOX® Cosmetic targets one of the underlying causes of frown lines, crow’s feet and forehead lines — the repeated muscle contractions from frowning, squinting, smiling and raising the eyebrows over the years. Your specialist will inject these muscles with BOTOX® Cosmetic to temporarily reduce muscle activity. You will begin to notice a visible smoothing of the frown lines between your brows, your crow’s feet lines and your forehead lines.
Learn How BOTOX Cosmetic Works
IS THERE A SUBSTITUTE FOR BOTOX® COSMETIC?
BOTOX® Cosmetic is a biologic product that cannot be interchanged – or substituted – for another
product. In fact, the FDA has stated BOTOX® Cosmetic is “non-interchangeable,” which means that its safety and effectiveness cannot be claimed by any other product. The potency – or strength – of BOTOX® Cosmetic is measured in scientifically defined units that cannot be compared to any other product, due to our unique manufacturing process. There are no substitutes for our product.
People who are prescribed a biologic product have a right to know exactly what they are receiving. Be sure to ask which product you are being prescribed and why.
WILL MY FACE LOOK OVERDONE OR UNNATURAL?
BOTOX® Cosmetic is a technique-sensitive treatment. You can trust BOTOX® Cosmetic to deliver subtle results when you are treated by someone who is licensed, trained, and a medical expert in facial anatomy. So you’ll look like yourself—only with less noticeable lines. No one should be able to tell you’ve had anything done.
Compare the before and after pictures of real patients in our gallery, and see the difference for yourself.
See Real Results
HOW CAN I SAVE ON BOTOX® COSMETIC?
Be wary of discount products or “cheap” BOTOX® Cosmetic – if it sounds too good to be true, it probably is. Your cost of BOTOX® Cosmetic not only includes the price of the product, but more importantly, the skill and expertise of the specialist or healthcare professional who is administering your treatment.
The best way to save money on your treatments is to enroll in AllēSM, the aesthetics loyalty program by the makers of BOTOX® Cosmetic. With AllēSM, you can earn points and rewards for savings on future treatments. It’s easy and free to join!
Use your existing Brilliant Distinctions® information or create a new account to unlock all that AllēSM has to offer.
Join AllēSM
IS BOTOX® COSMETIC ONLY FOR WOMEN?
Not at all! Many men make BOTOX® Cosmetic part of what they do to care for their appearance.
The number of men choosing treatments like BOTOX® Cosmetic has risen fast – in the past three years alone, men have received over one million botulinum toxin treatments. When surveyed, the majority of men say they want to look good and they’re bothered by the changes they see in the mirror. 80% would choose to treat their crow’s feet first, while 74% would prioritize their forehead lines, and 60% would most like to treat their frown lines.†
†Results from a survey of men to determine most likely treatment areas and top areas of concern for injectable-naive,
aesthetically-oriented men aged 30 to 65 years (N=600). Proportion of respondents selecting that area as highest priority to treat using the Maximum Difference (MaxDiff) scaling system.
DO I NEED TO BE OVER 40 TO START USING BOTOX® COSMETIC?
It’s not your age that determines when BOTOX® Cosmetic is right for you, it’s the severity of your lines. In fact, 64% of plastic surgeons report seeing a rise in cosmetic surgery or injectable treatments for patients in their early 30’s.
The truth is, everyone’s lines form differently. The timing can be influenced by a combination of factors, from cellular changes that may occur over time, to reduction of collagen, to genetic factors, or damage caused by free radicals from the sun and the environment.
Whenever your lines start to bother you, go speak with your doctor. They can help you determine if treatment is right for you.
