Botulinum injection - Botulinum toxin is a neurotoxin protein produced by the bacterium Clostridium botulinum. There are several forms that are available throughout the world, with two subtypes currently in clinical use. Botulinum toxin A is manufactured as Botox®, Dysport® and Neuronox®. By far, the most widely used form in the U.S. is Botox®, which is produced by Allergan, Inc.
- Botox® / Dysport® / Xeomin® injection - Forehead, Between the Eyebrows and Around the Eyes
Courtesy of Dr. Dan Cruson
What should I expect?
BTX-A exerts its influence at the nerve ending as it enters the muscle by blocking the release of the neurotransmitter acetylcholine. In doing so, it weakens the muscle that creates the wrinkle and thus smoothes the skin. The nerve ending repairs itself over a period of three to six months which corresponds to a return of full muscle function, therefore it is necessary to undergo another treatment after three to six months. Botox® is used for both medical and cosmetic purposes and was approved by the FDA for cosmetic use in the glabellar region (the area between the eyebrows) in 2002. There may be some slight discomfort at the time of injection and some slight bruising may occur a few days after the treatment is administered. A Botox® injection weakens, through inhibition, the muscles that cause the wrinkles, but does not normally interfere with facial expressions. Through this weakening, the wrinkles are dramatically decreased within 1-3 days.
What are the risks?
General Risks: Pain and bruising at the injection site, redness, itching
Site specific risks: Forehead: brow droop, Lips: inability to purse lips or suck out of a straw, Eyelids/Eyebrow: eyelid droop
How do I ensure my safety?
Patients with conditions such as multiple sclerosis, bleeding disorders or people taking certain forms of medications should avoid Botox® for safety reasons. There is a lack of conclusive studies into the effects of Botox® treatment on pregnant women or on breastfeeding mothers. Therefore, it is considered best to be on the side of caution and avoid treatment during this period to avoid harmful effects to the mother or child. Always consult your physician when considering Botox®. Be sure to mention any pre-existing medical conditions, current medications, or allergies to your physician as these affect whether or not you are a good candidate for Botox®. Your doctor will review the risks and potential complications and ask you to sign a consent form indicating that you fully understand.
What will recovery be like?
There is no downtime or recovery necessary with Botox®.
How much does it cost?
In the United States, the average cost of a botulinum or Botox injection is $644, according to BuildMyBod's 2020 Plastic Surgery Pricing Report.This includes costs of anesthesia, operating room facilities, and other related fees.
See more detailed pricing for this procedure
Questions & Answers
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