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Botox Injections: Everything You Wanted to Know

Botox Injections Everything You Wanted To Know

Botox is a specific brand name for botulinum toxin. The toxin is derived from the bacteria clostridium botulinum. The toxin itself causes paralysis of muscles and in high doses can be fatal. However, the cosmetic industry has figured out a way to purify this toxin and give it in very small doses so it can have cosmetic benefits without systemic risk.

There are currently 3 FDA-approved brands of botulinum toxin on the United States market currently (Botox, Dysport, and Xeomin), each is slightly different and from competing manufacturers. There are more brands that will also be hitting the market soon. Botox is the most well recognized brand since it was the first to be approved and has been used the longest.

Much like “Xerox” and “Q-tip”, Botox has become synonymous with all botulinum toxin, so when people say “Botox”, they are not necessary referring to the specific brand. They are describing the class of toxins. Even healthcare professionals mistakenly use the term Botox when referring to other brands.

How does Botulinum Toxin work?

People often wonder what is botox made of? Botulinum toxin is a neurotoxin. This means that botox blocks nerve signals. Specifically, the toxin blocks the connection between motor nerves and muscles. The nerve is unable to communicate with the muscle, and the muscle stops working. The result of botox cosmetic treatment is relaxation of the muscle through partial paralysis. It is only temporary and the nerve function will return after about a few months as these connections heal themselves.

What is the purpose of Botulinum Toxin?

Botulinum Toxin injection are used to improve your looks by reducing the appearance of fine lines and wrinkles that are the result of muscle movements. By relaxing the target muscles, the lines and wrinkles disappear. Take a look in the mirror and scrunch your face.  Do you have lines that appear? Well, those are the lines that are targeted by Botox injections.

Botulinum Toxin is commonly used throughout the face and neck to reduce the appearance of:

  • Frown lines (the “elevens”)
  • Forehead lines
  • Bunny Lines on the nose
  • Crow’s feet around the eyes
  • Lip lines (“smoker’s lines”)
  • Dimpling of the chin
  • Neck bands

Who is a Candidate for Botox Injections?

Basically, anyone with frown lines or wrinkles that they want reduced can be a candidate for botulinum toxin injections. You should be in good health and without and systemic neuromuscular disease. You should also not have any active skin diseases in the area that is to be injected and have no history of prior adverse reaction to botulinum toxin injections.

You will be evaluated prior to your injections, so your injector will help determine if botulinum toxin injections will produce the result you desire. Sometimes, other treatments like fillers, lasers, or chemical peels may be more appropriate.  Botulinum toxin should not be given to pregnant or breastfeeding women.

How is Botulinum Toxin given?

The toxin comes in a liquid form and is injected directly into the areas being treated. This means that your surgeon will be using a needle at the injection site. We use the smallest needles available for a botox injection and you will get multiple small botox injections to the area, so that the toxin is injected directly into the muscle. This will help ensure a smooth relaxation of the muscle. Botox cosmetic injections are very well tolerated and most people feel very little discomfort.  After the Botox cosmetic procedure, you can go back to your normal daily activities.

What is the recovery time?

There is essentially no recovery time after your botulinum toxin injections. Because botox cosmetic treatment is administered with needles, there can be some pain or bruising at the site of the botulinum toxin injection. This is temporary. You can resume normal activities right away, but we do recommend no heavy exercise for a day or two, in order to prevent worsening bruising and swelling. In some cases patients have reported muscle weakness and even difficulty breathing in addition to soreness after injection. It is important to monitor your recovery and if you notice these symptoms, contact your surgeon. 

Will I see it working right away?

No. No matter what the botulinum toxin type, botulinum toxin takes time to work. There is some variation among different brands, but in general it takes a few days to a week for the muscles to be relaxed by the botulinum toxins Many people do report that Dysport brand toxin kicks in faster, with most people seeing results in about 2-3 days. Some people respond differently to botox cosmetic treatments so the time to onset may vary.

How long will it last?

In general, the effects of botulinum toxin last 3-4 months. But this can vary based on the anatomic location of the botox injections and the brand of toxin used. There is also some variation between people and how they react to the Botulinum Toxins. Some people are more sensitive to the toxin and require smaller doses, and some require higher doses. Additionally, there is a very small percentage of people who are resistant to botulinum toxin and it just doesn’t work on them.

Can Botox be combined with other treatments?

Of course. It is very common for botulinum toxin to be given together with other treatments. This is because many people require more than one treatment to correct what they are complaining about. Commonly, patients get botox to reduce lines and wrinkles, but also get fillers (like Juvéderm or Restylane) to fill deep folds or deep lines. Most of these different treatments can be performed at the same time.

Are there other uses for Botox?

While botulinum toxin is most commonly used to treat lines and wrinkles of the face, there are some other, less common treatments of various medical conditions that have been proven to be effective. You can even get botox injections for migraines. Some of these other medical conditions include:

  • Jawline reduction
  • Treatment of chronic migraine headaches
  • Reducing appearance of a gummy smile
  • Treating temporomandibular joint (TMJ) disorder
  • Stopping excessive sweating

How does Botox treat sweating?

Botox Injections For MigrainesExcessive sweating, or hyperhidrosis, is a very debilitating condition. Hyperhidrosis can occur on the hands, feet, underarms, and scalp – basically anywhere that there are sweat glands. It can cause significant social anxiety, not to mention damage clothes. In clinical trials, botulinum toxin has been very effective in treated excess sweating and is FDA-approved for the treatment of hyperhidrosis.

The Botox is injected into the areas being treated. The toxin actually paralyzes the tiny muscles that surround each sweat gland. Most people see significant reduction in sweating within a week and the results can last 6-12 months. Higher doses of toxin are required when treating hyperhidrosis.

Book Your Botox Injection Consultation

If you are concerned about the appearance of your lines and facial wrinkles, botulinum toxin may be right for you. Botox has been tested repeatedly in clinical trials and used by many patients around the world and has proven to be an effective treatment for wrinkles and lines.  You should be evaluated by a Board-Certified Plastic Surgeon or Board Certified Dermatologist. They will be able to tell you if Botox, Xeomin, or Dysport is best for you.

They will also be able to discuss other treatments that may be better to help your areas of concern. To see an experienced injector, you can contact New York Plastic Surgeon Dr. Matthew Schulman.


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