Find a Specialist
HOW MUCH TIME DOES BOTOX® COSMETIC TREATMENT TAKE? WILL IT HURT?
Your specialist will discuss your treatment goals and perform a facial analysis to determine the appropriate treatment areas for you. If the HCP deems you to be an appropriate candidate, the injection may take place on that same day. Some patients report that being injected with BOTOX® Cosmetic feels like a pinch. Your specialist may use ice to numb the treatment area. Or, if you are concerned about discomfort, your specialist may apply a topical numbing cream before administering your treatment.
Treatment requires minimal downtime. So you can return to your daily routine immediately after you leave your specialist’s office.
WILL I SEE RESULTS QUICKLY? HOW LONG DOES BOTOX® COSMETIC LAST?
You may begin to notice results within 24 to 48 hours, with full results in 30 days, with results lasting up to four months for moderate to severe frown lines. Remember that results vary from patient to patient though, so your physician will plan your next appointment based on your results and aesthetic goals.
Start talking about your goals with a specialist today and find out what you could expect.
Find a Specialist
HOW LONG IS THE RECOVERY TIME AFTER TREATMENT?
Treatment requires minimal downtime. So you can return to your daily routine immediately after you leave your specialist’s office.
Learn How BOTOX Cosmetic Works
HOW MANY INJECTIONS WILL I RECEIVE?
Treatment with BOTOX® Cosmetic is customized to your goals and needs. When you meet with your specialist, he or she will determine the appropriate treatment for any areas you wish to address, including moderate to severe frown lines, crow’s feet and forehead lines. Remember, only BOTOX® Cosmetic is approved to treat all three of these areas.
For the crow’s feet area, your specialist will inject 3 areas of the muscle that frames the side of the eye. This will be repeated on the muscle that frames the other eye.
For the frown lines area, your specialist will administer 5 injections into the muscles between your brows and in your forehead.
For the forehead lines area, your specialist will administer 5 injections into a muscle in your forehead.
Learn How BOTOX Cosmetic Works
WHAT WERE COMMON SIDE EFFECTS SEEN IN CLINICAL STUDIES?
Three percent of patients experienced eyelid drooping in the frown lines studies, one percent of patients experienced eyelid swelling in the crow’s feet studies, and one percent of patients experienced brow drooping in the forehead lines studies. Other possible side effects include: dry mouth; discomfort or pain at the injection site; tiredness; headache; neck pain; eye problems: double vision, blurred vision, decreased eyesight and dry eyes; and allergic reactions. These are not all of the possible serious side effects of BOTOX® Cosmetic. Please see the Important Safety Information including Boxed Warning and Medication Guide and talk to your specialist.
IS THERE A “GENERIC” BOTOX® COSMETIC?
There is no such thing as a “generic” form of BOTOX® Cosmetic. Be wary of discount products or “cheap” BOTOX® Cosmetic. Medical formulations, potency, and approved doses vary among products, so no one product can take the place of another. FDA labeling states that BOTOX® Cosmetic is not interchangeable with any other product. If it doesn’t say BOTOX® Cosmetic on the vial, then it isn’t BOTOX® Cosmetic.
BOTOX® Cosmetic has a one-of-a-kind formulation. And BOTOX® Cosmetic is the most widely researched and studied treatment of its kind. Backed by more than 16 years of published studies, the safety and efficacy of BOTOX® Cosmetic have been described in 528 peer-reviewed articles in scientific and medical journals.
Finally, Allergan, the maker of BOTOX® Cosmetic, owns the entire manufacturing and packaging process, which helps ensure the reliability and safety of each vial.
For proven results, ask for BOTOX® Cosmetic.

The main benefit of Botox is its ability to smooth lines and wrinkles, giving a smoother appearance to the skin. However, Botox is also used medically for issues including migraines, TMJ, cervical dystonia and hyperhidrosis (excessive sweating).

Q. How does Botox work?

A. Botox is just one of many brands of botulinum toxin – an injectable substance that is used as an anti-wrinkle treatment. It’s injected into the target area to reduce movement in the muscle, which leads to smoother skin with reduced lines and wrinkles. Other brands of botulinum toxin include Vistabel, Dysport, Azzalure, Xeomin and Bocouture.

Muscles contract when they get a message from a nerve ‘telling them’ to contract. Botulinum toxin prevents this message from passing from the nerve to the muscle, so the muscle becomes temporarily paralysed.

This reduced the movement, folding and scrunching of the skin above the muscle, so the lines are softened.

In time, the toxin is broken down and movement returns.

Q. What are the main Botox benefits?

A. The main benefit of Botox is its ability to smooth lines and wrinkles, giving a smoother appearance to the skin. However, Botox is also used medically for issues including migraines, TMJ, cervical dystonia and hyperhidrosis (excessive sweating).

Q. What are the main Botox areas?

A. Anti-wrinkle injections are used on dynamic lines, so you can have Botox for forehead lines, Botox for frown lines (AKA 11s), and Botox for crow’s feet, lipstick lines and bunny lines. It’s effective at significantly reducing lines and wrinkles in these areas. For static lines and wrinkles, dermal fillers are used instead.

But it’s not only used for cosmetic reasons. It’s used in tonnes of medical instances too! There’s Botox for migraine, underarm Botox (i.e. Botox for sweating), masseter Botox and loads more.

Q. What are the main Botox side effects?

A. Anti-wrinkle injections such as Botox are FDA-approved, meaning lots of research has been conducted on them to ensure they are safe for use. However, after anti-wrinkle treatment, it’s common to experience redness, pinprick marks and sometimes bruising, but these should subside relatively quickly. If you notice prolonged bruising, irritation or infection around the area, drooping or difficulty swallowing, call your practitioner right away so they can provide you with the advice and Botox aftercare you need.

Be sure to avoid exercise, alcohol, aspirin and ibuprofen for the next 24 hours, and don’t rub the treated area as it can lead to the toxin moving. Find out more about the dos and don’ts before and after Botox here.

Q. How long is a Botox appointment?

A. Botox injections are relatively quick and straightforward, and take around just 15 minutes. However, prior to your treatment, you should expect an in-depth and thorough medical consultation with your practitioner. So allow for around an hour for a wrinkle relaxing appointment.

Q. How long does Botox take to work?

A. How long it takes for the effects of Botox to start varies from person to person, but it generally takes around 3 to 14 days before it kicks in. When this happens, you’ll start to see minimised lines and wrinkles.

Q. Is there any Botox downtime?

A. There’s no downtime with Botox, which means you can get on with your day as normal. However, because you might experience some redness or pin prick marks afterwards, you might not want to do it right before a big event.

Q. Does Botox hurt?

A. The needles used for Botox are extremely small, so shouldn’t be uncomfortable. Of course, everyone’s pain threshold is different, so if you have a particularly low pain tolerance, it may be worth taking paracetamol around an hour before your appointment. You should avoid ibuprofen and other blood thinning medication, though, as this can lead to increased bruising. Occasionally, numbing cream may be used in cases where pain threshold levels are particularly low.

Q. Who can perform Botox injections?

A. Anti-wrinkle injections such as Botox are prescription only medicine and should only be performed by medically qualified practitioners, as they require expert skill and experience. You should also have a face-to-face consultation with the prescriber prior to your treatment.

When conducted by an expert, Botox injections are safe and effective, but in the wrong hands, could be very dangerous.

Q. What’s the difference between Botox and fillers?

A. Botox and dermal fillers can both be used to rejuvenate the skin, but, in fact, they work in different ways. Botox is a prescription only medicine, which relaxes the muscles, reducing movement which minimises dynamic lines, such as forehead lines and 11s. Dermal fillers, on the other hand, are also injectable treatments, but they work by plumping up lines to smooth them out. Fillers are also used for enhancing features such as the nose, jawline and lips.

Q. Will I be able to move my face after Botox?

A. One of the biggest concerns people have with Botox is that they think it will give them a ‘frozen’ look or ‘Botox face’, removing their ability to make facial expressions as usual. This comes down to how much is used. If a practitioner uses too much, this can happen. However, when it’s performed by an experienced, medically qualified practitioner, the treatment should look natural, still allowing you to express your emotions.

Q. How long does Botox last?

A. The effects of Botox vary from person to person as people metabolise it at different rates. However, on average, the anti-wrinkle injection lasts between 3 and 6 months, after which you’ll start to see lines and wrinkles return.

Q. When should I start getting Botox?

A. People often start getting Botox from their 30s+, when dynamic fine lines and wrinkles are more visible. This prevents the skin from folding and creasing, giving a younger look. Some people get Botox from their mid-20s as a preventative measure – minimising lines before they have a chance to form. But it’s always best to speak to a medically qualified practitioner, have a thorough consultation, to see what treatment they recommend for you.

Q. Can I have Botox if I’m pregnant?

A. Botox is not suitable for women who are pregnant, breastfeeding or trying to get pregnant. This is due to the fact that there is not enough known about the impact of the toxin on babies and their health. No ethical medical practitioner will conduct anti-wrinkle treatments on a pregnant or breastfeeding woman.

Q. Do I need to let my practitioner know about any illnesses before a Botox appointment?

A. You will be asked to complete a detailed health questionnaire before your Botox appointment to assess whether the treatment is right for you. There may be other treatment options available to you.

You should let your practitioner know if you have a muscular disease such as Bell’s Palsy or any nervous system or blood disorders. You should also tell them about any medications you are taking as these may interfere with the effectiveness of the Botox, and vice versa. This is particularly important if you are taking medications that affect blood clotting. You should also tell them about any psychological concerns you have.

Botox is not designed to remove facial expressions,. It’s designed to soften lines of excessive facial expression from squinting, frowning, and smiling. It does paralyze your muscles, but it will not affect the nerves that cause sensation, or make you feel numb. When it is used correctly, it can lift the brow to give an appealing and sincere look. But if too much is injected in the danger zone — the horizontal lines in the forehead — you can look Spocked, as in Spock from Star Trek. That’s why it’s important to be treated by an experienced doctor who can judge the size of your muscles and how much Botox you will need.

Botulinum toxin injection for treatment of facial wrinkles is the most frequently performed cosmetic procedure in the United States, and it is one of the most common entry procedures for clinicians seeking to incorporate aesthetic treat- ments into their practice. Treatment of frown lines and crow’s feet, which are the cosmetic indications approved by the U.S. Food and Drug Administration, and horizontal forehead lines, offers predictable results, has few adverse effects, and is associated with high patient satisfaction. Wrinkles are formed by dermal atrophy and repetitive contraction of underlying facial musculature. Botulinum toxin is a potent neurotoxin that inhibits release of acetylcholine at the neuromuscular junction. Injection of small quantities of botulinum toxin into specific overactive muscles causes local- ized muscle relaxation that smooths the overlying skin and reduces wrinkles. Botulinum toxin effects take about two weeks to fully develop and last three to four months. Dynamic wrinkles, seen during muscle contraction, yield more dramatic results than static wrinkles, which are visible at rest. Botulinum toxin injection is contraindicated in per- sons with keloidal scarring, neuromuscular disorders (e.g., myasthenia gravis), allergies to constituents of botulinum toxin products, and body dysmorphic disorder. Minor bruising can occur with botulinum toxin injection. Temporary blepharoptosis and eyebrow ptosis are rare complications that are technique-dependent; incidence declines as injector skill improves.
CME This clinical content conforms to AAFP criteria for continuing medical education (CME). See CME Quiz Questions on page 145.
Author disclosure: No rel- evant financial affiliations.
See related editorial on page 136.
Patient information:
A handout on this topic, written by the author of this article, is available at http://www.aafp.org/ afp/2014/0801/168-s1. html.
Botulinum toxin injection for treat- temporary chemical denervation. At the cel-
ment of facial wrinkles is the most
frequently performed cosmetic
1 procedure in the United States,
and it is one of the most common entry pro- cedures for clinicians seeking to incorporate aesthetic treatments into their practice.2 Botulinum toxin injection, particularly in the upper one-third of the face, offers pre- dictable results,3 has few adverse effects,4 and is associated with high patient satisfaction.5 This article reviews relevant facial anatomy, patient selection, complications, and injec- tion technique for cosmetic botulinum toxin treatment with a focus on frown lines. It is, however, not intended as a replacement for a formal instructional course.
Mechanism of Action
Wrinkles are formed by dermal atrophy and repetitive contraction of underlying facial musculature. Injection of small quantities of botulinum toxin into specific overactive muscles causes localized muscle relaxation that smooths the overlying skin and reduces wrinkles.6
Botulinum toxin is a potent neurotoxin protein derived from the Clostridium botu- linum bacterium. It exerts its effect at the neuromuscular junction by inhibiting the release of acetylcholine, which causes
lular level, botulinum toxin functions by cleaving a docking protein (synaptosomal- associated protein of 25 kDA [SNAP-25]) on the internal surface of neuronal membranes, thereby inhibiting vesicle fusion and release of acetylcholine.7 Botulinum toxin effects in the targeted muscles diminish over time as SNAP-25 regenerates, and neuromuscu- lar signaling and muscle contractility are restored.
Indications
Botulinum toxin has been used for more than 20 years to treat a variety of conditions including blepharospasm, strabismus, cervi- cal dystonia, migraines, hyperhidrosis, and muscle spasticity. Botulinum toxin was first approved by the U.S. Food and Drug Admin- istration (FDA) for cosmetic use in 2002 as Botox to treat glabellar complex muscles that form frown lines and in 2013 to treat lateral orbicularis oculi muscles that form crow’s feet8; it is used off-label for all other cos- metic facial indications. It has become the treatment of choice for wrinkles occurring in the upper one-third of the face (i.e., frown lines, horizontal forehead lines, and crow’s feet). It is also used in the lower two-thirds of the face, but this is more technically chal- lenging and is an advanced application.9-14
1D6ow8nloAamdeedrfircoamnthFeaAmmileyricPahnyFsaimcialynPhysician website at www.aafp.worwg/waf.pa.aCfopp.yorrigh/ta©fp2014 American Academy VofoFluamiley 9Ph0y,sNiciuanms.bFeorr3the pAruivgautes,tn1o,n2co0m14- mercial use of one individual user of the website.

Botulinum Toxin Injection
1. Frontalis
2. Temporalis
3. Corrugator supercilii 4. Procerus
5. Depressor supercilii
6. Orbicularis oculi
7. Nasalis
8. Levator labii superioris
alaeque nasi
9. Levator labii superioris
10. Zygomaticus minor 11. Zygomaticus major 12. Orbicularis oris
13. Modiolus
14. Risorius
15. Platysma
16. Depressor anguli oris 17. Depressor labii inferioris 18. Mentalis
1. Horizontal forehead lines (frontalis) 2. Frown lines (glabellar complex)
3. Crow’s feet (orbicularis oculi)
4. Bunny lines (nasalis)
5. Nasolabial folds (levator labii superioris alaequae nasi) 6. Radial lip lines (orbicularis oris)
7. Marionette lines (depressor anguli oris)
8. Chin line (mentalis)
Figure 1. Musculature of the face.
Reprinted with permission from Small R, Hoang D. A Practical Guide to Botu-
linum Toxin Procedures. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2012. Anatomy
The muscles of facial expression are unique in that they have soft tissue attachments to skin through the superfi- cial muscular aponeurotic system, unlike most muscles, which have bony attachments (Figure 115). When facial muscles contract, the overlying skin also moves, form- ing dynamic wrinkles perpendicular to the direction of muscle contraction (Figure 215).
Glabellar wrinkles, or frown lines, are vertical lines occurring between the medial aspects of the eyebrows. The muscles contributing to formation of frown lines are
Figure 2. Wrinkles of the face (associated muscle). Reprinted with permission from Small R, Hoang D. A Practical Guide to Botu-
linum Toxin Procedures. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2012.
the glabellar complex depressor muscles, which include the corrugator supercilii, procerus, and depressor super- cilii. Contraction of these muscles pulls the brows medi- ally and inferiorly (Figure 315).
Patient Selection
Patients with dynamic wrinkles demonstrate the most dramatic improvements from botulinum toxin injec- tion and are ideal candidates for treatment (Figure 415). Patients with static wrinkles that are visible at rest are also candidates (Figure 515), but results are slower and patients may require two or three consecutive

Expression lines Muscle Action
Frown lines
Corr
ugator supercilii
Eyebrows drawn medially
Procerus and depressor supercilii
Eyebrow depressors
Horizontal forehead lines
Fron
talis
Eyebrow levator
Crow’s feet
Lateral orbicularis oculi
Lateral eyebrow depressor
Eyebrow lift
Superior lateral orbicularis oculi
Superior lateral eyebrow depressor
Bunny lines
Nasalis
Nose drawn up and medially
Radial lip lines
Orbi
cularis oris
Lip puckering
Marionette lines and downturned smile
Depressor anguli oris
Corner of mouth depressor
Gummy smile and nasolabial fold
Levator labii superioris alaeque nasi
Central lip levator
Chin line and pebbly chin
Men
talis
Chin texture and lower lip levator
Key: orange = depressor muscles; purple = levator muscles; gray = sphincteric muscles.

Figure 5. (A) Dynamic frown lines with glabellar complex muscle contraction and (B) static lines with glabellar mus- cles at rest.
Copyright © Rebecca Small, MD.
Reprinted from Small R, Hoang D. A Practical Guide to Botulinum Toxin
linum Toxin Procedures. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2012.
170 American Family Physician www.aafp.org/afp Volume 90, Number 3 ◆ August 1, 2014
Figure 3. Functional anatomy of the face.
Reprinted with permission from Small R, Hoang D. A Practical Guide to Botu-
Procedures. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2012.

Botulinum Toxin Injection
Table 1. Contraindications to Botulinum Toxin Injection
Body dysmorphic disorder
Dependency on facial expression for livelihood (e.g., actors, singers) Dermatoses in the treatment area (e.g., psoriasis, eczema)
Gross motor weakness in the treatment area (e.g., Bell palsy) Immunocompromised
Infection in the treatment area
Keloidal scarring
Neuromuscular disorder (e.g., amyotrophic lateral sclerosis, myasthenia
gravis, Lambert-Eaton syndrome, myopathies)
Pregnancy or breastfeeding
Sensitivity or allergy to constituents of the botulinum toxin product
(e.g., cow’s milk protein allergy with abobotulinumtoxinA [Dysport]) Unrealistic expectations
Information from references 14, and 16 through 18.
botulinum toxin treatments for significant improve- ments.15 Deep static lines may not fully respond to botulinum toxin injection alone and may require com- bination treatment with dermal fillers or other cosmetic procedures to achieve optimal results. Setting realistic expectations at the time of consultation is important for patient satisfaction and success with botulinum toxin treatments. Contraindications to botulinum toxin inje…

This varies — and it’s mostly up to you! You don’t need it before you have wrinkles to hide, or you can use it preventatively. To be clear, it is much more about anatomy (as a result of genetic and environmental factors) than it is about a stereotypical age at which to begin. Prevention is the new mantra, [but] I have seen women in [their] 40s with few or no wrinkles who require very little [Botox], and women in their 20s who require more. Basically, a patient can have Botox safely whenever they are bothered by their wrinkles or simply want to prevent them from forming in the first place. There is no issue with long term use, either: “I’ve had patients who have used it repeatedly for over 20 years without bad effects,” says Dr. Vigo.

BOTOX, 50 Allergan Units, Powder for Solution for Injection BOTOX, 100 Allergan Units, Powder for Solution for Injection BOTOX, 200 Allergan Units, Powder for Solution for Injection
Botulinum toxin type A
Read all of this leaflet carefully before you start using this medicine because it contains important information for you.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist or healthcare
practitioner.
• This medicine has been prescribed for you only. Do not pass it on to others. It
may harm them, even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor or pharmacist or healthcare
practitioner. This includes any possible side effects not listed in this leaflet. See section 4.
What is in this leaflet:
1. What BOTOX is and what it is used for
2. What you need to know before you use BOTOX
3. How to use BOTOX
4. Possible side effects
5. How to store BOTOX
6. Contents of the pack and other information
1. What BOTOX is and what it is used for
BOTOX is a muscle relaxant used to treat a number of conditions within the body. It contains the active substance Botulinum toxin type A and is injected into either the muscles, the bladder wall or deep into the skin. It works by partially blocking the nerve impulses to any muscles that have been injected and reduces excessive contractions of these muscles. In the case of chronic migraine, it is thought that BOTOX blocks pain signals, which indirectly block the development of a migraine.
When injected into the skin, BOTOX works on sweat glands to reduce the amount of sweat produced.
When injected into the bladder wall, BOTOX works on the bladder muscle to prevent leakage of urine (urinary incontinence) due to uncontrolled contractions of the bladder muscle.
1
1) BOTOX can be injected directly into the muscles, and can be used to treat the following conditions:
• persistent muscle spasms in the ankle and foot in children aged two years or older with cerebral palsy, who can walk. BOTOX is used to support rehabilitation therapy;persistent muscle spasms in the wrist, hand, ankle or foot of adult patients who have suffered a stroke;
• persistent muscle spasms in the eyelid and face of adult patients;
• persistent muscle spasms in the neck and shoulders of adult
patients
2) BOTOX is used to prevent headaches in adult patients with chronic migraine.
Chronic migraine is a disease affecting the nervous system. To be diagnosed with chronic migraine, you must have headaches 15 days or more a month. In addition, on 8 or more days a month, your headaches must have at least two of the following characteristics:
• affect only one side of the head
• cause a pulsating pain
• cause moderate to severe pain
• are aggravated by routine physical activity
and they must cause at least one of the following: • nausea, vomiting, or both
• sensitivity to light and sound.
BOTOX has been shown to significantly reduce the frequency of days with headache and to improve the quality of life of patients suffering from chronic migraine. After two treatment sessions, approximately 47% of patients had a 50% or greater reduction from baseline in the number of days with headache they experienced.
3) When injected into the bladder wall, BOTOX works on the bladder muscle to reduce leakage of urine (urinary incontinence) and control the following conditions in adults:
• overactive bladder with leakage of urine, the sudden urge to empty your
bladder and needing to go to the toilet more than usual;
• leakage of urine due to bladder problems associated with spinal cord injury or
multiple sclerosis.
In patients who have not managed to control overactive bladder with leakage of urine with medicines called anticholinergics, BOTOX has been shown to reduce leakage of urine from an average of about 5 episodes per day down to 2 after 12 weeks. 27% of patients had no leakage of urine at all.
In patients with bladder problems associated with spinal cord injury or multiple sclerosis who have not managed to control leakage of urine with medicines called anticholinergics, BOTOX has been shown to reduce leakage of urine, from an average of about 30 episodes per week down to 10 after 6 weeks. 37% of patients had no leakage of urine at all.
2

4) In adults, BOTOX can be injected deep into the skin and can work on sweat glands to reduce excessive sweating of the armpits, which affects the activities of daily living when other local treatments do not help.
5) BOTOX is used for the temporary improvement in the appearance of:
• Vertical lines between the eyebrows seen at maximum frown and/or
• Fan-shaped lines from the corner of the eyes seen at maximum smile and/or, • Forehead lines seen at maximum raised eyebrows,
When the severity of the facial lines has an important psychological impact in adult patients.
2. What you need to know before you use BOTOX Do not use BOTOX
• if you are allergic (hypersensitive) to botulinum toxin type A or any of the other ingredients of this medicine (listed in section 6);
• if you have an infection at the proposed site of injection;
• when you are being treated for leakage of urine and have either a urinary tract
infection or a sudden inability to empty your bladder (and are not regularly
using a catheter), or if you have bladder stones;
• if you are being treated for leakage of urine and are not willing to begin using
a catheter if required.
Warnings and precautions
Talk to your doctor or pharmacist or healthcare practitioner before using BOTOX:
• if you have ever had problems with swallowing or food or liquid accidentally
going into your lungs, especially if you will be treated for persistent muscle
spasms in the neck and shoulders;
• if you are over 65 years of age and have other serious illnesses;
• if you suffer from any other muscle problems or chronic diseases affecting
your muscles (such as myasthenia gravis or Eaton Lambert Syndrome);
• suffer from certain diseases affecting your nervous system (such as
amyotrophic lateral sclerosis or motor neuropathy);
• if you have significant weakness or wasting of the muscles which your doctor
or healthcare practitioner plans to inject;
• if you have had any surgery that may have in some way changed the muscle to
be injected;
• if you have had any problems with injections (such as fainting) in the past;
• if you have inflammation in the muscles or skin area where your doctor or
healthcare practitioner plans to inject;
• if you have had problems in the past with previous botulinum toxin injections;
• if you suffer from cardiovascular disease (disease of the heart or blood vessels);
• if you suffer of have suffered from seizures;
• if you have an eye disease called closed-angle glaucoma (high pressure in the
eye) or were told you are at risk for developing this type of glaucoma;
• if you will have an operation soon;
• if you are taking any blood thinning medicine.
3

After you have been given BOTOX
You or your caregiver should contact your doctor and seek medical attention immediately if you experience any of the following:
• difficulty in breathing, swallowing, or speaking;
• hives, swelling including swelling of the face or throat, wheezing, feeling faint
and shortness of breath (possible symptoms of severe allergic reaction).
If you have been treated for vertical and/or fan-shaped and/or forehead lines, please inform your doctor or healthcare practitioner if you see no significant improvement of your lines one month after your first course of treatment.
General precautions
As with any injection, it is possible for the procedure to result in infection, pain, swelling, burning and stinging, increased sensitivity, tenderness, redness, and/or bleeding/bruising at the site of injection.
Side effects possibly related to the spread of toxin distant from the site of administration have been reported with botulinum toxin (e.g. muscle weakness, difficulty swallowing or unwanted food or liquid in the airways). This is a particular risk for patients with an underlying illness that makes them susceptible to these symptoms.
If you are given BOTOX too often or the dose is too high, you may experience muscle weakness and side effects related to the spread of toxin, or your body may start producing some antibodies, which can reduce the effect of BOTOX. To limit this risk, the interval between two treatments must not be less than two or three months depending on the indication.
When BOTOX is used in the treatment of a condition that it is not listed in this leaflet, it could result in serious reactions, particularly in patients who already experience difficulty in swallowing or have significant debility.
If you have not done much exercise for a long time before receiving BOTOX treatment, then after your injections you should start any activity gradually.
It is unlikely that this medicine will improve the range of motion of joints where the surrounding muscle has lost its ability to stretch.
When treating adults with post-stroke ankle muscle spasms, BOTOX should only be used if it is expected to result in improvement in function (e.g. walking) or symptoms (e.g. spasms or pain) or to help with patient care. Furthermore, for …

Neuromodulators are naturally-occurring proteins that temporarily block muscle movement. Neuromodulation is commonly used to treat and enhance peoples’ quality of life, and botulinum toxin neurotransmitters are no different. Botulinum toxin neurotransmitters – commercially known as Botox, Dysport, and/or Xeomin – are used to treat frown lines, crow’s feet, and wrinkles. By injecting just a miniscule amount of these neuromodulators directly into the underlying muscle, it causes it to relax and gradually smooth out the appearance of the overlying skin.

Botox Dubai specifically prevents wrinkles caused by muscle movements and can reverse mild lines, stopping them from developing at all. Wrinkles are developed over time because your skin weakens and has more difficulty bouncing back from your face’s many motions (laughing, raising your eyebrow, etc.). Botox, when used with a topical product that can stimulate collagen, strengthens your skin and relaxes your facial muscles, preventing them from constricting and wrinkling overlying skin together.

The most common areas treated with Botox include: Frown lines Forehead wrinkles Crow’s feet Under-eye lines (muscles around the eye) Migraine treatment protocol Masseter/Temporalis Muscles for Temporal Mandibular Jaw Pain (TMJ) and teeth grinding Underarms for treatment of hyperhidrosis (excess sweating)

We recommend that you avoid all of the following after a Botox treatment:

Heat and direct sunlight
Washing your face
Rubbing your face for at least the first 4 hours after treatment
Excessive exercise within the first 24 hours after treatment
Blood thinners
Lying on your face – we recommend that you don’t take a nap after your treatment

There is no risk of your wrinkles or lines worsening if you decide to only have one course of treatment. They will simply gradually return to how they used to be, and for many people a single course of treatment in a specific area is a good way of experimenting and enjoying the benefits first hand.